x ABSTRAK ASUHAN KEPERAWATAN KLIEN SKIZOFRENIA

ABSTRAK
ASUHAN KEPERAWATAN KLIEN SKIZOFRENIA HEBEFRENIK DENGAN
MASALAH GANGGUAN KONSEP DIRI: HARGA DIRI RENDAH DI
RUMAH SAKIT JIWA MENURSURABAYA
Oleh : Dewi Febriana Ningtias
Skizofrenia merupakan penyakit neurologis yang mempengaruhi persepsi
seseorang dan perilaku sosial. Salah satu jenis Skizofrenia adalah Skizofrenia
Hebefrenik biasa disebut juga disorganized type ditandai dengan gangguan proses
pikiran, gangguan kemauan dan adanya depersonalisasi. Gejala yang muncul pada
Skizofrenia Hebefrenik adalah harga diri rendah.
Peneliti ini bertujuan untuk mempelajari secara mendalam mengenai
asuhan keperawatan pada klien skizofrenia hebefrenik dengan masalah
keperawatan harga diri rendah di Rumah Sakit Jiwa Menur. Penelitian
menggunakan metode studi kasus dengan pendekatan asuhan keperawatan dengan
mengambil dua kasus sebagai unit analisis. Unit analisis adalah dua orang lakilaki dengan Skizofrenia Hebefrenik dirawat di Ruang Kenari Rumah Sakit Jiwa
Menur. Metode pengambilan data adalah dengan wawancara klien, observasi dan
catatan rekam medis klien. Intrumen pengumpulan data menggunakan format
asuhan keperawatan jiwa, Budi Keliat, dkk (2006). Penelitian ini dilaksanakan
tanggal 4 April hingga 15 April 2016.
Analisa yang diperoleh pada pembahasan hasil klien 1 dengan perasaan
negatif yang sudah menghilang pada hari ke-6. Sedangkan klien 2 masih tampak
ragu dalam mengungkapkan perasaan malu pada hari ke-7. Diagnosis
keperawatan didapatkan harga diri rendah. Perencanaan sesuai teori yaitu
membina hubungan saling percaya, mengidentifikasi kemampuan aspek positif
yang dimiliki klien, membantu klien menilai kemampuan yang dapat digunakan,
membantu klien untuk memilih kemampuan yang akan dilatih, mengevaluasi
jadwal kegiatan harian klien, melatih kemampuan kedua dan menganjurkan klien
memasukkan
dalam jadwal kegiatan. Pelaksanaan keperawatan sesuai
perencanaan yang telah disusun. Evaluasi yang didapatkan berdasarkan respon
setiap klien.
Diharapkan bagi tenaga kesehatan mampu memberikan perawatan yang
komperhensif agar klien mampu beradaptasi dan melaksanakan kegiatan di
masyarakat lagi.
Kata Kunci : Asuhan Keperawatan, Skizofenia Hebefrenik, Harga Diri Rendah
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ABSTRACT
NURSING CARE ON CLIENTS SUFFERING FROM HEBEPHRENIC
SCHIZOPHRENIA WITH SELF-CONCEPT DISRUPTION: LOW SELF-ESTEEM
AT MENUR MENTAL HOSPITAL SURABAYA
By: Dewi Febriana Ningtias
Schizophrenia is a neurological disease affecting one’s perception,
thoughts, language, emotions, and social behaviours. One of the types of
Schizophrenia is Hebephrenic Schizophrenia This type is indicated by thinking
disruption, willingness disorders, and depersonalisation. One of the symptoms
emerging in this disease is self-concept disruption: low self-esteem.
This study aims to study comprehend nursing care treated on clients
suffering from hebephrenic schizophrenia with low self-esteem at Menur Mental
Hospital Surabaya. This study used case study method and nursing care
approach. There were two analysis units chosen for this study. The two units were
two male patients suffering from hebephrenic schizophrenia treated in Kenari
Room at Menur Mental Hospital Surabaya. The data was collected through
clients interviews, general observations, and clients’ medical records. Data
collecting instrument used in this study was based on the mental nursing care
format as proposed by Budi Keliat, et. al.in the book Proses
KeperawatanJiwa(2006).This study was implemented from 4th April until 15th
April 2016.
Based on the analysis, it shows that client 1 had already dismissed
negative feelings and he started to accept his condition on the 6th day. On the
other hand, client 2 still doubted to show his shyness for his condition up to the 7th
day. Nursing diagnosis shows that there was self-concept disruption as a low selfesteem. Planning was arranged based on the theory: building trusting
relationship, identifying positive aspects possessed by the clients, helping the
clients evaluate their skills, training the clients’ secondary skills and other skills
as well as suggesting the clients to include them into their daily activities
schedule. The nursing care was performed based on the arranged plan. The
evaluations were obtained from each client’s responses.
Health workers are expected to be able to give comprehensive nursing
care in order to make the clients adapt and perform activities with people in their
societies.
Keywords: Nursing Care, Schizophrenia Hebephrenic, Low Self Esteem
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