Reducing the Violent Behavior in Schizophrenia Patient Through Online Clinical Practice During the Covid-19 Pandemic

Dhaifina Dini Ghassani Rizki, Ice Yulia Wardani

Abstract


Online clinical practice is an alternative in providing mental health services during the COVID-19 pandemic. Online clinical practice is useful in preventing relapse that is at risk of occurring during a pandemic in people with serious mental disorders such as schizophrenia. One of the schizophrenia relapse symptoms is a change in behavior that is distorted so that it creates a risk of violent behavior. Violence is a maladaptive response indicated by injuring oneself, others, or the environment. The patient’s ability to control violent behavior can be used as a means of preventing violent behavior. Nursing interventions based on mental health nursing care standards are carried out to prevent or control violent behavior in patient. The purpose of providing nursing care is to reduce symptoms and increase the patient’s ability to control violent behavior. The research method used case study analysis. The instrument used was an evaluation sheet of symptoms and the ability to control violent behavior. The final evaluation of the nursing care provided showed a decrease in symptoms and an increase in patient’s ability to control violent behavior. Promotion and prevention of health problems in patient with a risk of violent behavior can be done by implementing online nursing care based on mental health nursing care standards, as well as collaborating with clinical nurse specialist and related communities.


Keywords


ability to control violent behavior; mental health nursing care standards; risk of violence; schizophrenia; symptoms of violent behavior

Full Text:

PDF

References


Awaludin, I. (2016). Upaya Peningkatan Kemampuan Mengontrol Emosi Dengan Cara Fisik Pada Klien Resiko Perilaku Kekerasan Di Rsjd Dr. Arif Zainudin Surakarta.

Berman, A., Synder, S., & Frandsen, G. (2016). Kozier & Erb’s Fundamentals of Nursing Concept, Process, and Practice (10th ed.). Pearson Education, Inc.

Fahrizal, Y., Mustikasari, M., & Daulima, N. H. C. (2020). 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. Jurnal Keperawatan Indonesia, 23(1), 1–14. https://doi.org/10.7454/jki.v23i1.598

Fazel, S., Gulati, G., Linsell, L., Geddes, J. R., & Grann, M. (2009). Schizophrenia and violence: Systematic review and meta-analysis. In J. McGrath (Ed.), PLoS Medicine (Vol. 6, Issue 8, p. e1000120). Public Library of Science. https://doi.org/10.1371/journal.pmed.1000120

Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C. (2020). Video Consultations for COVID-19. BMJ, 368. https://doi.org/10.1136/bmj.m998

Hollander, J. E., & Carr, B. G. (2020). Virtually Perfect? Telemedicine for COVID-19. New England Journal of Medicine, 382(18), 1679–1681. https://doi.org/10.1056/NEJMp2003539

Jaji, J. (2010). Hubungan Faktor Sosial dan Spiritual dengan Risiko Penyalahgunaan Napza pada Remaja SMP dan SMA di Kota Palembang. Jurnal Pembangunan Manusia. http://eprints.unsri.ac.id/752/

Keliat, B. A., Hamid, A. Y., Putri, Y. S. E., Daulima, N. H. C., Wardani, I. Y., Hargiana, G., & Panjaitan, R. U. (2019). Asuhan keperawatan Jiwa. EGC.

Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar. Riskesdas 2018.

Kementerian Kesehatan RI. (2020, April 30). Cegah Penyebaran Covid-19, Pelayanan Kesehatan Dilakukan Melalui Telemedicine.https://www.kemkes.go.id/article/view/20043000002/cegah-penyebaran-covid-19-pelayanan-kesehatan-dilakukan-melalui-telemedicine.html

Komala, E. P. E., Keliat, B. A., & Wardani, I. Y. (2016). Efektivitas Program Edukasi Pasien, Terapi Penerimaan Komitmen, Psikoedukasi Keluarga terhadap Insight, Tanda Gejala serta Kemampuan Mengontrol Perilaku Kekerasan. Universitas Indonesia.

