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"Tuberkulosis (TB) masih merupakan salah satu penyebab utama morbiditas dan mortalitas di seluruh dunia. Tuberkulosis selain menimbulkan masalah kesehatan secara fisik juga menimbulkan masalah sosial dan psikologis. Masalah psikologis paling banyak adalah ansietas. Di negara berpenghasilan rendah dan menengah, ansietas dan depresi tiga kali lebih tinggi pada klien TB dibanding orang tanpa TB. Jika ansietas tidak ditangani dengan tepat menyebabkan kepatuhan yang buruk terhadap pengobatan, memperpanjang lama pengobatan, kekambuhan, bahkan dapat mendapatkan stigma dari masyarakat yang kemudian klien menjadi tidakberdaya, putus asa, depresi bahkan bunuh diri. Tujuan dari karya ilmiah akhir spesialis ini adalah untuk mengetahui pengaruh Tindakan Keperawatan Ners (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), dan Acceptance Commitment Therapy (ACT) melalui online dalam menurunkan ansietas pada klien TB. Pendekatan dalam karya ilmiah akhir spesialis ini menggunakan case series dengan jumlah responden 8 klien dan dilakukan pengukuran pre post test terhadap ansietas, kepatuhan minum obat, perceived stigma, dan kemampuan klien. Instrumen yang digunakan adalah istrumen Tanda dan Gejala Ansietas FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) dan Explanatory Model Interview Catague (EMIC). Hasil menunjukkan terdapat perubahan ansietas dan kemampuan klien TB baik setelah mendapat TKN atau kombinasi TKN+TS+PMR, maupun TKN+TS+PMR+ACT. Pemberian TKN, TS, PMR, dan ACT melalui online direkomendasikan sebagai terapi yang dapat menurunkan ansietas dan meningkatkan kemampuan klien TB

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Tuberculosis (TB) is still one of the leading causes of morbidity and mortality worldwide. Tuberculosis, apart from causing physical health problems, also causes social and psychological problems. Most of the psychological problems are anxiety. In low- and middle-income countries, anxiety and depression are three times higher in TB clients than in people without TB. If anxiety is not handled properly, it causes poor adherence to treatment, prolongs treatment, relapses, and can even get stigma from society, which then leads to helplessness, hopelessness, depression and even suicide. The purpose of this specialist's final scientific work is to determine the effect of Nursing Action (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), and Acceptance Commitment Therapy (ACT) via online in reducing anxiety in TB clients. The approach in this specialist final scientific paper uses a case series with a number of respondents 8 clients and a pre-post test measurement of anxiety, medication compliance, perceived stigma, and client ability was carried out. The instrument used was the signs and symptoms of anxiety at FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) and the Explanatory Model Interview Catague (EMIC). The results showed that there were changes in the anxiety and ability of TB clients both after receiving TKN or a combination of TKN + TS + PMR, and TKN + TS + PMR + ACT. Online provision of TKN, TS, PMR, and ACT is recommended as a therapy that can reduce anxiety and increase the ability of TB clients."

"Tuberkulosis merupakan salah satu penyumbang kematian tertinggi di beberapa negara-negara maju dan berkembang termasuk Indonesia. Selain berdampak kepada kesehatan, penyakit tuberkulosis juga menjadi penyakit yang mengakibatkan kerugian ekonomi cukup tinggi di tanah air. Upaya yang saat ini banyak dilakukan meliputi promosi edukasi pencegahan penularan tuberkulosis dengan berbagai media berbasis paper dan audiovisual yang terbukti efektif namun masih perlu adanya inovasi yang lebih kompleks lagi dari media sebelumnya. Media video explainer merupakan jenis video promosi yang memadukan gambar, animasi, serta audio narasi dengan sajian materi yang singkat namun informatif. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi video explainer terhadap tingkat pengetahuan, sikap dan keterampilan keluarga dalam pencegahan penularan tuberkulosis. Penelitian ini menggunakan desain kuasi eksperimen jenis pre test dan post test dengan kelompok kontrol, pada pemilihan responden dilakukan secara purposive sampling dengan jumlah responden pada masing-masing kelompok kontrol dan intervensi sebanyak 39 responden. Analisis data menggunakan paired t test dan pooled t test. Hasil penelitian menunjukkan ada pengaruh signifikan antara pemberian edukasi video explainer terhadap pengetahuan (p value < 0,05), Sikap (p value < 0,05), dan keterampilan (p value < 0,05). Media video explainer disarankan dapat digunakan menjadi media edukasi alternatif di puskesmas pada awal pengobatan dan kunjungan rumah untuk dapat memaksimalkan asuhan keperawatan melalui edukasi kesehatan dalam pencegahan penularan tuberkulosis.

