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Agus Setiawan
Perubahan tanda, gejala dan kemampuan pasien isolasi sosial yang mendapat tindakan keperawatan generalis dengan pendekatan budaya = Changes in signs, symptoms and ability of social isolation patients who get nursing therapy generalist with cultural approach
"ABSTRAK
Letak geografi dan lingkungan mempengaruhi seseorang. Isolasi sosial merupakan salah satu gejala negatif dari skizofrenia. Asuhan keperawatan yang holistik memperhatikan bio, psiko, sosio dan budaya. Gangguan isolasi sosial jika tidak diintervensi dengan segera akan menyebabkan perubahan sensori persepsi: halusinasi dan risiko tinggi mencederai diri, orang lain bahkan lingkungan. Penulisan karya ilmiah ners ini bertujuan untuk mengetahui intervensi yang dilakukan berfokus pada tindakan generalis pasien isolasi sosial dengan pendekatan budaya Sunda. Metode yang digunakan dengan analisis kasus dalam pemberian asuhan keperawatan terhadap Ny. S (43 tahun) yang dirawat di RS. Dr. H. Marzoeki Mahdi Bogor, dengan diagnosis keperawatan utama isolasi sosial. Hasil pemberian tindakan keperawatan dengan pendekatan budaya Sunda selama 7 hari perawatan adalah pasien mengalami peningkatan kemampuan kognitif 33%, afektif 16,6%, dan perilaku klien dalam berinteraksi 33%. Kesimpulan pendekatan budaya dalam memberikan intervensi keperawatan dapat menurunkan tanda dan gejala isolasi sosial dan meningkatkan kemampuan sosialisasi.
ABSTRACT
The location of geography and environment affects a person. Social isolation is one of the negative symptoms of schizophrenia. Holistic nursing care concerns about bio, psycho, socio and culture. Disorders of social isolation if it is not intervened immediately will cause the change of sensory in perception: hallucinations and high risk of injuring oneself, others and even the environment. The writing of this scientific paper aims to find out which intervention was carried out focusing on the generalist therapy of patients with social isolation with a Sundanese cultural approach. The method which is used with case analysis in the provision of nursing care to Mrs. S (43 years) who was admitted to the hospital. Dr. H. Marzoeki Mahdi Bogor is the main nursing diagnosis of social isolation. The results of giving nursing actions with a Sundanese culture approach for 7 days of care are, patients have improved 33% in cognitive abilities, 16.6% affective, and 33% interacting client behavior. The conclusion of this paper is the cultural approach in providing nursing interventions can reduce the signs and symptoms of social isolation and improve socialization skills."
2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Sriyk H
Pengaruh Sosial Skills Training Terhadap Perubahan Tanda Gejala dan Kemampuan Sosialisasi pada Pasien Skizofrenia dengan Masalah Keperawatan Isolasi Sosial = The Effect of Social Skills Training on Changes in Signs and Symptoms And Socialization Ability in Schizophrenia Patients with Problems Social Isolation Nursing
"Isolasi sosial merupakan gejala negatif skizofrenia yang ditandai dengan defisiensi berpikir, persepsi, afek tidak wajar atau tumpul dan perilaku sosial baik penurunan atau ketidakmampuan berkomunikasi serta mengalami kesukaran dalam melakukan aktivitas sehari-hari. Tujuan penelitian untuk mengetahui pengaruh Social skills training terhadap perubahan tanda gejala dan kemampuan sosialisasi pada pasien skizofrenia dengan masalah keperawatan isolasi sosial. Desain penelitian quasi experimental pre-post test with control group. Pengambilan sampel dengan teknik purposive sampling. Kriteria sampel adalah pasien skizofrenia dengan masalah keperawatan isolasi sosial, laki-laki dan perempuan, dapat membaca dan menulis, dirawat di ruang rawat inap stabilisasi psikiatri RSJ Dr H Marzoeki Mahdi Bogor berjumlah 98 responden yang terdiri dari kelompok intervensi 49 responden dan kelompok kontrol 49 responden. Pengumpulan data menggunakan kuesioner dan observasi. Analisis data yaitu univariat dan bivariat dengan uji parametrik. Hasil penelitian menunjukkan karakteristik responden terbanyak laki-laki, usia dewasa muda, SLTP, tidak bekerja, belum menikah, lama rawat 4 tahun, terapi psikofarmaka atipikal. Ada perubahan tanda gejala dan kemampuan sosialisasi sebelum dan sesudah diberikan tindakan keperawatan pada kelompok intervensi dan kelompok kontrol (p value < 0,05). Ada perbedaan tanda gejala dan kemampuan sosialisasi setelah mendapat tindakan keperawatan pada kelompok intervensi dan kelompok kontrol (p value < 0,05). Tidak ada hubungan antara umur, pendidikan, pekerjaan, status perkawinan, lama sakit dan terapi psikofarmaka dengan tanda gejala dan kemampuan sosialisasi (p value > 0,05), namun ada hubungan jenis kelamin dengan tanda gejala isolasi sosial (p value < 0,05) tetapi tidak ada hubungan dengan kemampuan sosialisasi (p value > 0,05) Tindakan keperawatan generalis dan social skills training direkomendasikan sebagai upaya penurunan tanda gejala dan kemampuan sosialisasi pada pasien skizofrenia dengan masalah keperawatan isolasi sosial.
