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Aulya Akbar
Penerapan terapi pikiran perilaku dan psikoedukasi keluarga terhadap kemampuan dan tanda gejala pada klien harga diri rendah kronik dengan menggunakan pendekatan Teori Adaptasi Roy di rumah sakit jiwa = Application of cognitive behaviour therapy and assertive training for sign and symptoms and ability on chronic low self esteem client by using the approach of Roy Adaptation Model at mental health hospital
"[ABSTRAK
Pikiran negative pada klien harga diri rendah kronik menyebabkan klien sulit berpikir jernih dan logis terhadap diri sendiri. Tujuan penulisan ini untuk memberikan gambaran pengaruh penerapan terapi pikiran perilaku dan psikoedukasi keluarga pada klien harga diri rendah kronik. Metode yang digunakan adalah deskriptif analitik dengan pendekatan teori adaptasi Roy dan model stres dan adaptasi Stuart. Tindakan keperawatan terapi pikiran perilaku diberikan pada 20 klien dimana 15 keluarga klien diberikan psikoedukasi keluarga. Hasil pelaksanaan terapi pikiran perilaku dan psikoedukasi pada klien menunjukan adanya penurunan tanda gejala pada aspek social dan perilaku serta peningkatan kemampuan keluarga dalam pemberian terapi psikofarmaka dan mengunkapkan pikiran negative yang lebih besar dibanding klien dan yang hanya mendapatkan terapi pikiran dan perilaku, Kombinasi terapi pikiran perilaku dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa.ABSTRACT Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard therapy nursing specialists soul., Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard therapy nursing specialists soul.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Mochamad Ali Sodikin
Perubahan tanda gejala dan kemampuan klien harga diri rendah kronik dan risiko perilaku kekerasan setelah pemberian terapi kognitif perilaku dan latihan asertif = The Changes of symptoms and capability after given cognitive behaviour therapy and assertiveness training with chronic low self-esteem and risk of violent behavior clients
"ABSTRAK
Skizofrenia merupakan penyakit neurobiologis berat dan terus menerus yang mengakibatkan terganggunya kehidupan individu. Tanda gejala yang terjadi klien berupa berupa gejala positif dan gejala negatif dengan diagnosis keperawatan harga diri rendah kronik dan risiko perilaku kekerasan. Tujuan karya ilmiah akhir spesialis ini adalah untuk mengetahui perubahan tanda gejala dan kemampuan klien harga diri rendah kronik dan risiko perilaku kekerasan setelah mendapatkan tindakan keperawatan ners generalis dan ners spesialis : terapi kognitif perilaku dan latihan asertif. Asuhan medik adalah pemberian antipsikotik dan asuhan keperawatan adalah tindakan ners dan ners spesialis. Metode karya ilmiah akhir yang digunakan adalah riset operational dengan jumlah sampel 30 klien. Hasil penelitian ini didapatkan bahwa tanda dan gejala harga diri rendah kronik dan risiko perilaku kekerasan menurun secara bermakna (p-value ≤ 0.05) dan kemampuan klien meningkat secara bermakna (p-value ≤ 0.05) setelah pemberian tindakan keperawatan ners generalis dan ners spesialis terapi kognitif perilaku dan latihan asertif. Pemberian kombinasi tindakan ners, ners spesialis terapi kognitif perilaku dan latihan asertif sangat direkomendasikan untuk penatalaksanaan diagnosis keperawatan harga diri rendah kronik dan risiko perilaku kekerasan.
