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"Klien dengan penyakit fisik cenderung mengalami ansietas dan kondisi tersebut dapat memperburuk kondisi fisiknya. Karya ilmiah akhir ini bertujuan untuk mengetahui hasil penerapan terapi penghentian pikiran, relaksasi otot progresif, terapi kognitif dan psikoedukasi keluarga terhadap respons ansietas klien. Responden sejumlah 71 klien ansietas dengan penyakit fisik, terdiri dari 36 klien mendapatkan paket pertama yaitu tindakan ners dan ners spesialis (terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) serta 35 klien mendapatkan paket kedua yaitu tindakan ners dan ners spesialis (terapi kognitif dan psikoedukasi keluarga). Analisis dilakukan terhadap tanda dan gejala dan kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan tindakan paket pertama dan paket kedua menunjukkan penurunan tanda gejala ansietas secara bermakna pada semua respons, kedua paket tidak ada perbedaan signifikan. Kedua paket tindakan ini direkomendasikan untuk mengatasi ansietas pada klien.

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Clients with physical illness tend to experience anxiety and the condition can worsen their physical condition. The aim of this study was to determine the result of the implementation of the thought stopping therapy, progressive muscle relaxation therapy, cognitive therapy and family psychoeducation for client with anxiety. A total of 71 anxiety clients with physical illness participated in this study, from which 36 clients received the first intervention: general nurses and nurse specialists intervention (thought stopping therapy, progressive muscle relaxation and family psychoeducation) and 35 clients received the second intervention: general nurses and nurse specialists intervention (cognitive therapy and family psychoeducation).

The analysis was conducted on the signs and symptoms of anxiety clients and the ability of clients and families before and after the nursing intervention. The results of the first and second of nursing intervention showed a decrease in signs and symptoms of anxiety on all the responses and the increased capacity of clients and families in overcoming anxiety. There was no significant difference from giving the first and second intervention in the reduction of the signs and symptoms of anxiety. This intervention, therefore, is recommended to overcome anxiety in clients."

"Seseorang yang mengalami masalah kesehatan fisik dapat menimbulkan masalah kesehatan jiwa yaitu ansietas. Tujuan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga, terapi suportif pada klien hipertensi yang mengalami ansietas. Metode yang digunakan dalam karya ilmiah ini adalah analisis kasus klien ansietas. Jumlah klien yang dikelola sebanyak 37 orang. Sebanyak 23 orang mendapatkan tindakan ners, relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif. Sebanyak 14 orang mendapatkan tindakan ners dan terapi suportif. Hasil yang ditemukan terjadi penurunan tanda gejala serta peningkatan kemampuan mengendalikan ansietas paling besar pada klien yang mendapatkan lima terapi. Tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif direkomendasikan sebagai terapi keperawatan pada ansietas.

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Someone who experience physical health problems can cause mental health problem, example anxiety. The purpose of study to illustrate the application of ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy in hypertension who experience anxiety. The method used is the case analisys in anxiety clients. The amount of clients are 34 people, 23 clients given ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy. 14 clients given ners intervention and supportive therapy. The results were found decrease the signs and symptoms anxiety and increase the ability of control anxiety most at clients who get five therapy. Progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy is recommended a nursing therapy in anxiety. "

"Pasien Diabetes Mellitus, akan menimbulkan masalah gangguan  fisik yaitu nyeri akut/kronis, dan gangguan psikologis (kecemasan,) bila tidak ditanganii dengan baik.Tujuan dari penelitian ini menerapkan terapi penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga pada kelompok kontrol dan intervensi. Penelitian ini mengunakan desain penelitian operasional research dengan jumlah sampel 38 individu dibagi menjadi 18 induvidu kelompok kontrol dan 22 kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan nyeri dan ansietas pada klien diabetes melitus, meningkatkan kemampuan pasien dan kemampuan keluarga dalam merawat nyeri dan ansietas dengan diabetes melitus.

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Diabetes Mellitus patients will cause physical problems, namely acute/chronic pain, and psychological disorders (anxiety) if not treated properly. The aim of this research is to apply thought stopping therapy, progressive muscle relaxation, and family psychoeducation in the control and intervention groups. This research used an operational research design with a sample size of 38 individuals divided into 18 control groups and 22 intervention groups. The results of the Mann-Whitney analysis showed that there were differences between the control group which was given TKN, family education, assistance and independent training and the intervention group which was given TKN, family education, assistance and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation significantly (p value < 0.05). The application of TKN, family education, mentoring and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation are recommended because they can reduce pain and anxiety in clients with diabetes mellitus, increase the patient's ability and the family's ability to treat pain and anxiety with diabetes mellitus."