Social isolation is a negative symptom of schizophrenia which is characterized by deficiencies in thinking, perception, unnatural or blunted affect and decreased social behavior or communication as well as experiencing difficulty in carrying out daily activities. The aim of the research was to determine the effect of social skills training on changes in signs and socialization abilities in schizophrenia patients with social isolation treatment problems. Pre-post test quasi-experimental research design with a control group. Sampling was taken using a purposive sampling technique. The sample criteria were schizophrenic patients with social isolation treatment problems, male and female, able to read and write, treated in the psychiatric stabilization inpatient ward of RSJ Dr H Marzoeki Mahdi Bogor totaling 98 respondents consisting of the intervention group 49 respondents and the control group 49 respondents. Data collection uses questionnaires and observations. Data analysis is univariate and bivariate with parametric tests. The research results showed that the characteristics of the respondents were mostly male, young adults, junior high school, not working, not married, length of stay 4 years, atypical psychopharmaceutical therapy. There were changes in signs and symptoms and socialization abilities before and after being given a dangerous action in the intervention group and control group (p value < 0.05). There were differences in signs of symptoms and socialization abilities after receiving cessation measures in the intervention group and the control group (p value < 0.05). There is no relationship between age, education, employment, marital status, length of illness and psychopharmaceutical therapy with signs of symptoms and socialization abilities (p value > 0.05), but there is a relationship between gender and signs of symptoms of social isolation (p value < 0.05 ) but there is no relationship with socialization abilities (p value > 0.05). Generalist killing measures and social skills training are recommended as efforts to reduce signs of symptoms and socialization abilities in schizophrenia patients with social isolation protection problems."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
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UI - Tesis Membership  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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Devi Kusuma Wardani
Penerapan Terapi Musik Untuk Menurunkan Tanda Gejala pada Pasien dengan Isolasi Sosial = The Application of Music Therapy to Reduce Signs and Symptoms in Patients with Social Isolation
"Skizofrenia merupakan salah satu masalah gangguan jiwa yang paling banyak penderitanya di dunia. Isolasi sosial menjadi salah satu gejala negatif yang muncul pada penderita skizofrenia. Isolasi sosial merupakan penurunan bahkan tidak adanya sosialisasi bagi penderitanya. Tujuan penulisan karya ilmiah ini untuk menganalisis proses asuhan keperawatan pada klien yang mengalami isolasi sosial melalui penerapan terapi musik. Metode penulisan yang digunakan adalah case-report. Terapi musik ini diterapkan dengan tujuan sebagai media bagi klien untuk mengungkapkan emosi dan perasaan yang dialami oleh klien. Asuhan keperawatan diberikan pada Tn. Z yang berusia 28 tahun dengan diagnosis keperawatan utama isolasi sosial. Upaya yang dilakukan untuk meningkatkan kemampuan sosialisasi klien dengan tindakan keperawatan generalis dan terapi musik. Intervensi keperawatan generalis tetap diberikan kepada klien namun ditambah terapi musik. Asuhan keperawatan diberikan selama 8 hari dan terapi musik selama 4 hari. Hasil penerapan terapi musik menunjukkan adanya penurunan tanda gejala isolasi sosial dari skor 20 menjadi 4, serta peningkatan kemampuan pada klien dari skor 0 menjadi 7. Melalui hasil tersebut diharapkan terapi musik dapat diterapkan sebagai intervensi tambahan dalam pemberian asuhan keperawatan pada klien dengan isolasi sosial di rumah sakit.
