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Efektivitas Rational Emotive Behaviour Therapy Berdasarkan Profile Multimodal Therapy pada Klien Skizofrenia dengan Masalah Keperawatan Perilaku Kekerasan dan Halusinasi di Rumah Sakit Jiwa Retno Yuli Hastuti; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 18 No 3 (2015): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i3.491

Penelitian Â ini bertujuan mengetahui efektivitas rational emotive behavior therapy (REBT) berdasarkan profile multimodal therapy terhadap kemampuan klien dan perubahan gejala perilaku kekerasan dan halusinasi di RS Jiwa. Desain penelitian quasi eksperimental dengan jumlah sampel 56 responden. 28 responden memiliki Profile Multimodal Therapy untuk mendapatkan REBT sebagai kelompok intervensi, 28 responden sebagai kelompok non intervensi. Hasil penelitian ditemukan penurunan gejala perilaku kekerasan dan halusinasi lebih besar daripada yang tidak mendapatkan REBT berdasarkan profile multimodal therapy (p value < 0.05). Kemampuan kognitif, afektif dan perilaku klien yang mendapatkan REBT berdasarkan profile multimodal therapy meningkat secara bermakna (p < 0.05) Hasil penelitian ini efektif meningkatkan kemampuan klien kognitif, afektif dan perilaku hingga 57% dan penurunan gejala perilaku kekerasan 48%, penurunan gejala halusinasi 47%,. Profile multimodal therapy direkomendasikan sebagai screening klien yang akan diberikan terapi spesialis dalam hal ini khususnya rational emotive behavior therapyKata kunci: profile multimodal therapy, rational emotive behavior therapy, gejala perilaku kekerasan, gejala haluasinasi, kemampuan kognitif, afektif, perilakuÂ AbstractThis study aims to determine the effectiveness of rational emotive behavior therapy (REBT) profile of multimodal therapy based on the client's ability and changes in symptoms violent behavior and hallucinations in Psychiatric Hospital. Quasi-experimental research design with a number of 56 respondents. 28 respondents had to get a Profile Multimodal Therapy REBT therapy as the intervention group, 28 respondents as a group of non intervention. The research found a decrease symptoms of violent behavior and hallucinations bigger than not getting REBT based profile of multimodal therapy (p<0.05). Cognitive, affective and behavioral clients who get REBT based profile of multimodal therapy increased significantly (p <0.05). Results clients experience a effectively improve cognitive, affective and behavioral to 57 % and reduction in symptoms of violent behavior 48%, reduction in symptoms of hallucinations 47%. Profile multimodal therapy is recommended as screening client will be given specialist treatment in this particular rational emotive behavior therapyKeywords: profile multimodal therapy, rational emotive behavior therapy, symptoms of violent behavior, hallucination symptoms, cognitive, affective, behaviorall

ASPEK PSIKOSOSIAL PADA PENDERITA KANKER PAYUDARA: STUDI PENDAHULUAN Siwi Setya Utami; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 20 No 2 (2017): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i2.503

Kanker payudara merupakan kanker yang paling banyak diderita oleh kaum perempuan di Indonesia. Kanker dianggap penyakit yang sulit disembuhkan, dekat dengan kematian, mengganggu aktivitas sehari-hari, dan mengubah penampilan fisik seseorang. Penderita kanker payudara dapat memiliki masalah pada aspek psikologisnya. Penelitian ini bertujuan untuk melihat apakah ada hubungan antara kanker payudara dan karakteristik responden dengan aspek psikososial pada penderita kanker payudara. Jumlah responden penelitian ini sebanyak 44 orang dengan desain penelitian cross-sectional. Hasil penelitian menunjukkan hampir semua variabel dari kanker payudara dan karakteristik responden tidak berhubungan dengan depresi, ansietas, dan stres, namun ditemukan adanya hubungan antara pendidikan dengan ansietas (nilai p=0,041). Secara umum, penderita sudah mampu beradaptasi dengan baik terhadap penyakitnya. Pelatihan dan kebijakan untuk mengkaji dan mengatasi masalah psikososial oleh perawat perlu dilakukan agar dapat meningkatkan kesejahteraan psikososial penderita. Untuk selanjutnya, penelitian dapat difokuskan pada ansietas sebagai masalah psikososial yang paling menonjol pada penderita kanker payudara.Â AbstractBreast cancer is the most kind of cancer that occured in women in Indonesia. Cancer is concerned as uncurable disease, gate of death, disturbance of activities, and problem in physical appearance. Breast cancer patients may have psychological problems. This aim of study is to see the correlations between breast cancer and participantsâ€™ characteristics with psychosocial aspects. The amount of participants is 44, while this study uses cross-sectional design. The result is almost all of variables do not correlate to depression, anxiety, and stress, meanwhile there is a correlation between education and anxiety (p value=0,041). Generally, patients are able to adapt with their illness even though there are some psychosocial problems sometimes that fortunately do not disturb their activity. Training and program about assessing and overcoming psychosicial problems should be done by nurses to increase patientsâ€™ psychosocial wellbeing. For further research, anxiety as the most prominent psychosocial problems in breast cancer patients can be studied.Keywords: Anxiety, breast cancer, depression, psychosocial aspects, stress