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Tuberculosis is one of the third highest contributors of death in several developed and developing countries including Indonesia. In addition, tuberculosis impacted on health, it was also a disease caused high economic losses in the country. Efforts that are currently being carried out including the promotion of tuberculosis transmission prevention by various education media such as paper-based and audiovisual media. Explainer video as a media education typed promotional video that combines images, animations, and audio narration with a short presentation of material. This study aimed to see the influence of explainer video education on the level of knowledge, attitudes and skills of families in preventing tuberculosis transmission. This study used a quasi-experimental design with pre-test and post-test with a control group. The selection of respondents were done by simple random sampling. The number of respondents in the intervention group and the control group were similar to 39 people. The data analysis used paired t test and pooled t test. The results showed that there was a significant effect between giving explainer video education on knowledge (p value < 0.05), attitudes (p value < 0.05), and skills (p value < 0.05). The explainer video media is recommended as alternative media for using in public health center at the beginning of treatment and at home to maximaze the nursing care by health education in preventing tuberculosis transmission.

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"Latar belakang: Tuberkulosis (TB) hingga saat ini masih menjadi masalah kesehatan utama di dunia dan merupakan salah satu dari 10 penyebab kematian di dunia. Sesuai dengan rekomendasi WHO tahun 2020, pengobatan TB RO di Indonesia saat ini menggunakan paduan tanpa obat injeksi yang terbagi menjadi dua, yaitu paduan pengobatan jangka pendek (9-11 bulan) dan jangka panjang (18-20 bulan). Penelitian ini dilakukan untuk mengindentifikasi luaran penggunaan regimen pengobatan jangka pendek pada TB RO di RSUP Persahabatan dan faktor-faktor yang mempengaruhi luaran. Metode : Penelitian ini merupakan studi kohort prospektif yang dilakukan sejak Agustus 2019 – Januari 2021 dengan consecutive sampling pada pasien TB RO yang berobat ke Poli TB RO RSUP Persahabatan. Pasien yang telah memenuhi kriteria pengobatan jangka pendek akan diberikan pengobatan standar dan akan dievaluasi mengenai faktor-faktor yang mempengaruhi. Faktor-faktor yang dinilai pada penelitian ini antara lain usia, jenis kelamin, indeks massa tubuh, faktor komorbid, BTA awal pengobatan, luas lesi foto toraks, merokok, riwayat pengobatan TB, desentralisasi, lama konversi, dan pola resistan. Hasil akhir pengobatan yang dievaluasi pada penelitian ini adalah sembuh, gagal pengobatan, meninggal, putus berobat, dan pindah.Hasil : Subjek penelitian yang memenuhi kriteria inklusi penelitian sebanyak 68 orang dengan karakteristik rerata usia 42,03 (13,22) tahun. Pada kelompok jenis kelamin laki- laki (66,7%), gizi obese (71,4%), riwayat merokok indeks berat (81,8%), riwayat gagal kategori 2 sebelumnya (100%), gambaran foto toraks lesi luas (66,7%), tidak desentralisasi (59%), konversi BTA > 3 bulan, BTA awal pengobatan 3+ (66,7%), dan poliresistan (80%) akan mengalami luaran tidak berhasil lebih cepat dibandingkan kelompok lainnya. Hasil akhir pengobatan pada penelitian ini didapatkan angka kesembuhan sebesar 42,6%, gagal pengobatan sebesar 17,6%, meninggal sebesar 8,8%, putus berobat sebesar 27,9% dan transfer out sebesar 2,9%.Kesimpulan : Pada penelitian ini tidak didapatkan perbedaan bermakna antara faktor- faktor yang mempengaruhi luaran pengobatan TB RO dengan regimen jangka pendek (STR).

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Background: Tuberculosis (TB) remains a major health problem and one of the top ten causes of death in the world. According to WHO recommendations in 2020, drug- resistant TB (DR-TB) treatment in Indonesia currently uses an injection-free drug combination which was divided into short-term (nine to eleven months) and long term (eighteen to twenty months) treatments. The aim of this study is to identify the outcome of using a short-term treatment regimen (STR) for DR-TB in patients treated at Persahabatan Hospital, Jakarta, Indonesia and factors that influence their clinical outcomes.

