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"Kondisi geografis yang berada disepanjang ring of fire membuat Indonesia menjadi salah satu wilayah yang paling aktif seismik di dunia. 8.693 gempa bumi mengguncang wilayah Indonesia selama tahun 2018. Ansietas merupakan dampak psikologis yang muncul pada remaja yang tinggal didaerah rawan gempa bumi. Terapi untuk mengatasi ansietas diantaranya adalah tindakan keperawatan ners dan terapi penghentian pikiran. Penelitian ini bertujuan untuk mengetahui pengaruh tindakan keperawatan Ners dan terapi penghentian pikiran terhadap perubahan tanda gejala ansietas dan kemampuan mengontrol pikiran negatif pada siswa SMAN yang tinggal diwilayah rawan gempa bumi. Desain penelitian ini menggunakan Quasy eksperiment pre-post test with control group, dan jumlah responden sebanyak 112 siswa. 56 orang kelompok intervensi diberikan tindakan keperawatan ners dan terapi penghentian pikiran sementara dan 56 orang kelompok kontrol diberikan tindakan keperawatan ners saja. Kriteria inklusi siswa kelas XI di SMAN 1 Giri dan SMAN 1 Glagah yang memiliki pengalaman gempa bumi dan mengalami ansietas sedang yang diukur menggunakan instrumen Hamilton Anxiety Rating Scale (HARS). Kuesioner yang digunakan yaitu karakteristik; jenis kelamin, HARS, serta kuesioner kemampuan mengontrol pikiran negatif yang telah melalui uji validitas dan reliabilitas. Analisis data meliputi univariat dan bivariat (dependent dan independent t-test). Penelitian ini telah dinyatakan lolos uji etik. Hasil penelitian menunjukkan terjadi penurunan tanda gejala ansietas dan peningkatan kemampuan mengontrol pikiran negatif yang signifikan pada kelompok kontrol maupun intervensi (p value < 0,05) dan jenis kelamin memiliki hubungan yang bermakna dengan kemampuan seseorang dalam mengontrol pikiran negatif (p value < 0,05). Tindakan keperawatan ners dan terapi penghentian pikiran direkomendasikan sebagai salah satu terapi untuk menurunkan ansietas pada remaja yang tinggal diwilayah rawan gempa bumi.

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Indonesia`s geographical conditions along the ring of fire make Indonesia one of the most seismically active regions in the world. It was recorded that 8,693 earthquakes rocked the territory of Indonesia during 2018. Anxiety and the emergence of negative thoughts related to earthquakes were psychological impacts that occurred in adolescents living in earthquake-prone areas. Therapy that can be given to overcome these problems are nursing interventions and thought stopping. This study aims to determine the effect of nursing interventions and thought stopping therapy on changes in signs symptoms of anxiety and negative thought control ability in high school students living in earthquake-prone areas. The design of this study used Quasy experiment pre-post test with control group, and the number of respondents was 112 students. 56 people in the intervention group were given nursing interventions and thought stopping therapy and 56 control groups were given nursing interventions only. Inclusion criteria for class XI students at SMAN 1 Giri and SMAN 1 Glagah who have experienced earthquakes and experienced moderate anxiety measured using the Hamilton Anxiety Rating Scale (HARS) instrument. The questionnaire used is characteristic; gender, HARS, and questionnaire the ability to control negative thoughts that have been tested through validity and reliability. Data analysis included univariate and bivariate (dependent and independent t-test). This research has passed the ethical test. The results showed a decrease in signs symptoms of anxiety and an increase in the ability to control negative thoughts that were significant in the control and intervention groups (p value <0.05) and gender had a significant relationship with a person`s ability to control negative thoughts (p value <0.05 ). Nursing interventions and thought stopping therapy are recommended as one of the therapies to reduce anxiety in adolescents living in earthquake-prone areas."

"Prevalensi hipertensi di Dunia maupun Indonesia semakin tinggi. Semakin banyak jumlah penyakit kronis yang dimiliki seseorang, maka risiko mengalami gangguan mental emosional semakin tinggi. Klien yang menderita satu penyakit kronis beresiko 2,6 kali lebih besar untuk mengalami gangguan mental emosional. Hipertensi tidak hanya berdampak pada fisik melainkan juga memunculkan dampak psikologis pada klien, dan dampak psikologis yang paling banyak terjadi adalah ansietas. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi penghentian pikiran (TS), Acceptance and Commitment Therapy (ACT) dan psikoedukasi keluarga (FPE) terhadap ansietas dan kepatuhan pengobatan. Desain penelitian menggunakan operational research. Tiga puluh tujuh klien hipertensi yang mengalami ansietas diberikan tindakan keperawatan Ners dan terapi penghentian pikiran, Acceptance and Commitment Therapy (ACT) dan psikoedukasi keluarga. Instrumen yang digunakan adalah instrumen tanda gejala ansietas FIK UI, Self Reporting Questionaire (SRQ), Hamilton Anxiety Rating Scale, dan Morisky Medication Adherence Scale-8. Semua instrumen telah terbukti valid dan reliabel. Hasil menunjukkan terdapat penurunan rata-rata tekanan darah dan ansietas yang signifikan setelah diberikan kombinasi tindakan keperawatan ners, terapi penghentian pikiran, Acceptance and Commitment Therapy dan psikoedukasi keluarga (p value <0,05) sementara kepatuhan pengobatan dan kemampuan klien serta keluarga mengalami peningkatan yang signifikan (p value <0,05) baik setelah mendapat kombinasi TKN+FPE atau TKN+FPE+TS maupun TKN+FPE+TS+ACT. Tindakan keperawatan Ners dan terapi penghentian pikiran, Acceptance and Commitment Therapy (ACT) dan psikoedukasi keluarga direkomendasikan sebagai terapi yang dapat menurunkan ansietas dan meningkatkan kepatuhan pengobatan pada klien hipertensi.

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The prevalence of hypertension in the World and Indonesia is getting higher. The more the number of chronic diseases a person has, the higher the risk of experiencing emotional mental disorders. Clients who suffer from a chronic illness are 2.6 times more at risk of experiencing mental emotional disorders. Hypertension not only affects the physical but also raises a psychological impact on the client, and the most psychological impact occurs is anxiety. The purpose of this study was to determine the effect of thought stopping therapy (TS), Acceptance and Commitment Therapy (ACT) and family psychoeducation (FPE) on anxiety and medication adherence. The research design uses operational research. Thirty-seven hypertensive clients with anxiety were given nursing care and thought stopping therapy, Acceptance and Commitment Therapy (ACT) and family psychoeducation. The instruments used were FIK UI anxiety symptoms, Self Reporting Questionaire (SRQ), Hamilton Anxiety Rating Scale, and Morisky Medication Adherence Scale-8. All instruments have been proven valid and reliable. The results showed that there was a significant decrease in average blood pressure and anxiety after a combination of nurses' nursing care, thought stopping therapy, Acceptance and Commitment Therapy and family psychoeducation (p value <0.05) while treatment adherence and the ability of clients and families increased significantly significant (p value <0.05) both after receiving a combination of TKN + FPE or TKN + FPE + TS or TKN + FPE + TS + ACT. Nursing actions and thought stopping therapy, Acceptance and Commitment Therapy (ACT) and family psychoeducation are recommended as therapies that can reduce anxiety and improve medication adherence to hypertensive clients."