Kozloff, N., Mulsant, B. H., Stergiopoulos, V., & Voineskos, A. N. (2020). The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders. Schizophrenia Bulletin, 46(4), 752–757. https://doi.org/10.1093/schbul/sbaa051

Lehrer, D. S., & Lorenz, J. (2014). Anosognosia in schizophrenia: Hidden in plain sight. Innovations in Clinical Neuroscience, 11(5–6), 10–17. /pmc/articles/PMC4140620/?report=abstract

Mcdaid, D., & Park, A.-L. (2011). Investing in mental health and well-being: findings from the DataPrev project. Oxford University Press. https://doi.org/10.1093/heapro/dar059

Organization, W. H. (2019). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

Pasaribu, J., & Hasibuan, R. (2019). Kepatuhan Minum Obat Mempengaruhi Relaps Pasien Skizofrenia. Jurnal Keperawatan Jiwa, 7(1), 39. https://doi.org/10.26714/jkj.7.1.2019.39-46

Pertiwi, N. Y. (2019). Penerapan Latihan Fisik Tarik Napas Dalam Dan Teknik Pukul Bantal Terhadap Penurunan Tanda Gejala Kognitif Pada Klien Early Psychosis. Universitas Indonesia.

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamental of Nursing (8th ed.). Elsevier.

Pribadi, T., & Djamaludin, D. (2019). Terapi psikoreligi terhadap penurunan perilaku kekerasan pada pasien Skizofrenia di ruang rawat inap Rumah Sakit Jiwa Daerah Provinsi Lampung. 13(4), 373–380.

Puspitasari, A. Y. (2012). Analisis Efektifitas Pemberian Booklet Obat Terhadap Tingkat Kepatuhan Ditinjau Dari Kadar Hemoglobin Terglikasi(HbA1c) dan Morisky Medication Adherence Scale (MMAS)-8 Pada Pasien DM Tipe 2 Di Puskesmas Bakti Jaya Kota Depok. Universitas Indonesia.

Ritchie, H., & Roser, M. (2020). Mental Health. OurWorldInData.Org. https://ourworldindata.org/mental-health

Setiawan, H., Keliat, B. A., & Wardani, I. Y. (2015). Tanda Gejala dan Kemampuan Mengontrol Perilaku Kekerasan dengan Terapi Musik dan Rational Emotive Cognitive Behavior Therapy. Jurnal Ners, 10(2), 233–241.

Stuart, G. W. (2016). Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart (B. A. Keliat & J. Pasaribu (eds.); 1st ed.). Elsevier.

Swanson, J. W., Swartz, M. S., Van Dorn, R. A., Elbogen, E. B., Wagner, H. R., Rosenheck, R. A., Stroup, T. S., McEvoy, J. P., & Lieberman, J. A. (2006). A national study of violent behavior in persons with schizophrenia. Archives of General Psychiatry, 63(5), 490–499. https://doi.org/10.1001/archpsyc.63.5.490

Swearingen, P. L. (2016). All-in-one nursing care planning resource: medical-surgical, pediatric, maternity, and psychiatric-mental health (4th editio). Elsevier.

Townsend, M. C. (2014). Psychiatric mental health nursing: Concepts of care in evidence- based practice. F.A Davis Company.

Upthegrove, R., Marwaha, S., & Birchwood, M. (2017). Depression and Schizophrenia: Cause, Consequence, or Trans-diagnostic Issue? Schizophrenia Bulletin, 43(2), 240–244. https://doi.org/10.1093/schbul/sbw097

Videbeck, S. L. (2020). Psychiatric mental health nursing (8th editio). Lippincott Williams & Wilkins.

Wardani, I. Y., Hamid, A. Y. S., Wiarsih, W., & Susanti, H. (2012). Dukungan Keluarga: Faktor Penyebab Ketidakpatuhan Klien Skizofrenia Menjalani Pengobatan. Jurnal Keperawatan Indonesia, 15(1), 1–6. https://doi.org/10.7454/jki.v15i1.40

Wehring, H. J., & Carpenter, W. T. (2011). Violence and Schizophrenia. Schizophrenia Bulletin, 37(5), 877–878. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160236/

Yusuf, A. ., & Fitryasari. (2015). Buku Ajar Keperawatan Kesehatan Jiwa. Buku Ajar Keperawatan Kesehatan Jiwa, 1–366. https://doi.org/ISBN 978-xxx-xxx-xx-x


Article Metrics

Abstract view : 401 times
PDF - 37 times

DOI: https://doi.org/10.26714/jkj.8.4.2020.369-382

Refbacks

  • There are currently no refbacks.


 

View My Stats

Faculty of Nursing and Health Sciences | University of Muhammadiyah Semarang

Jl. Kedungmundu Raya No. 18 Semarang Gedung NRC University of Muhammadiyah Semarang

Phone: 02476740287

Fax: 02476740287
Email: jurkep.jiwa@gmail.com

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.