Methods: This study was a prospective cohort study conducted from August 2019 until January 2021 in Persahabatan Hospital, Jakarta, Indonesia. All DR-TB patients were evaluated whether they met criteria for the STR treatment. Outcomes evaluated in this study were cured, treatment failure, death, loss to follow up, and transferred out. Factors assessed in this study included age, sex, body mass index, comorbid factors, bacterial load, chest x-ray lesions, smoking, TB treatment history, decentralization, time-to- conversion, and resistance pattern.

Results: Sixty eight subjects were included in this study. Mean age was 42.03 (+ 13.22) years. Males, obese, heavy smoking index, history of second category treatment failure, extensive lesion in chest x ray, decentralisation, acid fast baccili (AFB) conversion by >3 months, AFB stain at pre-treatment of +3, and poly-drug-resistance were more likely to have an unfavourable outcome. However, the results were not statistically significant (p>0.05). The treatment result of this study showed a cure rate of 42.6%, with treatment failure was 17.6%, death was 8.8%, loss to follow up was 27.9%, and transferred out was 2.9%.

Conclusion: In this study, there were no significant differences between the factors that influenced the outcome of DR-TB receiving STR."

"Latar Belakang: Tuberkulosis resistan obat (TB-RO) masih menjadi masalah kesehatan global, penyakit utama penyebab kematian kasus infeksi tunggal terbanyak setelah Corona virus disease 2019 (COVID-19). Tahun 2021 secara global terdapat 167.000 orang dengan TB Multi Drug Resistant/Rifampicin Resistant (MDR/RR) terkonfirmasi, 162.000 memulai terapi. Angka keberhasilan global pengobatan TB RR/MDR sebesar 60%, sedangkan di Indonesia sebesar 47%. WHO merekomendasikan paduan bebas injeksi untuk TB-RO tahun 2019 meningkatkan angka keberhasilan 60% menjadi 73% dan menurunkan angka putus berobat 17,3% menjadi 9,9%. Pengobatan OAT all-oral direkomendasikan di Indonesia sejak 2020 termasuk paduan individual. Penelitian ini bertujuan untuk mengetahui luaran pengobatan TB-RO dengan paduan individual all-oral serta faktor apa saja yang memengaruhi keberhasilan pengobatan TB-RO di RSUP Persahabatan.Metode: Desain penelitian ini adalah kohort retrospektif menggunakan data rekam medis fisik dan elektronik, dilakukan di Poli TB-RO RSUP Persahabatan Oktober 2022, dengan teknik total sampling. Subjek penelitian adalah pasien TB-RO yang mendapatkan paduan individual all-oral dan memulai terapi Januari2020-Desember 2021 di poli TB-RO RSUP Persahabatan yang memenuhi kriteria penelitian.Hasil: Didapatkan 162 subjek penelitian dengan karakteristik median usia 44 (18−74) tahun, 61,7% laki-laki dan 52,5% subjek dengan IMT<18,5 kg/m2. Komorbid terbanyak adalah DM tipe 2 dengan proporsi 37%. Jenis resistansi terbanyak TB-MDR 45,1% dengan proporsi bacterial load terbanyak BTA negatif (25,9%). Proporsi konversi biakan sputum ≤ 2 bulan 56,2%. Terdapat 86,4% subjek mengalami intoleransi obat dengan proporsi terbanyak gastrointestinal 66,2%. Luaran berhasil sebesar 43,2%, meninggal 40,1%, putus berobat 13,6% dan gagal 3,1%. Analisis multivariat mendapatkan bacterial load dan kecepatan konversi merupakan faktor-faktor yang memengaruhi keberhasilan pengobatan TB-RO.Kesimpulan: Luaran berhasil pasien TB-RO yang menggunakan paduan individual all-oral 43,2%, meninggal 40,12%, gagal 3,09% dan putus berobat 13,6%. Bacterial load,BTA ≤1+ dan kecepatan konversi ≤ 2 bulan merupakan faktor yang memengaruhi keberhasilan pengobatan TB-RO dengan paduan individual all-oral. Nilai odds masing-masing faktor berturut-turut aOR:2,35 (95%IK: 1,12-4,90) dan aOR: 2,2 (95%IK: 1,05-4,61).

