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ASSERTIVE TRAINING THERAPY FOR SCHIZOPHRENIC PATIENT WITH RISK OF VIOLENT BEHAVIOR: Doi: https://doi.org/10.35654/ijnhs.v2i2.85 Safra Ria Kurniati; Novy Helena Catharina Daulima
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 2 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.358 KB) | DOI: 10.35654/ijnhs.v2i2.85

Abstract

Violent behavior is one of the symptom of severe mental disorders such as schizophrenia. Violent behavior has a very significant impact not only for patients, but also health care professionals, families and the development of stigma in society. Assertive training therapy is one therapy that is still not largely used for patients with violent behavior in Indonesia, although it is not an uncommon situation. This case is quite challenging considering the patient has a lack of insight of the disease. After completing 5 sessions of therapy, the patient showed improvement in signs and symptoms, a stable condition, and the absence of symptoms of violent behavior during treatment. For this reason, the use of therapy is highly recommended to help patients to express themselves in a more adaptive way.
A LITERATURE REVIEW: FACTORS RELATED TO THE PASUNG AMONG PEOPLE WITH MENTAL ILLNESS: DOI: https://doi.org/10.35654/ijnhs.v2i2.95 Angelina Roida Eka; Novy Helena Catharina Daulima
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 2 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.803 KB) | DOI: 10.35654/ijnhs.v2i2.95

Abstract

Physical restraint and confinement (pasung) by families of people with mental illness is known to occur in many parts of the world Pasung is a common human right violation on people with mental illness found on every country in the world especially in developing countries like Indonesia. In Indonesia the term pasung refers to the physical restraint or confinement of "criminals, crazy and dangerously aggressive people. Despite the classification as Human Right Violation, pasung is constantly performed in Indonesia. In 2018, around 18% people with mental ilness experienced pasung. This study aimed to identify factors related to pasung. The researcher conduct the literature review on the credible sources. Five databases were used including Science Direct, Proquest, Scopus, Ebsco, and Google Scholar. Study result identified that factors related to pasung come from person with mental illness, family and community. The pasung phenomena within the community on people with mental illness ironically have a limited sources of research especially the ethnographic study of the said phenomena. Ethnographic study on pasung is important to elucidate the social and cultural meanings of the practice in a variety of settings and cultures especially in Indonesia, which take an enourmous impact within the community including the practice of pasung on people with mental illness.
MANAJEMEN KASUS LANSIA DEMENSIA KONFUSI KRONIS DENGAN MENGGUNAKAN PENDEKATAN MODEL ADAPTASI Misesa Misesa; Novy Helena Catharina Daulina; Yossie Susanti Eka Putri
Jurnal Ilmu Keperawatan Jiwa Vol. 2 No. 1 (2019): May 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.671 KB) | DOI: 10.32584/jikj.v2i1.287

