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Manajemen Beban dengan Pendekatan Terapi Keluarga Triangles dalam Mengatasi Beban Subjektif Keluarga Merawat Klien Diabetes Melitus Surya Efendi; Herni Susanti; Ice Yulia Wardani; Angelina Roida Eka
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 2 (2020): Mei 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.36 KB) | DOI: 10.26714/jkj.8.2.2020.153-160

Abstract

Diabetes Melitus atau DM merupakan penyakit metabolik dengan angka kejadian yang mengalami peningkatan setiap tahunnya baik di dunia maupun di Indonesia. DM dapat memberikan dampak kepada penderita dan keluarga yang merawat. Dampak yang dialami keluarga dalam merawat penderita DM adalah meningkatnya beban keluarga yang akan berpengaruh terhadap kualitas perawatan kepada klien. Tujuan laporan kasus ini adalah untuk melakukan analisis lebih lanjut mengenai penerapan manajemen beban dengan pendekatan terapi keluarga triangles dalam mengatasi beban subjektif keluarga merawat klien DM. Metode yang digunakan dalam karya ilmiah ini adalah laporan kasus. Intervensi dilakukan terhadap satu keluarga penderita DM. Beban subjektif keluarga dinilai melalui pengamatan dan wawancara setelah intervensi dilaksanakan. Hasil yang didapatkan adalah beban subjektif keluarga, yaitu sedih dan kesal akibat kesalahpahaman antara klien dan keluarga dapat teratasi setelah dilakukan manajemen beban dengan pendekatan terapi keluarga triangles. Kata kunci: diabetes mellitus, manajemen beban, psikoedukasi keluarga, terapi keluarga triangles BURDEN MANAGEMENT WITH TRIANGLES FAMILY THERAPY APPROACH IN OVERCOMING SUBJECTIVE FAMILY BURDEN THREATING THE CLIENTS OF DIABETES MELITUS ABSTRACTDiabetes Mellitus or DM  is a metabolic disease with an increasing incidence every year. DM affects patients and families who care of them. The impact experienced by the family in treating patients with DM is increased family burden which will affect the quality of client care. The purpose of this study is to conduct further analysis of family burden management with triangles therapy approach in overcoming subjective burden of caring clients with DM. The method used in this study is a case report. This study was conducted on a family of DM patients. The subjective burden of the family was assessed through observation and interviews after the intervention is carried out. The results were the subjective family burden, that was sad and upset due to misunderstanding between client and family can be resolved after burden management with family triangles therapy approach was done. Keywords: burden management, diabetes mellitus, family psychoeducation, family triangles therapy
EFEKTIVITAS COGNITIVE BEHAVIOUR THERAPY DAN RATIONAL EMOTIVE BEHAVIOUR THERAPY TERHADAP GEJALA DAN KEMAMPUAN MENGONTROL EMOSI PADA KLIEN PERILAKU KEKERASAN I Ketut Sudiatmika; Budi Anna Keliat; Ice Yulia Wardani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 1, No 1 (2013): Mei 2013
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.341 KB) | DOI: 10.26714/jkj.1.1.2013.%p

Abstract

Perilaku kekerasan merupakan  keadaan dimana seseorang tidak dapat mengontrol perilaku marahnya sehingga dieksprresikan dalam bentuk perilaku agresif fisik dan atau verbal yang dapat mencederai diri sendiri, orang lain dan merusak lingkungan sehingga membutuhkan  tindakan  keperawatan yang efektif dan tepat. Tindakan keperawatan spesialis yang dapat diberikan pada klien perilaku kekerasan adalah cognitive behaviour therapy dan rational emotive behaviour therapy. Penelitian ini bertujuan mengetahui efektivitas cognitive behaviour  therapy (CBT) dan rational emotive behaviour therapy (REBT) terhadap perubahan gejala dan kemampuan klien perilaku kekerasan di Rumah Sakit Dr. H. Marzoeki Mahdi Bogor. Desain penelitian quasi eksperimental dengan jumlah sampel 60 responden. Hasil penelitian ditemukan penurunan gejala perilaku kekerasan lebih besar pada klien yang mendapatkan daripada yang tidak mendapatkan CBT dan REBT (p value < 0.05). Kemampuankognitif, afektif dan perilaku klien yang mendapatkan CBT dan REBT meningkat secara bermakna (p value < 0.05). CBT dan REBT direkomendasikan sebagai terapi keperawatan pada klien perilaku kekerasan dan halusinasi.Kata kunci: perilaku kekerasan, kemampuan kognitif, afektif dan perilaku, cognitive behaviour therapy, rational emotive behaviour therapy.
HUBUNGAN ANTARA BEBAN KELUARGA DENGAN KEMAMPUAN KELUARGA MERAWAT PASIEN PERILAKU KEKERASAN DI POLIKLINIK RUMAH SAKIT MARZOEKI MAHDI BOGOR Sri Suryaningrum; Ice Yulia Wardani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 1, No 2 (2013): November 2013
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.823 KB) | DOI: 10.26714/jkj.1.2.2013.%p

