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"[ABSTRAKAnsietas merupakan kondisi atau perasaan yang tidak menentu yang dirasakan seseorang yang dapat disebabkan oleh berbagai faktor diantaranya adanya masalah gangguan fisik Sebagaimana telah dibuktikan bahwa kesehatan umum seseorang mempunyai akibat nyata sebagai predisposisi terhadap ansietas. Ansietas mungkin disertai dengan gangguan fisik dan selanjutnya menurunkan kapasitas seseorang untuk mengatasi stresor. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi penghentian pikiran, relaksasi otot progressif, dan psikoedukasi keluarga dengan pendekatan Model stress adaptasi Stuart dan interpersonal Peplau. Terapi tersebut diberikan kepada klien ansietas sebanyak 16 klien. Hasil penerapan terapi ini menunjukan dapat menurunkan tanda dan gejala ansietas dan meningkatkan kemampuan klien dalam menggunakan sumber dukungan. Hasil karya ilmiah ini diharapkan Puskesmas dapat melanjutkan terapi penghentian pikiran, relaksasi otot progressif dan psikoedukasi keluarga secara berkesinambungan, meningkatkan dukungan sosial dengan memberdayakan masyarakat.

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ABSTRACTAnxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities., Anxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities.]"

"Klien gagal jantung yang mengalami nyeri dan ansietas, memerlukan upaya untuk mengatasnya supaya tidak memperberat kondisi sakit fisik klieni . Tujuan dari karya ilmiah akhir spesialis ini menerapkan tindakan keperawatan ners, edukasi keluarga, terapi penghentian  pikiran, dan psikoedukasi keluarga terhadap nyeri dan ansietas pada pada klien gagal jantung di rumah sakit umum. Penelitian ini menggunakan desain operational research dengan jumlah sampel 36 klien yang dibagi menjadi 17 klien  dalam kelompok kontrol dan 19  klien dalam  kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga dan pendampingan serta latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, terapi penghentian pikiran dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan  TKN, terapi penghentian pikiran dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan  tanda gejala nyeri dan ansietas, meningkatkan kemampuan klien mengatasi nyeri dan ansietas dan kemampuan keluarga merawat klien gagal jantung.

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Heart failure clients who experience pain and anxiety require efforts to overcome this so as not to aggravate the client's physical illness. The aim of this specialist's final scientific work is to apply health protection measures, family education, thought prevention therapy, and family psychoeducation to pain and anxiety in heart failure clients in public hospitals. . This research used an operational research design with a sample size of 36 clients divided into 17 clients in the control group and 19 clients in the intervention group. The results of the Mann-Whitney analysis showed that there was a significant difference between the control group that was given TKN, family education and mentoring and independent training and the intervention group that was given TKN, family education, thought empowerment therapy and family psychoeducation (p value < 0.05). The application of TKN, thought strengthening therapy and family psychoeducation is recommended because it can reduce signs of pain and anxiety, increase the client's ability to deal with pain and anxiety and the family's ability to care for clients with heart failure. "

"Pendahuluan:Masalah psikososial kurang diperhatikan dalam penanganan pasien di Rumah Sakit Umum. Hal itu terlihat dari intervensi keperawatan untuk masalah psikososial yang belum maksimal dan berkembang. Pasien di Rumah Sakit Umum belum memiliki kemampuan untuk mengatasi masalah psikososial yang dialami akibat dari gangguan fisik yang terjadi. Metode: Intervensi keperawatan terapi penghentian pikiran, terapi kognitif, psikoedukasi keluarga diberikan pada 18 pasien sebagai kelompok satu, sedangkan terapi penghentian pikiran dan psikoedukasi keluarga diberikan pada 18 pasien lainnya sebagai kelompok dua. Hasil: Penelitian ini menunjukkan penurunan tanda gejala serta peningkatan kemampuan lebih maksimal dalam mengatasi ansietas dan harga diri rendah siatuasional setelah diberikan terapi penghentian pikiran, terapi kognitif, dan psikoedukasi keluarga. Pembahasan: kombinasi pemberian terapi penghentian pikiran,terapi kognitif, dan psikoedukasi keluarga, memaksimalkan penurunan tanda gejala serta meningkatkan kemampuan pasien dalam mengatasi ansietas dan harga diri rendah situasional dengan pendekatan model adaptasi Roy.

