Peningkatan Kemampuan Kognitif dan Perilaku Pada Klien dengan Harga Diri Rendah Melalui Cognitive Behaviorur Therapy

Heppi Sasmita, Budi Anna Keliat, Budiharto Budiharto


DOI: http://dx.doi.org/10.7454/jki.v13i1.227


Abstract


Abstrak

Seseorang yang mengalami skizoprenia sering diawali dengan masalah harga diri rendah dengan gejala: konsentrasi dan perhatian kurang, kepercayaan diri kurang, rasa bersalah, tidak berguna, pandangan masa depan yang suram dan pesimistis. Tujuan penelitian ini menilai efektivitas cognitive behaviour therapy (CBT) untuk meningkatkan kemampuan kognitif dan perilaku klien harga diri rendah. Metode penelitian: quasi eksperimen dengan penerapan cognitive behaviour therapy dengan pendekatan pre-post test. Analisis yang digunakan dependen dan independent sample t-Test, regresi linier sederhana, chi-square dan Anova. Penelitian dilakukan di salah satu RS Jiwa terhadap 58 klien yaitu 29 orang kelompok intervensi dan 29 orang kelompok kontrol. Hasil penelitian menunjukkan cognitive behavior therapy meningkatkan kemampuan kognitif dan perilaku klien skizoprenia dengan harga diri rendah secara bermakna (p<0.05, α=0.05). Efektifitas CBT meningkatkan kemampuan kognitif sebesar 29,31% dan kemampuan perilaku sebesar 22,4%. Penelitian ini merekomendasikan CBT sebagai salah satu terapi spesialis pada klien skizoprenia dengan masalah harga diri rendah.

 

Abstract

Patient with schizophrenia in the beginning is experiencing low self esteem with the following symptoms: concentration difficulty, attention deficit, low self confident, guilty and worthless feelings, and pessimistic. Cognitive behavior therapy is the solutions to enhance cognitive ability as well as to treat behavior of patient with low self esteem. The research aims to study about the effectiveness of cognitive behavior therapy. Method of the research was quasi experiment with pre and post- tests design. The analysis of the research was dependent and independent sample t- test, simple linear regression, chi square, and anova. The research was conducted in mental health hospital with 58 respondents, divided into 29 respondents as intervention group and 29 respondents as control group. The research demonstrated that cognitive behavior therapy has significantly enhanced cognitive ability and treated behavior of patient with low self esteem (p<0.05, α=0.05). The research shown the effectiveness to enhance cognitive ability about 29.31 percent, while the effectiveness to treat behavior about 22.4 percent. This study recommended cognitive behavior therapy as specialty treatment for patient schizophrenia with low self esteem.


Keywords


cognitive behaviour therapy, harga diri rendah, kognitif dan perilaku

Full Text:

Full text - PDF

References


Leuckenote. (1996). Pengkajian gerontologi. Jakarta: EGC.

Miller, A.C. (1995). Nursing care of older adult, theori and practice (2nd Edition). Philadelphia: W.B. Saunders Company.

Reasoner, R.W. (2007). Revieu of self esteem research. Diperoleh dari http://www.self-esteem-internasional.org.

Shives, L.R. (1998). Basic concepts of psychiatric-mental health nursing (4th Editin). Philadelphia: Lippincott.

Stuart, G..W., & Laraia, M.T. (2005). Principles and practice of psychiatric nursing (8th Edition). Philadelphia: Elsevier Mosby.

Sullivan, et. al. (2003). Cognitive behaviour therapy. Diperoleh dari http://www.health.qld.gov.au/rbwh/inbmhs/factsheets/cbt.pdf.

Turkington, D & Kingdon, G.(2002). The case study guide to cognitive behaviour therapy of psychosis. England: John Wiley & Sons, ltd.

Wikipedia. (2007). Cognitive behaviour therapy. Diperoleh dari http://en.wikipedia.org/wiki/cognitive_behaviour_therapy.


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License.
VISITOR COUNTER

StatCounter - Free Web Tracker and Counter

~ View My Stats Detail ~