ABSTRACT
Schizophrenia is a severe and continuous neurobiological disease that results in disruption of individual life. Signs and symptoms that occur on clients are in the form of positive symptoms and negative symptoms with a nursing diagnosis chronic low self-esteem and the risk of violent behavior. The purpose of this specialist s final scientific work is to determine changes in signs and symptoms and the client's ability who have chronic low self-esteem and the risk of violent behavior after obtaining nursing actions by generalist nurses and specialist nurses : cognitive behaviour therapy and assertiveness training. Medical care is the provision of antipsychotics and nursing care is the action of nurses and specialist nurses. The final scientific method used is operational research with a sample of 30 clients. The results of this study showed that the signs and symptoms of chronic low self-esteem and the risk of violent behavior decreased significantly (p-value ≤ 0.05) and the ability of clients increased significantly (p-value ≤ 0.05) after giving generalist nursing actions and specialist nursing actions cognitive behaviour therapy and assertiveness training. Giving a combination of actions by nurses, specialist nurses cognitive behaviour therapy and assertiveness training is highly recommended for the management of nursing diagnoses of chronic low self-esteem and the risk of violent behavior."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Aulya Akbar
Penerapan terapi pikiran perilaku dan psikoedukasi keluarga terhadap kemampuan dan tanda gejala pada klien harga diri rendah kronik dengan pendekatan teori adaptasi Roy di rumah sakit jiwa = Application of cognitive behaviour therapy and assertive training for sign and symptoms and ability on chronic low self esteem client by using the approach of Roy adaptation model at mental health hospital
"[ABSTRAK
Pikiran negative pada klien harga diri rendah kronik menyebabkan klien sulit berpikir jernih dan logis terhadap diri sendiri. Tujuan penulisan ini untuk memberikan gambaran pengaruh penerapan terapi pikiran perilaku dan psikoedukasi keluarga pada klien harga diri rendah kronik. Metode yang digunakan adalah deskriptif analitik dengan pendekatan teori adaptasi Roy dan model stres dan adaptasi Stuart. Tindakan keperawatan terapi pikiran perilaku diberikan pada 20 klien dimana 15 keluarga klien diberikan psikoedukasi keluarga. Hasil pelaksanaan terapi pikiran perilaku dan psikoedukasi pada klien menunjukan adanya penurunan tanda gejala pada aspek social dan perilaku serta peningkatan kemampuan keluarga dalam pemberian terapi psikofarmaka dan mengunkapkan pikiran negative yang lebih besar dibanding klien dan yang hanya mendapatkan terapi pikiran dan perilaku, Kombinasi terapi pikiran perilaku dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa.
ABSTRACT
Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard specialists therapy psychiatric nursing.;Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard specialists therapy psychiatric nursing.;Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard specialists therapy psychiatric nursing., Cognitive distortions in clients with chronic low self-esteem causes the client difficult to think clearly and logically against yourself. The purpose of writing is to provide an overview the effect of applying cognitive behavior therapy and family psychoeducation in clients with chronic low self-esteem. The method used is descriptive analytic approach Roy adaptation theory and models of stress and adaptation Stuart. Nursing actions cognitive behavior therapy given to 20 clients of which 15 families given client family psychoeducation. The results of the implementation of behavioral therapy and psychoeducation thoughts on the client shows signs of a decrease in the symptoms of social and behavioral aspects as well as improving the ability of the family in therapy cognitive distortions psikofarmaka and express larger than the client and is just getting the mind and behavior therapy, combination therapy thoughts and behavior family psychoeducation can be used as standard specialists therapy psychiatric nursing.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Rara Anggraini
Asuhan keperawatan harga diri rendah pada remaja dengan terapi kognitif perilaku dan psikoedukasi keluarga = Nursing care for low self esteem in teens with cognitive behavior therapy and family psycho education
"Harga diri rendah adalah perasaan atau bentuk dari evaluasi diri yang negatif terhadap diri sendiri atau kemampuan diri. Remaja adalah populasi yang rentan terjadi masalah harga diri rendah. Jika harga diri rendah pada remaja tidak diatasi maka selanjutnya dapat berdampak negatif pada berbagai aspek kehidupan. Terapi kognitif perilaku dilakukan supaya remaja memiliki kemampuan untuk mengatasi harga diri rendah dikombinasikan dengan terapi psikoedukasi keluarga agar keluarga memiliki kemampuan untuk merawat.
