Faktor predisposisi yang dapat menyebabkan seseorang mengalami isolasi sosial adalah adanya tahap pertumbuhan dan perkembangan yang belum dapat dilalui dengan baik, adanya gangguan komunikasi didalam keluarga, selain itu juga adanya norma-norma yang salah yang dianut dalam keluarga serta faktor biologis berupa gen yang diturunkan dari keluarga yang menyebabkan gangguan jiwa. Penelitian bertujuan untuk mengetahui gambaran faktor predisposisi pasien isolasi sosial. Penelitian deskriptif dengan pendekatan survei yang dilakukan untuk mendiskripsikan atau menggambarkan faktor predisposisi pasien isolasi sosial meliputi biologis, psikologis dan sosiokultural. Penelitian dilakukan di ruang 12 Madrim RSJD Dr. Amino Gondhohutomo Semarang pada pasien isolasi sosial dengan jumlah sampel 10 orang. Penelitian dilaksanakan pada bulan Januari 2019. Data dianalisis secara univariat berupa distribusi frekuensi. Hasil gambaran faktor predisposisi berupa faktor tumbuh kembang mayoritas pasien merasa tidak dicintai oleh keluarganya, sedangkan dalam faktor komunikasi seluruh pasien yang mengatakan jika ada masalah tidak selalu didiskusikan bersama keluarga, dalam faktor sosial budaya mayoritas merasa terintimindasi, sedangkan faktor biologis mayoritas menyatakan ada masalah yang menyebabkan mereka menarik diri. peneliti selanjutnya sebaiknya dapat melakukan penelitian secara kualitatif terhadap pasien dan keluarga pasien isolasi sosial tentang faktor tumbuh kembang, faktor komunikasi dalam keluarga, faktor sosial budaya serta faktor biologis. Kata kunci: faktor predisposisi, pasien, isolasi sosial. DESCRIPTION OF THE PREDISPOSITION FACTORS OF SOCIAL INSULATION PATIENTS ABSTRACT The predisposing factor that can cause a person to experience social isolation is the existence of stages of growth and development that have not been passed well, the communication disturbances within the family, besides the existence of norms that are adopted in the family and biological factors in the form of genes passed from the family which causes mental disorders. The study aims to describe the predisposing factors for patients with social isolation. Descriptive research with a survey approach is carried out to describe or describe predisposing factors for patients with social isolation including biological, psychological and sociocultural. The study was conducted in room 12 of Madrim Hospital, Dr. Amino Gondhohutomo Semarang in social isolation patients with a sample of 10 people. The study was conducted in January 2019. Data were analyzed univariately in the form of frequency distribution. The results of the predisposing factor in the form of growth factors, the majority of patients feel unloved by their families, while in the communication factors all patients who say if there is a problem are not always discussed with the family, in the socio-cultural factors the majority feel intimidated, while the majority biological factors say there are problems that cause they withdraw. Future researchers should be able to conduct qualitative research on patients and families of patients with social isolation about growth factors, communication factors in the family, socio-cultural factors and biological factors. Keywords: predisposing factors, patients, social isolation.
