Penerapan Terapi Spesialis Assertiveness Training pada Klien dengan Risiko Perilaku Kekerasan Menggunakan Pendekatan Teori Adaptasi Roy: Laporan Kasus

Nanang Khosim Azhari(1*), Achir Yani Syuhaimie Hamid(2), Ice Yulia Wardani(3)


(1) Fakultas Ilmu Keperawatan Universitas Indonesia
(2) Fakultas Ilmu Keperawatan Universitas Indonesia
(3) Fakultas Ilmu Keperawatan Universitas Indonesia
(*) Corresponding Author

Abstract


Perilaku kekerasan merupakan respons terhadap stressor yang ditunjukkan dengan perilaku mencederai diri sendiri, merusak lingkungan, dan mencederai orang lain, baik dilakukan secara verbal maupun dalam bentuk perilaku. Perilaku kekerasan dapat menimbulkan berbagai macam dampak seperti peningkatan biaya perawatan, sehingga perlu segera ditangani. Salah satu tindakan keperaatan yang dapat digunakan untuk klien dengan risiko perilaku kekerasan adalah Assertivenesss Training (AT). Penulisan karya ilmiah ini bertujuan untuk menggambarkan hasil tindakan Assertivenesss Training (AT) pada klien risiko perilaku kekerasan. Metode yang digunakan yaitu laporan kasus. Analisis dilakukan dengan cara mengukur tanda gejala dan kemampuan sebelum dan sesudah diberikan tindakan keperawatan AT pada 4 pasien risiko perilaku kekerasan. Hasil pemberian terapi AT menunjukkan terjadi penurunan tanda gejala risiko perilaku kekerasan dan peningkatan kemampuan pasien, namun pada umumnya pasien masih meninggalkan 1 tanda gejala. Dapat disimpulkan pemberian terapi AT ini bermanfaat untuk menurunkan tanda gejala dan meningkatkan kemampuan klien risiko perilaku kekerasan.

 


Keywords


adaptasi roy; assertivenesss training; risiko perilaku kekerasan

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References


Alligood, M. R., & Marriner-Tomey, A. (2010). Nursing Theorists and Their Work. Mosby/Elsevier. https://books.google.co.id/books?id=WdRkPwAACAAJ

Eslami, A. A., Rabiei, L., Afzali, S. M., Hamidizadeh, S., & Masoudi, R. (2016). The Effectiveness of Assertiveness Training on the Levels of Stress, Anxiety, and Depression of High School Students. Iranian Red Crescent Medical Journal, 18(1), e21096–e21096. https://doi.org/10.5812/ircmj.21096

Evans, K., Nizette, D., & O’Brien, A. (2016). Psychiatric & Mental Health Nursing. Elsevier Health Sciences. https://books.google.co.id/books?id=MQFHDQAAQBAJ

Fledderus, M., Bohlmeijer, E. T., Fox, J.-P., Schreurs, K. M. G., & Spinhoven, P. (2013). The role of psychological flexibility in a self-help acceptance and commitment therapy intervention for psychological distress in a randomized controlled trial. Behaviour Research and Therapy, 51(3), 142–151. https://doi.org/https://doi.org/10.1016/j.brat.2012.11.007

Justo, A., Risso, A., Moskowitz, A., & Gonzalez, A. (2018). Schizophrenia and dissociation: Its relation with severity, self-esteem and awareness of illness. Schizophrenia Research, 197, 170–175. https://doi.org/https://doi.org/10.1016/j.schres.2018.02.029

Kamrul Hassan, M., Inamul Islam, M., Hossain Muhammad Kazi Mostofa Kamal, A., & Julfikkar Alam, M. (2020). Factors Associated with Relapse of Schizophrenia in Bangladesh. American Journal of Psychiatry and Neuroscience, 8(3), 64. https://doi.org/10.11648/j.ajpn.20200803.14

Kandar, K., & Iswanti, D. I. (2019). Faktor Predisposisi dan Prestipitasi Pasien Resiko Perilaku Kekerasan. Jurnal Ilmu Keperawatan Jiwa, 2(3), 149. https://doi.org/10.32584/jikj.v2i3.226

Keliat, B. A. (2006). Peran Serta Keluarga Dalam Perawatan Klien Gangguan Jiwa. ECG.

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

Kementerian Kesehatan RI. (2019). Situasi Kesehatan Jiwa DI Indonesia. In InfoDATIN (p. 12).

Khatijah lim, Y. A. (2020). Faktor-Faktor Kekambuhan pada Klien Skizofrenia. 5(June 2016), 321–330.

Krause, M., Huhn, M., Schneider-Thoma, J., Bighelli, I., Gutsmiedl, K., & Leucht, S. (2019). Efficacy, acceptability and tolerability of antipsychotics in patients with schizophrenia and comorbid substance use. A systematic review and meta-analysis. European Neuropsychopharmacology, 29(1), 32–45. https://doi.org/https://doi.org/10.1016/j.euroneuro.2018.11.1105

Larøi, F., Thomas, N., Aleman, A., Fernyhough, C., Wilkinson, S., Deamer, F., & McCarthy-Jones, S. (2019). The ice in voices: Understanding negative content in auditory-verbal hallucinations. Clinical Psychology Review, 67, 1–10. https://doi.org/https://doi.org/10.1016/j.cpr.2018.11.001

Nihayati, H. E., Yusuf, A., & Fitryasari, R. (2020). Assertive Training : Role Playing on Ability Controlling Aggressive Behavior of people with Skizofrenia in Community. International Journal of Psychosocial Rehabilitation, 24(9), 786–794.