Schizophrenia is one of the most common mental disorders in the world. Social isolation is one of the negative symptoms that appear in people with schizophrenia. Social isolation is a decrease or even no socialization for sufferers. The purpose of writing this scientific paper is to analyze the process of nursing care for clients who experience social isolation through the application of music therapy. The writing method used is case-report. Music therapy is applied with the aim of being a medium for clients to express emotions and feelings experienced by clients. Nursing care was given to Mr. Z who is 28 years old with a primary nursing diagnosis of social isolation. Efforts are being made to improve the client's socialization skills with generalist nursing actions and music therapy. Generalist nursing interventions are still given to clients, but music therapy is added. Nursing care was given for 8 days and music therapy for 4 days. The results of the application of music therapy show a decrease in the symptoms of social isolation from a score of 20 to 4, as well as an increase in the ability of the client from a score of 0 to 7. Through these results it is hoped that music therapy can be applied as an additional intervention in providing nursing care to clients with social isolation at hospital."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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Rama Adi Saputra
Penerapan Terapi Musik untuk Menurunkan Tanda dan Gejala pada Pasien Skizofrenia Gejala Negatif dengan Isolasi Sosial = The Application of Music Therapy to Reduce Signs and Symptoms in Schizoprenia Patients with Negatice Symptoms through Social Isolation
"Skizofrenia merupakan salah satu gangguan jiwa yang sampai saat ini masih banyak terjadi. Skizofrenia dapat memunculkan salah satunya gejala negatif yaitu cenderung menarik diri secara sosial atau isolasi sosial. Masalah isolasi sosial harus segera ditangani segera, karena dapat berdampak kepada pasien seperti halusinasi, defisit keperawatan diri, dan parahnya melakukan bunuh diri. Tujuan penulisan karya ilmiah akhir ners ini  untuk menganalisis asuhan keperawatan generalis dengan berfokus terapi musik pada pasien skizofrenia gejala negatif dengan isolasi sosial. Implementasi asuhan keperawatan secara khusus dilakukan selama 8 hari di ruang Arimbi RSJ Dr. H. Marzoeki Mahdi Bogor. Pasien secara bertahap dimotivasi untuk berinteraksi dengan melakukan terapi musik.  Hasil asuhan keperawatan yang diberikan menunjukan bahwa terdapat penurunan tanda dan gejala skizofrenia gejala negatif dengan isolasi sosial. Penerapan terapi musik diharapkan dapat menjadi acuan dalam asuhan keperawatan pada pasien dengan isolasi sosial. Kata kunci : Gejala negatif, isolasi sosial, skizofrenia, terapi musik.
