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APLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARAN Erviana, Irma; Hargiana, Giur
Jurnal Riset Kesehatan Nasional Vol 2, No 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (775.295 KB) | DOI: 10.37294/jrkn.v2i2.106

Abstract

Hallucinations are the most common problems in nursing diagnoses of mental disordes. Hallucinations are the distortions of false perceptions that occur in maladaptive neurobiological responses. Hallucinations usually appear in patients with mental disorders the result of the change in reality orientation, patients feel the stimulation that actually does not exist. In this profession program the author has the opportunity to manage directly, by providing nursing care and analyzing the final results that will be documented in the form of final scientific work ners. The care of nursing for a client a of sensory perception disorder: sight and hearing hallucinations that is a symptom of an early  psychosis, the majority of this case which happened in the end of adolescenceor early adulthood , confuse is the role which have affect to the fragile personality disorder so that there is the disorder of self-concept and pulling themselves from a social environment that gradually get the teenager become too deep in fantasy and cause the emergence of hallucinations. The nursing process is performed based on generalist nursing care standard for 9 days of hospitalization, Started from the date of 2 and 10 of May 2018. Theobtained results are the main nursing problems which is  perception sensory disorder: hallucinations.The Implementations that focus on controlling hallucinatory efforts by rebuking and also modalities of therapy: psychoreligious. The nursing order that is provided give good results to the clients on the mark by no longer hearing the voices that often mock clients and the diminishing intensity of dajjal’s presence that be seen by the clients.
Faktor-Faktor yang Berkonstribusi terhadap Stigma Dimasa Pandemi Covid-19 Naedi Naedi; Novy Helena Chatarina Daulima; Giur Hargiana
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 9, No 4 (2021): November 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.9.4.2021.893-900

Abstract

Pandemi Covid-19 yang melanda berbagai negara di dunia termasuk Indonesia merupakan masalah kesehatan global. Situasi pandemi yang masih berlangsung dan belum dapat diprediksi secara pasti kapan akan berakhir banyak menimbulkan berbagai dampak dalam kehidupan sosial masyarakat.  Salah satu dampak yang masih sering dirasakan adalah stigma pada orang-orang yang terkonfirmasi Covid-19. Penulis melakukan kajian literatur dengan pendekatan sederhana terhadap 11 artikel tentang stigma pada penderita Covid-19 dalam periode 2019-2021. Kata kunci yang digunakan dalam penelusuran artikel yaitu “stigma in Covid-19”, “causes of stigma”, “stigma factor in Covid-19”. dengan kriteria inklusi artikel tentang faktor penyebab terjadinya stigma pada penderita Covid-19. Adapun tujuan dari penulisan ini untuk mendapatkan gambaran tentang faktor yang dapat menyebabkan terjadinya stigma terhadap orang yang terkonfirmasi Covid-19. Hasil yang didapatkan adalah tingkat pengetahuan dapat mempengaruhi persepsi, dan penyebaran informasi yang tidak kredibel memicu munculnya stigmatisasi. Tindakan pencegahan stigma terhadap orang yang terkonfirmasi Covid-19 dapat dilakukan melalui pemberian edukasi berupa penyampaian informasi secara benar dan tidak menyebarkan berita bohong atau hoax, serta pemberian dukungan penguatan mental yang dapat dilakukan oleh sesama anggota keluarga.  
Application of Family Psychoeducation to Client Psychosocial Disorder Anxiety and Body Image Due Hasmira Hasmira; Budi Anna Keliat; Giur Hargiana
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 4 (2020): November 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.4.2020.485-490