Penurunan Depresi pada Lansia Harga Diri Rendah melalui Terapi Aktivitas Kelompok dan Terapi Kognitif Suzanna Suzanna; Mustikasari Mustikasari; Ice Yulia Wardhani
Jurnal Keperawatan Indonesia Vol 19 No 3 (2016): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.470

Penelitian ini bertujuan untuk mengidentifikasi penurunan depresi pada lansia harga diri rendah melalui Terapi Aktivitas elompok (TAK) stimulasi persepsi dan Terapi Kognitif Perilaku. Desain penelitianÂ menggunakan quasi experiment with pre post test control group, dengan sampel berjumlah 28 orang pada kelompok intervensi dan 28 orang pada kelompok kontrol. Alat pengumpul yang digunakan Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji T-Test. Hasil penelitian menunjukkan ada penuruan bermakna kondisi depresi lansia harga diri rendah pada kedua kelompok dengan penurunan sebesar 67,4% kelompok intervensi dan 31,9% kelompok kontrol (p value < 0,05), dan ada hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05). TAK stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah.AbstractÂ Decrease in Elderly Depression through Therapy Low Self-Esteem Group Activities and Cognitive Therapy. The aim of this study was to determine the influence of Therapy of Group Activities (TGA) stimulatiing low self esteem perception and Cognitive Behavioral Therapy (CBT) for depression in elderly low self esteem. The research design was quasi experiment with pre-post test control group. The sample of this research are Â 28 respondents in the intervention group and 28 respondents in control group. Data collection with Geriatric Depression Scale (GDS) and were analyzed using T-test. The results showed significant decrease of elderly depression low self-esteem in both groups with a decrease of 67.4% intervention group and 31.9% of controls (p value <0.05) and significant relationship exists between elderly characteristics (gender, education, marital status, employment and comorbid physical illness) with depression in elderly low self-esteem (p value <0,05). Therefore, TGA stimulating low self-esteem and perception of cognitive behavioral therapy are recommended for depression in the elderly low self esteem.Â Keywords: Therapy of Group Activities, cognitive behavioural therapy, depression, low self esteemÂ

ANALISIS HUBUNGAN FAKTOR DEMOGRAFI, FAKTOR PENYAKIT, DAN FAKTOR PSIKOLOGIS DENGAN MAKNA SPIRITUAL PENGALAMAN SAKIT Nurhayati Nurhayati; Rohman Azzam; Mustikasari Mustikasari
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.723

ABSTRACT The prevalence of HIV/AIDS is increasing in almost all over the world, the most incidence is in productive age. High community stigma and discrimination, has a negative impact on people living with HIV/AIDS (PLWHA) and the wider life. Objective: Identify the relationship between demographic factors (age, gender, latest education, occupation, religion, economic status, marital status), disease factors (initial diagnosis, opportunistic infections, medication adherence), and psychological factors (anxiety and depression) with meaning, spiritual experience of illness in PLHIV in East Jakarta. This study used a cross sectional study design with consecutive sampling involving 225 respondents at the Bhayangkara Hospital Level I R. Said Sukanto, Jakarta. The independent t test obtained the age factor with a p value of 0.043, meaning that there was a relationship between age and the spiritual meaning of the experience of illness. Chi square test on the factors of gender, recent education, employment, religion, economic status, marital status, early diagnosis, opportunistic infections, adherence to taking medication, anxiety and depression obtained p value> 0.05 means that there is no relationship between these factors and meaning, spiritual experience of illness. Opportunistic infection is a dominant factor related to the spiritual meaning of the experience of illness. There is a relationship between age and the spiritual meaning of the experience of illness, and opportunistic infections are the dominant factor related to the spiritual meaning of the experience of pain. Suggestion: It is necessary to do further research based on initial diagnosis or duration of HIV infection.

PENURUNAN TINGKAT DEPRESI KLIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DENGAN LOGOTERAPI MEDICAL MINISTRY DAN TERAPI KOMITMEN PENERIMAAN Buntar Handayani; Achir Yani Hamid; Mustikasari Mustikasari
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 2, No 2 (2017): Nopember 2017
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

ABSTRACTDepression is a psychological problem that often occurred in chronic renal failure client and have to get treatment to avoid mental disorder occurred. The purpose of this study was to identify effect of logo therapy medical ministry and acceptance commitment therapy to depression in client with chronic renal failure. This research used quasi experiment design. Sample was 28 respondents in intervention group and 28 respondents in control group. Patients that have up to 10 point in depression scale in hemodialysis unit RS PELNI Jakarta was recruited by consecutive sampling. Variable was analyzed by wilcoxon sign rank test. The result of this research was logo therapy medical ministry and acceptance commitment therapy has significant effect to decrease depression in client with chronic renal failure (p value 0,000). This study also recommends to generally nursing to implement generally intervention, and especially psychiatric nursing in can implement logo therapy and acceptance commitment therapy to avoid or decrease depression in client with chronic renal failure.Keywords: acceptance commitment therapy, chronic renal failure, depression, logotherapy medical ministry

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