Schizophrenia is one of the most common mental disorders. Schizophrenia can give rise to one of the negative symptoms, namely the tendency to withdraw socially or socially isolate. The problem of social isolation must be addressed immediately, because it can have an impact on patients such as hallucinations, self-care deficits, and severe suicide. The purpose of writing this final scientific paper for nurses is to analyze generalist nursing care by focusing on music therapy in schizophrenic patients with negative symptoms with social isolation. The implementation of nursing care was specifically carried out for 8 days in the Arimbi room of RSJ Dr. H. Marzoeki Mahdi Bogor. Patients are gradually motivated to interact by doing music therapy. The results of the nursing care provided showed that there was a decrease in the signs and symptoms of schizophrenia with negative symptoms with social isolation. The application of music therapy is expected to be a reference in nursing care for patients with social isolation. Keywords : Negative symptoms, social isolation, schizophrenia, music therapy."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Yuniar Mansye Soeli
Perubahan tanda gejala dan kemampuan pasien halusinasi dan risiko perilaku kekerasan yang mendapatkan terapi kognitif perilakudan mendapatkan latihan asertif = Changes signs symptoms and ability of patients hallucinations and risk behavior violence getting cognitive therapy behavior and assertiveneness training
"ABSTRAK
Skizofrenia adalah gangguan jiwa kronis yang ditunjukkan dengan adanya perubahan proses pikir, persepsi, perilaku serta penurunan fungsi sosial. Tanda gejala yang muncul diantaranya berupa halusinasi dan risiko perilaku kekerasan. Penanganan kasus ini bertujuan untuk menganalisis perubahan tanda gejala dan kemampuan pasien halusinasi dan risiko perilaku kekerasan setelah diberikan tindakan keperawatan ners, ners spesialis terapi kognitif perilaku dan latihan asertif dengan menggunakan teori Stuart dan Hubungan Interpersonal Peplau. Penanganan kasus ini menggunakan pendekatan multiple case study yaitu kasus halusinasi dan risiko perilaku kekerasan dengan jumlah pasien 17 orang. Hasil penanganan kasus menunjukan terjadinya penurunan tanda gejala halusinasi dan risiko perilaku kekerasan terutama pada aspek kognitif dan perilaku setelah diberikan tindakan keperawatan ners dan ners spesialis berupa terapi kognitif perilaku dan latihan asertif dengan menggunakan pendekatan teori Stuart dan Hubungan Interpersonal Peplau. Rekomendasi dari penanganan kasus ini adalah latihan asertif bisa diprioritaskan karena menurunkan tanda gejala lebih banyak pada diagnosis halusinasi dan risiko perilaku kekerasan.ABSTRACT Schizophrenia is a chronic mental disorder characterized by a change of thought processes, perceptions, behaviors and decline in social function. Symptoms that appear include hallucinations and the risk of violent behavior. The handling of this case aims to analyze the change of symptoms and the ability of patients hallucinating and the risk of viole nt behavior after being given nursing actions ners, specialist ners cognitive behavioral therapy and assertiveness training using Stuart 39 s theory and Peplau Interpersonal Relations. The handling of this case using a multiple case study approach that is the case of hallucinations and the risk of violent behavior with the number of patients 17 people. The results of case management showed the decrease of hallucinations symptoms and the risk of violent behavior especially on the cognitive and behavioral aspects after ners and ners specialist treatment were given in the form of behavioral cognitive therapy and assertiveness training using Stuart 39 s theory approach and Peplau Interpersonal Relationship. The recommendation of this case is that assertiveness training can be prioritized because it decreases more symptoms on hallucinatory diagnoses and the risk of violent behavior."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Dedi Sukandar
Efektifitas terapi generalis dan spesialis terhadap penurunan tanda gejala dan peningkatan kemampuan klien hipertensi dan diabetes milletus yang mengalami kecemasan di wilayah Bogor Barat = The effectiveness of generalist and specialist therapy for reducing Signs of symptoms and increasing the ability of hypertensive and diabetes mellitus clients who experience anxiety in the West Bogor region
"Ansietas yang terjadi pada penyakit hipertensi dan diabetes milletus dapat disebabkan oleh faktor pridesposisi dan faktor presitipasi. Karya ilmiah akhir ini bertjuan untuk melamporkan efektifitas terapi generalis dan spesialis terhadap penurunan tanda gejala dan peningkatan kemampuan klien hipertensi dan diabetes milletus. Penanganan ansietas pada klien hipertensi dan diabetes milletus menggunakan pendekatan model stress adaptasi Stuart yang membantu penulis dalam melakukan asuhan keperawatan melalui proses keperawatan dari mulai pengkajian, menegakan diagnosa, menyusun perencanaan, melakukan implementasi, dan melakukan evaluasi untuk menurunkan tanda gejala ansietas dan meningkatkan kemampuan dalam mengatasi ansietas. Pemberian terapi generalis, penghentian pikiran, relaksasi otot progresif, dan psikoeduksi keluarga diberikan pada klien hipertensi dan diabetes milletus dapat menurunkan tanda gejaka ansietas dan meningkatkan kemampuan dalam mengatasi ansietas. Kombinasi terapi generalis dan spesialis (penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga) direkomendasikan untuk diberikan pada klien ansietas dengan hipertensi dan diabetes milletus.