"Klien gagal jantung yang mengalami nyeri dan ansietas, memerlukan upaya untuk mengatasnya supaya tidak memperberat kondisi sakit fisik klieni . Tujuan dari karya ilmiah akhir spesialis ini menerapkan tindakan keperawatan ners, edukasi keluarga, terapi penghentian  pikiran, dan psikoedukasi keluarga terhadap nyeri dan ansietas pada pada klien gagal jantung di rumah sakit umum. Penelitian ini menggunakan desain operational research dengan jumlah sampel 36 klien yang dibagi menjadi 17 klien  dalam kelompok kontrol dan 19  klien dalam  kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga dan pendampingan serta latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, terapi penghentian pikiran dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan  TKN, terapi penghentian pikiran dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan  tanda gejala nyeri dan ansietas, meningkatkan kemampuan klien mengatasi nyeri dan ansietas dan kemampuan keluarga merawat klien gagal jantung.

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Heart failure clients who experience pain and anxiety require efforts to overcome this so as not to aggravate the client's physical illness. The aim of this specialist's final scientific work is to apply health protection measures, family education, thought prevention therapy, and family psychoeducation to pain and anxiety in heart failure clients in public hospitals. . This research used an operational research design with a sample size of 36 clients divided into 17 clients in the control group and 19 clients in the intervention group. The results of the Mann-Whitney analysis showed that there was a significant difference between the control group that was given TKN, family education and mentoring and independent training and the intervention group that was given TKN, family education, thought empowerment therapy and family psychoeducation (p value < 0.05). The application of TKN, thought strengthening therapy and family psychoeducation is recommended because it can reduce signs of pain and anxiety, increase the client's ability to deal with pain and anxiety and the family's ability to care for clients with heart failure. "

"[ABSTRAKAnsietas merupakan kondisi atau perasaan yang tidak menentu yang dirasakan seseorang yang dapat disebabkan oleh berbagai faktor diantaranya adanya masalah gangguan fisik Sebagaimana telah dibuktikan bahwa kesehatan umum seseorang mempunyai akibat nyata sebagai predisposisi terhadap ansietas. Ansietas mungkin disertai dengan gangguan fisik dan selanjutnya menurunkan kapasitas seseorang untuk mengatasi stresor. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi penghentian pikiran, relaksasi otot progressif, dan psikoedukasi keluarga dengan pendekatan Model stress adaptasi Stuart dan interpersonal Peplau. Terapi tersebut diberikan kepada klien ansietas sebanyak 16 klien. Hasil penerapan terapi ini menunjukan dapat menurunkan tanda dan gejala ansietas dan meningkatkan kemampuan klien dalam menggunakan sumber dukungan. Hasil karya ilmiah ini diharapkan Puskesmas dapat melanjutkan terapi penghentian pikiran, relaksasi otot progressif dan psikoedukasi keluarga secara berkesinambungan, meningkatkan dukungan sosial dengan memberdayakan masyarakat.

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ABSTRACTAnxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities., Anxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities.]"

"Pengaruh terapi kognitif perilaku, penghentian pikiran, dan psikoedukasi keluarga terhadap ansietas dan depresi klien diabetes melitus di Rumah Sakit Umumxii 100 hal 12 tabel 4 skema 18 lampiranAbstrakDiabetes melitus memberi dampak terjadinya ansietas dan depresi. Tujuan penelitian adalah untuk mengetahui pengaruh tindakan keperawatan ners, terapi kognitif perilaku, terapi penghentian pikiran dan terapi psikoedukasi keluarga terhadap ansietas, depresi, kemampuan mengubah kognitif dan perilaku, kemampuan keluarga dan kadar gula darah klien diabetes melitus. Jenis penelitian kuantitatif dengan desain quasi eksperimental without control group. Jumlah responden 32 orang. Instrumen ansietas dan depresi menggunakan HADS, nilai ansietas 12,1 dikatakan ansietas, serta nilai depresi 6,6 tidak depresi. Hasil penelitian menunjukkan kombinasi tindakan keperawatan ners, terapi kognitif perilaku, penghentian pikiran dan psikoedukasi keluarga secara bermakna p

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Effect of cognitive behavioral therapy, Thought stopping, and family psychoeducation against anxiety and depression clients diabetes mellitus in the General Hospital xii 100 12 things schema table 4 18 attachmentsAbstract Diabetes mellitus affects the occurrence of anxiety and depression.

