Tingkat Kemandirian Pasien Mengontrol Halusinasi setelah Terapi Aktivitas Kelompok

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Dwi Handayani ◽  
Aat Sriati ◽  
Efri Widianti

Halusinasi merupakan gejala positif yang paling sering dialami oleh pasien dengan gangguan jiwa. Terapi aktivitas kelompok stimulasi persepsi merupakan bagian dari terapi modalitas yang diberikan pada pasien skizofrenia yang mengalami halusinasi dengan tujuan tercapainya kemandirian pasien. Penelitian ini bersifat deskriptif yaitu melihat gambaran tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi. Sebanyak 42 orang menjadi responsden dengan menggunakan teknik consecutive sampling. Proses pengumpulan data menggunakan metode observasi, yang dalam pelaksanaannya peneliti dibantu oleh numerator. Analisis data dengan persentase dan dideskripsikan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan bahwa tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi adalah supportive28,6%, partially 61,9%, dan wholly9,5%. Hasil penelitian didapatkan bahwa sebagian besar tingkat kemandirian pasien adalah partiallysehingga perlu dikembangkan strategi-strategi dalam upaya peningkatan kinerja perawat dalam pelaksanaan tindakan keperawatan sehingga dapat menumbuhkan kemandirian pasien.Kata kunci: Halusinasi, tingkat kemandirian, terapi aktivitas kelompok, stimulasi persepsi AbstractHallucinations are positive symptoms most commontly experienced bypatients with psychiatric disorders. Perceptual stimulation therapy group activities are part of the therapeutic modalities that are given to patients with schizophrenia who experienced hallucinations in order to achieve independence of patient. This is a descriptive study which saw the picture of the level of independence of the patients in the control hallucinations after following stimulation group activity. The sampling technique used was consecutive sampling, in which 42 people were interviewed. The process of data collection using the method of observation, which in practice researchers assisted by the numerator. Analysis of the data with the percentage and frequency distribution are described in the table. The result showed that the level of independence of patient hallucinations in controlling halluciantions after following stimulation group activity therapy activity perception is supportive 28.6%, partially 61,9%, and wholly 9,5%. Based on the findings that majority of patients a level of independence that is partially, developed strategies necessary in an effort to increase the performance of nurses in the implementation of nursing actions that can foster patient independence.Key words:Level of independence, hallucination, therapeutic group activity stimulation perception

2017 ◽  
Vol 17 (2) ◽  
pp. 75-83
Author(s):  
Sarah Ainun ◽  
Muchlisin ZA ◽  
Imran Imran

This study  aims to determine the relationship of increasing the parameters of knowledge, attitude, and action through individual therapy and group activity therapy in improving the preparedness of patients facing earthquake disaster at mental hospital. This reserch methode use Experimental design with true experiments model design (pre test-post test control group design). The sampling technique used is simple random sampling with sample size of 30 patients drawn from 9 intermediate inpatient rooms. Patients were divided into three group; 10 controls, 10 individual, and 10  group activity therapy. Data were collected through interviews and obsevation. The results showed that there was no increase of post-test in the control group on the parameters of knowledge, attitude, and action. The highest increase was found in the action parameter of 10.7 ( increase 60%) for individual therapy 7.3 (increased 52.52%) for group actifity therapy.. Therapy of individual modalities and therapy group activities are indicates existence in improving the knowledge, attitudes, and actions of patients in the face of the earthquakes.


2019 ◽  
Vol 10 (2) ◽  
pp. 847-855
Author(s):  
Subhannur Rahman ◽  
Kellyana Irawati ◽  
Yonni Prianto