Anxiety that occurs in hypertension and diabetes mellitus can be caused by pridesposition factors and precipitation factors. This final scientific paper aims to report the effectiveness of generalist and specialist therapy in reducing signs and symptoms and increasing the ability of clients with hypertension and diabetes mellitus. Handling anxiety in hypertension and diabetes mellitus clients uses the Stuart adaptation stress model approach which helps the author in carrying out nursing care through the nursing process starting from the assessment, establishing a diagnosis, planning, implementing, and evaluating to reduce signs of anxiety symptoms and increase the ability to cope anxiety. Giving generalist therapy, stopping thoughts, progressive muscle relaxation, and family psychoeducation given to clients with hypertension and diabetes mellitus can reduce anxiety symptoms and increase ability to cope with anxiety. A combination of generalist and specialist therapy (thought stopping, progressive muscle relaxation, and family psychoeducation) is recommended for anxiety clients with hypertension and diabetes mellitus."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Anisa Yulvi Azni
Perubahan Tanda Gejala dan Kemampuan pada Pasien Gastritis dengan Ketidakefektifan Koping Individu Setelah Pemberian Terapi Suportif dengan Pendekatan Peplau: A Case Report = Changes in Symptoms and Abilities in Gastritis Patients with Individual Coping Ineffectiveness After Providing Supportive Therapy with Peplau's Approach: A Case Report
"Gastritis merupakan penyakit yang disebabkan oleh infeksi Helicobacter Pylori, pola makan tidak teratur, kebiasaan hidup yang buruk, stimulasi makanan, dan stres yang berlebihan. Masalah psikososial yang sering menyertai gastritis adalah ansietas dan ketidakefektifan koping individu. Kedua masalah ini perlu mendapatkan intervensi keperawatan, salah satunya dengan terapi suportif. Tujuan karya ilmiah ini untuk memberikan gambaran penerapan terapi suportif pada 20 klien gastritis dengan masalah ansietas dan ketidakefektifan koping individu berbasis komunitas menggunakan pendekatan Teori Interpersonal Peplau. Terapi suportif diberikan kepada 3 kelompok klien dewasa (setiap kelompok terdiri dari 6-7 individu). Intervensi diberikan sebanyak 4 pertemuan dari mulai 30 Maret sampai 28 April dengan rata-rata pertemuan 45-60 menit. Hasil pengukuran pre dan post menunjukkan pemberian terapi suportif pada klien gastritis dengan pendekatan Teori Interpersonal Peplau dapat menurunkan tanda dan gejala koping individu khususnya pada tanda gejala afektif 95%. Perubahan afektif terjadi dikarenakan selama proses terapi suportif klien diberi kesempatan yang sama untuk mengungkapkan perasaan dan pengalaman yang dialami, serta bisa saling sharing dan diskusi yang terdapat pada fase eksploitasi. Terapi suportif direkomendasikan dilakukan oleh perawat spesialis jiwa untuk meningkatkan koping individu klien gastritis dan Teori Peplau sebagai peningkatan dalam proses interpersonal yang terapeutik dalam keperawatan jiwa.ildren with ASD. Method: The design of this study was a pre-post test analysis. The subjects are children aged 6-10 years who had been diagnosed as GSA by a pediatric neurology consultant and attended the Anakku Clinic Check My Child (CMC) Kayu Putih, Anakku Clinic BSD Serpong, Pondok Pinang, Depok, Bekasi, as well as Anakku Pulomas School within period of April until June 2023. The sampling method was consecutive sampling method. It required total of 33 subjects for 80% power, 5% significance level, 1 point of effect size along with pre-estimated 20% drop out. Firstly, we formulated an animation video-modeling of bathing activity along with its checklist evaluation instrument. The checklist consisted of 20 sequences shown in video-modeling of bathing. Subjects were mandated to watch the video-modeling minimum once a day for duration of 4 weeks. Subjects with the video exposure less than 75% were excluded from the analysis. The evaluation was conducted by adding 1 point for each sequence activity performed by ASD child, without any verbal instructions nor motoric prompts. Pre-test score is the sum of the bathing activity checklist before subject was exposed with the video-modeling, meanwhile the post-test score was taken after 4 weeks intervention period of video-modeling. Result: Among 35 subjects attended in the beginning of the study, only 29 children (82.8%) completed the study for 4 weeks. Most of the subjects (94.2%) were aged 6-8 years with a male and female ratio of 5:1. Median score of ASD childrens’ bathing activity before and after the video-modeling exposure is 3 (0–10) and 6 (1–17), on a scale of 20. The pre- and post-test difference is statistically significant which gives result of 3 point of difference (-4–13), on a scale of 20. Conclusion: There is a statistically significant difference between the sequence imitation skills of bathing activity in ASD children before and after using video-modeling. Further research is needed to determine the clinical significance of this value.