Laporan ini dibuat dalam bentuk case series terhadap lima remaja berusia 13-19 tahun dengan masalah harga diri rendah yang dirawat di Rumah Sakit Jiwa. Kelima pasien dilakukan tindakan keperawatan yang sama yaitu tindakan keperawatan ners, terapi kognitif perilaku sebanyak enam kali pertemuan dan psikoedukasi keluarga sebanyak dua sampai tiga kali pertemuan.
Hasil tindakan keperawatan yaitu kelima pasien mengalami peningkatan kemampuan dalam mengatasi harga diri rendah yang dibuktikan dengan adanya penurunan gejala negatif serta peningkatan kemampuan keluarga dalam merawat pasien. Penerapan terapi kognitif perilaku dan psikoedukasi direkomendasikan untuk mengatasi harga diri rendah khususnya pada remaja namun waktu dan jumlah pertemuan disesuaikan dengan kebutuhan pasien supaya diperoleh hasil yang maksimal.
Low self esteem is the feeling or form of a negative self evaluation or self ability. Adolescents are a vulnerable population of low self esteem problems. If low self esteem in adolescents is not overcome then it can have a negative impact on various aspects of life. Cognitive behavioral therapy is performed so that adolescents have the ability to cope with low self esteem combined with family psychoeducation therapy in order for families to have the ability to care for.
This report was made in case series to five 13 19 year olds with low self esteem treated in Mental Hospital. The five patients performed the same nursing action of nursing ners, behavioral cognitive therapy as much as six times of meetings and family psychoeducation of two to three meetings.
The results of nursing actions are the five patients experienced an increase in the ability to overcome low self esteem as evidenced by the decrease of negative symptoms and increased ability of the family in treating patients. The application of behavioral and psychoeducation cognitive therapy is recommended to overcome low self esteem, especially in adolescents, but the time and number of meetings is tailored to the needs of the patient in order to obtain maximum results."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Cecilia Indri Kurniasari
Penerapan Terapi Penghentian Pikiran, Terapi Kognitif, Psikoedukasi Keluarga terhadap Perubahan Tanda Gejala serta Kemampuan Pasien Ansietas dan Harga Diri Rendah Situasional dengan Pendekatan Model Konsep Adaptasi Roy = Application of Thought Stopping Therapy, Cognitive Therapy, Family Psychoeducation to Changes in Signs Symptom and Patient Abilities in Anxiety and Low Situational Self-esteem with Roy Adaptation Concept Model Approach
"Pendahuluan:Masalah psikososial kurang diperhatikan dalam penanganan pasien di Rumah Sakit Umum. Hal itu terlihat dari intervensi keperawatan untuk masalah psikososial yang belum maksimal dan berkembang. Pasien di Rumah Sakit Umum belum memiliki kemampuan untuk mengatasi masalah psikososial yang dialami akibat dari gangguan fisik yang terjadi. Metode: Intervensi keperawatan terapi penghentian pikiran, terapi kognitif, psikoedukasi keluarga diberikan pada 18 pasien sebagai kelompok satu, sedangkan terapi penghentian pikiran dan psikoedukasi keluarga diberikan pada 18 pasien lainnya sebagai kelompok dua. Hasil: Penelitian ini menunjukkan penurunan tanda gejala serta peningkatan kemampuan lebih maksimal dalam mengatasi ansietas dan harga diri rendah siatuasional setelah diberikan terapi penghentian pikiran, terapi kognitif, dan psikoedukasi keluarga. Pembahasan: kombinasi pemberian terapi penghentian pikiran,terapi kognitif, dan psikoedukasi keluarga, memaksimalkan penurunan tanda gejala serta meningkatkan kemampuan pasien dalam mengatasi ansietas dan harga diri rendah situasional dengan pendekatan model adaptasi Roy.