Abstract

Prevalensi gangguan mental emosional termasuk demensia di Jawa Barat berdasarkan hasil Riset Kesehatan Dasar Tahun 2013 paling banyak dialami oleh lansia. Karakteristik demensia seperti penurunan kognitif dan gangguan orientasi menimbulkan masalah keperawatan yaitu konfusi kronis. Tujuan karya ilmiah akhir ini melaporkan penerapan manajemen kasus spesialis keperawatan jiwa terhadap lansia konfusi kronis di ruang Saraswati RSMM Bogor dengan pendekatan Model Adaptasi Roy melalui intervensi keperawatan jiwa secara generalis, terapi kelompok Reminiscence dan Family Psychoeducation (FPE). Jumlah lansia yang dikelola ada 12 orang. Hasil manajemen kasus spesialis keperawatan jiwa menunjukkan bahwa penurunan tanda dan gejala konfusi kronis serta peningkatan kemampuan lansia demensia mengatasi konfusi kronis. Rekomendasi hasil karya ilmiah akhir ini adalah diharapkan perawat jiwa menerapkan terapi keperawatan generalis dan spesialis (Terapi Kelompok Reminiscence dan FPE) untuk perawatan lansia dengan konfusi kronis. Kata kunci : Demensia, FPE, konfusi kronis, lansia, model adaptasi Roy reminiscence  CHEMICAL CONFUSION DEMENSION CASE MANAGEMENT USING THE ADAPTATION MODEL APPROACH ABSTRACTThe prevalence of mental disorders including dementia emotional in West Java, based on the results of the Health Research In 2013 most widely experienced by elderly. Characteristic of dementia such as cognitive decline and disorientation that cause nursing diagnosis of chronic confusion. Psychiatric nursing care with Roy Adaptation Model approaches to overcome the chronic confusion through a generalist interventions in psychiatric nursing, therapy and family group psychoeducation Reminiscence (FPE). The purpose of final scientific papers reporting on the implementation case management  of specialist psychiatric nursing to elderly with chronic confusion in Saraswati ward RSMM Bogor, use Roy Adaptation Model approach. The number of elderly who managed 12 people. The case management result of psychiatric nursing  specialists showed that the reduction of signs and symptoms of chronic confusion, and increasing the ability of elderly’s dementia to cope chronic confusion. Recommended final outcome of this scientific work is expected to implement nursing therapy generalist and specialist (Reminiscence Therapy and FPE) to elderly care with chronic confusion. Keywords: Dementia, FPE, chronic confusion, adaptation Roy Model, elderly.
Family Psychoeducation in Improving Problem Solving Skills in Family with Drugs Abusers Family Members Robby Prihadi Aulia Erlando; Novy Helena Catharina Daulima
Jurnal Ilmu Keperawatan Jiwa Vol. 3 No. 3 (2020): Agustus 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikj.v3i3.549

Abstract

The family is a system that interacts between members to achieve common goals. This interaction is needed to help family members who have health problems such as drug abuse. This recovery process is felt not only by clients who experience illness, but also caregivers who play a role in helping recovery so that not a few caregivers felt stress with conditions like this. Providing information related to the client's illness and how to take care of health has been provided after the client returns from treatment at the rehabilitation agency. The next treatment is done at home, this will affect the lifestyle of family members who are at home and can cause psychosocial problems for caregivers. Family psychoeducation is expected to be able to overcome problems with the client as well as the caregiver during the recovery process is done and improve the ability of families to solve problems. The method in this writing is the study of literature by selecting from several electronic journals The results showed that psychoeducation can increase the ability of caregivers and reduce the burden experienced by caregivers.
Application of Acceptance Commitment Therapy in Schizoaffective Patients with Hallucinations and Self-Care Deficits Yanuar Fahrizal; Novy Helena Chatarina Daulima; Mustikasari Mustikasari
Jurnal Ilmu Keperawatan Jiwa Vol. 4 No. 1 (2021): Februari 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikj.v4i1.878

Abstract

Schizophrenia is the most widely treated psychotic disorders in mental hospitals. The prevalence of the schizoaffective disorder is difficult to determine precisely because of the limited data available. Schizoaffective disorder has positive symptoms include hallucinations and negative symptoms include self-care deficits. Interventions that can be used to resolve hallucination problems and self-care deficits, among other acceptance commitment therapy that are part of behavioral therapy. This study aims to describe cases of treatment hallucinations and self-care deficits in schizoaffective patients using acceptance commitment therapy. This study is a case report using a descriptive observational design on one patient. In this study, patients were medically diagnosed schizoaffective with nursing problems, sensory perception disorders, and self-care deficits. Patients receive treatment in the form of acceptance commitment therapy for four sessions. There was a decrease in hallucinations and self-care deficit symptoms after acceptance commitment therapy was given. Acceptance commitment therapy can reduce symptoms of sensory perception disorder hallucinations and self-care deficits in schizoaffective patient.
Efektifitas Terapi Kognitif, Psikoedukasi Keluarga Dan Terapi Kelompok Suportif Pada Klien Dengan Ketidakberdayaan Melalui Pendekatan Model Transisional Meleis Berlian Nurtyashesti Kusumadewi; Novy Helena Catarina Daulima; Ice Yulia Wardani
Jurnal Kesehatan Vol 7, No 1 (2018)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.995 KB) | DOI: 10.46815/jkanwvol8.v7i1.85