Abstract

Diabetes mellitus is a metabolic disease that is becoming poses a threat to global health and requires special attention. The prevalence of Diabetes mellitus has increased significantly throughout the world in the last 10 years. Indonesia ranks sixth among people with diabetes worldwide. Anxiety and body image are of the psychosocial effects given from Diabetes mellitus. Anxiety and body image can affect the client’s diet, causing changes in nutrition. Through case report by providing family psychoeducation therapy in the form of stress management that can reduce and even overcome anxiety and body image is very useful for clients and families to reduce the risk of body image for clients who experience nutritional imbalances and family body image that treats clients with Diabetes mellitus. This study aims help to overcome anxiety and body image disorders in diabetes mellitus clients so that diabetes mellitus clients have a good appetite. In addition, families are also able to cope with stress in treating diabetes mellitus clients. Research using case studies shows that clients already have a good appetite, anxiety and impaired body image can be lowered and the family is able to cope with stress and able to treat clients with diabetes mellitus. Family psychoeducation therapy is very useful in reducing the level of anxiety and disruption of the body image of a diabetes mellitus client in supporting the client’s diet and being able to deal with family stress in caring for a diabetes mellitus client.
The Effect of Cognitive Behavioral Therapy on Heads of Families’ Smoking Behavior and Anxiety Giur Hargiana; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 21, No 2 (2018): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i2.770

Abstract

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety. Keyword: anxiety, smoking behavior, cognitive behavioral therapy Abstrak Pengaruh Cognitive Behavior Therapy Terhadap Perilaku Merokok dan Ansietas pada Kepala Keluarga dengan Perilaku Merokok. Indonesia sebagai penghasil rokok terbesar ke-5 dan memiliki jumlah perokok terbanyak ke-3 di  Dunia, hal tersebut memunculkan masalah secara biologis, psikologis maupun sosial. Tujuan penelitian ini untuk mengetahui pengaruh dari cognitive behavior therapy terhadap perubahan perilaku merokok dan ansietas. Metode penelitian menggunakan desain quasi experiment non-equivalent control group pre-test-post test. Sampel pengambilan secara proporsional random dengan jumlah 80 responden. Pengumpulan data dengan menggunakan kuesioner kemudian responden dilakukan tindakan cognitive behavior therapy dengan lima kali pertemuan.  Hasil penelitian menunjukkan penurunan perilaku merokok dan ansietas secara bermakna (p< 0,05) pada kelompok intervensi. Penurunan perilaku merokok, tingkat ketergantungan nikotin dan ansietas kepala keluarga dengan perilaku merokok yang mendapatkan cognitive behavior therapy lebih besar secara bermakna (p< 0,05) dibandingkan dengan yang tidak mendapatkan cognitive behavior therapy. Penurunan perilaku merokok dan ansietas berhubungan secara bermakna (p< 0,05). Direkomendasikan untuk menerapkan cognitive behavior therapy perokok oleh perawat yang mempunyai kompetensi. Kata Kunci: ansietas, perilaku merokok,cognitive behavior therapy
Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung Muhammad Fadly; Giur Hargiana
Faletehan Health Journal Vol 5 No 2 (2018): Faletehan Health Journal, Juli 2018
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.474 KB) | DOI: 10.33746/fhj.v5i2.14

Abstract

Social isolation is characterized by decline or loss inability to interact with others. This paper aimed to analyze the nursing care of social isolation on Mr. P with schizophrenia paranoid. The nursing care process is based on the standard of generalist nursing care which provided for six days from May 7th throughout 12th 2018 on Mr. P aged 32 years male. Main nursing problem was social isolation. Nursing intervention was emphasized on client’s ability to establish mutual relationship and improve client’s communication skills gradually. Nursing interventions affected client positively as manifested gy decreased signs and symptoms of social isolation on the cognitive, affective, physiological and social aspects, but there had not been a decline in behavioral aspects. Client’s barriers in establishing relationship with nurses were internal factors in which clients had negative judgments about themselves, others and the environment and external factors where clients considered the nurse as a threatening stressor. Nursing care follow-up plans are expected to be maximized for individually, family, group and community.
Manfaat Bercakap-Cakap Dalam Peer Support Pada Klien Dengan Gangguan Sensori Persepsi : Halusinasi Pendengaran Lisa Larasaty; Giur Hargiana
Jurnal Kesehatan Vol 8, No 1 (2019)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.109 KB) | DOI: 10.46815/jkanwvol8.v8i1.36