Introduction: Psychosocial problems are less considered in the treatment of patients in General Hospitals. This can be seen from nursing interventions for psychosocial problems that have not been maximized and developed. Patients in General Hospitals do not yet have the ability to overcome psychosocial problems experienced as a result of physical disorders that occur Methods: Nursing intervention thought stopping therapy, cognitive therapy, family psychoeducation were given to 18 patients as group one, while mind cessation therapy and family psychoeducation were given to 18 other patients as group two. Results: This study showed a decrease in signs of symptoms and an increase in maximal ability to overcome anxiety and low cianational self-esteem after being given mind cessation therapy, cognitive therapy, and family psychoeducation. Discussion: a combination of thought stopping therapy, cognitive therapy, and family psychoeducation, maximizing symptom reduction and improving the patient's ability to cope with anxiety and situational low self-esteem with Roy's adaptation model approach."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Nurlaila Fitriani
Perubahan tanda gejala dan kemampuan klien risiko perilaku kekerasan dan isolasi sosial setelah pemberian terapi kognitif perilaku dan latihan keterampilan sosial = Changes in signs of symptoms and ability of patient risk of violence and social isolation behavior after cognitive behavior therapy and social skill training.
"Skizofrenia adalah kondisi kecatatan yang kronik dan persisten, ditandai dengan gejala positif dan negatif. Diagnosis keperawatan yang muncul adalah risiko perilaku kekerasan dan isolasi sosial. Tujuan karya ilmiah akhir spesialis ini adalah untuk mengetahui perubahan tanda dan gejala serta kemampuan klien risiko perilaku kekerasan dan isolasi sosial setelah mendapatkan tindakan keperawatan ners dan tindakan keperawatan ners spesilais terapi kognitif perilaku dan latihan keterampilan sosial. Metode yang digunakan adalah desain operational riset, jumlah sampel sebanyak 30 orang klien skizofrenia paranoid dengan diagnosis keperawatan risiko perilaku kekerasan dan isolasi sosial. Hasil penelitian ini didapatkan tanda gejala risiko perilaku kekerasan dan isolasi sosial menurun (p-value<0.05) dan kemampuan meningkat (p-value<0.05) setelah pemberian tindakan keperawatan ners, terapi kognitif perilaku dan latihan keterampilan sosial. Kesimpulan, kombinasi tindakan keperawatan ners, terapi kognitif perilaku dan latihan keterampilan sosial direkomendasikan untuk diberikan pada diagnosis risiko perilaku kekerasan dan isolasi sosial.
Schizophrenia is a chronic and persistent condition, characterized by positive and negative symptoms. The diagnosis of nursing that appears on these signs and symptoms are the risk of violent behavior and social isolation. The purpose of the scientific work of this specialist are to know the change in the signs of symptoms and the ability of clients the risk of behavioral violence and social isolation after obtaining the of nursing generalis and nursing specialist actions of the Cognitive Behaviours Therapy and Social Skills Training. The method using the design of operational research, the number of samples of 30 patients schizophrenia paranoid with the diagnosis of the risk of violent behavior and social isolation. The results of this study were obtained signs of risk of violent behavior and social isolation (p-value of < 0.05) and increased capability (P-value of < 0.05) after the administration of nursing action, cognitive behaviour therapy, and social skills training. Conclusions, the combination of nursing action, behavioral Mind therapy and social skills therapy are recommended to be administered on the diagnosis of risk of violent behavior and social isolation"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Niken Yuniar Sari
Pengaruh terapi kognitif perilaku dan terapi psikoedukasi keluarga terhadap prodroma early psychosis, ansietas dan harga diri remaja di pondok pesantren = The effect of cognitive behaviour therapy and family psychoeducation therapy towards prodroma early psychosis anxiety and self esteem of adolescents in islamic boarding school
"Prodroma early psychosis dimulai pada awal masa remaja dimana merupakan masa transisi yang mengalami perubahan baik secara fisik maupun psikologis yang dapat menyebabkan remaja mengalami prodroma early psychosis, ansietas dan harga diri rendah. Tujuan penelitian ini untuk mengetahui pengaruh terapi kognitif perilaku dan terapi psikoedukasi keluarga terhadap prodroma early psychosis, ansietas dan harga diri remaja di pondok pesantren. Desain penelitian yang digunakan adalah rdquo;quasi experimental dengan rancangan pre-post test with control group rdquo;. Menggunakan instrumen prodroma early psychosis PQ16 Dengan metode purposive sampling. Responden berjumlah 78 yang dipilih dengan tehnik simple random sampling terdiri dari 39 orang setiap kelompok. Tindakan keperawatan ners diberikan pada kelompok intervensi 1 dan tindakan keperawatan ners, terapi kognitif perilaku dan terapi psikoedukasi keluarga pada kelompok intervensi 2.