 Pendahuluan: Gangguan mental adalah salah satu dari empat masalah kesehatan utama yang sangat umum di berbagai negara dan diperkirakan sekitar 12% merupakan beban penyakit secara global. Salah satu cara untuk mengatasi masalah ini dapat dilakukan dengan menggunakan kombinasi psikofarmakologi dan nonfarmakologis. Terapi nonfarmakologis yang terbukti efektif untuk mengobati gejala gangguan mental adalah dengan menggunakan terapi aktivitas kelompok dalam bentuk permainan tangga ular pintar.Tujuan: Memperbaiki tanda dan gejala risiko perilaku kekerasan pada orang dengan gangguan mental di Rumah Sakit Jiwa Wisma Arjuna Grhasia DIY.Metode: Penelitian ini menggunakan studi kasus dalam bentuk terapi aktivitas kelompok melalui media modifikasi ular dan tangga.Hasil: Hasil penelitian ini secara signifikan menunjukkan bahwa penggunaan ular dan tangga cerdas terhadap tanda dan gejala risiko perilaku kekerasan pada orang dengan gangguan mental yang mengalami hasil positif.Kesimpulan: Terapi kegiatan kelompok yang dilakukan di Rumah Sakit Jiwa Wisma Arjuna Grhasia menggunakan media tangga ular pintar efektif dalam mengurangi beberapa tanda dan gejala risiko perilaku kekerasan pada orang dengan gangguan mental. Kata kunci: Aktivitas Kelompok Terapi, Ular Tangga Cerdas, Tanda dan Gejala Perilaku Kekerasan, Penderita Gangguan Mental. Introduction: Mental disorder is one of the four major health problems that are very common in various countries and it is estimated that around 12% is a burden of disease globally. One way to overcome this problem can be done using a combination of psychopharmacology and nonpharmacologic. Nonpharmacologic therapy that is proven effective for treating symptoms of mental disorders is to use group activity therapy in the form of a smart snake ladder game.Aims: Improve the signs and symptoms of the risk of violent behavior in people with mental disorders at Wisma Arjuna Grhasia DIY Mental Hospital.Methods: This study uses a case study in the form of group activity therapy through the modified media of snakes and ladders.Results: The results of this study significantly indicate that the use of snakes and ladders is smart against the signs and symptoms of the risk of violent behavior in people with mental disorders experiencing positive results.Conclusions: Therapy of group activities carried out at Wisma Arjuna Grhasia Mental Hospital using smart snake ladder media is effective in reducing some signs and symptoms of the risk of violent behavior in people with mental disorders.Keywords: Therapy Group Activities, Smart Ladder Snakes, Signs and Symptoms of Violent Behavior, People with Mental Disorders.


2021 ◽  
Author(s):  
alex tumanggor

Hallucinations are when a person experiences a change in the pattern and amount of stimulation that is initiated internally or externally in the vicinity with a reduction, exaggeration, distortion, or abnormality in response to each stimulus. Management of schizophrenic patients includes group nursing actions, such as group activity therapy. Group activity therapy is a psychotherapy performed by a group of patients together by way of discussions with each other led or directed by a trained therapist or mental health worker. The number of patients who participated in the perceptual stimulation group activity therapy amounted to 6 people. As a result of this therapy, after receiving perceptual stimulation group activity therapy, patients at the Pemenang Jiwa Sumatra Foundation increased their knowledge, understanding of how to control hallucinations and knowing how to have done it. Increased knowledge shows that patients are able to remember sp 1 - 4 from group therapy activities. It is recommended that patients who experience hallucination problems can be given Group Activity Therapy so that patients are able to perform actions independently and be able to cooperate with other patients.


2018 ◽  
Vol 5 (1) ◽  
pp. 33-40
Author(s):  
Sariman Pardosi

The most frequent type of schizophrenia is paranoid schizophrenia, whereas in patients with schizophrenia have common criteria and experiencing hallucinations or delusions (Suseno, 2001). Incidence of paranoid schizophrenia in RSJKO Soeprapto Bengkulu in 2008 was (58.84%) and in 2009 was (68.44%) (Medical Record, RSJKO Soeprapto, 2010). Paranoid schizophrenic with hallucinations and panic can act led to the occurrence of suicide or homicide. (Suseno, 2001). Nursing actions appropriate to address a group hallucination is a therapeutic group activities (TAK) (Siahaan HB, 1999). The purpose of research is known influence of group activity therapy (TAK) stimulation perception to hallucinations in RSJKO Soeprapto Bengkulu in 2010.Design research is an experiment: pre and post test. The population was all patients with paranoid schizophrenia who were treated at RSJKO hallucinations Soeprapto Bengkulu, on July 1 to August 31 in 2010, totaling 38 people. Purposive sampling technique with sampling. Analyses were performed by univariate and bivariate frequency distribution with one sample.T test, with α = 5%.The results were: ther’s a relationship bof group activity therapy (TAK) stimulation perception: recognition hallucinations (p = 0.00), controlling hallucinations (p = 0.00), preparation of the schedule of events (p = 0.01), the way drinking either drug (p = 0.00).It is hoped that nurses in RSJKO more intensified activities group activity therapy (TAK) regularly, at least once a week for paranoid schizophrenia patients with hallucinations. In order to speed up eliminating hallucinations and shorten the lengthofthepatient.