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Background: Drug-resistant tuberculosis (DR-TB) is still the global health problem, the leading cause of death in the single infectious case after Corona virus disease 2019 (COVID-19). Globally, there were 167.000 confirmed cases of Multi Drug Resistant/Rifampicin Resistant tuberculosis (MDR/RR-TB) in 2021 and 162.000 started treatment. Global success rate for MDR/RR-TB treatment reach 60% while in Indonesia 47%. In 2019 WHO recommended injection-free regimen that increase treatment success rate of DR-TB treatment from 60% to 73% and lower lost to follow up (LTFU) cases 17,3% to 9,9%. Indonesia started all-oral regimen in 2020 consist of shorter and longer regimen. Aim of this study is to observe outcomes of drug-resistant tuberculosis (DR-TB) treated with long term all-oral regimen and factors that influence the success rate of DR-TB treatment at Persahabatan Hospital Jakarta.

Metods: Design of the study was retrospective cohort using secondary data, physical and electronic medical records. It carried out in October 2022 at DR-TB clinic Persahabatan Hospital with total sampling technique. Subject of this study were medical records of DR-TB patients enrolled with long-term all-oral regimen treatment by January 2020-December 2021 which met the inclusion criteria.

Results: There were 162 subjects with median of age 44 (18-74) years old, 61,7% were male, and 52,5% subject were malnutrition. Proportion of DM type 2 comorbid was 37%. MDR-TB were found in 45,1% of subject with the high proportion of negative smear bacterial load (25,9%) as baseline. Amount of sputum Mtb culture conversion within 2 months reached 56,2%. There were 86,4% subjects experiencing drug intolerance with the highest proportion being gastrointestinal 66,2%. Outcomes of the long-term DR-TB treatment were successful 43,2%, died 40,1%, dropped-out 13,6% and failed 3,1%. Multivariate analysis found that bacterial load and time of sputum conversion were factors that associated with DR-TB success rate treatment.

Conclusion: Outcomes of drug-resistant tuberculosis (DR-TB) treated with long term all-oral regimen 43,2% cured, 40,12% died, dropped-out from treatment 13,6% and failed 3,1%. Bacterial load ≤1+ and time of sputum conversion ≤2 months were factors that associated with DR-TB success rate treatment with adjusted aOR:2,35 (CI95% :1,12-4,90) and aOR:2,2 (CI95% : 1,05-4,61) respectively."

"Ansietas sering ditemukan pada klien hipertensi akibat kekhawatiran kesehatan dan masa depannya. Selain itu, kegagalan berkomitmen untuk mengurangi faktor risiko dan rejimen pengobatan dalam kehidupan sehari-hari menjadi indikator klinis dengan nilai sensitif paling tinggi pada hipertensi. Karya tulis ilmiah ini bertujuan untuk mengetahui pengaruh tindakan keperawatan, progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga terhadap ansietas dan ketidakefektifan manajemen kesehatan klien hipertensi. Pemberian terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga dapat menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan secara bermakna pada klien hipertensi. Pemberian paket 3 terapi yaitu terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga diketahui mampu menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan lebih tinggi dibanding jika hanya diberikan satu terapi saja atau 2 terapi saja. Sehingga, terapi kombinasi 3 terapi lebih direkomendasikan dalam mengatasi ansietas dan ketidakefektifan manajemen kesehatan pada klien hipertensi.

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Anxiety is often found in hypertension clients due to worries about their health and future. In addition, failure to commit to reducing risk factors and treatment regimens in daily life is a clinical indicator with the highest sensitive value in hypertension. This scientific paper aims to determine the effect of nursing actions, progressive muscle relaxation, acceptance commitment therapy, and family psychoeducation on anxiety and ineffective health management of hypertensive clients. Provision of progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation can significantly reduce signs and symptoms of anxiety and ineffective health management in hypertensive clients. Giving a package of 3 therapies, namely progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation is known to be able to reduce signs and symptoms of anxiety and ineffective health management higher than if only given one therapy or only 2 therapies. Thus, combination therapy of 3 therapies is more recommended in overcoming anxiety and ineffective health management in hypertensive clients."

"Thought stopping pada penelitian sebelumnya efektif terhadap ansietas tetapi belum optimal menurunkan respon fisiologis ansietas. Tujuan penelitian ini adalah menjelaskan pengaruh terapi thought stopping dan progressive muscle relaxation terhadap ansietas klien dengan gangguan fisik. Metode penelitian adalah quasi experimental pre-post test with control group. Penelitian dilakukan pada 56 klien yaitu 28 kelompok intervensi mendapat thought stopping dan progressive muscle relaxation dan 28 kelompok kontrol hanya mendapat thought stopping.Hasil menunjukan ansietas klien yang mendapat thought stopping dan progressive muscle relaxation menurun dari ansietas sedang ke ansietas ringan sedangkan yang mendapat thought stopping menurun tetapi tetap berada pada ansietas sedang. Thought stopping dan progressive muscle relaxation menurunkan respon fisiologis, kognitif, perilaku dan emosi secara bermakna (p value<0,05).

