Efektifitas Teknik De-Eskalasi Untuk Mengurangi Agresifitas Pasien Skizofrenia : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1442-1451
Author(s):  
K Keswanto ◽  
Eka Budiarto
Keyword(s):  
Literature Review ◽  
Aggressive Behavior ◽  
Violent Behavior ◽  
Self Injury ◽  
Literature Evidence ◽  
Schizophrenic Patients ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Commit Suicide

AbstractSchizophrenia is a disease that attacks the nervous system that can cause changes in attitudes and behavior. Schizophrenic patients are prone to have aggressive behavior that can cause a loss of control of a person's behavior that is directed at oneself, others, or the environment. Violent behavior in oneself can take the form of self-injury to commit suicide or allow oneself to be in the form of self-abandonment. One technique to reduce aggressive behavior in schizophrenic patients is the de-escalation technique. This study aims to determine the effectiveness of de-escalation techniques to reduce aggressive behavior in schizophrenic patients based on available literature evidence. The study used a literature review method. The databases used to search articles are Wiley, PubMed, Science Direct, and the Google scolar search engine. Articles are selected based on the suitability of the keywords, topics and inclusion and exclusion criteria that have been determined. The search results obtained as many as 5 articles, 4 articles in Indonesian and 1 in English. The critical review instrument used to assess the quality of the article is the instrument by Hawker. There are findings that de-escalation techniques are effective in reducing aggressiveness in schizophrenic patients. Efforts to reduce aggressive behavior with de-escalation techniques have a more significant effect than those without de-escalation techniques.Keywords: Aggressive behavior, risk of violent behavior, de-escalation technique, Schizophrenia. AbstrakSkizofrenia merupakan penyakit yang menyerang sistem saraf yang dapat menyebabkan perubahan sikap dan perilaku. Pasien skizofrenia rentan memiliki perilaku agresif yang dapat menyebabkan hilangnya kendali perilaku seseorang yang diarahkan pada diri sendiri, oranglain, atau lingkungan. Perilaku kekerasan pada diri sendiri dapat berbentuk melukai diri untuk bunuh diri atau membiarkan diri dalam bentuk penelantaran diri. Salah satu teknik untuk mengurangi perilaku agresif pada pasien skizofrenia adalah dengan teknik deeskalasi. Penelitian ini bertujuan untuk mengetahui efektifitas teknik deeskalasi untuk mengurangi perilaku agresif pada pasien skizofrenia berdasarkan literatur evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah Wiley, PubMed, Science Direct, serta mesin pencarian Google scolar. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 5 artikel, 4 artikel berbahasa Indonesia dan 1 berbahasa inggris. Instrumen telaah kritis yang digunakan untuk menelaah kualitas artikel adalah instrumen oleh Hawker. Terdapat temuan bahwa teknik deeskalasi efektif dalam mengurangi agresifitas pada pasien skizofrenia. Upaya untuk menurunkan perilaku agresif dengan teknik de-esakalasi memberikan pengaruh lebih signifikan dibandingkan dengan yang tidak diberikan teknik de-eskalasi. Kata Kunci : Perilaku agresif, Resiko perilaku kekerasan, Teknik deeskalasi, Skizofrenia.

scholarly journals Peran Keluarga Dalam Menurunkan Tanda Gejala Halusinasi Pasien Skizofrenia: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1777-1783
Author(s):  
Nevita Candra Pangestika ◽  
Eka Budiarto
Keyword(s):  
Literature Review ◽  
Family Roles ◽  
Parental Closeness ◽  
The Family ◽  
Schizophrenic Patients ◽  
Long Term Impact ◽  
And Behavior ◽  
Attitudes And Behavior