2021 ◽  
Vol 1 ◽  
pp. 1875-1881
Author(s):  
Pradistia Gilang Ghozali ◽  
Yuni Sandra Pratiwi

AbstractThe risk of violent behavior is a symptom of schizophrenic patients that can be controlled through perceptual stimulation group activity therapy. It is an effort to train the patient to perceive the stimulus provided or the stimulus that has been experienced. This study aims to investigate the effect of the effect of perceptual stimulation group activity therapy on patients with violent behavior risks based on a literature review.It took three journals from Google scholar and lipi.go.id with group activity therapy, perceptual stimulation, and the risk of violent behavior as the keywords. These are full-text published in 2011-2020. The result of respondents’ characteristics analysis stated 66 people were taken as respondents, 83% are male with the age 21-40 years. Their average value in controlling anger before intervention was 46,873 and 43.5 after the process. It proved to control patients’ anger. Thus, nurses suggested to teach this therapy for overcoming the problem.Keywords: Perceptual stimulation group activity therapy; the risks of violent behavior AbstrakRisiko perilaku kekerasan ialah gejala dari pasien skizofrenia dapat dikontrol melalui terapi aktivitas kelompok stimulasi persepsi. Terapi aktivitas kelompok stimulasi persepsi ialah upaya untuk melatih pasien mempersepsikan stimulus yang disediakan atau stimulus yang pernah dialami. Penelitian ini bertujuan untuk menggambarkan pengaruh terapi aktivitas kelompok stimulasi persepsi pada pasien resiko perilaku kekerasan berdasarkan literature review. Desain karya tulis ilmiah berupa literatur review dengan jumlah tiga artikel yang diambil dari laman jurnal google scholar dan lipi.go.id dengan kata kunci ‘’terapi aktivitas kelompok’’, ‘’stimulasi persepsi’’ dan ‘’resiko perilaku kekerasan’’ berupa artikel fullteks, terbit tahun 2011-2020. Hasil analisa karakteristik responden dari tiga artikel menunjukan jumlah responden 66, sebagian besar (83%) laki-laki dengan umur 21-40 tahun. Nilai rata-rata kemampuan mengontrol kemarahan sebelum intervensi 46,873, setelah intervensi 43,5. Simpulan terapi aktivitas kelompok stimulasi persepsi dapat mengontrol marah pasien resiko perilaku kekerasan. Saran bagi perawat hendaknya mengajarkan terapi aktivitas kelompok stimulasi persepsi untuk mengontrol resiko perilaku kekerasanKata kunci: Terapi aktivitas kelompok stimulasi persepsi; resiko perilaku kekerasan


2019 ◽  
Vol 6 (1) ◽  
pp. 32-41
Author(s):  
Yanni Karundeng ◽  
Maykel A. Kiling

Background: The process of aging in the course of human life is a natural thing that will be experienced by all those who are blessed with long life, only the speed of the process depends on the individual concerned. Individually, the natural aging process occurs. This will cause physical, mental, social, economic and psychological problems. Psychological problems that occur in the elderly one of which is psychosocial disorders such as dependence on others, isolate themselves or withdraw from social activities. clients who do not want to express verbal communication will be stimulated emotions and feelings, and display responses, providing sensory stimulation group activity therapy. Aims : to determine the effect of sensory stimulation group activity therapy on elderly psychosocial disorders. Method: This research uses a quasi-experimental design: Non equivalent control group design with a sampling technique that is purposive sampling of 20 respondents divided into 10 elderly for the experimental group and 10 elderly for the control group. Data collection techniques through observation and interviews. Results: there is a difference in the p value of the experimental group and the control group, where in the experimental group the price of p = 0,000 is less than 0.05 and in the control group p = 0.317. Conclusion: this shows that there is a therapeutic effect of sensory stimulation group activity on picosocial disorders in the intervention group. Whereas in the control group who were not given therapeutic activity the sensory stimulation group had no chance of experiencing a decrease in psychological disorders.