Abstract

Skizofrenia menduduki peringkat keempat sebagai penyakit yang membebankan di seluruh dunia. Salahsatu manifestasi klinik dari skizofrenia adalah perilaku kekerasan. Beban berat yang dirasakan keluargadapat menurunkan kemampuan keluarga merawat pasien dengan perilaku kekerasan. Tujuan penelitianadalah mengidentifikasi hubungan beban dengan kemampuan keluarga merawat pasien perilaku kekerasan di Poliklinik Rumah Sakit Marzoeki Mahdi Bogor. Desain penelitian adalah analitikdengantehnik purposive sampling terhadap 103 responden. Hasil penelitian menunjukkan terdapat hubungan signifikan antara beban dengan kemampuan keluarga dalam merawat pasien perilaku kekerasan (P value<0,05). Peningkatan kemampuan keluarga merawat pasien perilaku kekerasan perlu dilakukan agarbeban yang dirasakan keluarga menjadi berkurang.
Efektifitas penerapan standar asuhan keperawatan jiwa generalis pada pasien skizofrenia dalam menurunkan gejala halusinasi Satria Fajrullah Said Aldam; Ice Yulia Wardani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 2 (2019): Agustus 2019
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.205 KB) | DOI: 10.26714/jkj.7.2.2019.167-174

Abstract

Halusinasi merupakan persepsi yang diterima oleh panca indera tanpa adanya stimulus eksternal. Klien dengan halusinasi sering merasakan keadaan/kondisi yang hanya dapat dirasakan olehnya namun tidak dapat dirasakan oleh orang lain. Tujuan laporan kasus ini yaitu untuk menganalisis mengenai tandar asuhan keperawatan generalis pada pasien skizofrenia dalam menurunkan gejala halusinasi. Karya ilmiah akhir ini merupakan analisis terhadap pelaksanaan asuhan keperawatan pada pasien halusinasi dengan skizofrenia yang dilakukan di Ruang Srikandi Rumah Sakit dr. H. Marzoeki Mahdi Bogor. Hasil analisis menunjukkan bahwa ntervensi keperawatan secara generalis sangat efektif diberikan pada pasien dengan gangguan sensori persepsi halusinasi pendengaran. Hal ini ditandai dengan penurunan tanda gejala halusinasi pada klien setelah diberikannya tindakan keperawatan. Kata kunci: asuhan keperawatan jiwa generalis, halusinasi, skizofrenia EFFECTIVENESS OF THE IMPLEMENTATION OF STANDARDS FOR NURSING GENERALIS NURSING AT SKIZOFRENIA PATIENTS IN REDUCING HALUSINATION SYMPTOMS ABSTRACTHallucinations are perceptions received by the five senses in the absence of an external stimulus. Clients with hallucinations often feel the conditions / conditions that can only be felt by him but can not be felt by others. The purpose of this case report is to analyze the level of generalist nursing care in schizophrenic patients in reducing hallucinatory symptoms. This final scientific work is an analysis of the implementation of nursing care in hallucinatory patients with schizophrenia conducted in the Srikandi Room of Dr. dr. H. Marzoeki Mahdi Bogor. The results of the analysis showed that general nursing intervention was very effective given to patients with sensory disorders of auditory hallucinations perception. This is marked by a decrease in hallucinatory symptoms to the client after nursing is given. Keywords: generalist mental nursing care, hallucinations, schizophrenia
Ansietas Menghadapi Ujian Nasional pada Siswa SMP dan SMA Irra Wiryani; Ice Yulia Wardani
Jurnal Keperawatan Indonesia Vol 19 No 1 (2016): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i1.432