Gastritis is a disease caused by Helicobacter Pylori infection, irregular diet, poor living habits, food stimulation, and excessive stress. Psychosocial problems that often accompany gastritis are anxiety and individual coping ineffectiveness. Both of these problems need to get nursing interventions, one of which is with supportive therapy. The purpose of this scientific work is to provide an overview of the application of supportive therapy in 20 gastritis clients with community-based individual coping problems and ineffectiveness using Peplau's Interpersonal Theory approach. Supportive therapy was provided to 3 groups of adult clients (each group consisted of 6-7 individuals). The intervention was given as many as 4 meetings from March 30 to April 28 with an average meeting of 45-60 minutes. The results of pre and post measurements show that the provision of supportive therapy to gastritis clients with Peplau's interpersonal theory approach can reduce the signs and symptoms of individual coping, especially in the sign of affective symptoms 95%. Affective changes occur because during the supportive therapy process clients are given the same opportunity to express feelings and experiences experienced, and can share and discuss each other contained in the exploitation phase. Supportive therapy is recommended by psychiatric nurses to improve individual coping of gastritis clients and Peplau's theory as an improvement in the therapeutic interpersonal process in psychiatric nursing."
Depok: Fakultai Ilmu Keperawatan Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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Muliantika
Pengaruh terapi generalis dan terapi kognitif terhadap perubahan tanda dan gejala acute stress disorder dan kemampuan merubah pikiran negatif pada korban bencana banjir = The influence of generalist therapy and cognitive therapy toward the change of asd symptoms and the ability in change negative thoughts on the flood victims / Muliantika
"ABSTRAK
Nama :MuliantikaProgram Studi :Magister Ilmu Keperawatan Kekhususan JiwaJudul :Pengaruh terapi generalis dan terapi kognitif terhadap perubahan tandadan gejala Acute Stress Disorder dan kemampuan merubah pikiran negatif pada korban bencana banjirKejadian bencana banjir di Indonesia mengalami peningkatan sejak tahun 2012-2016 dengan total kejadian sebanyak 659 kasus. Bencana banjir menyebabkan dampak psikologis yang cukup besar, salah satunya adalah Acute Stress Disorder ASD dan munculnya distorsi kognitif. Terapi yang dapat diberikan untuk mengatasi masalah tersebut adalah terapi generalis dan Terapi Kognitif. Tujuan penelitian untuk mengetahui pengaruh terapi generalis dan terapi kognitif terhadap penurunan tanda gejala ASD dan kemampuan merubah pikiran negatif pada korban bencana banjir. Desain penelitian ldquo;Quasy Eksperimental pre test-post test with Control Group rdquo;, sampel sebanyak 62 orang 31 orang kelompok intervensi dan 31 orang kelompok kontrol . Kelompok kontrol diberikan terapi generalis dan kelompok intervensi diberikan terapi generalis dan terapi kognitif. Instrumen yang digunakan adalah Acute Stress Disorder Scale ASDS dan Thought Control Questionnair TCQ . Kedua instrument ini telah melalui uji validitas dan reabilitas sebelumnya dan penelitian ini telah dinyatakan lulus uji etik. Uji analisis menggunkaan uji Wilcoxon, indenpendet t-test dan chi-square. Hasil analisis menunjukkan terjadi penurunan tanda gejala ASD dan peningkatan kemampuan merubah pikiran negatif setelah diberikan terapi generalis p value
ABSTRACT