2017 ◽  
Vol 17 (2) ◽  
pp. 75-83
Author(s):  
Sarah Ainun ◽  
Muchlisin ZA ◽  
Imran Imran

Abstrak. Penelitian ini bertujuan untuk mengetahui hubungan peningkatan pengetahuan, sikap, dan tindakan melalui metode terapi individu dan terapi aktivitas kelompok (TAK) dalam meningkatkan kesiapsiagaan ODGJ menghadapi bencana gempa bumi di BLUD RSJ Aceh. Metode penelitian experiments design dengan rancangan model  true experiments (pre test-post tes control group design). Sampel berjumlah 30 ODGJ dari 9 ruang rawat inap intermediate, dibagi dalam tiga kelompok; kelompok kontrol 10 ODGJ, terapi individu 10 ODGJ dan TAK 10 ODGJ menggunakan teknik Random Sampling. Tehnik pengumpulan data melalui wawancara dan observasi. Hasil penelitian menunjukan tidak ada peningkatan nilai post-test pada kelompok kontrol terhadap  parameter pengetahuan, sikap, dan tindakan. Terapi individu, peningkatan tertinggi dijumpai pada parameter tindakan yaitu 10,7 (meningkat 60%). TAK peningkatan nilai tertinggi pada parameter tindakan yaitu 7,3 (meningkat 52,52%). Maka dapat disimpulkan p<0,05/terapi modalitas individu dan TAK menunjukan adanya peningkatan pengetahuan, sikap, dan tindakan ODGJ dalam menghadapi bencana gempa bumi.  (JKS 2017; 2: 77-82) Kata kunci: Kesiapsiagaan gempa bumi, terapi modalitas, gangguan jiwa Abstract.This study  aims to determine the relationship of increasing the parameters of knowledge, attitude, and action through individual therapy and group activity therapy in improving the preparedness of patients facing earthquake disaster at mental hospital. This reserch methode use Experimental design with true experiments model design (pre test-post test control group design). The sampling technique used is simple random sampling with sample size of 30 patients drawn from 9 intermediate inpatient rooms. Patients were divided into three group; 10 controls, 10 individual, and 10  group activity therapy. Data were collected through interviews and obsevation. The results showed that there was no increase of post-test in the control group on the parameters of knowledge, attitude, and action. The highest increase was found in the action parameter of 10.7 ( increase 60%) for individual therapy 7.3 (increased 52.52%) for group actifity therapy.. Therapy of individual modalities and therapy group activities are indicates existence in improving the knowledge, attitudes, and actions of patients in the face of the earthquakes. (JKS 2017; 2: 77-82)Keywords: Earthquake preparedness, modal therapy, mental disorder


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Widowati ◽  
Nur Lailatul M ◽  
Widayanti .