Hasil penelitian menunjukkan prodroma early psychosis dan ansietas megalami penurunan secara bermakna serta peningkatan secara bermakna pada harga diri pada intervensi 1 dan 2 dengan p-value < ? 0,05 , penurunan prodroma early psychosis dan ansietas serta peningkatan harga diri lebih besar pada kelompok intervensi 2 dibandingkan dengan kelompok intervensi 1. Hasil penelitian ini dapat dipertimbangkan sebagai program preventif dan promotif dengan pemberian tindakan keperawatan ners, terapi kognitif perilaku dan terapi psikoedukasi keluarga.
Prodroma early psychosis begain in early adolescence, teenagers is the transition that experienced changes either physicall or psychological that can cause teenagers experienced anxiety and low self esteem. The purpose of this research to know the effect of cognitive behaviour therapy and family psychoeducation therapy towards prodroma early psychosis, anxiety and self esteem of adolescents in islamic boarding school. Design research used is quasi experiment pre post test with control group with purposive sampling methods. Instrement of this research using Prodroma Questionnaire PQ16. Responden were 78 the selected with simple random sampling consisting of 39 people every group. The group of intervention 1 given nursing therapy and the group intervention 2 given nursing therapy, cognitive behaviour therapy and family psychoeducation therapy.
The results of the study showed prodroma early psychosis and anxiety had significant decrease and self esteem had significant increase after giving nursing intervention and cognitive behaviour therapy with p value 0,05. The results showed prodroma early psychosis and anxiety higher decrease and self esteem higher increase in a compare group 1 and 2. The results of this study can be consedered as preventive and promotive program with nursing therapy, cognitive behaviour therapy and family psychoeducation."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
T47783
UI - Tesis Membership  Universitas Indonesia Library
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Arya Ramadia
Penerapan cognitive behaviour therapy dan assertive training pada klien risiko perilaku kekerasan dengan menggunakan pendekatan model stuart dan adaptasi roy di Ruang Gatot Kaca RS Dr H Marzoeki Mahdi Bogor = Application of cognitive behaviour therapy and assertive training for violent behavior clients by using the approach of roy adaptation model and stuart model at Marzoeki Mahdi Hospital Bogor
"Perilaku kekerasan merupakan respon maladaptif dari marah. Respon Maladaptif yang muncul dari marah dapat mengancam dan membahayakan diri sendiri, keluarga dan lingkungan masyarakat sehingga meraka memerlukan pengobatan dan perawatan dirumah sakit. Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penerapan terapi cognitive behaviour therapy dan assertive training dengan pendekatan Model Adaptasi Roy pada klien risiko perilaku kekerasan di Rumah Sakit Marzoeki Mahdi Bogor. Intervensi keperawatan yang dilakukan adalah cognitive behaviour therapy dan assertive training pada 8 orang dan assertive training pada 10 orang klien dalam kurun waktu 17 Februari - 18 April 2014 di Ruang Gatot Kaca RSMM Bogor.
Hasil pelaksanaan cognitive behaviour therapy dan assertive training dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial dan peningkatan kemampuan koping adaptif dalam menghadapi peristiwa yang menimbukan perilaku kekerasan. Berdasarkan hasil diatas rekomendasi penulisan ini adalah terapi cognitive behaviour therapy dan assertive training pada klien risiko perilaku kekerasan dapat dijadikan standar terapi spesialis keperawatan jiwa.
