Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Pendahuluan: Tingginya prevalensi harga diri rendah kronik dan ketidakpatuhan terhadap pengobatan psikofarmaka pada klien dengan gangguan jiwa dapat menghambat proses penyembuhan dan kualitas hidup mereka. Terapi keperawatan jiwa spesialis diharapkan dapat memberikan pendekatan yang holistik dan efektif untuk mengatasi masalah ini melalui peningkatan kesadaran diri, penerimaan diri, dan pengembangan makna hidup. Penelitian ini bertujuan untuk menguji efektivitas penerapan terapi keperawatan jiwa spesialis, yaitu Cognitive Therapy (CT) dan Acceptance and Commitment Therapy (ACT), dalam meningkatkan harga diri dan kepatuhan psikofarmaka pada klien menggunakan pendekatan teori transendensi diri Reed. Metode: Penelitian ini menggunakan desain eksperimental dengan pendekatan kuantitatif case series dengan desain riset operasional. Sampel penelitian dengan purposive sampling yang erdiri 20 klien dengan dibagi dalam 2 kelompok intervensi yaitu kelompok 1 yang mendapatkan CT dan ACT serta kelompok 2 yang mendapatkan CT. Data dikumpulkan melalui form keperawatan jiwa lanjut/scanning, instrumen tanda gejala dan kemampuan HDRK serta instrumen MMAS-8. Hasil: Penelitian menunjukkan bahwa intervensi CT dan ACT secara signifikan meningkatkan harga diri dan kepatuhan psikofarmaka pada klien. Peningkatan ini dikaitkan dengan elemen-elemen utama dari teori transendensi diri yang meliputi input: kerentanan psikologis yaitu klien skizofrenia dengan HDRK dan ketidakpatuhan psikofarmaka, proses: points of interventions: terapi keperawatan jiwa spesialis CT dan ACT dan faktor personal dan kontekstual dan output transendensi diri serta outcome kualitas hidup dengan ditandai penurunan tanda gejala HDRK, peningkatan kemampuan klien dalam mengatasi HDRK dan peningkatan nilai kepatuhan psikofarmaka. Kesimpulan: Penelitian ini menyimpulkan bahwa penerapan terapi keperawatan jiwa spesialis dengan pendekatan teori transendensi diri efektif dalam mengatasi masalah harga diri rendah kronik dan ketidakpatuhan psikofarmaka pada klien dengan gangguan jiwa. Implementasi terapi ini direkomendasikan sebagai bagian dari intervensi holistik dalam praktik keperawatan jiwa untuk meningkatkan pemulihan dan kualitas hidup klien. ......Introduction: The high prevalence of chronic low self-esteem and non-adherence to psychopharmacological treatment among clients with mental disorders can hinder their recovery process and quality of life. Specialist psychiatric nursing therapy is expected to provide a holistic and effective approach to addressing these issues by enhancing self awareness, self-acceptance, and the development of life. This study aims to examine the effectiveness of specialist psychiatric nursing therapies, namely Cognitive Therapy (CT) and Acceptance and Commitment Therapy (ACT), in improving self-esteem and psychopharmacological adherence in schizofrenic clients using the Reed self-transcendence theory approach. Methods: This study employs an experimental design with a quantitative case series approach using operational research design. The sample using purposive sampling which consists of 20 clients divided into two intervention groups: Group 1, which receives both CT and ACT, and Group 2, which receives only CT. Data were collected using advanced psychiatric nursing forms/scanning, symptom and ability instruments, and the Morisky Medication Adherence Scale (MMAS-8). Results: The study demonstrates that CT and ACT interventions significantly improve self-esteem and psychopharmacological adherence in clients. This improvement is associated with key elements of the self-transcendence theory, which include input: psychological vulnerability, specifically clients with schizophrenia who have chronic low self-esteem and non-adherence to psychopharmacology; process: points of intervention such as specialist mental health nursing therapies, CT and ACT, as well as personal and contextual factors; and output: self-transcendence with outcome: quality of life, marked by a reduction in chronic low self-esteem symptoms, an increase in the client's ability to cope with chronic low self-esteem, and improved adherence to psychopharmacology. Conclusion: This study concludes that the application of specialist psychiatric nursing therapies with a self-transcendence theory approach is effective in addressing chronic low self-esteem and psychopharmacological non-adherence in clients with mental disorders. The implementation of these therapies is recommended as part of holistic interventions in psychiatric nursing practice to enhance clients’ recovery and quality of life.

Abstrak :
Pendahuuan: Risiko Perilaku Kekerasan (RPK) merupakan salah satu gejala positif yang sering terjadi pada klien skizofrenia. RPK merugikan banyak orang termasuk diri sendiri dalam hal keselamatan, dan mengakibatkan dampak psikologis, dampak fisik, dampak ekonomi, termasuk memperpanjang waktu rawat inap dan meningkatkan stigmatisasi. Latihan asertif merupakan terapi keperawatan jiwa spesialis yang terbukti dapat mencegah perilaku kekerasan, menurunkan tanda dan gejala dan meningkatkan kemampuan klien dalam mengontrol RPK. Teori comfort belum banyak dikembangkan pada penelitian-penelitian RPK dengan skizofrenia. Tujuan: menganalisis penerapan terapi keperawatan jiwa spesialis latihan asertif pada klien RPK menggunakan pendekatan teori comfort. Metode: case report dengan pendekatan teori comfort. Hasil: Terdapat penurunan tanda gejala serta peningkatan kemampuan klien dalam mengontrol RPK setelah pemberian terapi keperawatan jiwa spesialis latihan asertif menggunakan pendekatan teori comfort. Kesimpulan: Tulisan ini menggunakan pedekatan teori comfort pada penerapan terapi keperawatan jiwa spesialis latihan asertif yang terbukti menurunkan tanda gejala dan meningkatkan kemampuan klien dalam mengontrol RPK. Rekomendasi: Penerapan terapi keperawatan jiwa spesialis latihan asertif menggunakan pendekatan teori comfort direkomendasikan untuk diberikan pada klien dengan RPK dengan skizofrenia. ...... Introduction: The risk of violent behavior (RVB) is one of the positive symptoms that often occurs in schizophrenia. RVB harms many people including oneself in terms of safety, and results in psychological impacts, physical impacts, economic impacts, including length of stay and increasing stigmatization. Assertive training is a specialist psychiatric nursing therapy that is proven to be able to prevent violent behavior, reduce signs and symptoms, and increase the ability to control the RVB. Comfort theory has not been widely developed in RVB studies with schizophrenia. Purpose: to analyze the application of assertive training, specialist psychiatric nursing therapy to the RVB clients using the comfort theory approach. Method: case report with comfort theory approach. Results: There is a decrease in signs and symptoms and an increase in the client's ability to control RVB after giving assertive training, specialist psychiatric nursing therapy, using the comfort theory approach. Conclusion: This paper uses the comfort theory approach to the application of assertive training, specialist psychiatric nursing therapy, which is proven to reduce signs and symptoms and increase the client's ability to control RVB. Recommendation: The application of assertive training, specialist psychiatric nursing therapy, using the comfort theory approach is recommended to be given to RVB clients with schizophrenia.