PENGARUH TERAPI AKTIVITAS KELOMPOK PENINGKATAN HARGA DIRI TERHADAP HARGA DIRI KLIEN MENARIK DIRI DI RUANG SERUNI RS JIWA DR RADJIMAN WEDIODININGRAT LAWANGEffect of Therapy Group Activities Increase In Price of Self Interest Clients In The Soul Dr Seruni Rs Radjiman Wediodiningrat LawangSri Widowati1, Nur Lailatul M2, Widayanti31, 2)Program Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang3)Alumni Mahasiswa Program Studi Diploma III Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah MalangJl. Bendungan Sutami 188A Malang 65145*)e-mail: [email protected] satu terapi modalitas adalah Terapi Aktivitas Kelompok (TAK) yang ditujukan untuk klien dengan masalah yang sama. TAK merupakan salah satu cara yang digunakan untuk meningkatkan harga diri pasien agar dapat kembali ke masyarakat sehingga dapat berinteraksi dengan orang lain dan lingkungan sekitarnya. Untuk pasien menarik diri kita dapat melakukan dengan TAK peningkatan harga diri yang bertujuan untuk menerima dirinya sendiri dengan penuh kepercayaan, menghargai dirinya, dan menilai positif diri sendiri. TAK peningkatan harga diri merupakan upaya untuk meningkatkan harga dirinya bagi pasien menarik diri yang harga dirinya rendah. Tujuannya mengidentifikasi ada tidaknya pengaruh TAK peningkatan harga diri terhadap harga diri pasien menarik diri. Desain penelitian menggunakan preexperiment design dengan pendekatan pre test-post test design. Menggunakan purposive sampling sebanyak 5 responden. Alat pengumpulan data yang digunakan adalah lembar observasi dengan menggunakan uji wilcoxon signed ranks test. Penelitian dilaksanakan selama sebulan pada bulan Juli 2009 di Ruang Seruni. Dari hasil analisa data dan interpretasi data dapat disimpulkan, harga diri pada pasien menarik diri sebelum diberikan TAK peningkatan harga diri mean untuk pre test = 11,8000 dan setelah dilakukan TAK peningkatan harga diri mengalami penurunan tanda gejala harga diri rendah mean untuk post test = 4,2000. Dan didapatkan perhitungan menggunakan uji wilcoxon signed ranks test adalah z = -5a dan p = 0,00 (p < 0,05). Sehingga Ho ditolak, artinya ada pengaruh yang signifikan antara sebelum dan setelah dilakukan terapi aktivitas kelompok peningkatan harga pada pasien menarik diri di RS Jiwa DR Radjiman Wediodiningrat Lawang.Kata kunci: TAK peningkatan harga diri, peningkatan harga diri, menarik diriABSTRACTOne of modality therapy is group activity therapy addressed for client with the same problem. Group activity therapy be one of way applied to increase patient self-regard to regain to public causing interaction can with others and vicinity area. For patient withdraws we can do with group activity therapy of increase of self-regard with aim to receive their/his self fully trust, esteems self, and assess positive of own self. Group activity therapy of increase of self-regard is striving to increase the price of self for patient withdraws which the price of low self. As for purpose of generally is identify there are not of increase group activity therapy influence of self-regard to increase of self-regard at patient withdraws. Research design applied is research design of pre method pre-experiment design with approach of pre test-post test design. Sample taken is purposive sampling counted five responders. Data collecting method applied is observation sheet by using wilcoxon signed ranks test. Research executed during one month in July 2009 in chamber Seruni. From result analysis data interpretation and data can be concluded, self regard at patient withdraw before given do not the make-up of self regard of mean for the pre of test = 11,8000 and after conducted do not the make-up of natural self regard of degradation of low self regard symptom sign of mean for the post of test = 4,2000. And got by calculation use test of wilcoxon ranks signed test is z = - 5a and p = 0,00 ( p < 0,05). So that Ho refused, mean there is influence which isn’t it between before and after conducted by group activity therapy is make-up of price at patient withdraw in DR Radjiman Wediodiningrat Lawang Mental Hospital.


2018 ◽  
Vol 2 (2) ◽  
pp. 335
Author(s):  
Rita Hadi Widyastuti ◽  
Nurullya Rachma ◽  
Elis Hartati ◽  
Artika Nurrahima ◽  
Muhammad Mu’in ◽  
...  