Abstract

Gangguan mental emosional dapat terjadi pada individu yang mengalami kondisi kesehatan yang kronis. Pasien yang sedang menjalani pengobatan medis ditemukan 25% diantaranya mengalami depresi dengan berbagai variasinya. Proses penyakit yang melemahkan juga merupakan hal yang berperan menyebabkan ketidakberdayaan klien dengan penyakit kronis. Ketidakberdayaan dan gejala depresi menunjukkan hubungan yang signifikan dan positif dengan ide untuk bunuh diri. Hasil pemberian tindakan keperawatan ners, terapi kognitif, psikoedukasi keluarga dan terapi suportif dapat menurunkan tanda gejala dan meningkatkan kemampuan klien penyakit kronis dengan ketidakberdayaan beserta keluarganya. Perlunya optimalisasi dan pengembangan pelayanan kesehatan jiwa kepada klien dengan masalah psikososial terkhusus klien dengan ketidakberdayaan di tatanan pelayanan puskesmas.Kata kunci: penyakit kronis; pelaku rawat; dukungan keluarga; dukungan sosial; depresi
Hubungan Antara Dukungan Keluarga Dan Kepatuhan Minum Obat Dengan Kekambuhan Klien Gangguan Jiwa Berat Alber Tanjung; Novy CD Helena; Dewi Eka Putri
Jurnal Keperawatan Abdurrab Vol 4 No 2 (2021): Vol 4 No 2 Januari 2021
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jka.v0i2.1560

Abstract

ABSTRAC National prevalence of severe mental disorder is 1,7 per mil meaning 1-2 person in 1000 resident suffered from severe mental disorder. The highest prevalence is in Daerah Istimewa Yogyakarta and Aceh (0,27%). Prevalence of severe mental disorder in West Sumatera is (0,19%). This study was aimed to get an overview of relationship between family support and medication compliance with clients recurrence in severe mental disorder. Analytical design with cross sectional with the number of respondents 184 clients of severe mental disorder and family in Mental Care Unit A RSJ. Prof. Dr. HB. Saanin Padang. Samples in this study were taken with purposive sampling technique. Data were collected through questionnaires of family support and medication compliance. Research shows that there are significant difference between family support with high recurrence and low recurrence (p <0.05), no significant difference between medication compliance with high recurrence and low recurrence (p <0.05), Results of this study are expected to be contribution for nurses and related institutions in order to advise the family to oversee the client to take medication on a regular basis so that recurrence can be prevented, providing related penkes on taking medication and home settings visite. Keywords: family support, medication compliance, reccurence clients of severe mental disorder ABSTRAK Prevalensi gangguan jiwa berat secara Nasional 1,7 per mil yang berarti 1-2 orang dalam 1000 penduduk mengalami gangguan jiwa berat. Prevalensi gangguan jiwa berat tertinggi di Daerah Istimewa Jogjakarta dan Aceh (0.27 %), sedangkan prevalensi gangguan jiwa berat di Sumatera Barat mencapai (0.19%) . Penelitian ini bertujuan untuk mendapatkan gambaran tentang hubungan antara dukungan keluarga dan kepatuhan minum obat dengan kekambuhan pada klien gangguan jiwa berat. Desain Analitik dengan pendekatan potong lintang (Cross sectional) dengan jumlah responden 184 orang klien gangguan jiwa berat dan keluarga di Unit Pelayanan Jiwa A RSJ. Prof. Dr. HB. Saanin Padang. Pengambilan sampel dalam penelitian ini dengan teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner dukungan keluarga dan kepatuhan minum obat. Hasil Penelitian menunjukkan bahwa ada perbedaan yang signifikan antara dukungan keluarga dengan kekambuhan tinggi dan kekambuhan rendah dengan nilai (p<0,05), ada perbedaan yang signifikan antara kepatuhan minum obat dengan kekambuhan tinggi dan kekambuhan rendah dengan nilai (p<0,05). Hasil penelitian ini diharapkan menjadi masukkkan bagi perawat dan intansi terkait agar menganjurkan kepada keluarga untuk mengawasi klien untuk minum obat secara teratur agar kekambuhan dapat di cegah,memberikan penkes terkait pengaturan minum obat dan home visite. Kata kunci : dukungan keluarga, kepatuhan minum obat, kekambuhan klien gangguan jiwa berat.
Menurunkan Kecemasan Anak Usia Sekolah Selama Hospitalisasi Dengan Terapi Bermain All Tangled Up Syisnawati Syarif; Novy Helena; Agus Setiawan
Journal of Islamic Nursing Vol 1 No 1 (2016): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.938 KB) | DOI: 10.24252/join.v1i1.3514