AbstractSchizophrenia is a mental illness that has a long-term impact. One of the symptoms of schizophrenia is hallucinations. Hallucinations are perceptual disturbances in which the client perceives something that does not exist. One of the things that families do is help family members by playing a role in assisting the clients in controlling hallucinations. The study aimed to determine the role of the family in reducing the hallucination symptoms of schizophrenic patients based on the available evidence. The literature review used Scopus, Science Direct, and GARUDA databases. Articles are selected based on the suitability of keywords, topics, as well as inclusion and exclusion criteria. The appraisal instrument by Hawker was used to select high-quality evidence. The findings of this study highlighted three levels of family roles in reducing symptoms of hallucinations in schizophrenic patients. The first level, the family must be able to see the patient's needs and maintain parental closeness. The second level, the family must be able to provide financial support for patient care, the family should be involved in groups that provide support as well. The third levels, all families must develop a good relationship to help patients with hallucinations to change their attitudes and behavior. Family roles are essential in reducing symptoms of hallucination in schizophrenic patients. This evidence can be used as scientific references to be applied as nursing care interventions.Keywords: Family Roles, Hallucinations, Schizophrenia AbstrakSkizofrenia merupakan penyakit kejiwaan yang memiliki dampak jangka panjang. Salah satu tanda gejala skizofrenia adalah halusinasi. Halusinasi ialah gangguan persepsi di mana klien mempersepsikan sesuatu yang sebenarnya tidak terjadi. Salah satu yang di lakukan keluarga ialah membantu anggota keluarganya dengan cara ikut berperan membantu klien untuk bisa mengontrol halusinasi. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia berdasarkan literatur evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah Scopus, Science Direct, dan GARUDA. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 5 artikel, 2 artikel berbahasa Inggris dan 3 artikel berbahasa Indonesia. Instrumen telaah kritis yang digunakan untuk menelaah kualitas artikel adalah instrumen oleh Hawker et al 2002. Terdapat temuan berupa 3 tingkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia : tingkatan pertama keluarga harus mampu melihat kebutuhan pasien dan mempertahankan kedekatan orangtua, Tingkatan kedua keluarga harus mampu memberikan dukungan financial untuk perawatan pasien dan terlibatan dalam kelompok yang member dukungan dan Tingkatan ketiga keluarga harus mengembangkan hubungan dengan benar untuk membantu pasien halusinasi untuk merubah sikap dan perilaku. Upaya peningkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia ini didapatkan dari bukti ilmiah yang valid sehingga dapat dijadikan referensi ilmiah untuk diaplikasikan sebagai intervensi asuhan keperawatan.Kata Kunci : Halusinasi, Peran Keluarga, Skizofrenia.

SISTEM PENDUKUNG KEPUTUSAN ANALISIS KEPUASAN MAHASISWA TERHADAP PENGGUNAAN SARANA LABORATORIUM SISTEM INFORMASI

2018 ◽  
Vol 4 (2) ◽  
pp. 150
Author(s):  
Rahmadini Darwas
Keyword(s):  
Service Quality ◽  
Learning Process ◽  
Quality Of Services ◽  
Laboratory Facilities ◽  
Cold Room ◽  
And Function ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Role And Function

<p><strong><em>Abstract<br /></em></strong><em>Laboratory is one of the supporting facilities in im[roving the learning process. Problems found by students regarding the information system laboratory facilities at STMIK Indonesia Padang are</em><em> the computers that suddenly die when operated, the less cold room, display data is blurred, making the inconvenience in the learning process that causes the students less satisfied with the services provided. Students will feel satisfied if the service is expected to match the received. Therefore, a decision support system is needed to analyze the quality of services provided to the students so that it can support the role and function of the laboratory optimally and what attributes need to be improved the quality of service. The method used is Fuzzy Service Quality (Servqual) method. The results showed that the service quality received was not in accordance with the expected because there is a gap of -1.55 for tangibles dimension. Attributes that need to be improved the quality of services are laboratory space is cool and comfortable, the use of laboratories relevant to the field of science, the responsibility of laboratory assistant, the availability of professional teachers and attitudes and behavior of labor officers.<br /></em></p><p><strong><em>Abstrak<br /></em></strong>Laboratorium merupakan salah satu fasilitas pendukung dalam meningkatkan proses pembelajaran. Permasalahan yang ditemukan mahasiswa mengenai fasilitas laboratorium sistem informasi pada STMIK Indonesia Padang adalah komputer yang tiba-tiba mati saat dioperasikan, ruangan yang kurang dingin, data <em>display</em> yang buram sehingga membuat ketidaknyamanan dalam proses pembelajaran yang menyebabkan mahasiswa kurang puas terhadap layanan yang diberikan. Mahasiswa akan merasa puas apabila layanan yang diharapkan sesuai dengan yang diterima. Oleh sebab itu, diperlukan suatu sistem pendukung keputusan untuk menganalisis kualitas layanan yang diberikan kepada mahasiswa sehingga dapat mendukung peran dan fungsi laboratorium secara optimal serta atribut apa saja yang perlu ditingkatkan kualitas layanannya. Metode yang digunakan adalah metode <em>Fuzzy Service Quality </em>(<em>Servqua</em>l). Hasil penelitian menunjukkan bahwa kualitas layanan yang diterima belum sesuai dengan yang diharapkan karena terdapat <em>gap</em> sebesar -1.55 untuk dimensi <em>tangibles</em>. Atribut yang perlu ditingkatkan kualitas layanannya yaitu ruangan laboratorium yang sejuk dan nyaman, penggunaan laboratorium yang relevan dengan bidang ilmu, tanggungjawab asisten labor, tersedianya tenaga pengajar yang professional dan sikap serta perilaku petugas labor</p><p><strong><em>Kata kunci</em></strong><strong> : sistem pendukung keputusan, laboratorium, <em>fuzzy</em>, <em>servqual</em></strong></p><p><strong><em><br /></em></strong></p>