Jumlah Masalah psikogeriatri semakin meningkat di Indonesia. Penatalaksanaan psikogeriatri yang tidak tepat dapat menimbulkan dampak baik bagi lansia maupun caregiver yang merawatnya. Adapun tujuan dari kegiatan ini adalah  (1) menurunkan masalah psikogeriatri khususnya kesepian pada lansia di panti wreda; (2) meningkatkan pengetahuan caregiver dalam melakukan Art therapy sebagai upaya dalam penatalaksanaan psikogeriatri di Panti Wreda; (3) meningkatkan ketrampilan caregiver dalam melakukan Art therapy sebagai upaya dalam penatalaksanaan psikogeriatri di Panti Wreda; dan (4) adanya buku panduan Terapi Aktivitas Kelompok (TAK) Art Therapy.  Metode yang digunakan adalah  pelaksanaan Terapi Aktivitas Kelompok (TAK) Art Therapy pada lansia dengan masalah psikogeriatri khususnya kesepian, dan  pelatihan dengan metode ceramah dan praktik melakukan TAK Art Therapy.   Hasil pengabdian menunjukkan: (1) Kegiatan Terapi Aktivitas Kelompok (TAK) Art Therapy pada lansia dapat menurunkan nilai kesepian dengan rata- rata 4,5 ; (2) Pelatihan dilakukan pada 15 caregiver dengan hasil terjadi peningkatan pengetahuan caregiver dengan mean 7,5 ; (3) peningkatan  ketrampilan caregiver dalam penatalaksanaan psikogeriatri dengan mean 8; dan (4) tersusun buku panduan Terapi Aktivitas Kelompok (TAK) Art Therapy. Terapi Aktivitas Kelompok (TAK) Art Therapy pada lansia dapat dilakukan oleh caregiver sebagai upaya dalam penatalaksanaan psikogeriatri di Panti Wreda.Kata kunci : Lansia, art therapy, psikogeriatri ABSTRACTNumber of psychogeriatric problems is increasing in Indonesia. Incorrect psychogeriatric management can have an effect on both the elderly and caregiver. The objectives of this activities are (1) to decrease the problem of psychogeriatri, especially loneliness on elderly at nursing home; (2) to increase caregiver knowledge in performing Art therapy as an effort in the management of psychogeriatri at Panti Wreda; (3) to improve caregiver skills in performing Art therapy as an effort in the management of psychogeriatri in Panti Wreda; and (4) there is guidance book of Group Activity Therapy Art Therapy. The method used is the implementation of Group Activity Therapy Art Therapy on the elderly with psychogeriatric problems, especially loneliness, and training with lecture method and practice doing TAK Art Therapy. The results of activities indicate : (1) Group Activity Therapy Activities  Art Therapy in elderly can decrease loneliness value by an average of 4.5; (2) The training was carried out on 15 caregivers with the result of increased caregiver knowledge with mean 7.5 ; (3) incresing caregiver skill in psychogeriatric management with mean 8; and (4) the creation of guidance book of Group Activity Therapy Art Therapy. Group Activity Therapy Art Therapy on elderly can be done by caregiver as an effort in psychogeriatric management in Panti Wreda.   Keywords: Elderly, art therapy, psychogeriatrics


2020 ◽  
Vol 2 (1) ◽  
pp. 57-64
Author(s):  
Novi Herawati ◽  
Syahrum Syahrum ◽  
Tintin Sumarni ◽  
Yulastri Yulastri ◽  
Abd Gafar ◽  
...  

Schizophrenia is a personality that is divided between thoughts, feelings, and behavior. One of the most common symptoms of schizophrenia is hallucinations. The highest number of schizophrenic patients with hallucinations was 83 people in the Merpati Room of Prof. HB Sa'anin Hospital in Padang. Therapy is usually given in the management of overcoming hallucinations, one of which is Group Activity Therapy (GAT). The purpose of this study is to determine the effect of Perception Stimulation Group Activity Therapy on the Ability to Control Hallucinations in Schizophrenia Patients at Prof Sa'anin Hospital Padang in 2019. This study uses a Quasi Experiment research design using one group pre-post-test. The population is schizophrenia patients with hallucinations in Prof Sa'anin Hospital in Padang, about 206 persons. Sampling is done by Samples taken were 50 persons, with purposive sampling. The analysis is t-dependent. The results showed a significant difference between the ability of patients between before and after Perception Stimulation Group Activity Therapy with a P-value = 0.000 or α <0.05. It is expected that Prof. Sa'anin Padang's nurses will be more optimal in the implementation of GAT, and improve the implementation of quality GAT according to the grouping of nursing diagnoses so that the ability of schizophrenic patients with hallucinations can be achieved   Keywords: schizophrenia, hallucinations, group activity therapy


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