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Improvement in Patients’ Ability to Care for Anxiety and Impaired Body Image: A Case Report of Acceptance and Commitment Therapy and Family Psychoeducation Rasmawati Rasmawati; Budi Anna Keliat; Herni Susanti
Jurnal Keperawatan Indonesia Vol 23, No 2 (2020): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i2.653

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services. Abstrak Peningkatan Kemampuan Klien Merawat Ansietas dan Gangguan Citra Tubuh: Laporan Kasus Acceptance and Commitment Therapy dan Psikoedukasi Keluarga. Gagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadi penyebab 70% kematian di dunia serta menyebabkan ansietas dan gangguan citra tubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitment therapy diberikan pada klien agar dapat meningkatkan penerimaan terhadap penyakit dan komitmen merawat ansetas dan gangguan citra tubuh. Psikoedukasi keluarga dilakukan agar keluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metode yang digunakan berupa laporan kasus dalam bentuk case series pada dua klien dewasa dengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa kedua klien mengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus pada diri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa; aspek fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunan produktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatan kemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dan gangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakan dalam pemberian pelayanan keperawatan di unit umum. Kata Kunci: acceptance and commitment therapy, ansietas, gangguan citra tubuh, hipertensi, psikoedukasi keluarga

Penyuluhan Kesehatan Pada Lanjut Usia dengan Pendekatan Transkultural Nursing di Wilayah Kerja Puskesmas Samata : Penyuluhan Kesehatan pada Lansia Hasnah Hasnah; Eny Sutria; Aidha Aidha; Wahdania Wahdania; Rasmawati Rasmawati; Eka Hadriani; Nurul Khusnul Khotimah; Karmila Sari
Jurnal Pengabdian Kesehatan Komunitas Vol. 2 No. 1 (2022): Jurnal Pengabdian Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/jpkk.Vol2.Iss1.1071

Menua menyebabkan terjadinya degenerasi fungsi tubuh sehingga dapat menyebabkan penurunan derajat kesehatan. Derajat kesehatan pada usia lanjut dipengaruhi oleh umur, pendidikan, jenis kelamin dan sebagainya. Salah satu cara untuk meningkatkan derajat kesehatan lanjut usia (lansia) dengan senantiasa mengingatkan kembali pencegahan masalah yang sering terjadi pada usia lanjut. Lansia akan mudah menerima informasi yang diberikan jika pendekatan yang digunakan sesuai dengan kebiasaan sehari-hari. Salah satu pendekatan yang digunakan pada pengabdian masyarakat ini adalah pendekatan transkultural nursing dengan menggunakan bahasa ibu (Bahasa Makassar). Lansia sangat antusias mendengarkan penyuluhan kesehatan yang dilaksanakan serta pemeriksaan kesehatan pada lansia Abstract Aging causes degeneration of body functions so that it can cause a decrease in health status. The degree of health in the elderly is influenced by age, education, gender and so on. One way to improve the health status of the elderly is to constantly remind the prevention of problems that often occur in the elderly. The elderly will easily accept the information provided if the approach used is in accordance with their daily habits. One of the approaches used in this community service is the Transcultural nursing approach using the mother tongue (Makassar language). The elderly was very enthusiastic about listening to the health education and health checks.

Gender And Workplace Associated With Psychosocial Status Of Nursing Population In Third Month Covid-19 Outbreak Hapsah Hapsah; A Nur Anna AS; Rasmawati Rasmawati; Wahyuni Wahyuni; Basmalah Harun
Journal of Nursing Care Vol 4, No 3 (2021): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v4i3.30938

Health care professionals have a higher risk of contracting Covid-19 with high stress, overwork, sometimes without proper training and personal protective equipment. Gender, occupation and workplace were factors affected to cope stress ability in person daily life. Aim of this study was to identify association between gender and workplace with psychosocial status on 920 mental health nursing seminar participants in the first three months of Covid-19 outbreak in various Indonesian regions. Accidental sampling was conducted an hour before the Indonesian National Nurses Association of South Sulawesi started the seminar with The Self-Reporting Questionnaires (SRQ29) online form with informed consent. There were 920 of 1500 participants filled the form. Variable association was analyzed by using Pearson Chi Square and Fisher Exact Test. The results show that based on gender, women significantly dominated anxiety symptom, somatic symptom, decreased energy symptom and post traumatic stress symptom Workplace significantly associated with depression symptom, cognitive symptom, psychotic symptom and post traumatic stress symptom which dominate in college. Gender and workplace were associated with psychosocial symptom. Therefore, it is essential for further research to arrange strategies for minimizing those symptoms.