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Ujian nasional (UN) yang diadakan pemerintah setiap tahun menimbulkan masalah ansietas bagi para siswa SMP dan SMA. Penelitian ini bertujuan mengidentifikasi gambaran tingkat ansietas siswa menghadapi ujian nasional pada siswa SMP dan SMA. Desain penelitian deskriptif dengan melibatkan 83 siswa SMPN dan 80 siswa SMAN yang akan menghadapi UN. Instrumen yang digunakan adalah modifikasi wetside test anxiety scale. Hasil penelitian didapatkan 11% siswa SMPN ansietas tingkat sedang sampai dengan berat dan 39,2% siswa SMAN ansietas pada tingkat sedang sampai dengan berat. Perawat sekolah perlu melakukan intervensi untuk mengurangi ansietas siswa di sekolah terutama menjelang UN. Diharapkan pihak sekolah dan orang tua dapat meningkatkan perhatiannya terhadap masalah psikologis siswa. Abstract The Anxiety of Junior High School and Senior High School Students Toward National Exam. National Exam held by government evoked anxiety problem among students. Junior and Senior High School students are the majority participant who shows anxiety problem. This research is aimed to identify the description of student’s level anxiety who will encounter the National Exam in SMPN and SMAN at Depok. This study used description survey involving 83 Junior School students and 80 Senior School students. To measure the level of anxiety among students was used Wetside test anxiety scale. The result shows 11% of Junior School students identified anxiety in moderate to severe scale, and 39.2% Senior School students shows anxiety level from moderate to panic scale. This result indicates despite the majority result of student’s level of anxiety in mild scale, nursing intervention is required to reduce the level of anxiety among students, especially for students who will encounter National Exam and being identified in the level of anxiety at moderate to panic scale. The teachers and parents is expected to provide more attention to student’s psychological problems. Key words: anxiety, national final exam, students
Sustainability Factor Related with the Implementation of Community Mental Health Nursing (CMHN) in South and West Jakarta Esti Winahayu; Budi Anna Keliat; Ice Yulia Wardani
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1078.288 KB) | DOI: 10.20473/jn.v9i2.2682

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The aim of this study was to determine the sustainability factor related with the implementation of CMHN in South and West Jakarta. The method of the study was cross sectional, data of the nurses was collected by questionnaire of CMHN and pearson correlation was used to analyzed the data. Interviews conducted on stakeholder to get stakeholder perceptions about the sustainability factor of CMHN. The ability of nurse in the implementation of CMHN is 45,86%. The nurse perception toward sustainability factor of CMHN is 67,49%. The result of study shows the significant relationship between the sustainability factor with the implementation of CMHN. The result of analysis interviews with stakeholder about 8 sustainability factors is obtained into several themes: the positive opinion of stakeholder toward the CMHN (the existence of nursing care to the patients, detecting of new case, and reducing stigma) and the effort for the sustainability of CMHN (increasing the perception, budget planning, and socialization). The result of the study is recomended to improve the community mental health nursing service in other region.
Provision of Psychoeducation on Decreasing Family Anxiety Triggered among Patients with Schizophrenia Relapse: A Case Report Ellya Fadllah Samiun; Herni Susanti; Ice Yulia Wardani
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 2 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i2.434

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Schizophrenia is one of the serious mental disorders that requires long-term care and medication. Clients with schizophrenia have a relapse period. When a relapse occurs, they require inpatient services at the hospital. A relapse of clients with schizophrenia triggers physical and psychological fatigue, anxiety, and frustration; the sources of stressors which can disrupt the balance of the family system. The study aimed to explore the family psycho-education to decrease the anxiety triggered among family. The results of the nursing intervention found unveiled to decrease the signs and symptoms of anxiety experienced by families. The findings also showed the increasing knowledge and ability of the family members in taking caring of clients with schizophrenia. This study recommended to provide psycho-education as part of comprehensive nursing care for schizophrenia patients and their families
Implementasi Family Psychoeducation secara Online pada Keluarga dengan Isolasi Sosial di Masa Pandemi Covid-19 Dewi Wulandari; Herni Susanti; Ice Yulia Wardani
Jurnal Stethoscope Vol 2, No 1 (2021): Stethoscope
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2770.92 KB) | DOI: 10.54877/stethoscope.v2i1.838

