Mustikasari Mustikasari
Faculty of Nursing Universitas Indonesia

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Relaksasi Otot Progresif Menurunkan Stres Keluarga yang Merawat Pasien Gangguan Jiwa Livana PH; Novy Helena Catharina Daulima; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.362

Abstract

Abstrak Gangguan jiwa merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat, baik didunia maupun di Indonesia. Jumlah gangguan jiwa di kabupaten Kendal meningkat sehingga meningkatnya stres pada keluarga. Penelitian bertujuan untuk menilai efektifitas relaksasi otot progresif dalam menurunkan stres keluarga yang merawat pasien gangguan jiwa. Desain penilitian quasi eksperiment pre-post test with control group dengan 96 sampel secara purposive sampling, 48 kelompok intervensi dan 48 kelompok kontrol. Hasil penelitian relaksasi otot progresif sangat efektif menurunkan stres keluarga yang merawat pasien gangguan jiwa dibanding kelompok yang tidak mendapatkan perlakuan (p= 0,001).  Rekomendasi penelitian relaksasi otot progresif diberikan pada keluarga pasien gangguan jiwa untuk mengatasi stres keluarga dalam merawat pasien gangguan jiwa.  Abstract Effect of progressive muscle relaxation to the level of family stress in caring for clients of mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Mental disorders are not contagious disease that is public health problem, both in the world and in Indonesia. In kendalthe number of mental disorders increase so increasing the level of family stress. The purpose of this study to identify the effect of progressive muscle relaxation on the level of family stress in caring for clients of  mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Quasi experiments research design pre-post test with control group with 96 sampelsby purposive sampling,48groups received therapyand 48 groups did not receive therapy. The results showed that a progressive muscle relaxation exercise significant difference between the stress levels in the group who received and did not receive therapy (p= 0.001).  Tthis research did recommendated to families who are clients of mental disorders as aprimary care giver stress levels of families cope with caring  for clients in mental disorders with progressive muscle relaxation therapy.Keywords: progressive muscle relaxation, stress, client family mental disorder
Changes in The Signs, Symptoms, and Anger Management of Patients with A Risk of Violent Behavior After Receiving Assertive Training and Family Psychoeducation Using Roy’s Theoretical Approach: A Case Report Yanuar Fahrizal; Mustikasari Mustikasari; Novy Helena Catharina Daulima
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.598

Abstract

Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre–posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient’s ability to overcome the risk of violent behavior. The application of Roy’s adaptation theory and Stuart’s stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior. Abstrak Perubahan Tanda, Gejala, dan Manajemen Marah pada Pasien dengan Risiko Perilaku Kekerasan Setelah Menerima Pelatihan Asertif dan Psikoedukasi Keluarga Menggunakan Pendekatan Teori Roy: Studi Kasus. Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis (mengontrol marah dengan cara fisik, minum obat teratur, cara verbal dan cara spiritual) dan tindakan keperawatan spesialis (latihan asertif dan psikoedukasi keluarga). Laporan kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan yang diberikan adalah tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dengan menggunakan pendekatan teori adaptasi Roy dan adaptasi stress Stuart. Tindakan keperawatan dilakukan secara berurutan/ bertahap dimulai dengan tindakan keperawatan generalis kemudian dilanjutkan dengan tindakan keperawatan ners spesialis. Metode yang digunakan adalah pre-posttest dimana setiap pasien mendapatkan tindakan generalis serta tindakan ners spesialis latihan asertif dan psikoedukasi keluarga yang masing-masing terdiri dari 5 sesi. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Penggunaan pendekatan teori adaptasi Roy dan teori adaptasi stress Stuart berpotensi sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan. Kata Kunci: latihan asertif, psikoedukasi keluarga, risiko perilaku kekerasan, skizofrenia