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Thought stopping dan progressive muscle relaxation direkomendasikan unruk penanganan ansietas di tahanan rumah sakit umum dan masyarakat. Previous research had showed that thought stopping decreased anxiety but not yet optimal in physiological responses of anxiety. This study aims to determine the influence of thought stopping and progressive muscle relaxation on anxiety of physical disorder patient. This study used quasi experimental design with pre test-post test control group. Total population were 56 patients that divided into two group. They were 28 patients as control group that received thought stopping and 28 patients as intervention group received combination thought stopping and progressive muscle relaxation.Result showed anxiety in intervention group decreased from moderate anxiety to mild anxiety and control group decreased still in moderate anxiety. Thought stopping and progressive muscle relaxation decreased physiologic, cognitive, behavior and emotional responses of anxiety significantly (p-value<0,05). The combination of this therapy was recommended as therapy to solve the anxiety at general hospital and community."

"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."

"Kasus nyeri lebih banyak mengakibatkan ansietas. Tujuan karya tulis ilmiah ini adalah mengetahui efektifitas terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga pada klien nyeri dan ansietas. Metode yang digunakan dengan analisa kasus. Jumlah klien yang dikelola sebanyak 90 orang dengan kelompok 1 sebanyak 40 klien diberikan tindakan keperawatan ners, terapi penghentian pikiran dan relaksasi otot progresif, kelompok 2 sebanyak 50 orang diberikan tindakan keperawatan ners, penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga. Hasil asuhan keperawatan ini adalah ada pengaruh tindakan keperawatan ners dan ners spesialis (penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) terhadap penurunan tanda gejala serta peningkatan kemampuan klien dan keluarga dalam mengurangi nyeri dan mengatasi ansietas. Asuhan keperawatan ini merekomendasikan terapi penghentian pikiran, terapi relaksasi otot progresif dan terapi psikoedukasi keluarga sebagai terapi keperawatan pada ansietas.

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Knowledge and experience of pain is an unpleasant emotional result of tissue damage that actual or potential. Pain occurs along much of the disease process or together with some diagnostic examination or treatment. The relationship between pain and anxiety are complex. Ansietas can increase the perception of pain, but pain can also cause a feeling of anxiety and can occur when a person feel threatened both physically and Psychology (such as self-esteem, self, or a picture ID). This scientific paper objective is to know the results of the effectiveness of thought stopping therapy, progressive muscle relaxation and family psikoeducation on the client ansietas and pain through the adaptation of the model approach to Roy. The number of clients that are managed as many as 90 people.

The results of this scientific paper is there influence nursing actions ners and ners specialists (thought stopping, progressive muscle relaxation and family psychoeducation) against a decrease in symptoms and signs of increased the ability of clients and families in reducing pain and cope with ansietas. This scientific paper recommends therapy thought stopping, progressive muscle relaxation therapy and family psychoeducation therapy as a family on anxiety. "

"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. "

"Tuberkulosis sering menimbulkan dampak psikologis berupa ansietas dan depresi. Penelitian ini bertujuan mengetahui pengaruh terapi kognitif dan terapi penerimaan-komitmen terhadap ansietas, depresi, kemmapuan mengubah pikiran negative dan menerima-berkomitmen klien tuberkulosis di Kota Depok. Desain penelitian menggunakan Quasi experimental pre and post test with control group. Subjek penelitian adalah 60 klien tuberculosis yang direkruit secara simple random sampling. Hasil penelitian menunjukkan ada penurunan kondisi ansietas, depresi dan peningkatan kemampuan mengubah pikiran negatif serta kemampuan menerima-berkomitmen lebih besar pada klien yang mendapatkan terapi daripada klien yang tidak mendapatkan terapi. Terapi ini direkomendasikan sebagai terapi keperawatan pada klien yang mengalami ansietas dan depresi.

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Tuberculosis often psychological impact, mostly are anxiety and depression. This study aims to determine effect of CT and ACT to tuberculosis client anxiety, depression, ability to change negative thoughts, acceptance and commitment. This study applied quasi experimental design of pre and post test with control group. There were 60 clients that were recruited by simple random sampling. Results showed decrease of anxiety and depression level, increased ability to change negative thoughts and increase accept and are committed who have CT and ACT than clients that did not receive therapy. It is recommended as nursing intervention to clients who experience anxiety and depression."