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AbstrakSkizofrenia merupakan gangguan mental kronis yang dapat menyebabkan masalah perawatan diri, ketergantungan finansial, dan gangguan hubungan personal. Salah satu gejala negatif skizofrenia adalah isolasi sosial, yang jika tidak ditangani dengan baik dapat menyebabkan halusinasi dan penurunan produktivitas yang dapat menjadi beban keluarga dan masyarakat. Tujuan case report ini adalah untuk memaparkan implementasi Family Psychoeducation (FPE) secara online kepada keluarga dengan masalah isolasi sosial di masa pandemi dan manfaat yang diperoleh. Metode penelitian ini menggunakan desain case report. Kasus yang diambil adalah masalah isolasi sosial pada Sdr.J yang mengalami skizofrenia. Teknik analisis yang digunakan adalah deskriptif. Hasil case report menunjukkan bahwa FPE dilakukan selama 4 kali pertemuan secara daring dengan media video call whatsapp dan google meet, dibutuhkan konektivitas jaringan yang baik dan digital literacy yang memadai. FPE online di masa pandemi aman untuk menghindari pajanan Covid-19 serta efisien biaya dan waktu. Selain itu efektif dalam meningkatkan pengetahuan dan keterampilan keluarga dalam merawat klien gangguan jiwa, mengurangi stres dan beban yang dirasakan keluarga. Hendaknya tenaga kesehatan melaksanakan FPE secara online pada keluarga dengan gangguan jiwa di masa pandemi.Kata kunci: psikoedukasi keluarga, online, isolasi sosial, pandemi Covid-19Online Family Psychoeducation Implementation in Families with Social Isolation in The Pandemic of Covid-19AbstractSchizophrenia is a chronic mental disorder that can lead to self-care problems, financial dependence, and impaired personal relationships. One of the negative symptoms of schizophrenia is social isolation, which if not handled properly can cause hallucinations and decreased productivity that can be a burden on families and society. The purpose of this case report was to explain the implementation of online Family Psychoeducation (FPE) to families with social isolation problems during the pandemic and its benefits. This research method used a case report design. The case taken was the problem of social isolation in Mr. J who had schizophrenia. The analysis technique used was descriptive. The results of the case report showed that FPE was carried out for 4 online meetings using WhatsApp and Google Meet video calls, good network connectivity and adequate digital literacy are needed. Online FPE during the pandemic was safe to avoid Covid-19 exposure and was cost and time efficient. In addition, it was effective in increasing the knowledge and skills of families in caring for clients with mental disorders, reducing stress and the burden felt by the family. Health workers should carry out online FPE for families with mental disorders during the pandemic.Keywords: family psychoeducation, online, social isolation, Covid-19 pandemic
PENGARUH TERAPI KOGNITIF TERHADAP CITRA TUBUH KLIEN ULKUS DIABETIK Nur Anisah; Budi Ana Keliat; Ice Yulia Wardani
MIKKI (Majalah Ilmu Keperawatan dan Kesehatan Indonesia) Vol 7, No 2 (2018): Vol.7 No.2 Desember 2018
Publisher : STIKES Wira Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47317/mikki.v7i2.133

Abstract

ABSTRACTDiabetic ulcers are chronic complications in diabetes mellitus so that the high risk of infection and diabetic amputasi can cause the client to feel hopeless and unable to accept circumstances that can affect self-concept but it also affects biological and social. The research objective was to determine the effect of cognitive therapy on body image clients diabetic ulcers. The research method uses a quantitative approach to design quasy Experimental Pre-Post with Control Group. Respondents number 62. Respondents were selected by purposive sampling. The collection of data through questionnaires on the client diabetic ulcers. The results showed that body image, self-esteem, ulcer conditions changed for the better as well as the ability to think positively and capability of treating clients be granted increased signifi kan.after nurses nursing actions, cognitive therapy and family psychoeducation on body image of diabetic ulcers clients to make more optimal, but it needs to be improved both in the clinic and at home community wounds.
PENGARUH APLIKASI TINDAKAN KEPERAWATAN GENERALIS: ANSIETAS PADA PASIEN PENYAKIT GINJAL KRONIK Eneng Elisnawati; ice yulia wardani
Jurnal Ilmu Keperawatan Jiwa Vol. 1 No. 1 (2018): May 2018
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.637 KB) | DOI: 10.32584/jikj.v1i1.32

