Penurunan Perilaku Kekerasan Pada Klien Skizoprenia Dengan Assertiveness Training

Abstract

Perilaku kekerasan adalah perilaku mencederai diri sendiri, orang lain, dan lingkungan. Ini menjadi alasan utama klien dirawat dirumah sakit. Salah satu terapi klien dengan perilaku kekerasan yaitu Assertiveness Training. Penelitian ini bertujuan mengetahuipengaruh Assertiveness Training terhadap perilaku kekerasan pada klien skizoprenia. Desain penelitian ini kuasi eksperimen prepost tes with control group. Sampel sebesar 72, diambil secara random sampling. Perilaku kekerasan meliputi respon perilaku,sosial dan fisik diukur melalui observasi, serta kognitif dengan kuesioner. Perbedaan perilaku kekerasan dianalisis dengan t test.Hasil penelitian menunjukkan perilaku kekerasan pada respon perilaku, kognitif, sosial dan fisik pada kelompok yang mendapatkanAssertiveness Training dan terapi generalis menurun secara bermakna (p= 0,00, α= 0,05). Assertiveness Training terbuktimenurunkan perilaku kekerasan klien Skizoprenia. Penelitian tentang penerapan Assertiveness Training pada kasus selainperilaku kekerasan diperlukan untuk melengkapi informasi tentang manfaat terapi ini.

A Comparison of the Effectiveness of Cognitive Behavior Therapy and Assertive Training Against the Ability to Control Violent Behavior in Schizophrenic Patients

“…The findings of Wahyuningsih study conveyed that there was an effect of assertive group activity therapy on behavior change in violent behavior patients, the results obtained value of p value = 0,000. 21 The results of the study were similar with the results of research conducted by Work books are used as a tool to train clients in the ability to change a client's negative thoughts into a culture or habit. 23 In improving the ability to change negative behavior, researchers apply the principles of behavioral theory by providing positive reinforcement of positive behavior by clients and providing negative feedback on unwanted behavior.…”

Gambaran Diagnosis Keperawatan Di IGD RSJ Grhasia Yogyakarta

“…Banyaknya diagnosis risiko perilaku kekerasan disebabkan karena keluarga baru membawa pasien ke rumah sakit setelah pasien melakukan perilaku kekerasan yang ditunjukkan kepada diri pasien sendiri, orang lain, dan lingkungan [16]. Wahyuningsih et al, (2009), juga menyebutkan perilaku kekerasan merupakan penyebab utama pasien dibawa ke RSJ yaitu 68% [17]. Kekerasan merupakan hasil kemarahan yang ekstrim (memuncak) atau perasaan takut (panik).…”

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

“…Keliat, Totoliu, Daulima, and Erawati (2015) mentioned that assertive training therapy is strongly related to assertive knowledge and assertive behavior before and after assertive training. Assertive training therapy increases the ability of clients to overcome the problem of violent behavior (Wahyuningsih et al, 2011). Alini (2010) reported a decrease in the symptoms of violent behavior and an increase in the ability to control violent behavior of clients who receive assertive training and progressive muscle relaxation.…”

“…Patients who demonstrate violent behavior are treated using generalist nursing interventions by nurses in hospitals. The administration of generalist nursing interventions can help reduce the cognitive, social, and physical signs and symptoms of patients with a risk of violent behavior and improve their ability to manage such risk (Komala, Keliat & Wardani, 2016;Wahyuningsih, Keliat & Hastono, 2011). Patients with a risk of violent behavior, in addition to requiring generalist nursing interventions, should also be given interventions by specialist nurses in the form of assertive exercise psychotherapy and family psychoeducation.…”