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Introduction: Psychosocial problems are less considered in the treatment of patients in General Hospitals. This can be seen from nursing interventions for psychosocial problems that have not been maximized and developed. Patients in General Hospitals do not yet have the ability to overcome psychosocial problems experienced as a result of physical disorders that occur Methods: Nursing intervention thought stopping therapy, cognitive therapy, family psychoeducation were given to 18 patients as group one, while mind cessation therapy and family psychoeducation were given to 18 other patients as group two. Results: This study showed a decrease in signs of symptoms and an increase in maximal ability to overcome anxiety and low cianational self-esteem after being given mind cessation therapy, cognitive therapy, and family psychoeducation. Discussion: a combination of thought stopping therapy, cognitive therapy, and family psychoeducation, maximizing symptom reduction and improving the patient's ability to cope with anxiety and situational low self-esteem with Roy's adaptation model approach."

"Klien dengan penyakit kanker cenderung mengalami masalah psikososial salah satunya ansietas yang berdampak terhadap kesehatan mental. Karya ilmiah akhir ini bertujuan untuk mengetahui penerapan terapi penghentian pikiran, terapi penerimaan dan komitmen serta  psikoedukasi keluarga terhadap respon penurunan  tanda dan gejala ansietas dengan pendekatan teori Stuart dan Swanson. Responden berjumlah 30 klien dengan diagnosa medis kanker, 15 klien diberikan intervensi keperawatan berupa tindakan keperawatan ners generalis ditambah terapi penghentian pikiran dan terapi psikoedukasi keluarga serta 15 klien diberikan Intervensi keperawatan  berupa terapi ners generalis, terapi penghentian pikiran, terapi penerimaan dan komitmen serta terapi psikoedukasi keluarga. Analisis dilakukan terhadap respon tanda dan gejala ansietas serta kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan Intervensi keperawatan ners generalis dan ners spesialis penghentian pikiran, terapi penerimaan dan komitmen dan psikoedukasi keluarga menurunkan tanda dan gejala ansietas secara bermakna pada semua respon, terdapat perbedaan signifikan pada penurunan tanda dan gejala respon kognitif pada intervensi keperawatan  ners generalis, terapi penghentian pikiran, terapi penerimaan dan komitmen dan psikoedukasi keluarga.

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Clients with cancer tend to experience psychosocial problems, one of which is anxiety that has an impact on mental health. This latest scientific paper aims to determine the application of mind cessation therapy, acceptance and commitment therapy as well as family psychoeducation to the response to decreased signs and symptoms of anxiety with the theoretical approach of Stuart and Swanson. The respondents were 30 clients with a medical diagnosis of cancer, 15 clients were given nursing interventions in the form of generalist nurse nursing actions plus mind cessation therapy and family psychoeducational therapy and 15 clients were given nursing interventions in the form of generalist nurse therapy, mind cessation therapy, acceptance and commitment therapy and family psychoeducation therapy. Analysis was carried out on the response of signs and symptoms of anxiety as well as the ability of clients and families before and after nursing treatment. The results of the implementation of nursing interventions for generalist nurses and nurses with cessation of thoughts, acceptance and commitment therapy and family psychoeducation significantly decreased signs and symptoms of anxiety in all responses, there was a significant difference in the decrease in signs and symptoms of cognitive response in nursing interventions for generalist nurses, mind cessation therapy, acceptance and commitment therapy and family psychoeducation."