Abstract

EFFECT OF APPLICATION OF GENERALIST NURSING ACTION: ANSIETAS ON CHRONIC POSTED DISEASE PATIENTS ABSTRACTUnhealthy lifestyle caused of chronic kidney disease. Urban communities are particularly vulnerable to unhealthy lifestyles, which can lead to chronic kidney disease. Chronic kidney disease is a condition which the kidney are permanently damaged and ultimately have an impact to the function of the kidney. Physical changes that occur in patients with chronic kidney disease associated with signs and symptom’s the severity of the disease. It will certainly affect the psychosocial condition of patients. Psychosocial problems that arise in hopitalized patients with chronic kidney is anxiety. This Scientific works aims to describe the nursing care of anxiety in patients with Chronic Kidney disease especially with relaxation techniques. Patients who are able to overcome their anxiety will improve the effectiveness of the physical treatments that are being undertaken. Thus, the nurse's role in providing psychosocial nursing care is necessary so that anxiety problems do not cause adverse impact to the patient. Keywords: Axiety, Chronic Kidney Disease, Relaxation technique
Co-Authors A.A. Ketut Agung Cahyawan W Achir Yani S. Hamid Afiffah, Nabila Putri Aisyah, Milazwarni Anisa Yulvi Azni Apriana Nona Linggu Arya Ramadia Azhari, Nanang Khosim Berlian Nurtyashesti Kusumadewi Budi Ana Keliat Budi Anna Keliat Budi Anna Keliat Keliat Daulima, Novy Helena C. Deborah Ferdinanda Lumenta Desi Pramujiwati Devina Oktavia Rizqi Sekar Arum Dewi Wulandari Dewi, Apri Rahma Dewi, Layya Notiva Dian Fitria Diva Aisyah Oktaviana Dwi Heppy Rochmawati Dwiyantoro Dwiyantoro Eka Budiarta Eka Budiarto, Eka Eka Malfasari Eka, Angelina Roida Eli Saripah Ellya Fadllah Samiun Ellya Qolina Eneng Elisnawati Eni Hidayati Eriyono Budi Wijoyo Esti Winahayu Evi Martha Fabrila Hasti Endah Ramadani Fajar Apriliana Dewi Fajriyati Nur Azizah Fallon Victoryna Fauziah Fauziah Florensa Florensa Gemma Michelia Junior Hargiana, Giur Herni Susanti Herny Susanti Hidayat, Asep Yusup I Ketut Sudiatmika Irra Wiryani Jamhari Jamhari Kanza Salsabiela Keksi Girindra Swasti Komalasari, Lilis Livana Ph, Livana Madepan Mulia Mahraniy Mardha Raya Maria Theresia Monica Elsina Maria Turnip Martina Martina Meka Yusselda, Meka Meulu Primananda Muhammad Ardianto Rodin Muhammad Ari Arfianto Mustikasari Mustikasari Mustikasari Mustikasari Mustikasari Mustikasari Mustikasari Mustikasari Mutia Rahmah Nabila Putri Afifah Nadia Yuli Pertiwi Nani Asna Dewi Ni Made Dian Sulistiowati Ni Made K. Wardani Nirmala Fajar Pertiwi Novy Helena C. Daulima Novy Helena Chatarina Daulima Nur Anisah Oktaviana, Diva Aisyah Pichitra Lekdamrongkul Poppy Fitriani Prawiro, Raden Ajeng Nuurizqia Utami Rachmi, Shanti Farida Rahma Fadillah Sopha Rahma Fadillah Sopha, Rahma Fadillah Reflin Mahmud Retno Lestari Ria Utami Panjaitan Riska Amalya Nasution Rizki, Dhaifina Dini Ghassani Rosyad, Habibi Rohman Rusiana, Elfira Salwa Muniroh Satria Fajrullah Said Aldam Sri Laela Sri Suryaningrum Sri Wianti Subu, Muhammad Arsyad Suratmini, Dwi Surya Efendi Susila, Wahyu Dini Candra Syamsul Arifin Syifa Asyfiani Rufaida Talenta, Claudia Talenta, Claudia Tantri Widyarti Utami, Tantri Widyarti Tuti Nuraini Tutik Sri Haryati Umi Rachmawati Ummah, Tarnimatul Ummah, Tarnimatul Winahayu, Neng Esti Wiwi Olivia Wiwin Wiarsih Yati Afiyanti Yona Kurnia Sari Yossie Susanti Eka Putri Yossie Susanti Eka Putri Yuliastuti, Estin Yunita Astriani Hardayati Zulhaini Sartika A. Pulungan