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All Journal Jurnal Ilmu Kesehatan Masyarakat
Srimaryatun siregar
Nursing Science Study Program, Sriwijaya University
Health Professions Public Health

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A Comparison of the Effectiveness of Cognitive Behavior Therapy and Assertive Training Against the Ability to Control Violent Behavior in Schizophrenic Patients Srimaryatun siregar; Zullian Effendi; Syang Ajeng Mardiyah
Jurnal Ilmu Kesehatan Masyarakat Vol. 11 No. 3 (2020): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2020.11.3.210-222

Abstract

Violence behaviour is a maladaptive form of anger response that is dangerous and can hurt yourself, others and the environment. Therefore it is a concern for health workers to apply an effective and appropriate therapy to overcome these problems. This study was aimed to compare the differences in Cognitive Behavior Therapy (CBT) and Assertive Training (AT) in controlling violent behavior in schizophrenic patients.This study was used a quasi experimental pre-post test control group design.The number of samples was 30 respondents and taken by purposive sampling technique based on inclusion criteria. Samples of this study were schizophrenic patients with violent behavior totaling 30 people consisting of 10 people in the treatment group I who were given a standard of nursing care and CBT,10 people in the treatment group II who were given a standard of nursing care and AT and 10 people in the control group who only got the standard nursing behavior violent behavior.The results showed that there were differences in the patient's violent behavior between the treatment groups given CBT, AT and the control group before and after the intervention was given with CBT p=0.021 and ATp =0.032.There was a significant difference between CBT and AT in controlling violent behavior with a value of p=0.015. Based on the mean difference values, CBT have been better than AT in controlling violent behavior. CBT can improve patient's ability to control violent behavior. We recommend that CBT can be applied in health and community services.
The Use of Flashcard Games in the Application of Cognitive Behavior Therapy (CBT) in Schizophrenic Patients with Risk of Violent Behavior srimaryatun siregar; Zulian Effendi; Sayang Ajeng Mardhiyah
Jurnal Ilmu Kesehatan Masyarakat Vol. 12 No. 3 (2021): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2021.12.3.277-291

Abstract

The increase in maladaptive behavior of schizophrenic patients in recent times, such as violent behavior, hitting people, breaking things until they commit a murder, has been troubling for the community. This situation is a serious concern for all parties, especially health workers, to provide comprehensive and effective mental nursing care management in reducing the symptoms of maladaptive behavior. Group therapy based on Cognitive Behavior Therapy (CBT) with Flashcard media is one of the development and innovation models of psychotherapy that can be useful in overcoming violent behavior in schizophrenia patients. This study was aimed to determine the effectiveness of CBT with flashcards on changes in violent behavior in schizophrenic patients. The research design was used a quasi-experimental pre-posttest with a control group. A sample of 50 people includes 25 people in the intervention group and 25people in the control group. The results were showed that the reduction in signs and symptoms of schizophrenic patients was greater in the intervention group than in the control group, with a value of p=0,000. The CBT therapy with flashcards was effective 66.6% in reducing violent behavior. CBT therapy with flashcards is recommended to be applied as effective, efficient, and easy therapy for health professionals and families to reduce violent behavior.
Co-Authors Sayang Ajeng Mardhiyah Syang Ajeng Mardiyah Zulian Effendi Zullian Effendi