Insight and aggressive Behavior in acute Schizophrenic Patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S441-S441
Author(s):  
S. Campi ◽  
C. Esposito ◽  
P. andreassi ◽  
P. Bandinelli ◽  
P. Girardi ◽  
...  
Keyword(s):  
Aggressive Behavior ◽  
Treatment Compliance ◽  
Aggressive Behaviors ◽  
Self Monitoring ◽  
Poor Treatment ◽  
Schizophrenic Patients ◽  
Competing Interest ◽  
The Relationship ◽  
Acute Patients

Introductionaggressive behavior in wards is associated to poor treatment compliance and low clinical insight. Most studies focused on the clinical and cognitive dimensions of insight, while the relationship between metacognitive dimension and aggressive behaviors was not investigated. Our aim was to understand what relationship occurs between dimensions of insight (metacognitive, cognitive, clinical), and specific aggressive behaviors in acute patients.Methodswe recruited 75 acute schizophrenic patients using: aQ; MO aS; IS; P aNSS; BCIS.Resultsa positive correlation between the IS score and the hostility, angry and physical aggression sub-scores of the aQ was highlighted, while no correlation between the score of IS and MO aS total score was found. No correlation between the score of the P aNSS G12 item and the aQ scores and MO aS was found, and no correlation between BCIS scores, MO aS and aQ scores was found.Conclusionsin our patients, a higher level of metacognitive insight, but not clinical nor cognitive insight, was associated to higher levels of hostility. we suggest that a higher ability to monitor and appraise one's own altered processes of thought and related discomfort, feeling of destabilization and loss of control, could contribute to enhance resentment and suspiciousness. Findings help develop specific therapeutic strategies to enhance metacognitive and self-monitoring abilities, helping patient's understanding of the illness, improving compliance with treatment, and patient's quality of life. Our results support the multidimensional nature of insight in schizophrenia, confirming that clinical, cognitive and metacognitive dimensions are independent though related facets of the phenomenon of insight in schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The Instrumental Framework to Measuring Environmental Awareness

2019 ◽  
Vol 15 (2) ◽  
pp. 101
Author(s):  
R. A. Vesitara Kencanasari ◽  
Usep Surahman ◽  
Asep Yudi Permana
Keyword(s):  
Literature Review ◽  
Public Awareness ◽  
Environmental Awareness ◽  
Relevant Literature ◽  
Literature Study ◽  
Awareness Training ◽  
Study Results ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Awareness Level