Abstract

Gangguan sensori persepsi halusinasi merupakan salah satu gejala utama psikotis pada klien dengan skizofrenia. Halusinasi merupakan persepsi sensori yang salah atau pengalaman persepsi yang tidak nyata. Terdapat beberapa faktor yang menyebabkan timbulnya halusinasi diantaranya koping individu tidak efektif, kegagalan dalam menyelesaikan tahap perkembangan sosial, koping keluarga tidak efektif dan  stres yang menumpuk. Tujuan penulisan ini yaitu untuk menganalisis asuhan keperawatan gangguan sensori persepsi halusinasi pendengaran pada Klien H (22 tahun). Proses keperawatan yang dilakukan berdasarkan standar asuhan keperawatan generalis (Ners) yaitu dengan mengajarkan cara mengontrol halusinasi dengan cara menghardik halusinasi, bercakap-cakap, melakukan aktvitas terjadwal, dan minum obat secara teratur. Implementasi yang dilakukan berfokus pada cara mengontrol halusinasi dengan bercakap-cakap yang dilakukan di dalam peer support. Bercakap-cakap dalam peer support menjadi salah satu cara mengontrol halusinasi pendengaran yang efektif, karena mampu mendistraksi dan mengalihkan fokus klien terhadap halusinasi kepada percakapan yang dilakukan dengan orang lain.Kata kunci : Asuhan keperawatan, bercakap-cakap, halusinasi, peer support, skizofrenia
Hubungan Ketergantungan Gawai Dengan Stres Akademik Pada Mahasiswa Keperawatan Giur Hargiana; Tia Sintiawati
Jurnal Kesehatan Vol 9, No 1 (2020)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.352 KB) | DOI: 10.46815/jkanwvol8.v9i1.90

Abstract

Pada perkembangan era digital saat ini istilah kecanduan sudah memiliki perkembangan yang sangat dinamis, bukan hanya kecanduan narkoba namun kecanduan gawai merupakan bentuk kecanduan yang berbahaya dan memiliki efek yang luas dimasyarakat. Generasi Z, merupakan populasi usia dewasa muda saat ini, generasi ini berkembang di era digital, sehingga pembentukan kopingnya pun terpengaruh oleh hal tersebut. Pada usia dewasa muda, biasanya orang sedang dalam fase pendidikan tinggi sebagai mahasiswa, mahasiswa disibukkan oleh berbagai kesibukan baik akademik maupun non akademik. Hal ini membuat mahasiswa rentan mengalami stres. Salah satu stresor yang mahasiswa rasakan selama perkuliahannya yaitu  berkaitan dengan stres akademik. Penelitian ini bertujuan untuk mengidentifikasi gambaran tingkat ketergantungan gawai dan tingkat stres akademik pada mahasiswa di FIK UI dan untuk mencari hubungan keduanya menggunakan kuesioner Academic Stress Scale (ASS) dan Test for Gadget Dependency. Desain penelitian ini adalah cross sectional, teknik sampel menggunakan proportional stratified random sampling dengan melibatkan 229 mahasiswa. Hasil analisis uji statistik chi-square didapatkan  p= 0,000 dan nilai p < a = 0,05 yang berarti terdapat hubungan yang signifikan antara ketergantungan terhadap gawai dengan stres akademik pada mahasiswa. Hasil penelitian ini juga menemukan mahasiswa mengalami stres akademik sedang sebanyak  66,4% dan mahasiswa mengalami ketergantungan terhadap gawai pada kategori sedang sebanyak 69,9%.  Ketergantungan terhadap gawai dan stress akademik memiliki hubungan yang saling memengaruhi, seseorang dengan ketergantungan gawai yang tinggi akan memiliki stress akademik yang tinggi pula dan sebaliknya. Rekomendasi dari penelitian ini mahasiswa perlu aware dengan perilaku dalam menggunakan gawai.Kata kunci: ketergantungan gawai; mahasiswa keperawatan; stres akademik 
APLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARAN Irma Erviana; Giur Hargiana
Jurnal Riset Kesehatan Nasional Vol. 2 No. 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (775.295 KB) | DOI: 10.37294/jrkn.v2i2.106