Perilaku kekerasan yang terjadi pada pasien gangguan jiwa memiliki batasan karakteristik yang berbeda-beda. Penelitian ini bertujuan untuk mengetahui respons pasien dengan resiko perilaku kekerasan. Penelitian ini merupakan penelitian kuantitatif dengan rancangan penelitian deskriptif dan pendekatan survey. Sampel penelitian ini adalah pasien yang mempunyai masalah keperawatan prilaku kekerasan diruang Madrim RSJD Dr. Amino Gondhohutomo Provinsi Jawa Tengah yang berjumlah 20 orang. Data dianalisis secara univariat berupa distribusi frekuensi. Hasil penelitian menunjukkan bahwa mayoritas responden berrespons kognitif berupa perubahan isi pikir dan menyalahkan orang lain, respons afektif berupa perasaan tidak nyaman, respons fisiolofis berupa pandangan tajam dan tangan mengepal, respons perilaku berupa memukul benda/ orang dan agresif, respons sosial berupa sering mengungkapkan keinginannya dengan nada mengancam. Perlu intervensi keperawatan yang tepat untuk mengurangi respons kognitif, afektif, fisiologi, perilaku, sosial pada pasien perilaku kekerasan. Kata kunci: respons pasien, resiko perilaku kekerasan RESPONSE OF PATIENTS WITH RISK OF VIOLENT BEHAVIOR ABSTRACT Violent behavior that occurs in patients with mental disorders have different characteristics limits. This study aims to determine responses in patients at risk of violent behavior. This research is a quantitative study with a descriptive research design and survey approach. The sample of this study were patients who had nursing problems of violent behavior in Madrim Hospital Dr. Amino Gondhohutomo, Central Java Province, amounting to 20 people. Data were analyzed univariately in the form of frequency distributions. The results showed that the majority of respondents responded cognitively in the form of changes in thought content and blaming others, affective responses in the form of uncomfortable feelings, physiological responses in the form of sharp eyes and clenched fists, behavioral responses in the form of hitting objects / people and aggressively, social responses in the form of often expressing their desires with threatening tone. Need appropriate nursing intervention to reduce cognitive, affective, physiological, behavioral, social responses in violent behavior patients. Keywords: patient response, risk of violent behavior
Retardasi mental merupakan kondisi yang mengalami keterlambatan perkembangan dimulai pada masa anak, ditandai kemampuan kognitif di bawah normal dan terdapat kendala pada perilaku adaptif sosial. Masalah yang diakibatkan karena retardasi mental yaitu cara berfikirnya terlalu sederhana atau mengalami keterlambatan dalam berfikir dan menulis sehingga dalam bidang akademik sangat lemah, anak retardasi mental juga memiliki permasalahan pada aspek motorik halusnya. Banyak metode yang dapat diberikan pada anak retardasi mental seperti senam otak melalui gerakan arm activation da terapi kolase. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas senam otak melalui gerakan arm activation dibandingkan terapi kolase terhadap motorik halus pada anak retardasi mental. Rancangan penelitian ini menggunakan quasy experiment dengan desain penelitian two group pre-post test design. Uji statistik yang digunakan adalah uji Wilcoxon dan untuk mengetahui perbedaan efektifitas menggunakan uji Mann-Whitney. Hasil uji statistik didapatkan hasil p value 0.000 (p>0.05) hal ini dapat disimpulkan terapi kolase lebih efektif dari pada pemberian senam otak melalui gerakan arm activation terhadap motorik halus pada anak retardasi mental di SLB Negeri Ungaran. Diharapkan peneliti selanjutnya bisa memodifikasi pada prosedur terapi kolase untuk meningkatan motorik halus anak retardasi mental. Kata kunci : senam otak, arm activation, terapi kolase, motorik halus, anak retardasi mental THE EFFECTIVENESS OF THE BRAIN GYM THROUGH ARM ACTIVATION MOVEMENT COMPARED TO KOLASE THERAPY ON FINE MOTORIC IN CHILDREN WITH MENTAL RETARDATION ABSTRACTMental retardation is a condition when someone is experiencing a retarded development which starts from the children period that is characterized by below normal cognitive abilities and constraints on social adaptive behavior. The prevalence of mental retardation in Indonesia is 5.250.000 people suffering from mental retardation. Problems caused by mental retardation are the way of thinking that is too simple or experiencing a retardation in thinking and writing that it makes someone poor in academics. Also, a child with mental retardation has a problem in the fine motoric aspect. Many methods can be given to children with mental retardation such as a brain gym through arm activation movement and kolase therapy. The study aims at determining the effectiveness of the brain gym through arm activation movement compared to kolase therapy on fine motoric in children with mental retardation. The study uses quasy experiment with two group pre-post test research design. The statistical test used is Wilcoxon test and Mann-Whitney test to determine the difference of the effectiveness. The statistical test result in p value 0,000 (p>0,05). It can be concluded that kolase therapy is more effective than the brain gym through arm activation movement on the fine motoric in children with mental retardation at SLB Negeri Ungaran. it is suggested to the next researcher to modify the procedure of the kolase therapy to improve the fine motoric of the children with mental retardation. Keywords : brain gym, arm activation, kolase therapy, fine motoric, children with mental retardation
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