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All Journal Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus
Bidjuni, Hendro Joli Bidjuni
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Health Professions Medicine & Pharmacology Nursing Public Health

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Penerapan Metode Token Ekonomi pada Nn. Ns Dengan Defisit Perawatan Diri di Ruangan Kabela RSJ. Prof. Dr. V. L. Ratumbuysang Provinsi Sulawesi Utara Pangalila, Dewini Wahyuni Pratiwi; Buanasari, Andi; Bidjuni, Hendro Joli Bidjuni
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.57715

Abstract

Background: Self-care deficits are a common issue among schizophrenia patients. The impact of these deficits disrupts patients' performance in activities, leading to a poor quality of life. Objective: This case study aims to assess the effectiveness of the token economy method in improving self-care deficits in schizophrenia patients. Method: The case study employs the token economy method in nursing care, involving the provision of tokens that can be exchanged for rewards as a form of appreciation for the patient's behavior. Results: Prior to the intervention, the total self-care score was only 3 points, while after the intervention, the total self-care score increased to 18 points. Discussion: The patient was able to perform self-care activities such as bathing and grooming gradually and could establish good habits. Conclusion: The patient benefited from the token economy intervention, which led to positive behaviors, including increased self-confidence in social interactions. Keywords: economic tokens; nursing care; self-care deficit.
Penerapan Latihan Kemampuan Positif pada Nn. Mp dengan Harga Diri Rendah di Ruangan Kabela Rumah Sakit Jiwa Prof. Dr. Vl. Ratumbuysang Provinsi Sulawesi Utara Arruansilomba, Putri Pratiwi; Buanasari, Andi; Bidjuni, Hendro Joli Bidjuni
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.57716

Abstract

Background: Low self-esteem is a significant issue that impacts psychological health. If not addressed promptly, low self-esteem can lead to persistent negative thoughts, potentially resulting in the loss of communication and functional abilities. Objective: To identify and train positive skills that are still present to support the enhancement of self-esteem in patients with schizophrenia. Method: A case study approach was used with nursing intervention involving positive skill training for patient Nn. MP. The intervention was implemented over a period of 9 days, with pre- and post-test measurements using the Self-Esteem Sorensen instrument to assess the outcomes of the intervention. Case Study Results: The case study revealed that pre- and post-test measurements using the Self-Esteem Sorensen instrument showed a decrease in scores related to agreement with negative statements, from 40 to 28. However, there was no change in the interpretation of the patient’s self-esteem, which remained very low. Conclusion: The patient was able to engage in the recommended positive activities according to the daily schedule, but the interpretation of the patient’s self-esteem remained very low. Nonetheless, there was a decrease in the score related to agreement with negative statements in the self-esteem questionnaire. Thus, the results of this case study can serve as a reference for future researchers to pay closer attention to the timing and stages of implementing strategies and to use interventions involving positive skill training that could improve self-esteem in patients with chronic low self-esteem schizophrenia. Keywords: Nursing care; Low self-esteem; Positive skills training.
Co-Authors Arruansilomba, Putri Pratiwi Buanasari, Andi Pangalila, Dewini Wahyuni Pratiwi