Violence behavior is a maladaptive response of anger. Maladaptive Response that occur in anger can menca and endanger ownself, family and society enviroment so they need treatment and medication in hospital. The aim of this Study is to describe the application of Cognitive Behavior Therapy and assertive training by using Roy Adaptation Model to client risk of violent behavior at Marzoeki Mahdi Hospital. in Bogor. Nursing interventions was cognitive behavior therapy and assertive training on 8 people and assertive training to 10 clients during 17 February to 18 April 2014 at Gatot Kaca Room RSMM in Bogor.
The results of the implementation of assertive training and cognitive behavior therapy may reduce signs and symptoms of violence behavior in cognitive, affective, physiological, behavioral and social and increase in adaptive coping skills to face of events that raises violence behavior. Based on the result above, recommendation from this paper is Cognitive Behavior Therapy and Assertive Training can be used as standard therapy of psychiatric nursing specialist to client with risk of violence behavior Key Word: Risk of Violence Behavior."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Abdul Jalil, examiner
Penerapan acceptance and commitment therapy dan cognitive behavior social skills training menggunakan pendekatan model adaptasi Roy dan model tidal pada klien harga diri rendah kronis dan isolasi sosial = Application of acceptance and commitment therapy cognitive behavior social skills training with approach Roy adaptation model and tidal model in client chronic low self esteem and social isolation
"Klien gangguan jiwa cenderung tidak produktif dan berpenghasilan mempengaruhi stigma sehingga menyebabkan Harga Diri Rendah (HDR) dan isolasi sosial. Klien memerlukan pemulihan jangka panjang, yang dipersulit insight buruk.
Tujuan: menjelaskan penerapan Acceptance and Commitment Therapy (ACT), Cognitive Behavior Social Skills Training (CBSST) menggunakan pendekatan Model Adaptasi Roy (MAR) dan Model Tidal. MAR sebagai kerangka utama dan Teori Model Tidal pada proses kontrol koping. Analisis dilakukan pada 32 klien ACT+CBSST, dan 22 klien CBSST.
Hasil: ACT+CBSST memperbaiki insight dan meningkatkan keterampilan sosial, perilaku adaptif meningkatkan penurunan tanda gejala HDR kronis dan isolasi sosial.
Saran: kombinasi ACT+CBSST pilihan pada awal program pemulihan.
Clients of mental disorders tend to be non- productive and non-income that affect stigma the impact Low Self-Esteem (LSE) and social isolation. The client required a long-term recovery, which compounded a poor insight.
Objective: explained the application of Acceptance and Commitment Therapy (ACT), Cognitive Behavior Social Skills Training (CBSST) by using the approaches of Roy Adaptation Model (RAM) and the Tidal Model. RAM as the main framework and the Tidal Model Theory as coping control process. Analysis was performed on 32 ACT + CBSST clients, and 22 CBSST client.
Results: ACT improved insight and increased social skills, improved adaptive behavior and decreased in signs and symptoms of chronic LSE and social isolation.
Recomendation: the combination of ACT + CBSST choice at the beginning of the recovery program."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Ade Sutrimo
Penerapan Terapi Keperawatan Jiwa Spesialis Cognitive Therapy dan Acceptance And Commitment Therapy terhadap Klien dengan Harga Diri Rendah Kronik dan Ketidakpatuhan Psikofarmaka Menggunakan Pendekatan Teori Transendensi = Application of Specialist Mental Health Nursing Therapy Cognitive Therapy and Acceptance and Commitment Therapy for Clients with Chronic Low Self-Esteem and Non-Adherence to Psychopharmacology Using the Self-Transcendence Theory Approach
"Pendahuluan: Tingginya prevalensi harga diri rendah kronik dan ketidakpatuhan terhadap pengobatan psikofarmaka pada klien dengan gangguan jiwa dapat menghambat proses penyembuhan dan kualitas hidup mereka. Terapi keperawatan jiwa spesialis diharapkan dapat memberikan pendekatan yang holistik dan efektif untuk mengatasi masalah ini melalui peningkatan kesadaran diri, penerimaan diri, dan pengembangan makna hidup. Penelitian ini bertujuan untuk menguji efektivitas penerapan terapi keperawatan jiwa spesialis, yaitu Cognitive Therapy (CT) dan Acceptance and Commitment Therapy (ACT), dalam meningkatkan harga diri dan kepatuhan psikofarmaka pada klien menggunakan pendekatan teori transendensi diri Reed.
