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"Defisit perawatan diri merupakan diagnosa perawatan jiwa yang terjadi pada semua pasien gangguan jiwa. Tujuan penulisan karya ilmiah akhir untuk Menggambarkan Efektifitas Terapi spesialis perilaku “Token Ekonomi” dan terapi Psikoedukasi Keluarga terhadap pasien Defisit Perawatan Diri di RW 08 dan RW 13 Kelurahan Baranangsiang Bogor Timur dengan pendekatan model Self Care Orem. Terapi Perilaku "token ekonomi" adalah bentuk dari reinforcement positif yang digunakan baik secara individu maupun kelompok pasien di ruang psikiatri atau dimasyarakat. Reward diberikan secara konsisten terhadap pasien misalnya dengan tanda, poin atau tiket. Terapi perilaku ini dapat mengubah perilaku yang ditargetkan, target perilaku dapat meliputi : tentang personal hygine. Psikoedukasi keluarga adalah untuk mencegah kekambuhan pasien gangguan jiwa, dan untuk mempermudah kembalinya pasien ke lingkungan keluarga dan masyarakat dengan memberikan penghargaan terhadap fungsi sosial dan okupasi pasien gangguan jiwa. Indikasi dilakukannya family psychoeducation therapy adalah keluarga yang memiliki anggota keluarga dengan masalah psikososial dan gangguan jiwa. Analisa dilakukan dengan menggunakan pendekatan model Self Care dari Orem. Hasil penulisan ini adalah Terapi Perilaku”Token Ekonomi” dan Psikoedukasi Keluarga efektif untuk meningkatkan kemampuan perawatan diri pada pasien dengan defisit perawatan diri dan direkomendasikan untuk dilakukan pada tatanan pelayanan kesehatan di masyarakat sebagai bentuk pelayanan kesehatan jiwa preventif tersier bagi pasien defisit perawatan diri di masyarakat.

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Self-care deficit is a psychiatric diagnosis that occurs in all patients with mental disorders. The purpose of writing a scientific paper to describe the end behavior specialist Therapeutic Effectiveness "Token Economy" and the treatment of patients Psikoedukasi Family Self-Care Deficit in RW 08 and RW 13 Sub Baranangsiang East Bogor by Orem's Self Care Model approach. Behavior Therapy "token economy" is a form of positive reinforcement is used either individually or in groups of patients in the psychiatric or community. Reward is consistently given to patients with signs for example, points or tickets. Behavioral therapy can change the behavior of targeted, the target behavior can include: about personal hygine. Psikoedukasi family is to prevent the recurrence of mental patients, and to facilitate the return of patients to family and community environment by providing an appreciation of social and occupational functioning of patients with mental disorders. Indications are doing family therapy family psychoeducation have family members with psychosocial problems and mental disorders. The analyzes were performed using a model approach to Self Care of Orem. The results of this paper is Behavior Therapy "Token Economy" Psikoedukasi Family and effective way to increase self-care abilities in patients with self-care deficits and recommended to be done in the framework of health care in the community as a form of tertiary preventive mental health services for the patient self-care deficits in the community."

"Jumlah klien gangguan jiwa yang ditemukan adalah 18 orang (2,44%) dari total penduduk dewasa 737 orang. Angka ini menunjukkan peningkatan dari estimasi gangguan jiwa di Jawa Barat (0,22%). Defisit perawatan diri adalah salah satu bentuk gangguan jiwa dan dialami oleh seluruh klien gangguan jiwa yang ditemukan. Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan management of care kasus spesialis terhadap klien defisit perawatan diri dengan pendekatan Self Care Orem. Metode yang digunakan adalah studi serial kasus defisit perawatan diri pada klien gangguan jiwa dengan pemberian terapi spesialis keperawatan jiwa. Paket terapi yang diberikan : 1 Behaviour theraphy, 2 Behaviour theraphy dan Supportif Theraphy, 3 Behaviour theraphy, Supportif Theraphy dan Self Help Group. Terapi diberikan kepada 17 klien (9 skizofrenia, 4 retardasi mental dan 4 demensia). Hasil pelaksanaan terapi adalah paket terapi ketiga sangat efektif untuk meningkatkan kemampuan dan menurunkan tanda gejala klien defisit perawatan diri dengan diagnosa medis skizofrenia dan retardasi mental. Terapi-terapi tersebut kurang efektif bagi klien demensia. Berdasarkan hasil di atas perlu direkomendasikan bahwa behaviour theraphy, supportif theraphy dan self help group dapat dijadikan standar terapi spesialis keperawatan jiwa bagi klien defisit perawatan diri khususnya dengan skizofrenia dan perlu dilakukan penelitian lanjut tentang terapi spesialis keperawatan jiwa yang tepat untuk klien defisit perawatan diri dengan demensia.

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The amount of clients of mental disorders found were 18 people (2.44%) of the total adult population of 737 people. This amount shows an increase from an estimate of mental disorder in West Java (0.22%). Self-care deficit is one form of mental disorder and is experienced by all clients of mental disorders was found. The purpose of this paper is to describe management of care the scientific end case specialists to client self-care deficit with Orem’s Self Care approach. The method used is the serial case study of self-care deficits in psychotic clients with life-giving therapy nursing specialists. Therapy are : first package of Behavior Therapy, second package of Behavior Therapy and Supportive Therapy, third package of Behavior Therapy, Supportive Therapy and Self Help Group. Therapy was given to the 17 client (9 schizophrenia, 4 mental retardation, and 4 dementia).