The research objective was to determine the influence of nursing actions nurses, cognitive behavior therapy, therapy discontinuation of mind and family psychoeducation therapy against anxiety, depression, cognitive abilities and behavioral change, the ability of family and blood sugar levels of diabetes mellitus clients.

Quantitative research with quasi experimental design without control group. The number of respondents 32 people. Instruments using HADS anxiety and depression, anxiety value of 12.1 is said to anxiety and depression value of 6.6 is not depressed.

The results showed the combination of nursing actions nurses, cognitive behavior therapy, cessation of mind and psychoeducation families were significantly p "

"Ansietas adalah perasaan samar tentang ketidaknyamanan atau ketakutan yang disertai respon otomatis, sebuah perasaan takut akan menyebabkan antisipasi terhadap bahaya NANDA 2012 (Herdman, 2012). Pemberian terapi thought stopping, relaksasi progresif dan psikoedukasi dapat menurunkan ansietas. Thought stopping merupakan terapi yang dapat diberikan pada klien dengan perilaku kekerasan (Boyd & Nihart, 1996). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan manajemen asuhan keperawatan klien ansietas dengan pendekatan model adaptasi Roy. Penerapan terapi thought stopping, relaksasi progresif dan psikoedukasi dilakukan pada 56 klien di ruang Melati Bawah dan Kebidanan 3 pada kurun waktu 20 Pebruari -20 April 2012. Hasil terapi thought stopping, relaksasi progresif dan psikoedukasi sangat efektif pada 56 klien dengan menunjukkan penurunan skala ansietas. Pemberian paket terapi juga menunjukkan efektif untuk klien dan keluarga selain mampu mengatasi pikiran negative dan mampu mengontrol emosi secara mandiri.

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Anxiety is a vague feeling of discomfort or dread accompanied by an automatic response to a feeling of fear which will lead to the anticipation of danger NANDA 2012 (Herdman, 2012). Stopping thought therapy, progressive relaxation and psychoeducation can reduce anxiety. Thought stopping is a therapy that can be given to the client with violent behavior (Boyd & Nihart, 1996).

The aim of this final scientific pappers is to describe the nursing care management on anxiety clients by approaching Roy adaptation model. Therapeutic application of thought stopping, progressive relaxation and psychoeducation were conducted on 56 clients in the Melati Bawah and Kebidanan 3 during the period 20 February - 20 April 2012.

The results of thought stopping therapy, progressive relaxation and psychoeducation is very effective on 56 clients with a demonstrated anxiety scale reduction. The therapy package is also demonstrated effectively for clients and families, which are able to overcome negative thoughts and control emotions independently."

"Penyakit fisik sering berdampak pada masalah psikologis (gangguan mental emosional). Masalah psikososial yang paling banyak terjadi adalah pada masalah depresi dan ansietas yang akan menghambat proses penyembuhan. Ansietas merupakan perasaan khawatir, tidak pasti terhadap sesuatu yang tidak jelas. Tujuan: menjelaskan efektifitas terapi penghentian pikiran dan terapi kognitif pada klien ansietas menggunakan pendekatan model teori adaptasi Roy. Analisis dilakukan pada 26 klien penghentian pikiran+kognitif terapi, dan 24 klien penghentian pikiran. Hasil: pemberian terapi penghentian pikiran+terapi kognitif lebih meningkatkan penurunan tanda dan gejala ansietas dan meningkatkan kemampuan klien ansietas. Penggunaan pendekatan terapi penghentian pikiran mampu mengatasi pikiran irrasional yang muncul berulang sedangkan terapi kognitif dapat menggantikan pikiran automatis negatif. Saran: kombinasi penghentian pikiran+terapi kognitif pilihan pada awal program pemulihan klien dengan penyakit fisik yang mengalami ansietas yang dapat meningkatkan hasil pengobatan.

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Physical illness often affectEed the psychological problems (mental emotional disorder). Psychosocial problems was most common in depression and anxiety issues that impeded the healing process. Anxiety was a feeling worried, uncertain about something that is not clear.

Objective: to explain the effectiveness of thought stopping and cognitive therapy on anxiety clients with physical illness approach Roy adaptation theory model. Analysis was conducted on 26 clients thought stopping + cognitive therapy, and 24 clients thought stopping.

Results: Thought stopping and cognitive therapy further improved the signs and symptoms decreased anxiety and improved the ability of client anxiety. The used of therapeutic approaches thought stopping is able to terminated irrational thoughts that appear repeatedly while cognitive therapy can replaced negative automatic thoughts.

Recomendation: a combination of thought stopping and cognitive therapy selected at the beginning of the recovery program clients with physical illness that experience anxiety that can improved treatment outcomes."