Environmental awareness needs to be increased because it plays an important role for the survival of life. To find out the level of public awareness of the environment it is necessary to conduct a workshop or environmental awareness training. The purpose of this study is to identify and generate an instrument indicator to measure the environmental awareness. This article looks at a variety of relevant literature in order to explore the aspects that must be present In the instrument to measuring the environmental awareness level. The literature study results are obtained the aspects that must have to consist of two aspects namely pro-environment and not pro-environment, in which indicators are made from the start of knowledge, attitudes and behavior. The implication of this literature review is to provide information and recommend a set of a framework to academics in making instruments measuring the level of public awareness of the environment.

scholarly journals Connective Effervescence and Streaming Chat During Political Debates

2021 ◽  
Vol 1 ◽  
Author(s):  
Tiago Ventura ◽  
Kevin Munger ◽  
Katherine McCabe ◽  
Keng-Chi Chang
Keyword(s):  
Presidential Debates ◽  
The Public ◽  
Fox News ◽  
Political Debates ◽  
Political Events ◽  
Facebook Pages ◽  
Online Streaming ◽  
And Behavior ◽  
Attitudes And Behavior

Recent advancements in online streaming technologies have re-centered the audience as an important part of live broadcasts, including live political events. In fall 2020, each of the U.S. presidential and vice presidential debates were streamed on a number of online platforms that provided an integrated streaming chat where the public could comment in real-time alongside the live debate video. Viewers could simultaneously tune into what the candidates were saying and see what a sample of their peers thought about the candidates. This study examines large samples of comments made in social chat feeds during the livestreamed debates on the ABC News, NBC News, and Fox News Facebook pages to quantify key features associated with the quality of political discussion on these platforms. The results reveal that consistent with the quasi-anonymous, constrained nature of dynamic chat, the comments made are generally short, include a substantial degree of toxicity and insults, and differ significantly in their content across platforms. These findings underscore the importance of further study of online streaming chat as a new source of potential influence on political attitudes and behavior.

Gambaran Pengaruh Terapi Aktivitas Kelompok Stimulasi Persepsi Perilaku Kekerasan Pada Pasien Resiko Perilaku Kekerasan

2021 ◽  
Vol 1 ◽  
pp. 1875-1881
Author(s):  
Pradistia Gilang Ghozali ◽  
Yuni Sandra Pratiwi
Keyword(s):  
Literature Review ◽  
Violent Behavior ◽  
Group Activity ◽  
Google Scholar ◽  
Average Value ◽  
Characteristics Analysis ◽  
Schizophrenic Patients ◽  
Activity Therapy ◽  
Group Activity Therapy ◽  
Stimulation Group

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

Youth Violence in South Africa: Exposure, Attitudes, and Resilience in Zulu Adolescents

2012 ◽  
Vol 27 (2) ◽  
pp. 166-181 ◽  
Author(s):  
Daniel Ewon Choe ◽  
Marc A. Zimmerman ◽  
Bashi Devnarain
Keyword(s):  
South Africa ◽  
Youth Violence ◽  
Structural Equation ◽  
Violent Behavior ◽  
Equation Modeling ◽  
Mediated Effects ◽  
Multiple Group ◽  
Adult Involvement ◽  
And Behavior ◽  
Attitudes And Behavior

Exposure to violence is common in South Africa. Yet, few studies examine how violence exposure contributes to South African adolescents’ participation in youth violence. The aims of this study were to examine effects of different violence exposures on violent attitudes and behavior, to test whether attitudes mediated effects of violence exposures on violent behavior, and to test whether adult involvement had protective or promotive effects. Questionnaires were administered to 424 Zulu adolescents in township high schools around Durban, South Africa. Structural equation modeling (SEM) was used to test associations among violence exposures and both violent attitudes and behavior. Victimization, witnessing violence, and friends’ violent behavior contributed directly to violent behavior. Only family conflict and friends’ violence influenced violent attitudes. Attitudes mediated effects of friends’ violence on violent behavior. Multiple-group SEM indicated that adult involvement fit a protective model of resilience. These findings are discussed regarding their implications for prevention.

scholarly journals Educação em saúde e qualidade de vida

2014 ◽  
pp. 5
Author(s):  
Janize Silva Maia ◽  
Maria Socorro Cardoso dos Santos ◽  
Milene Pires Moraes ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Health Education ◽  
Life Quality ◽  
Healthcare Education ◽  
Time Commitment ◽  
Calidad De Vida ◽  
Care Health ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Globalized World

