Manajemen Asuhan Keperawatan Spesialis Pada Klien Dengan Diagnosis Ansietas Dan Gangguan Citra Tubuh Di Unit Umum
Abstract
Penyakit fisik menimbulkan masalah psikososial ansietas dan gangguan citra tubuh. Masalah psikososial ini menjadi faktor comorbid yang menambah berat kondisi fisik klien. Pelaksanaan tindakan ners spesialis didasarkan pada konsep perilaku dan adaptasi sebagai mahluk yang holistik yang meliputi: Cognitive Behavioral Therapy (CBT), Thought Stopping (TS), Progressive Muscle Relaxation (PMR) dengan mempertimbangkan toleransi fisik klien. Tindakan ners spesialis Family PsychoEducation (FPE) pada keluarga dan Supportive Theraphy (ST) pada kelompok pelaku rawat (care giver) diberikan untuk memperkuat dukungan dari luar klien demi mempertahankan kelangsungan proses perawatan klien. Hasil: Pelaksanaan tindakan ners spesialis menunjukkan penurunan tanda dan gejala pada klien di semua aspek respons terhadap stresor. Penurunan yang paling besar terjadi pada kombinasi terapi CBT+PMR+FPE yang dilakukan pada klien dengan diagnosis ansietas pada aspek afektif sebesar 79.2% dan klien dengan diagnosis gangguan citra tubuh pada aspek perilaku sebesar 86.3%. Kesimpulan: Tindakan ners spesialis Cognitive Behavioral Therapy (CBT), Thought Stopping (TS), Progressive Muscle Relaxation (PMR) dengan mempertimbangkan toleransi fisik klien dan Family PsychoEducation (FPE) pada keluarga serta Supportive Theraphy (ST) pada kelompok pelaku rawat (care giver) dapat membantu penurunan respons klien terhadap stressor.
Kata kunci: penyakit fisik; ansietas; gangguan citra tubuh; cognitive behavioral therapy; thought stopping; progressive muscle relaxation
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DOI: http://dx.doi.org/10.46815/jkanwvol8.v6i1.74
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