Abstract

Clients with mental disorder usually admited to the hospital because of their maladaptive behavior, such as hurting themselves, other people or destroying environment. This condition need immediate treatment by controling client’disruptive behaviors. Behavior therapy is a therapy used to modify maladaptive behavior becomes adaptive. The purpose of this study was to determine the application of behavior therapy for violent risked behavior clients in Acute Ward. The analysis of this paper consisted of 10 clients with violent risked behavior who were the subjects of behavior therapy. The results showed that there were alteration of signs and symptoms, and ability of clients. Behavior therapy can be used not only for clients with self care deficit but also for clients with violent risked behavior. Behavior therapy appropriately used for acute inpatients with maladaptive behavior.

Highlights

  • Ada 5 diagnosis gangguan jiwa terbanyak yang dirawat di rumah sakit, yaitu gangguan suasana perasaan, delirium/demensia, penyakit akibat penyalahgunaan obat, gangguan kecemasan, dan skizofrenia (Varcarolis, 2010)

  • Karakteristik klien yang didapat adalah semua klien perempuan (100%), usia terbanyak adalah dewasa (50%), pendidikan terbanyak adalah SD (60%), hampir semua klien tidak bekerja (90%), sebagian klien menikah (50%), sebagian klien telah lebih dari 5 kali masuk rumah sakit (50%), paling banyak klien masuk dari IGD (80%), dan keluar ruangan ke Ruang Utari (50%)

  • Psychiatric Mental Health Nursing, A Clinical Approach

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Summary

Merusak lingkungan

Tabel di atas menunjukkan bahwa bentuk perilaku paling banyak yang akan diubah adalah perilaku mengganggu orang lain, yaitu sebanyak 8 klien (80%). Bentuk perilaku yang ditunjukkan antara lain berkata kasar, berguling, mondar-mandir, memukul, penolakan atau bermusuhan, meludahi orang lain dan bicara tanpa henti. Tindakan yang diberikan pada klien adalah tindakan keperawatan dan tindakan medis. Tindakan keperawatan yang dilakukan pada klien adalah tindakan generalis dan spesialis, terapi perilaku. Berikut ini merupakan gambaran perubahan perilaku setelah diberikan tindakan: Tabel 3 Perubahan Tanda Gejala Sebelum dan Sesudah Tindakan pada Klien

Risiko Perilaku Kekerasan
Findings
ATTACHMENT IN DISTRESSED
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