A objetividade, tendência do pensamento científico atual é característica do mundo globalizado. Educação, neste contexto, representa um processo lento que demanda tempo, comprometimento e desejo por parte do educando e do educador. O objetivo desta pesquisa foi o de analisar e refletir a educação em saúde e sua influência na qualidade de vida. Estudo de revisão bibliográfica composta por 16 artigos consultados na BVS e publicados em português. Os achados evidenciam que a educação em saúde tem sido muito discutida na literatura, uma vez observada a precariedade fortemente presente na relação entre as ações e as políticas de saúde e que a mesma deve ser discutida tanto no aspecto individual como coletivo, possibilitando a aceitação de novos métodos que promovam a saúde e as escolhas saudáveis, livres e naturais por meio da reflexão, baseada em estratégias que permitam mudanças de atitudes e comportamentos. O Enfermeiro, na compreensão de sua essência, pode exercer o cuidado sob o aspecto de uma educação crítica e transformadora, favorecendo o bem-estar e contemplando as necessidades biopsicossociais em suas ações.Descritores: Cuidado, Educação em Saúde, Enfermagem. Health education and quality of lifeAbstract: Objectiveness, a trend of current scientific thinking is a feature of the globalized world. Education, in that same context, represents a slow process that requires time, commitment and desire by the learner and the educator. The aim of this research was evaluate and reflect about healthcare education and its influence on life quality. A bibliographic review consisting of 16 items in BVS and published in portuguese. Our findings indicates that healthcare education is a subject widely discussed in the literature since the precarious relationship between actions and policies of health and this issue should be discussed at both individual and collective aspects, making possible the acceptance of new methods to promote health and healthy choices, free and natural through reflection, based on strategies to change attitudes and behavior. The Nurse in its essence can exert care with critical and transformative view of education, promoting welfare and contemplating the biopsychosocial needs in their actions.Descriptors: Care, Health Education, Nursing. Educación em salud y calidad de vidaResumen: La objetividad, tendencia del pensamiento científico actual y característica del mundo globalizado. Educación, en este contexto, representa un proceso lento que requiere tiempo, compromiso y deseo de parte del educando y del educador. El objetivo de este estudio fue analizar y reflexionar la educación en salud y su influencia en la calidad de vida. Estudios de revisión bibliográfica consultados por la BVS, compuestos por 16 trabajos y publicados en portugués, muestran que la educación en salud está siendo fuertemente discutida en la literatura, ya que fue observada una precariedad en la relación entre las acciones y las políticas de salud. Esta última debe ser discutida tanto en el aspecto individual como en el colectivo, posibilitando la aceptación de nuevos métodos que promuevan la salud y las elecciones saludables, libres y naturales a través de la reflexión y de la implementación de estrategias que permitan cambios de actitud y comportamientos. El enfermero, desde la comprensión de su esencia, puede ejercer el cuidado mediante utilización de una educación crítica y transformadora, favoreciendo el bien estar y contemplando las necesidades biopsicosociales en sus acciones.Descriptores: Cuidado, Educación em Salud, Enfermería.

scholarly journals Peningkatan Mutu Pembelajaran Agama Hindu Dalam Mewujudkan Perubahan Mental Siswa

2018 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Dewa A. R. Wulandari ◽  
I Nengah Juliawan
Keyword(s):  
Student Behavior ◽  
Science And Technology ◽  
Negative Effects ◽  
Positive Effects ◽  
Religious Learning ◽  
And Behavior ◽  
Attitudes And Behavior

<p><em>Advancement of science and technology is growing rapidly can lead to positive effects and negative effects on mental students, such as the still many students who are less disciplined in dressing at school or even when following the lesson in the classroom and the lower the morale owned of the students themselves. Seeing such a phenomenon is feared will be increasingly declining mental and student behavior. So in this case the improvement of the quality of Hindu religious learning is very important role for Hindus in particular and not limited to students, because religion is a guide in behaving well in accordance with religious norms that will bring good mental changes in improving attitudes and behavior behavior, personality and budhi pekerti and moral existing in learners.</em></p>

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