STUDI KASUS MANAJEMEN BEBAN KELUARGA DALAM MERAWAT ANGGOTA KELUARGA GANGGUAN JIWA REPASUNG Rasmawati Rasmawati; Rahma Yulis; Hardianti Hardianti
Media Keperawatan:Politeknik Kesehatan Makassar Vol 10, No 2 (2019): Media Keperawatan : Poltekkes Kemenkes Makassar
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

Perawatan orang dengan gangguan jiwa repasung membutuhkan perawatan oleh keluarga dalam jangka waktu yang lama. Perawatan ini berpengaruh pada beban dan kejenuhan keluarga sehingga perlu mamajenem beban dalam merawat anggota keluarga yang mengalami repasung. Tujuan penelitian ini untuk mengeksplorasi lebih mendalam mengenai manajemen beban keluarga dalam merawat anggota keluarga gangguan jiwa yang mengalami repasung. Desain penelitian menggunakan kualitatif dengan pendekatan descriptive multiple instrumental case study. Dua kasus orang gangguan jiwa repasung dipilih untuk memberikan pemahaman mengenai manajemen beban keluarga dalam merawat. Partisipan penelitian berjumlah 6 orang keluarga subjek kasus. Data dikumpulkan dengan wawancara mendalam. Tiga kategori yang dihasilkan: Kurungan sebagai pilihan bentuk repasung; Persepsi Keluarga Terhadap Tindakan repasung; dan Manajemen beban dalam merawat anggota keluarga dengan gangguan jiwa repasung. Caregiver mengalami kejenuhan yang mengakibatkan keinginan untuk melepaskan anggota keluarga dan merawat di rumah sakit.

STUDI FENOMENOLOGI PENGALAMAN HIDUP ORANG DENGAN GANGGUAN JIWA PASCA PASUNG YANG MENGALAMI PERCERAIAN Rasmawati Rasmawati
Journal of Islamic Nursing Vol 3 No 1 (2018): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Pasung as an inhumane act can lower dignity and reduce the quality of life of people with mental illness., They need family support, especially by a spouse to achieve recovery and return to productive. The conditions of divorce and neglect by the living environment can cause problems for people with mental illness. The purpose of this study was to describe the experiences of people with mental illness in living post-pasung life without the support of a spouse.Method: research uses qualitative design with phenomenological approach to explore the life experiences of participants after being abandoned by their wives. Four Participants were chosen by purposive sampling method. Data collection was carried out by in-depth interviews then analyzed by the Colaizzi method.Results: The divorce experienced has an impact on the lives of participants. Two themes produced from this study are grieving in response to financial separation and limitations as obstacles to building a new family.Conclusion: Divorce leaves a deep sadness forpeople winth mental illness so that assistance is needed from family, community and health workers during the grieving process and during the recovery process.

The Psychosocial Impact on Nurses in The First Three Months of Covid-19 Outbreak Hapsah Hapsah; A. AS; Rasmawati; Wahyuni Wahyuni
Indonesian Contemporary Nursing Journal Volume 6 No. 2 Februari 2022
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v6i2.12776

Introduction: This study aimed at identifying psychosocial impact on nurses in the first three months of Covid-19 Outbreak in various Indonesian regions. Method: There were 585 respondents as nurses met requirements from 920 (accidental sampling) filled out the online survey from 1500 attendees participated in Mental Health Nursing Webinar conducted by the Indonesian National Nurses Association (PPNI) of South Sulawesi (27th June 2020). Self- Reporting Questionnaires (SRQ29 as psychosocial and additional symptoms screening tool were distributed as online form with informed consent an hour before the online meeting started. Result: the age average of the respondents was 32 years old, more than a half of them were female (70.3%), and worked in hospital (61.9%). There were 7 symptoms identified in this study, where 40.2% of respondents experienced anxiety, depression symptoms (21%), somatic symptoms (37.8%), cognitive decline (21.2%), energy decreased (30.8%), post-traumatic stress (29.2%), psychotic symptoms (11.5%), and drug abuse (0.9%). Conclusion: The psychosocial impact of Covid-19 outbreak in the first three months was fairly high on nurse population. Therefore, it is essential for further research to identify risk factors and how to handle them.

Pengalaman Perawat dalam Melepas Orang dengan Gangguan Jiwa yang Dipasung Rasmawati Rasmawati; Amalia Putri Abuba; Nur Al Marwah Asrul; Syisnawati Syisnawati
Jurnal Keperawatan Jiwa Vol 10, No 4 (2022): November 2022
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.10.4.2022.875-882

Pemasungan pada orang dengan gangguan jiwa dapat memberikan dampak buruk berupa perubahan biopsikososial yakni mengalami kelemahan otot, kehilangan pekerjaan, cedera anggota badan, trauma, harga diri rendah, serta putus asa. Pelepasan pasung merupakan salah satu upaya penanggulangan bebas pasung yang dilakukan oleh perawat sebagai salah satu tenaga kesehatan yang memiliki peran penting dalam berkolaborasi mewujudkan Indonesia bebas pasung. Tujuan penelitian kualitatif fenomenologi ini menggambarkan pengalaman perawat dalan melepas orang dengan gangguan jiwa yang dipasung. Partisipan berjumlah 3 orang, data dikumpulkan dengan wawancara mendalam dan catatan lapangan. Tiga tema yang dihasilkan: Koordinasi lintas sektor dalam pelepasan pasung; Ekspresi perasaan perawat dalam melepas orang gangguan jiwa yang dipasung; dan faktor pasien dan keluarga sebagai hambatan dalam pelepasan pasung. Peningkatan edukasi penanggulangan pasung dengan melibatkan seluruh pemangku kepentingan serta kesinambungan perawatan diperlukan untuk mengotimalkan perawatan dan mencegah kasus repasung.

