Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung
Abstract
Social isolation is characterized by decline or loss inability to interact with others. This paper aimed to analyze the nursing care of social isolation on Mr. P with schizophrenia paranoid. The nursing care process is based on the standard of generalist nursing care which provided for six days from May 7th throughout 12th 2018 on Mr. P aged 32 years male. Main nursing problem was social isolation. Nursing intervention was emphasized on client’s ability to establish mutual relationship and improve client’s communication skills gradually. Nursing interventions affected client positively as manifested gy decreased signs and symptoms of social isolation on the cognitive, affective, physiological and social aspects, but there had not been a decline in behavioral aspects. Client’s barriers in establishing relationship with nurses were internal factors in which clients had negative judgments about themselves, others and the environment and external factors where clients considered the nurse as a threatening stressor. Nursing care follow-up plans are expected to be maximized for individually, family, group and community.
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References
Cacioppo, J.T., Cacioppo, S., Capitanio, J.P. & Cole, S.W. (2015). The neuroendocrinology of social isolation. The Annual Review of Psychology, 66 (9), 1-9.
Chipps, J., Jarvis., M.A., & Ramlall, S. (2017). The effectiveness of e-Interventions on reducing social isolation in older persons: A systematic review of systematic reviews. Journal of Telemedicine and Telecare. sagepub.co.uk/journalsPermissions.nav.DOI:10.117 7/1357633X17733773
DeVylder, J. E., & Hilimire, M. R. (2015). Suicide Risk, Stress Sensitivity, and Self-Esteem among Young Adults Reporting Auditory Hallucinations. Health and Social Work, 40(3), 175-182.http://doi.org
Gomes, L.M. & Miguel, L. (2012). Nursing presence as a nursing care: study of development of nursing presence in psychiatric context. Thesis. Research Gate: tersedia dalam https://www.researchgate.net
Halter, M. J. (2014). Varcarolis’ foundation of psychiatric mental health nursing (7th ed.). St. Louis: Saunders Elsevier
Harwood, L., et al. (2007). Nurses’ perceptions of the impact of a renal nursing professional practice model on nursing outcomes, characteristics of a practice environments and empowerment-part I. CANNT Journal, 17 (1): 22
Herdman, T . H., & Kamitsuru, S. (2015). Diagnosis KeperawatanDefinisi & Klasifikasi2015-2017 Edisi 10. Jakarta: EGC.
Jumaini, Keliat, B.A. & Hastono, S.P. (2010). Pengaruh cognitive behavioral social skills training (CBSST) terhadap kemampuan bersosialisasi klien isolasi sosial di BLU RS DR. H. Marzoeki Mahdi. Tesis. Depok: UI ANA
Junardi, Daulima, N.H.C. & Wardani, I.Y. (2015). Asuhan keperawatan spesialis j iwa pada klien dengan isolasi sosial melalui pendekatan teori stres adaptasi Stuart di ruang Antareja Rumah Sakit dr. H. Marzoeki Mahdi Bogor. Karya Ilmiah Akhir. Depok: UI ANA
Keliat, B. A., & Akemat. (2010). Model praktik keperawatan profesionaljiwa. Jakarta: Penerbit Buku Kedokteran EGC.
Keliat, B.A, Akemat, Helena, N., dan Nurhaeni, H. (2011). Keperawatan Kesehatan Jiwa Komunitas CMHN (Basic Course). Jakarta :EGC
Keliat, B. A., & Pawirowiyono. (2015). Keperawatan jiwa: terapi aktivitas kelompok (2nd ed.). Jakarta: Penerbit Buku Kedokteran EGC.
Keliat, B.A., Panjaitan, R.U., Mustikasari, & Helena, N. (1999). Pengaruh model terapi aktivitas kelompok sosialisasi (TAKS) terhadap kemempuan komunikasi verbal dan non verbal pada klien menarik diri di rumah sakit jiwa. Jurnal Keperawatan Indonesia. 2 (8).