Abstract

Abstrak Salah satu terapi yang digunakan untuk  menurunkan kecemasan pada anak usia sekolah selama hospitalisasi adalah dengan melakukan terapi bermain all tangled up. Penelitian ini bertujuan mengetahui pengaruh terapi bermain terhadap kecemasan anak usia sekolah selama hospitalisasi di RSUD Syekh Yusuf Kabupaten Gowa Propinsi Sulawesi Selatan. Desain penelitian quasi experimental pre-post test with control group. Sampel berjumlah 68 orang yang meliputi 34 orang kelompok intervensi dan 34 orang kelompok kontrol. Hasil penelitian menunjukkan penurunan skor tingkat kecemasan pada anak usia sekolah  lebih tinggi pada kelompok intervensi dibandingkan kelompok kontrol (p value<0.05). Terapi bermain  all tangled up direkomendasikan diterapkan sebagai terapi keperawatan merawat klien anak usia sekolah yang mengalami kecemasan selama hospitalisasi. 
Increased The Adolescent Self-Identity Using The Peplau-Erickson-Stuart Model Eni Hidayati; Novy Helena Catharina Daulima; Ice Yulia Wardani
South East Asia Nursing Research Vol 1, No 3 (2019)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.1.3.2019.128-136

Abstract

Without proper stimulation, self-identity formation in adolescents may lead to inferiority, and further to the mental health problem. It is important to give positive stimulation for adolescents and psychoeducation for the family properly and effectively to improve adolescence identity development. As we know, adolescence is a period of age which is considered to be problematic and crucial for them to set their remarkable foundation regarding the interaction with the surrounding people and environment. This research was aimed to find out the result of therapeutic group therapy for adolescent and family psychoeducation toward the improvement of adolescence development. A case report was used as the method of the research, in which 5 clients were given health education care according to the problem faced by the family during the adolescence development stimulation. The special therapy given was the adolescence therapeutic group therapy and family psychoeducation. The result of therapeutic group therapy is the ability to improve family and adolescence self-identity development within the 10 aspects of adolescence stage; biological, psychosexual, cognitive, language, moral, spiritual, emotional, psychosocial, talent, and creativity. The result of the research was expected to be an input for the Department of Health, especially for the administrator of the community health program in dealing with adolescence mental problems. The research is also expected to be the evidence-based practice in the community of mental health nursing.
Makna Kehidupan Pasien Kusta Yang Telah Dinyatakan Sembuh Sri Endriyani; Achir Yani S Hamid; Novy Helena C.D
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 1 No 12 (2013): Jurnal Kesehatan
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v1i12.523

Abstract

Kusta merupakan penyakit infeksi kronis yang berdampak terjadinya kecacatan dan keterbatasan. Kondisi ini menimbulkan berbagai masalah psikososial yang dirasakan pasien. Pasien kusta yang telah dinyatakan sembuh tidak dapat lagi kembali berkumpul bersama keluarga. Stigma yang berkembangdi masyarakat meyakinibahwa penyakit kusta sangat menular dan tidak dapat disembuhkan.Mereka harus mengalami penolakan dari masyarakat. Pasien kusta yang telah dinyatakan sembuh harus menjalani hari-hari di rumah sakit tanpa mendapatkan perhatian dan kasih sayang dari keluarga.Tujuan penelitian ini untuk mendapatkan gambaran secara mendalam makna kehidupan pasien kusta yang telah dinyatakan sembuh. Metode penelitian kualitatif deskriptif fenomenologi terhadap 8 orang partisipan. Hasil penelitian didapatkan delapan tema, yaitu : penolakan masyarakat, merasa tidak berarti, penggunaan aspek spiritual danm emosi dalam menghadapi masalah, kehilangan sumber kebahagiaan, dukungan keluarga untuk bertahan hidup, penghargaan terhadap hidup yang diberikan Tuhan dan kebahagiaan dalam kebersamaan. Penelitian ini menyarankan dikembangkannya standar asuhan keperawatan psikososial bagi pasien kusta.