The Relationship Between Mother's Knowledge And Stunting Incidents In Toddlers In The Work Area Of The Sanrobone Health Center Muthahharah; Hafifa Yahya; Rasmawati; Eka Hadrayani
Jurnal Life Birth Vol 6 No 3 (2022): Jurnal Life Birth
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Stikes Panrita Husada Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37362/jlb.v6i3.909

Stunting is a physical growth disorder which is characterized by a decrease in growth speed and is the impact of nutritional imbalance. Stunting is still one of the unresolved nutritional problems in children in Indonesia. Stunting can cause long-term impacts, namely disruption of physical, mental, intellectual, and cognitive development. Children who experience stunting will increase the risk of offspring with low birth weight, and will be difficult to correct until the age of 5 years. Mother's knowledge is one of the important things in the process of growth and development in toddlers. Objective: This study aims to determine the relationship between mother's knowledge and the incidence of stunting in children under five in the Sanrobone Health Center, Takalar Regency. Methods: This type of research is a quantitative research with a cross-sectional research design, sampling using multistage random sampling technique. The samples obtained were 93 respondents who met the inclusion criteria. The data collection technique used a questionnaire taken from previous research, namely Gilbert's (2021) research. The statistical test used was chi-square p-value <0.05. Results: The results of the chi-square test showed that there was a relationship between mother's knowledge and the incidence of stunting in toddlers in the Sanrobone Takalar Health Center with p = 0.00 value. Conclusion: From the results of the study it can be concluded that mother's knowledge has a significant relationship to the incidence of stunting in toddlers in the Sanrobone Health Center Work Area, Kab. Takalar.

ACCEPTANCE AND COMMITMENT THERAPY ISLAMIC APPROACH IMPROVE THE PSYCHOLOGICAL FLEXIBILITY OF PATIENTS WITH MENTAL DISORDERS Rasmawati
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.33996

Patients with mental disorders experience disturbances in thoughts, feelings, and behavior. They have several psychological problems, such as inadequate emotional regulation and lack of flexibility to adapt to the conditions experienced. One of the psychotherapies that can be used is acceptance and commitment therapy with an Islamic approach. The principle of this therapy is to accept the current condition of having a mental disorder by surrendering to Allah SWT and committing to being more active in achieving healing by endeavoring. This study aims to determine the effect of applying ACT using an Islamic approach on the psychological flexibility of patients with mental disorders. Methods: This research was a quasi-experiment one-group pre-post-test design. This study involved 31 patients with mental disorders treated at the Dadi Hospital in South Sulawesi Province, who were Muslim and had good insight. ACT using the Islamic approach was given in four sessions. The data was collected with a demographic data questionnaire and the Acceptance and Action Questionnaire – II (AAQ-II) and then analyzed using the Paired T-Test with a significance level of < 0.05. Result: The majority of respondents are male (87.1%), unmarried (71%), and working (68.1%). The analysis showed an increase in the psychological flexibility of patients with mental disorders after ACT with an Islamic approach (p-value = <0.001). Conclusion: ACT with an Islamic approach can improve the psychological flexibility of patients with mental disorders, so nurses need to apply ACT as a therapy modality for patients with mental disorders.

Improvement in Patients’ Ability to Care for Anxiety and Impaired Body Image: A Case Report of Acceptance and Commitment Therapy and Family Psychoeducation Rasmawati Rasmawati; Budi Anna Keliat; Herni Susanti
Jurnal Keperawatan Indonesia Vol 23 No 2 (2020): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i2.653

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services. Abstrak Peningkatan Kemampuan Klien Merawat Ansietas dan Gangguan Citra Tubuh: Laporan Kasus Acceptance and Commitment Therapy dan Psikoedukasi Keluarga. Gagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadi penyebab 70% kematian di dunia serta menyebabkan ansietas dan gangguan citra tubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitment therapy diberikan pada klien agar dapat meningkatkan penerimaan terhadap penyakit dan komitmen merawat ansetas dan gangguan citra tubuh. Psikoedukasi keluarga dilakukan agar keluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metode yang digunakan berupa laporan kasus dalam bentuk case series pada dua klien dewasa dengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa kedua klien mengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus pada diri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa; aspek fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunan produktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatan kemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dan gangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakan dalam pemberian pelayanan keperawatan di unit umum. Kata Kunci: acceptance and commitment therapy, ansietas, gangguan citra tubuh, hipertensi, psikoedukasi keluarga

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