ASUHAN KEPERAWATAN RESIKO PERILAKU KEKERASAN PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT JIWA PROVINSI BALI TAHUN 2022

Maulana, Adhe (2022) ASUHAN KEPERAWATAN RESIKO PERILAKU KEKERASAN PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT JIWA PROVINSI BALI TAHUN 2022. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2022.

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Abstract

ASUHAN KEPERAWATAN RESIKO PERILAKU KEKERASAN PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT JIWA PROVINSI BALI TAHUN 2022 ABSTRAK Perilaku kekerasan merupakan salah satu respon marah yang diekspresikan dengan melakukan ancaman menciderai orang lain, dan atau merusak lingkungan. Penelitian ini merupakan penelitian studi kasus. Penelitian ini bertujuan untuk mendeskripsikan asuhan keperawatan resiko perilaku kekerasan pada pasien skizofrenia rumah sakit jiwa provinsi bali. Subyek penelitian ini adalah pasien dengan resiko perilaku kekerasan sesaui kriteria inklusi dan ekslusi, jenis data yaitu data primer dan sekunder. Teknik pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil penelitian menemukan data pengkajian pasien dengan keluhan marah – marah, diagnosis keperawatan dirumuskan sesuai standar diagnosa keperawatan Indonesia (SDKI) adalah resiko perilaku kekerasan, rencana keperawatan sesuai standar luaran keperawatan indonesia (SLKI) yaitu kontrol diri, standar intervensi keperawatan indonesia (SIKI) pencegahan perilaku kekerasan dan promosi koping, intervensi inovatif yaitu pemberian terapi de-eskalasi. Evaluasi keperawatan menunjukkan tujuan teratasi sebagian dibuktikan dengan pasien mengatakan perasaan kesal dan ingin marah menurun, pasien tampak lebih tenang, kontak visual ada, kontak verbal koheren, perilaku agresif menurun, verbalisasi ancaman pada orang lain menurun, skor RUFA intensif III (21-30). Terapi de-eskalasi mampu meminimalkan risiko perilaku kekerasan. Kata Kunci : Resiko Perilaku Kekerasan, Skizofrenia, Terapi de-eskalasi NURSING CARE THE RISK OF VIOLENCE BEHAVIOR IN PATIENT SCHIZOPHRENIA IN THE BALI PROVINCE OF MENTAL HOSPITAL IN 2022 ABSTRACT Violent behavior is an angry response that is expressed by threatening to injure others, and or damage the environment. This research is a case study research. This study aims to describe nursing care for the risk of violent behavior in schizophrenia patients at the Bali Provincial Mental Hospital. The subjects of this study were patients at risk of violent behavior according to the inclusion and exclusion criteria, the types of data were primary and secondary data. Data collection techniques were carried out by interview, observation and documentation. The results of the study found that patient assessment data with complaints of anger, nursing diagnoses were formulated according to the Indonesian Nursing Diagnosis Standards (SDKI) were the risk of violent behavior, the nursing plan was in accordance with the Indonesian Nursing Outcome Standards (SLKI), namely self-control, Indonesian Nursing Intervention Standards (SIKI) prevention. violent behavior and promotion of coping, innovative interventions, namely the provision of de-escalation therapy. The nursing evaluation showed the goals were partially resolved, evidenced by the patient saying that feelings of irritation and anger decreased, the patient seemed calmer, visual contact was present, verbal contact was coherent, aggressive behavior decreased, verbalized threats to others decreased, intensive RUFA score III (21-30) . De-escalation therapy is able to minimize the risk of violent behavior. Keywords: Risk of Violent Behavior, Schizophrenia, De-escalation therapy

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