Abstract

Hallucinations are the most common problems in nursing diagnoses of mental disordes. Hallucinations are the distortions of false perceptions that occur in maladaptive neurobiological responses. Hallucinations usually appear in patients with mental disorders the result of the change in reality orientation, patients feel the stimulation that actually does not exist. In this profession program the author has the opportunity to manage directly, by providing nursing care and analyzing the final results that will be documented in the form of final scientific work ners. The care of nursing for a client a of sensory perception disorder: sight and hearing hallucinations that is a symptom of an early  psychosis, the majority of this case which happened in the end of adolescenceor early adulthood , confuse is the role which have affect to the fragile personality disorder so that there is the disorder of self-concept and pulling themselves from a social environment that gradually get the teenager become too deep in fantasy and cause the emergence of hallucinations. The nursing process is performed based on generalist nursing care standard for 9 days of hospitalization, Started from the date of 2 and 10 of May 2018. Theobtained results are the main nursing problems which is  perception sensory disorder: hallucinations.The Implementations that focus on controlling hallucinatory efforts by rebuking and also modalities of therapy: psychoreligious. The nursing order that is provided give good results to the clients on the mark by no longer hearing the voices that often mock clients and the diminishing intensity of dajjal’s presence that be seen by the clients.
Self-Harm Behavior pada Mahasiswa Keperawatan Ananda Nur Shafira; Giur Hargiana
Jurnal Kesehatan Vol 11 No 2 (2022): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v11i2.83

Abstract

The majority of college students are in the phase of emerging adulthood of human development. In this transition period, the students are susceptible to experiencing psychological instability due to many changes in their lives. Nursing students are presumed to be at risk of high-stress levels because of the high demands, expectations and activities during their study. Therefore, some students struggle to adapt to their college life and choose to avoid their responsibilities or make some dangerous decisions (self-harm behavior) as it is believed to be a form of coping mechanism to release their stress.  This study used a cross sectional approach with the aim of finding the prevalence of self-harm behavior among nursing students. This study involved 236 students from Faculty of Nursing, University of Indonesia with probability proportionate sampling technique. The instrument used is the modified Indonesian version of Self-Harm Behavior Questionnaire (SHBQ). The results showed that nursing students engaged in self-harm behavior, including self-harm (34.3%), suicide attempted (8.1%), suicide threat (7.2%), and suicide ideation (30.5%). The existence of prevalence of self-harm behavior among nursing students is needed to improve prevention and treatment at the university level.
Efek Menulis Ekspresif terhadap Kualitas Hidup pada Pasien Kanker Alvian Harisandy; Allenidekania Allenidekania; Giur Hargiana
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5782

Abstract

This study aims to evaluate the effect of expressive writing on quality of life in cancer patients. Data search methods were through the SpringerLink, Embase, PubMed, Proquest, and Scopus databases; all searches were carried out with complete articles with abstracts, quantitative research, both RCTs and other designs, and a selection of English language articles from 2017 to 2022, all articles were analyzed using assessment quality using JBI tools. The research results showed that 716 participants from 7 studies were analyzed in this systematic review; seven studies used an RCT design, five studies showed that expressive writing significantly improved the quality of life of cancer patients, and two studies were insignificant. In conclusion, explicit writing intervention is feasible and safe as a simple, accessible, inexpensive exercise. It has positive results related to improving the quality of life of cancer patients. Keywords: Expressive Writing, Cancer Patients, Improved Quality of Life