The results of the implementation of these therapies is that the package of three highly effective therapy to improve coping mechanism and reduce the symptoms signs on the client's self-care deficit with a medical diagnosis of schizophrenia and mental retardation in performing self-care. These therapies are less effective for clients with dementia. Based on the above results need to be recommended that the behavior therapy, supportive therapy and self help group can be made standard of therapy of nursing specialist self-care deficit of clients and schizophrenia in particular, and have done research about nursing specialist mental therapy is right for the client self-care deficits with dementia."

"Harga diri rendah kronis merupakan salah satu diagnosis keperawatan yang sering ditemukan di rumah sakit jiwa. Prosentase pasien harga diri rendah kronis di ruang Arimbi periode Februari-April 2012 mencapai 90.4% dari jumlah total pasien. Jumlah pasien dengan diagnosis utama harga diri rendah kronis yang dikelola penulis sebanyak 22 orang. Tujuan penulisan karya ilmiah akhir ini adalah menguraikan aplikasi terapi spesialis keperawatan jiwa terhadap pasien harga diri rendah kronis melalui pendekatan model Stress Adaptasi Stuart. Metode yang digunakan dalam penulisan ini adalah studi serial kasus dengan kombinasi tujuh paket terapi. Hasil aplikasi terapi spesialis keperawatan jiwa ini menunjukkan adanya penurunan tanda dan gejala, peningkatan kemampuan pasien, serta peningkatan kemampuan keluarga dalam merawat pasien harga diri rendah kronis. Efektifitas terapi menunjukan bahwa kombinasi terapi individu (terapi kognitif perilaku dan logoterapi), terapi kelompok (terapi suportif kelompok) dan terapi keluarga (psikoedukasi keluarga) efektif menurunkan gejala, meningkatkan kemampuan pasien dan meningkatkan kemampuan keluarga dalam merawat pasien harga diri rendah kronis. Rekomendasi : kombinasi terapi individu, terapi kelompok dan terapi keluarga sangat tepat diberikan pada pasien gangguan jiwa khususnya pasien harga diri rendah kronis dan diperlukan penelitian lebih lanjut.

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The prevalence of mental disorders each year has increased significantly. Based on the Health Research Association in 2007 showed that the incidence of severe mental disorder in Indonesia of 4.6 ‰. Statistical data show that the mental health directorate of mental patients is the largest of schizophrenia by 70% (Dep.Kes, 2003). The results of several studies have shown some good therapy generalists and specialists give significant results to reduce chronic low self-esteem such as cognitive therapy, cognitive behavioral therapy, and family psikoeducation logotherapy.

The purpose of this final scientific work is to describe the soul of nursing specialist therapy applications for patients of chronic low self-esteem through modeling approaches Stuart Stress Adaptation. Therapy applications specialist mental nursing was conducted on 22 patients of chronic low self-esteem in the Arimbi RSMM Bogor.

The results of therapy applications of this spirit of nursing specialists showed a decrease in the signs and symptoms, improvement in the patient's ability to cope with chronic low self-esteem, and increase the ability of families in caring for patients of chronic low self-esteem. Effectiveness of therapy showed that the combination of individual therapy (cognitive behavioral therapy and logotherapy), group therapy (supportive group therapy) and family therapy (family psikoedukation) effectively reduce symptoms of chronic low selfesteem, improve the patient's ability to overcome chronic low self-esteem and improve the ability of families in care for patients of chronic low self-esteem.

Recommendation: The combination of individual therapy, group therapy and family therapy is appropriate given the patient's mental disorders, especially patients with chronic low self-esteem. "

"Karya ilmiah akhir ini bertujuan untuk Memberikan gambaran hasil manajemen kasus spesialis terhadap klien dan keluarga dalam mengatasi masalah ketidakberdayaan di Rumah Sakit Umum Persahabatan Jakarta melalui pemberian intervensi generalis dan terapi spesialis keperawatan jiwa. Hasil manajemen kasus pada 20 klien yang dikelola menunjukkan klien mendapat terapi logo, terapi kognitif dan psiko edukasi keluarga mengalami penurunan gejala dan peningkatan kemampuan mengatasi ketidakberdayaan. Rekomendasi manajemen kasus adalah perlunya penerapan program CLMHN dengan peningkatan kemampuan perawat generalis dan penempatan perawat spesialis keperawatan jiwa di unit rawat inap umum untuk mengatasi masalah psikososial klien dengan memberikan asuhan keperawatan jiwa baik generalis maupun spesialis.

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This final scientific work aims to provide an overview the specialist case management to clients and families in overcoming the problem of powerlessness in Jakarta Friendship General Hospital through the provision of generalist intervention specialist nursing and therapy of the soul. The results of case management in a managed 20 client indicates the client had a logo therapy, cognitive therapy and family psycho educational therapy experience decreased symptoms and increased ability to cope with powerlessness. Recommendations is the need for the application of case management program with an increased ability CLMHN generalist nurses and specialist nurses nursing placement soul in general inpatient units to address psychosocial issues clients by providing nursing care either generalist or specialist life."

"Suitable for clinicians, students, educators, researchers, and administrators in various clinical, educational and research venues, this title includes specific indicators that can be used as intermediate outcomes or to evaluate and rate the patient in relation to outcome achievement. This text standardizes the terminology and criteria for measurable or desirable outcomes as a result of interventions performed by nurses. Clinicians, students, educators, researchers, and administrators in a variety of clinical, educational and research venues can use the classification, which serves as an important focus for both cost containment and effective care. This new edition is even more comprehensive and includes specific indicators that can be used as intermediate outcomes or to evaluate and rate the patient in relation to outcome achievement."