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"Diabetes Millitus merupakan sekelompok heterogen yang ditandai oleh kenaikkan kadar glukosa dalam darah atau hiperglikemi (Brunner & Suddarth, 1997).. Gangren adalah suatu kondisi dimana suatu bagian dari tubuh/jaringan menjadi mati atau nekresis, sehingga tidak mendapat suplai darah kehagian atau jaringan tersebut (Prabhkar shetty, 1999). Tujuan penelitian ini adalah untuk mengetahui gambaran faktor-faktor yang mempengaruhi tingkat ketaatan/kepatuhan klien Diabetes Mellitus dalam melakukan perawatan Iuka gengren di RS OMC. Tempat penelitian dilakukan di RS OMC mulai 10 Desember 2003 sampai dengan 4 Januari 2004. Disain penelitian ini bersifat deskriptif dan pengambilan data secara purposive sampling. Sample yang terkumpul sebanyak 28 orang dengan Diabetes Mellitus dan ada Iuka. Data yang diperoleh dalam bentuk distribusi frekuensi. Dari hasil penelitian didapat, tingkat ketaatan 25 orang (89.3%), tapi masih ada yang buruk yaitu 3 (10.7%)."

"Pelaksanaan MPKP sudah berlangsung lama dan belum pernah di evaluasi. Tujuan penelitian ini untuk mengetahui hubungan implementasi MPKP dengan kemampuan klien harga diri rendah di Rumah Sakit Jiwa. Desain penelitian cross sectional dan responden terdiri dari 30 perawat, 30 pasien dan 13 keluarga di ruang rawat MPKP, dengan tehnik total sampling. Analisis menggunakan korelasi pearson ditunjang dengan hasil wawancara terhadap midlle manajer. Hasil penelitian menunjukan hubungan yang bermakna antara implementasi MPKP compensatory reward dan professional relationship dengan tanda dan gejala ( p value < 0,05 ) hubungan antara implementasi MPKP: professional relationship dan patient care delivery dengan kemampuan klien ( p value < 0,05) ada hubungan patient care delivery dengan kemampuan keluarga ( p value < 0.05) Persepsi midle manager terhadap sustainability implementasi MPKP adalah sudah berjalan dan perlu di tingkatkan. Rumah Sakit agar meningkatkan kualitas pelayanan dengan menggunakan MPKP.

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PNPM implementation of long standing and not has been evaluation. The purpose of the study to determine the relationship with the client's ability implementation PNPM of low self-esteem in Mental Hospital. This study uses a quantitative approach with a cross-sectional design of the respondents consisting of 30 nurse, 30 patient and 13 families of patients in the ward PNPM. with total sampling technique. Analysis using Pearson correlation is supported by the results of interviews with middle managers about sustainability PNPM.

The results of the study the relationship between the implementation of PNPM : compensatory rewards and professional relationship with the signs and symptoms (p value < 0,05) relationship between PNPM : professional relationships and patient care delivery with the ability of the client (p value < 0,05) there is a relationship the patient care with the ability of family (p value < 0.05 ) Perception middle manager of the sustainability PNPM implementation PNPM is already running and needs to be improved. Hospital in order to improve the quality of care by using Professional Nursing Practice Model."

"[Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain. Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan. Dengan menggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart

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Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. , Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. ]"

"Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain.Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan.denganmenggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart.

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Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client's feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental health-psychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau's Interpersonal Relationship and Stuart's Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It's recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau's Interpersonal Relationship and Stuart's Adaptation Theory as an approach."