Changes in The Signs, Symptoms, and Anger Management of Patients with A Risk of Violent Behavior After Receiving Assertive Training and Family Psychoeducation Using Roy’s Theoretical Approach: A Case Report

Abstract

Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy's adaptation theory and Stuart's stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre-posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient's ability to overcome the risk of violent behavior. The application of Roy's adaptation theory and Stuart's stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior.

Health Services for People With Mental Disorders During the Covid-19 Pandemic: A Scoping Review

“…Increasing awareness of the importance of the benefits of the skills trained can increase the motivation of clients to practice those abilities. Other studies have also shown that nursing measures can improve the ability to control violent behavior (Fahrizal et al, 2020). Psychoeducational methods Online It is considered more appropriate if applied during the COVID-19 pandemic considering that there are several advantages also mentioned in this study, including the need for lower costs, convenience, the possibility of family informants to be able to join through video conference multi-point and a lower risk of spreading infection.…”

Reducing the Violent Behavior in Schizophrenia Patient Through Online Clinical Practice During the Covid-19 Pandemic

“…Klien yang menunjukkan tanda gejala tersebut tidak memiliki kemampuan mengontrol emosi atau marah, sehingga berujung pada munculnya perilaku kekerasan. Semakin baik kemampuan mengontrol perilaku kekerasan, maka semakin sedikit pula tanda gejala yang muncul (Fahrizal, Mustikasari, & Daulima, 2020). Kemampuan individu (personal ability) merupakan salah satu cara yang dapat dikembangkan untuk mencegah perilaku kekerasan (Setiawan, Keliat, & Wardani, 2015).…”