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Penerapan Assertiveness Training dan Terapi Kelompok Suportif Menggunakan Teori Stres Adaptasi Stuart dan Teori Adaptasi Roy Winahayu, Neng Esti; Hamid, Achir Yani S.; Daulima, Novy Helena Catharina
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 3 (2019): November 2019
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.605 KB) | DOI: 10.26714/jkj.7.3.2019.275-280

Abstract

Perilaku kekerasan merupakan perilaku atau tindakan seseorang ketika tidak mampu mengatasi stressor yang dialaminya, ditunjukkan dengan perilaku aktual berupa kekerasan baik pada diri sendiri, orang lain, maupun lingkungan baik secara verbal maupun non verbal (Stuart, 2013). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penerapan assertiveness training dan terapi kelompok suportif menggunakan Teori Stres Adaptasi Stuart dan Adaptasi Roy pada klien resiko perilaku kekerasan di Rumah Sakit Marzoeki Mahdi Bogor. Intervensi keperawatan yang dilakukan adalah assertiveness training pada 6 klien dan kombinasi terapi assertiveness  training dan terapi kelompok suportif pada 12 orang klien. Pelaksanaan assertiveness training dan terapi kelompok suportif dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kogitif, afektif, fisiologis, perilaku, dan sosial serta meningkatkan kemampuan adaptif dalam menghadapi peristiwa yang menimbulkan perilaku kekerasan. Kata kunci: risiko perilaku kekerasan, assertiveness training, terapi kelompok suportif, teori stres adaptasi stuart, adaptasi roy APPLICATION OF ASSERTIVENESS TRAINING AND SUPPORTIVE GROUP THERAPY USING THEORY OF STRESS ADAPTATION STUART AND THEORY OF ROY ADAPTATION APPROACH ABSTRACTViolent behavior occurs when a person is not capable of responding to stressors.  This behavior can be manifested by hurting oneself, others, or environment verbally or non verbally (Stuart, 2013). The purpose of this scientific paper was to report the application of assertiveness training and supportive group therapy utilizing the Stuart’s Stress-Adaptation Theory and Roy’s Adaptation Theory towards the clients with potential risk violent behavior who were hospitalized at  Marzoeki Mahdi Hospital in Bogor. Assertiveness training was conducted to six clients and combination of assertiveness training and supportive group therapy to twelve clients. The result of assertiveness training and supportive group therapy depicted that there were decreased signs and symptoms of violent behaviors at all aspects of cognitive, affective, physiological, behavior, and social as well as improvement of ability of clients to be more adaptive in responding to the any stressful situation that can stimuli violent behaviors.  It is recommended that assertiveness training and supportive group therapy can be used as a standard of mental health-psychiatric nursing specialized therapy.   Keywords: violent risk behavior, assertiveness training, supportive group therapy, stuart’s stress-adaptation theory and roy’s adaptation theory
A Gambaran Pola Penggunaan Obat Antipsikotik Kombinasi Pada Pasien Skizofrenia Paranoid Rawat Jalan di Rumah Sakit Jiwa Dr. Soeharto Heerdjan : Gambaran Pola Penggunaan Obat Antipsikotik Kombinasi Pada Pasien Skizofrenia Paranoid Rawat Jalan di Rumah Sakit Jiwa Dr. Soeharto Heerdjan Hutagaol, Sartika; Veriyanti , Putu Rika; Jerry, Jerry; Wulandari, Ainun; Putri , Elvina Triana; Febriani, Amelia; Winahayu, Neng Esti
Jurnal Kesehatan Masa Depan Vol 2 No 2 (2023): Jurnal Keperawatan Masa Depan
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/tfwdm962

Abstract

Overview Of The Pattern Of Use Of Combination Antipsychotics Drugs In Outpatient Paranoid Schizophrenia At Dr. Soeharto Heerdjan Hospital Abstract Schizophrenia is a severe mental disorder characterized by impaired reality values in the form of hallucinations and delusions. This study aims to determine the pattern of use of combination antipsychotic drugs in outpatients with paranoid schizophrenia at Dr. Mental Hospital. Suharto Heerdjan. This study is descriptive and data collection is retrospective and the sample data obtained are 109 patients. The results showed that the most paranoid schizophrenic patients in the 35-44 year age group were 51 patients (46.79%), 80 patients (73.40%) were male, 42 patients (38.53%) had high school education, not working as many as 89 patients (81.65%), unmarried as many as 88 patients (80.73%), long suffering 1-5 years as many as 57 patients (52.30%), without complaints, calm and cooperative as many as 94 patients (86.24%). The most widely used group of drugs was atypical – atypical combination antipsychotic drugs as many as 66 patients (51.36%). The most widely used therapy was the combination of risperidone + clozapine (54.54%). The use of antipsychotic drugs in outpatient paranoid schizophrenia patients at the Dr. Soeharto Heerdjan Hospital had the right indication, the right drug, the rightdose and frequency of the drug, the right route of administration, the right time administration and alert for side effects. Keywords: Antipsychotics; paranoid schizophrenia; drug use pattern
The The relationship between expressed emotion,family burden stigma and family support in patients with schizophrenia : Hubungan Ekspresi Emosi, Beban Keluarga, Dan Stigma Dengan Dukungan Keluarga Pada Pasien Dengan Skizofrenia Komalasari, Lilis; Wardani, Ice Yulia; Winahayu, Neng Esti
Jurnal Kesehatan Masa Depan Vol 3 No 1 (2024): Jurnal Kesehatan Masa Depan
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/fvkbgp60

Abstract

One of the problems that often occurs in families in caring for patients with schizophrenia is the emergence of family burden, emotional expression, and also stigma towards the family. This can affect families in caring for patients with schizophrenia, namely in providing family support. This study aims to identify and find the relationship between the level of emotional expression, family burden, family stigma, and family support in patients with schizophrenia in the psychiatric polyclinic of Dr. Soeharto Heerdjan Mental Hospital. This study used the Zarith Burden Interview, Family Questionnaire (FQ), Stigma items from the schedule for clinical assessment in neuropsychiatry (SCAN), and the Family Support Questionnaire. The research design was cross-sectional; the sampling technique used accidental sampling involving 82 families. Data analysis used univariate and bivariate analysis (chi-square test). The study's results showed that 48.8% of families had high emotional expression, 2.4% had heavy burdens, 51.2% had no burden, 92.7% had a stigma, and 54.9% were in the unsupportive category. The results of the correlation test showed that there was a significant relationship between emotional expression and family support (p-value = 0.028, α = 0.05), while family burden and stigma did not have a substantial relationship with family support (p-value family burden = 0.992 and p-value stigma = 0.685). The results of this study indicate that more effective family interventions are needed to increase family support and reduce stigma rates in families, namely through family education programs.