CD Skripsi
Komunikasi Terapeutik Perawat Dalam Terapi Pada Pasien Schizophrenia Paranoid Di Ruang Siak Dan Indragiri Rumah Sakit Jiwa Tampan
Schizophrenia is a mental health problem in various countries, including Indonesia. In Pekanbaru, based on data obtained from the Tampan Mental Hospital Medical Record, there was an increase in outpatients and inpatients at the Tampan Mental Hospital, where the most cases from year to year were Paranoid Schizophrenia. There are three therapies performed by nurses to treat Paranoid Schizophrenia patients in Siak Room and Indragiri Room at the Tampan Mental Hospital. First, by pharmacological therapy or drug administration. Second, with nursing care consisting of five components, namely assessment, nursing diagnosis, intervention, implementation and evaluation. Third, with group activity therapy based on the planned Implementation Strategy. The three therapies use therapeutic communication in the implementation of its activities.
This study aims to determine the therapeutic communication process in pharmacological therapy, nursing care and group activity therapy in Siak Room and Indragiri Room at the Tampan Mental Hospital. The method in this study is qualitative which describes the purpose of the study and is interpreted narratively. The informants in this study were 6 Nurses and 2 Heads of Rooms, 4 Patients and Heads of Psychiatric Nursing Departments with a purposive technique. Data collection techniques used were observation, interviews and documentation with the data validity technique using an extension of participation and triangulation.
The results showed that in pharmacological therapy, there were four phases in the therapeutic communication used, namely the pre-interaction phase, the orientation phase, the work phase and the termination phase. In the pre-interaction phase, the nurse uses intrapersonal communication with herself. Whereas in the orientation phase, the work phase and the termination phase, nurses use interpersonal communication verbally and nonverbally. In nursing care, four phases in therapeutic communication occur in assessment and implementation. Whereas the nursing diagnosis, intervention and evaluation are only written. The nursing care used is hallucinatory management. In the therapy of group activities, Paranoid Schizophrenia patients use perception stimulation therapy. There are five implementation strategies in perception stimulation therapy, namely recognizing hallucinations, controlling hallucinations by rebuking, controlling hallucinations by carrying out activities, controlling hallucinations by conversing and controlling hallucinations by complying with medication. There are four phases of therapeutic communication that occur in each implementation strategy. Nurses also always use therapeutic attitudes and therapeutic techniques in carrying out all three therapies.
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