Metode: Penelitian ini menggunakan desain eksperimental dengan pendekatan kuantitatif case series dengan desain riset operasional. Sampel penelitian dengan purposive sampling yang erdiri 20 klien dengan dibagi dalam 2 kelompok intervensi yaitu kelompok 1 yang mendapatkan CT dan ACT serta kelompok 2 yang mendapatkan CT. Data dikumpulkan melalui form keperawatan jiwa lanjut/scanning, instrumen tanda gejala dan kemampuan HDRK serta instrumen MMAS-8.
Hasil: Penelitian menunjukkan bahwa intervensi CT dan ACT secara signifikan meningkatkan harga diri dan kepatuhan psikofarmaka pada klien. Peningkatan ini dikaitkan dengan elemen-elemen utama dari teori transendensi diri yang meliputi input: kerentanan psikologis yaitu klien skizofrenia dengan HDRK dan ketidakpatuhan psikofarmaka, proses: points of interventions: terapi keperawatan jiwa spesialis CT dan ACT dan faktor personal dan kontekstual dan output transendensi diri serta outcome kualitas hidup dengan ditandai penurunan tanda gejala HDRK, peningkatan kemampuan klien dalam mengatasi HDRK dan peningkatan nilai kepatuhan psikofarmaka.
Kesimpulan: Penelitian ini menyimpulkan bahwa penerapan terapi keperawatan jiwa spesialis dengan pendekatan teori transendensi diri efektif dalam mengatasi masalah harga diri rendah kronik dan ketidakpatuhan psikofarmaka pada klien dengan gangguan jiwa. Implementasi terapi ini direkomendasikan sebagai bagian dari intervensi holistik dalam praktik keperawatan jiwa untuk meningkatkan pemulihan dan kualitas hidup klien.
Introduction: The high prevalence of chronic low self-esteem and non-adherence to psychopharmacological treatment among clients with mental disorders can hinder their recovery process and quality of life. Specialist psychiatric nursing therapy is expected to provide a holistic and effective approach to addressing these issues by enhancing self awareness, self-acceptance, and the development of life. This study aims to examine the effectiveness of specialist psychiatric nursing therapies, namely Cognitive Therapy (CT) and Acceptance and Commitment Therapy (ACT), in improving self-esteem and psychopharmacological adherence in schizofrenic clients using the Reed self-transcendence theory approach.
Methods: This study employs an experimental design with a quantitative case series approach using operational research design. The sample using purposive sampling which consists of 20 clients divided into two intervention groups: Group 1, which receives both CT and ACT, and Group 2, which receives only CT. Data were collected using advanced psychiatric nursing forms/scanning, symptom and ability instruments, and the Morisky Medication Adherence Scale (MMAS-8).
Results: The study demonstrates that CT and ACT interventions significantly improve self-esteem and psychopharmacological adherence in clients. This improvement is associated with key elements of the self-transcendence theory, which include input: psychological vulnerability, specifically clients with schizophrenia who have chronic low self-esteem and non-adherence to psychopharmacology; process: points of intervention such as specialist mental health nursing therapies, CT and ACT, as well as personal and contextual factors; and output: self-transcendence with outcome: quality of life, marked by a reduction in chronic low self-esteem symptoms, an increase in the client's ability to cope with chronic low self-esteem, and improved adherence to psychopharmacology.
Conclusion: This study concludes that the application of specialist psychiatric nursing therapies with a self-transcendence theory approach is effective in addressing chronic low self-esteem and psychopharmacological non-adherence in clients with mental disorders. The implementation of these therapies is recommended as part of holistic interventions in psychiatric nursing practice to enhance clients’ recovery and quality of life."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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