Abstract
Abstrak
Defisit perawatan diri pada klien skizofrenia tidak boleh dipandang remeh. Perawat yang terlibat dalam upaya rehabilitasi psikososial perlu memberikan pelayanan kepada klien skizofrenia dengan masalah defisit perawatan diri secara profesional. Salah satu caranya dengan memberikan asuhan keperawatan berdasarkan kerangka teori yang dikembangkan oleh ahli-ahli di bidang keperawatan. Teori self-care (perawatan diri) oleh Orem memiliki penjelasan yang lengkap tentang konsep perawatan diri, defisit perawatan diri, serta tindakan keperawatan untuk mengatasi masalah yang muncul. Dalam konteks rehabilitasi, teori Orem sangat sesuai dengan tujuan rehabilitasi yaitu membantu klien untuk memandirikan klien seoptimal mungkin.
Â
Abstract
Mental health nurses should professionally address the self-care deficit problem in schizophrenic patients, especially in the psychosocial rehabilitation phase. The nursing intervention of the self-care deficit patients can be delivered based on the nursing theoretical framework. The Orem’s self-care theory elucidates the concept of self-care, self-care deficit, and its nursing care. In the rehabilitation context, the Orem’s theory is relevant to the aim of rehabilitation – optimalizing the client’s own daily functional capacities.
References
- Ackley, B.J., & Ladwig, G.B. (2002). Nursing diagnosis handbook: A guide to planning care (5th ed). Missouri: Mosby.
- Andia, A.M., Zisook, S., Heaton, R.K., Hesselink, J., Jernigon, T., Kuck, J., & Moranville, B.D.L. (1995). Gender differences in Schizophrenia. Journal of Nervous and Mental Health Disease, 183 (8), 522-528.
- Barbato, A. (1998). Schizophrenia and public health. Diperoleh dari www.who.int/mental_health/media/end/55.pdf.
- Birchwood, M., & Jackson, C. (2001). Schizophrenia: Clinical psychology a modular course. Philadelphia: Taylor & Francis Inc.
- Bustillo, J.R., Lauriello, J., Horan, P.W., & Keith, S.J. (2001). The psychosocial treatment of schizophrenia: An update. The American Journal of Psychiatry, 158 (2), 163-175.
- Carpenito, L.J. (1999). Handbook of Nursing diagnosis (8th ed). Philadelphia: Lippincott.
- Departemen Kesehatan RI. (2008). Profil Kesehatan Indonesia 2008. Diperoleh dari www.depkes.go. id/Profil%20Kesehatan%20Indonesia%2020 08.pdf.
- Destine, J.B. (1992). Theory-based advanced rehabilitation nursing: Is it a reality? Holistic Nursing Practice, 6 (2), 1-6.
- Dittmar, S (1989). Rehabilitation nursing: Process dan Application. St. Louise: Mosby Company.
- Fortinash, K.M, & Holloday-Worret, P.A. (1991). Psychiatric Nursing care plans. St. Louise: Mosby Year Book.
- Frankie, P.A., Levine, P., Moerbray, C.T., Shriner, W., Conklin, C., & Thomas, E.R. (1996). Supported education for persons with psychiatric disabilities: Implementation in an urban settings. The Journal of Behavioural Health Services anda Research, 23 (4), 406-417.
- Glashan, T.H., & Bardenstein, K.K. (1990). Gender differences in affective, schizoaffective, and schizophrenic disorders, Schizophrenia Bulletin, 16, 319-329.
- Gournay, K. (2000). Schizophrenia. In R. Newell & K. Gournay (Ed), Mental health nursing: an evidence-based approach (147-162). London: Churchill Livingstone.
- Humpel, N., & Caputy, P. (2001). Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses. Journal of Psychiatric and Mental Health Nursing, 8, 399-403.
- Jalil, M. (2006). Faktor-faktor yang mempengaruhi kekambuhan penderita skizofrenia di RSJ Prof. Dr. Soeroyo Magelang. (Skripsi, Tidak dipublikasikan).
- Johnson, B.S. (1997). Psychiatric-mental Health Nursing: Adaptation and Growth (4th ed). Philadelphia: Lippincott-Raven Publisher.
- Katschnig, H. (2000). Schizophrenia and quality of life. Acta Psychiatrica Scandinavica, 102 (407), 33-37.
- Kozier, B., Erb, G., & Blais, K. (1997). Professional nursing practice: Concepts & perspectives (3rd ed). California: Addison Wesley Longman Inc.
- Kruger, A. (2000). Schizophrenia: recovery and hope. Psychiatric Rehabilitation Journal, 24 (1), 29-38.
- Lucca, A.M., & Allen, G.J. (2001). A statewide assessment of psychosocial rehabilitation programs: General characteristics and services. Psychiatric Rehabilitation Journal, 24 (3), 205-213.
- McFarland, G.K., & McFarlane, E.A. (1997). Nursing diagnosis & intervention: Planning for patient care. Missouri: Mosby Year Book.
- Moore, J.B., & Pichler, V.H. (1999). Measurement of Orem’s basic conditioning factors: A review of published research. Nursing Science Quarterly, 13 (2), 137-142.
- Muir-Cochrane, E.C. (1998). The role of the community mental health nurse in the administration of depot neuroleptic medication: ‘Not just the needle nurse!’. International Journal of Nursing Practice, 4, 254-260.
- Oermann, M.H. (1992). Professional nursing practice: A conceptual approach. Philedelphia: Lippincott.
- Orem, D.E. (1991). Nursing: Concepts of practice (4th ed). Missouri: Mosby Year Book.
- Stuart, G.W. & Laraia, M.T. (2005). Principles and Practice of Psychiatric Nursing (7th ed). St. Louis: Mosby.
- Townsend, C.M. (2005). Essentials of Psychiatric Mental Health Nursing (3th ed). Philadelphia: F.A. Davis Company.
- Videbeck, S.L. (2008). Buku Ajar Keperawatan. Jakarta: EGC.
- WHO. (2001). The World Health Report: 2001: Mental Health: New Understanding, New Hope. Diperoleh dari www.who.int/whr/2001/en.