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"ABSTRAKDepresi psikotik merupakan gangguan jiwa pada lansia, 30 - 40% lansia yang dirawat unit psikogeriatri RSJ Lawang Malang dengan depresi psikotik. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kognitif dan terapi reminiscence terhadap penurunan kondisi depresi psikotik, harga diri rendah, ketidakberdayaan, keputusasaan dan isolasi sosial pada lansia di RSJ Propinsi Jawa Timur. Desain quasi eksperimental pre test ? post test with control group. Responden penelitian lansia depresi psikotik di RSJ Propinsi Jawa Timur. Jumlah responden 60 orang (20 orang terapi kognitif, 20 orang terapi reminiscence dan 20 orang kelompok kontrol) diperoleh dengan cara consecutive sampling. Data dianalisis menggunakan uji anova.Hasil penelitian menunjukkan bahwa terapi kognitif dan terapi reminiscence menurunkan kondisi depresi psikotik, harga diri rendah, ketidakberdayaan, keputusasaan dan isolasi sosial secara bermakna (p-value < 0,05). Terapi kognitif menurunkan kondisi depresi psikotik, ketidakberdayaan dan keputusasaan lebih besar secara bermakna dibandingkan terapi reminiscence. Terapi reminiscence menurunkan harga diri rendah dan isolasi sosial lebih besar secara bermakna dibandingkan terapi kognitif. Terapi kognitif dan terapi reminiscence direkomendasikan untuk dapat digunakan dalam mengatasi kondisi depresi psikotik, harga diri rendah, ketidakberdayaan, keputusasaan dan isolasi sosial pada lansia di rumah sakit jiwa.

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ABSTRACT

Psychotic depression is a problem mental health in the elderly, 30 ? 40% elderly with psychotic depression in the psychiatric units at RSJ Dr. Radjiman Wediodiningrat Lawang Malang. The purpose of this research is to understand the influence of cognitive therapy and reminiscence therapy take effects on decreasing the state of depression, low self esteem, helplessness, hopelessness, and social isolation of the elderly in Mental Health Hospital of East Java Province. The design of this study was Quasi experimental, pre test ? post test with control group. The respondents for this resarch were the psychotic depressed elderly in Mental Health Hospital of East Java Province, the quantity of the samples were 60 elders selected with consecutive sampling (20 elders was cognitive therapy, 20 elders was reminiscence therapy and 20 elders in control group). The data analyzed using a anova method.

The results showed that cognitive therapy and reminiscence therapy significant decrease on the state of psychotic depression, low self esteem, helplessnes, hopelessnes and social isolation (p-value < 0,05). Cognitive Therapy more significant decrease on the state of psychotic depression, helplessness and hopelessnes than reminiscence therapy. Reminiscence therapy more significant decrease low self esteem and social isolation than cognititive therapy. Cognitive therapy and reminiscence therapy recommended to decreasing the state of psychotic depression, low self esteem, helplessnes, hopelessnes and social isolation of the psychotic elderly in Mental Health Hospital."

"Prevalensi gangguan jiwa berat Skizofrenia di Indonesia setiap tahun mengalami peningkatan yang cukup signifikan. Berdasarkan hasil Riset Kesehatan Dasar tahun 2013 prevalensi Skizofrenia di Indonesia sebesar 1,7‰. Resiko perilaku kekerasan adalah salah satu gejala positif dari Skizofrenia. Tujuan penulisan karya ilmiah akhir ini adalah memperoleh gambaran manajemen kasus spesialis keperawatan jiwa terhadap pasien risiko perilaku kekerasan dengan pendekatan stres adaptasi Stuart dan model adaptasi Roy. Intervensi keperawatan yang dilakukan adalah assertiveness training dan acceptance and commitment therapy pada 32 Pasien dalam kurun waktu 17 Februari - 18 April 2014 di Ruang Utari RSMM Bogor. Hasil pelaksanaan manajemen kasus spesialis dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial serta peningkatan kemampuan koping adaptif pasien. Rekomendasi penulisan ini adalah bahwa penerapan stres adaptasi Stuart dan model adaptasi Roy dengan intervensi keperawatan assertiveness training dan acceptance and commitment therapy dapat menurunkan perilaku kekerasan.

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Prevalence of the serious mental disorder Schizophrenia in Indonesia each year has increased significantly. Riskesdas result in 2013 the prevalence of Schizophrenia in Indonesia is 1,7‰. Violence risk behavior is one of the positive symptoms of Schizophrenia.

The objective of this paper was to describe the application a psychiatric nursing specialist case management for Patients with a risk of violence behavior by using the stress adaptation Stuart and Roy’s adaptation model. Nursing interventions was assertiveness training, asceptance and commitment therapy to the 32 Patients during 17 Februari - 18 April 2014 at Utari Ward RSMM Bogor.

The result of using the application a psychiatric nursing specialist has proven it can reduce symptoms of violence behavior in cognitive, affective, physiological, behavioral and social as well as improving adaptive coping Patients.

Recommendation from this report is by applying stress adaptation models of Stuart's and Roy's adaptation models with nursing intervention, assertiveness training acceptance and commitment therapy, it can reduce violence risk behavior."