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All Journal IJNP (Indonesian Journal of Nursing Practices) Jurnal Ners
Diyan Yuli Wijayanti
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Dentistry Health Professions Medicine & Pharmacology Nursing

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Improving Emotional Control And Activities of Daily Living (ADL) of Patients with Schizophrenia Using Spiritual Mindfulness Through SI-DEPAPU Application Meidiana Dwidiyanti; Ainun Najib Febryna Rahman; Dessy Dwi Cahyaningrum; Diyan Yuli Wijayanti
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 1 (2023): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i1.18261

Abstract

Background: Schizophrenia is a major mental health problem in the world that requires more attention. Patients with schizophrenia are at higher risk of poor psychological well-being and violent behaviors as expression of anger and delusion. Mindfulness  alone is considered less efficient so it needs to be developed with technology, as such further technological development regarding its application is needed.Objective: This study aimed to determine the effects of spiritual mindfulness intervention through the SI-DEPAPU application on the ability to control anger and perform activities of daily living (ADL) among schizophrenic patients.Methods: This study used a pretest-posttest quasi-experimental design with a control group. The samples were 60 schizophrenic patients randomly selected and divided into two groups. The intervention group was given four sessions of mindfulness in two weeks through the SI-DEPAPU application. This study used the anger management ability questionnaire developed by Sadipun et al. (2018) to measure the patient's ability to control anger and the North American Nursing Diagnosis Association (NANDA) questionnaire by Wilkinson (2016) to measure ADL. The instrument was tested for its validity among 20 schizophrenic patients with a risk of violent behaviors, and the results were valid and reliable in which the r-count r-table (0.444), the control group was given standard hospital care.Results: The results showed that the patient’s ability to control anger and perform ADL increased with p=0.000 and p=0.005,  (p = 0,000 0,05) respectively. The intervention group had a higher mean score than the control group.Conclusion: Mindfulness spiritual interventions through the SI-DEPAPU application could help schizophrenic patients control anger and increase their ADL. 
Implementation of Assertive Acceptance Commitment Therapy (AACT) in Schizophrenia With Violence at RSJD DR. Amino Gondohutomo Central Java Province Diyan Yuli Wijayanti; Meidiana Dwidiyanti; Nur Intan Fitriani; Chika Ayu Tyara; Ibnu Foyas Hermanto
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.29667

Abstract

The risk of violent behavior is a problem that most often arises in schizophrenic. The inability to control emotions will lead to aggressive behavior both verbally and non-verbally directed at oneself, others and the surrounding environment. Assertive Acceptance Commitment Therapy (AACT) is one of the interventions that can be given by integrating Assertive Training (AT) and Acceptance and Commitment Therapy (ACT). AACT can provide skills for assertive behavior so that patients will be able to accept the problems experienced with adaptive behavior and have a commitment to maintain that behavior in all conditions. The purpose of this study was to apply and analyze the results of the AACT intervention in schizophrenic patients at risk of violent behavior. The method used in this research is a case study, namely research that aims to investigate an existing event or phenomenon. Data were analyzed by directly interpreting and describe the results of calculating the increase in the GAFR score and then explaining by using textual and discourse analysis. The results of this study showed that there was a significant improvement in the General Adaptive Function Response (GAFR) score after the AACT intervention was given. The average increase in GAFR score was 16,33 (intensive 2). It means that, all patients experience an increase in the ability of Adaptive Function Response. AACT can help schizophrenic patients with violence to have a more assertive behavior, accept the problem, their condition, and commit to maintaining adaptive behavior so that clients can control their anger.
Co-Authors Ainun Najib Febryna Rahman Chika Ayu Tyara Dessy Dwi Cahyaningrum Ibnu Foyas Hermanto Meidiana Dwidiyanti Meidiana Dwidiyanti Nur Intan Fitriani