Kemenkes RI. (2013). Riset kesehatan dasar (RISKESDAS) 2013. Laporan Nasional 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrtian Kesehatan RI. http://doi.org
Komala, E.P.E., Mustikasari & Wardani, I.Y. (2017). Perubahan tanda gejala dan kemampuan klien isolasi social setelah dinerikan latihan keterampilan social dan psiedukasi keluarga.Karya Ilmiah Akhir. Depok: UIANA
Kopelowicz, A. & Liberman, R. (2003). Integrating treatment with rehabilitation for persons with major mental illnesses. Psychiatric Services, 54 (11): 25-32
Li, J., Huang, Y.G., Ran, M.S., Fan, Y., Chen, W., Lacko, S.E., & Thornicroft, G. (2010). Community-based comprehensive intervention for people with schizophrenia in Guangzhou, China: effects on clinical symptoms, social functioning, internalized stigma and discrimination. Asian Journal of Psychiatry. https://doi.org/10.1016
Massom, M.R. (2016). Social isolation of the stateless and the destitute: A study on the Refuge-Camp and the Sullied Slum of Dhaka City.
McCarthy, J.M., Bradshaw, K.R., Catalano, L.T., Garcia, C.P., Malik, A., Bennett, M.E. & Blanchard, J.J. (2017). Negative symptoms and the formation of social affiliative bonds in schizophrenia. Schizophrenia research. http://dx.doi.org
Napolion, K., Keliat, B.A., & Mustikasari. (2012). Penerapan terapi spesialis keperawatan jiwa social skills training dan cognitive behavior therapy pada klien isolasi sosial dengan pendekatan model hubungan interpersonal H.E. Peplau di RS Marzoeki Mahdi Bogor. Karya Ilmiah Akhir Spesialis. Depok: UI ANA
Penaloza, M.R., Fuentealba, P.G. & Gallardo, P.C. (2017). Sex differences and the influence of social factors in a Chilean urban psychiatric hospital population. International Journal of Social Psychiatry, 17. 1-14.
Rachmawati, U., Keliat, B.A., & Wardani, I.Y. (2015). Tindakan keperawatan pada klien, keluarga dan kader kesehatan jiwa dengan diagnosa keperawatan isolasi sosial di komunitas. Jurnal Keperawatan Jiwa. 3 (2): 97-106
Renidayati.,Keliat,B.A., & Sabri, L (2008) Pengaruh social skills training pada klien isolasi sosial di Rumah Sakit Jiwa Prof HB Saanin Padang Sumatera Barat. Tesis. Depok: UIANA
Siegrist, K., Millier, A., Amri, I., Aballea, S., & Toumi, M. (2015). Association between social contact frequency and negative symptoms, psychosocial funtioning and quality of life in patient with schizophrenia. Psychiatry Research. 230 (15): 860¬866
Stuart, G.W, Keliat,B.A., Pasaribu,J.(2016) Prinsip dan praktik keperawatan kesehatan jiwa Stuart, Edisi Indonesia. Jakarta: Elsevier
Syafrini, R.O., Keliat, B.A., & Putri, Y.S.E. (2015). Efektifitas implementasi asuhan keperawatan isolasi sosial dalam MPKP jiwa terhadap kemampuan klien. JurnalNers. 10 (1): 175-182
Tarzian, E., Tognoni, G., Bracco, R., Ruggieri, E.D., Ficociello, R.A., Mezzina, R., & Pillo, G. (2013). Social Network Intervention in patients with schizophrenia and marked social withdrawal: A randomized controlled study. Psychiatry. 58 (11): 622-631
Townsend, M. C. (2014). Psychiatric nursing: Assessment, care plans, and medications (9th ed.). Philadelphia: F.A. Davis Company.
Townsend, M.C. (2011). Nursing diagnoses in psychiatric nursing: Care plans and psychotropic medications. 8th Ed. Philadelphia: F.A. Davis Company
Trimelia. (2011). Asuhan keperawatan klien halusinasi. Jakarta: CV Trans Info Media.
Wakhid, A., Hamid, A.Y.S., & Helena, N. (2013). Penerapan terapi latihan keterampilan sosial pada klien isolasi sosial dan harga diri rendah dengan pendekatan model hubungan interpersonal Peplau di RS Dr Marzoeki Mahdi Bogor. Jurnal Keperawatan Jiwa. (1) 1: 34-48
WHO. (2011). Improving health system and services for mental health (Mental health policy and service guidance package). Geneva: WHO Press
Yosep, I., & Sutini, T. (2014). Buku ajar keperawatan jiwa. Bandung: PT Refika Aditama.