"Klien dengan penyakit fisik cenderung mengalami ansietas dan kondisi tersebut dapat memperburuk kondisi fisiknya. Karya ilmiah akhir ini bertujuan untuk mengetahui hasil penerapan terapi penghentian pikiran, relaksasi otot progresif, terapi kognitif dan psikoedukasi keluarga terhadap respons ansietas klien. Responden sejumlah 71 klien ansietas dengan penyakit fisik, terdiri dari 36 klien mendapatkan paket pertama yaitu tindakan ners dan ners spesialis (terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) serta 35 klien mendapatkan paket kedua yaitu tindakan ners dan ners spesialis (terapi kognitif dan psikoedukasi keluarga). Analisis dilakukan terhadap tanda dan gejala dan kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan tindakan paket pertama dan paket kedua menunjukkan penurunan tanda gejala ansietas secara bermakna pada semua respons, kedua paket tidak ada perbedaan signifikan. Kedua paket tindakan ini direkomendasikan untuk mengatasi ansietas pada klien.

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Clients with physical illness tend to experience anxiety and the condition can worsen their physical condition. The aim of this study was to determine the result of the implementation of the thought stopping therapy, progressive muscle relaxation therapy, cognitive therapy and family psychoeducation for client with anxiety. A total of 71 anxiety clients with physical illness participated in this study, from which 36 clients received the first intervention: general nurses and nurse specialists intervention (thought stopping therapy, progressive muscle relaxation and family psychoeducation) and 35 clients received the second intervention: general nurses and nurse specialists intervention (cognitive therapy and family psychoeducation).

The analysis was conducted on the signs and symptoms of anxiety clients and the ability of clients and families before and after the nursing intervention. The results of the first and second of nursing intervention showed a decrease in signs and symptoms of anxiety on all the responses and the increased capacity of clients and families in overcoming anxiety. There was no significant difference from giving the first and second intervention in the reduction of the signs and symptoms of anxiety. This intervention, therefore, is recommended to overcome anxiety in clients."

"Kasus nyeri lebih banyak mengakibatkan ansietas. Tujuan karya tulis ilmiah ini adalah mengetahui efektifitas terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga pada klien nyeri dan ansietas. Metode yang digunakan dengan analisa kasus. Jumlah klien yang dikelola sebanyak 90 orang dengan kelompok 1 sebanyak 40 klien diberikan tindakan keperawatan ners, terapi penghentian pikiran dan relaksasi otot progresif, kelompok 2 sebanyak 50 orang diberikan tindakan keperawatan ners, penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga. Hasil asuhan keperawatan ini adalah ada pengaruh tindakan keperawatan ners dan ners spesialis (penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) terhadap penurunan tanda gejala serta peningkatan kemampuan klien dan keluarga dalam mengurangi nyeri dan mengatasi ansietas. Asuhan keperawatan ini merekomendasikan terapi penghentian pikiran, terapi relaksasi otot progresif dan terapi psikoedukasi keluarga sebagai terapi keperawatan pada ansietas.

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Knowledge and experience of pain is an unpleasant emotional result of tissue damage that actual or potential. Pain occurs along much of the disease process or together with some diagnostic examination or treatment. The relationship between pain and anxiety are complex. Ansietas can increase the perception of pain, but pain can also cause a feeling of anxiety and can occur when a person feel threatened both physically and Psychology (such as self-esteem, self, or a picture ID). This scientific paper objective is to know the results of the effectiveness of thought stopping therapy, progressive muscle relaxation and family psikoeducation on the client ansietas and pain through the adaptation of the model approach to Roy. The number of clients that are managed as many as 90 people.

The results of this scientific paper is there influence nursing actions ners and ners specialists (thought stopping, progressive muscle relaxation and family psychoeducation) against a decrease in symptoms and signs of increased the ability of clients and families in reducing pain and cope with ansietas. This scientific paper recommends therapy thought stopping, progressive muscle relaxation therapy and family psychoeducation therapy as a family on anxiety. "