Name MuliantikaStudy Program Post Graduate Program Faculty Of NursingTitle The influence of generalist therapy and cognitive therapy toward the change of ASD symptoms and the ability in change negative thoughts on the flood victimsThe incidence of floods in Indonesia has increased since 2012 2016 with a total of 659cases. The flood disaster caused considerable psychological effects, one of which is Acute Stress Disorder and the emergence of cognitive distortions. Treatments that can be given to overcome these problems are generalist therapy and Cognitive Therapy. The purpose of the study was to determine the effect of generalist therapy and cognitive therapy on the decrease of ASD symptom sign and the ability to change negative thoughts on flood victims. The research design was Quasy Experimental pre test post test with Control Group , 62 samples 31 intervention group and 31 control group . The control group was given generalist therapy and the intervention group was given generalist therapy and cognitive therapy. The instruments used are Acute Stress Disorder Scale ASDS and Thought Control Questionnair TCQ . Both of these instruments have passed the previous validity and reliability test and this research has passed the ethical test. The analytical test used the Wilcoxon test, t test indent and chi square. The results showed a decrease in ASD symptom and increased ability to change negative thoughts after generalist therapy p value "
2018
T50973
UI - Tesis Membership  Universitas Indonesia Library
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Rizka Khaerun Nisa
Penerapan Terapi Musik untuk Asuhan Keperawatan Generalis pada Pasien Lansia dengan Isolasi Sosial = Application of Music Therapy in Elderly Patients with Social Isolation
"Isolasi sosial merupakan masalah keperawatan yang dialami oleh pasien gangguan jiwa berat dengan menunjukkan sikap menyendiri dan kesepian. Isolasi sosial termasuk dalam salah satu diagnosa keperawatan berdasarkan tanda negatif skizofrenia. Berdasarkan perspektif epidemiologi, isolasi sosial memiliki risiko besar terhadap kematian dan terbukti dapat menyebabkan atau memperburuk pengalaman psikotik. Tujuan penulisan karya ilmiah akhir ners ini untuk  menganalisis proses asuhan keperawatan pada pasien lansia yang mengalami isolasi sosial melalui penerapan terapi musik sehingga menurunkan tanda dan gejala isolasi sosial. Implementasi dilakukan selama 11 hari di ruang Saraswati RSJ Dr. Marzoeki Mahdi Bogor. Intervensi terapi musik diterapkan setiap hari sambil melatih bercakap-cakap. Hasil evaluasi menunjukan adanya penurunan tanda dan gejala isolasi sosial serta peningkatan kemampuan pasien dalam berinteraksi. Berdasarkan hasil tersebut menunjukan bahwa terapi musik secara efektif dapat menurunkan tanda dan gejala isolasi sosial.
Social isolation is a nursing problem experienced by patients with severe mental disorders by showing aloofness and loneliness. Social isolation is included in one of the nursing diagnoses based on negative signs of schizophrenia. Based on an epidemiological perspective, social isolation has a high risk of mortality and has been shown to cause or make psychotic experiences worse. The purpose of writing this ners final scientific work is to analyze the nursing care process in elderly patients experiencing social isolation through the application of music therapy so as to reduce the signs and symptoms of social isolation. Implementation was carried out for 11 days in the Saraswati room of Dr. Marzoeki Mahdi Mental Hospital Bogor. Music therapy interventions are applied every day while practicing conversation. The evaluation results showed a decrease in signs and symptoms of social isolation and an increase in the patient's ability to interact. Based on these results, it shows that music therapy can effectively reduce signs and symptoms of social isolation."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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