Rahayu, S., Mustikasari, M., & Daulima, N. H. . (2019). Perubahan Tanda Gejala dan Kemampuan Pasien Harga Diri Rendah Kronis Setelah Latihan Terapi Kognitif dan Psikoedukasi Keluarga. Journal Educational of Nursing(Jen), 2(1), 39–51. https://doi.org/10.37430/jen.v2i1.10

Rinawati, F., & Alimansur, M. (2016). Analisa Faktor-Faktor Penyebab Gangguan Jiwa Menggunakan Pendekatan Model Adaptasi Stres Stuart. Jurnal Ilmu Kesehatan, 5(1), 34. https://doi.org/10.32831/jik.v5i1.112

Riskesdas, K. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201

Roy, C., & Andrews, H. (2008). The Roy Adaptation Model. Pearson Prentice Hall. https://books.google.co.id/books?id=-_IbAAAACAAJ

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Kaplan & Sadock’s Concise Textbook of Clinical Psychiatry. Wolters Kluwer. https://books.google.co.id/books?id=7psUDAEACAAJ

Samura, M. D., & Tellen, T. M. (2019). Analisa Faktor Yang Mempengaruhi Kekambuhan Pasien Gangguan Jiwa Dengan Model Stres Adaptasi Stuart Di Rumah Sakit Jiwa Dan Ketergantungan Obat Sembada Medan. Jurnal Kesehatan Masyarakat & Gizi (Jkg), 1(2), 63–69. https://doi.org/10.35451/jkg.v1i2.138

Scott, J. G., Matuschka, L., Niemelä, S., Miettunen, J., Emmerson, B., & Mustonen, A. (2018). Evidence of a Causal Relationship Between Smoking Tobacco and Schizophrenia Spectrum Disorders. Frontiers in Psychiatry, 9, 607. https://doi.org/10.3389/fpsyt.2018.00607

Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2020). Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: a systematic review and meta-analysis. Systematic Reviews, 9(1), 17. https://doi.org/10.1186/s13643-020-1274-3

Shafie, S., Samari, E., Jeyagurunathan, A., Abdin, E., Chang, S., Chong, S. A., & Subramaniam, M. (2021). Gender difference in quality of life (QoL) among outpatients with schizophrenia in a tertiary care setting. BMC Psychiatry, 21(1), 61. https://doi.org/10.1186/s12888-021-03051-2

Sodikin, M. A., Titin Andri Wihastuti, Supriati, & Lilik. (2015). Pengaruhlatihan Aasertif Dalam Memperpendek Fase Intensif dan Menurunkan Gejala Perilaku Kekerasan di Ruang Intensive Psychiatric Care Unit ( IPCU ) RSJ. Dr. Radjiman Wediodiningrat Lawang. Jurnal Ilmu Keperawatan, 3(2), 2.

Sovitriana, R. (2019). Dinamika Psikologis Kasus Penderita Skizofrenia. Uwais Inspirasi Indonesia. https://books.google.co.id/books?id=sYKGDwAAQBAJ

Stuart, G. W., Keliat, B. A., & Pasaribu, J. (2016). Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart. Elsevier Ltd.

Townsend, M. C. (2010). Nursing Diagnoses in Psychiatric Nursing: Care Plans and Psychotropic Medications. F.A. Davis Company. https://books.google.co.id/books?id=SXD2AAAAQBAJ

Ustun, G., & Kucuk, L. (2020). The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level. Perspectives in Psychiatric Care, 56(2), 297–307. https://doi.org/10.1111/ppc.12427

Van Dorn, R., Volavka, J., & Johnson, N. (2012). Mental disorder and violence: is there a relationship beyond substance use? Social Psychiatry and Psychiatric Epidemiology, 47(3), 487–503. https://doi.org/10.1007/s00127-011-0356-x

Yoseph, I., Sri Puspowati, N. L. N., & Sriati, A. (2009). Pengalaman Traumatik Penyebab Gangguan Jiwa (Skizofrenia) Pasien di Rumah Sakit Jiwa Cimahi. Majalah Kedokteran Bandung, 41(4), 194–200. https://doi.org/10.15395/mkb.v41n4.253

Yu, Y.-H., Peng, M.-M., Bai, X., Luo, W., Yang, X., Li, J., Liu, B., Thornicroft, G., Chan, C. L. W., & Ran, M.-S. (2020). Schizophrenia, social support, caregiving burden and household poverty in rural China. Social Psychiatry and Psychiatric Epidemiology, 55(12), 1571–1580. https://doi.org/10.1007/s00127-020-01864-2


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DOI: https://doi.org/10.26714/jkj.9.3.2021.675-684

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