Skip to main content Skip to main navigation menu Skip to site footer
Articles
VIEWS: 659
Published: 2015-11-17

Efektivitas Rational Emotive Behaviour Therapy Berdasarkan Profile Multimodal Therapy pada Klien Skizofrenia dengan Masalah Keperawatan Perilaku Kekerasan dan Halusinasi di Rumah Sakit Jiwa

STIKes Muhammadiyah Klaten
Fakultas Ilmu Keperawatan Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
profile multimodal therapy rational emotive behavior therapy gejala perilaku kekerasan gejala haluasinasi kemampuan kognitif afektif perilaku

Abstract

Penelitian  ini bertujuan mengetahui efektivitas rational emotive behavior therapy (REBT) berdasarkan profile multimodal therapy terhadap kemampuan klien dan perubahan gejala perilaku kekerasan dan halusinasi di RS Jiwa. Desain penelitian quasi eksperimental dengan jumlah sampel 56 responden. 28 responden memiliki Profile Multimodal Therapy untuk mendapatkan REBT sebagai kelompok intervensi, 28 responden sebagai kelompok non intervensi. Hasil penelitian ditemukan penurunan gejala perilaku kekerasan dan halusinasi lebih besar daripada yang tidak mendapatkan REBT berdasarkan profile multimodal therapy (p value < 0.05). Kemampuan kognitif, afektif dan perilaku klien yang mendapatkan REBT berdasarkan profile multimodal therapy meningkat secara bermakna (p < 0.05) Hasil penelitian ini efektif meningkatkan kemampuan klien kognitif, afektif dan perilaku hingga 57% dan penurunan gejala perilaku kekerasan 48%, penurunan gejala halusinasi 47%,. Profile multimodal therapy direkomendasikan sebagai screening klien yang akan diberikan terapi spesialis dalam hal ini khususnya rational emotive behavior therapy


Kata kunci: profile multimodal therapy, rational emotive behavior therapy, gejala perilaku kekerasan, gejala haluasinasi, kemampuan kognitif, afektif, perilaku

 

Abstract

This study aims to determine the effectiveness of rational emotive behavior therapy (REBT) profile of multimodal therapy based on the client's ability and changes in symptoms violent behavior and hallucinations in Psychiatric Hospital. Quasi-experimental research design with a number of 56 respondents. 28 respondents had to get a Profile Multimodal Therapy REBT therapy as the intervention group, 28 respondents as a group of non intervention. The research found a decrease symptoms of violent behavior and hallucinations bigger than not getting REBT based profile of multimodal therapy (p<0.05). Cognitive, affective and behavioral clients who get REBT based profile of multimodal therapy increased significantly (p <0.05). Results clients experience a effectively improve cognitive, affective and behavioral to 57 % and reduction in symptoms of violent behavior 48%, reduction in symptoms of hallucinations 47%. Profile multimodal therapy is recommended as screening client will be given specialist treatment in this particular rational emotive behavior therapy

Keywords: profile multimodal therapy, rational emotive behavior therapy, symptoms of violent behavior, hallucination symptoms, cognitive, affective, behaviorall

References

  1. Departemen Kesehatan Republik Indonesia. (2008). Riset kesehatan dasar 2007. http://www.litbang.depkes.go.id/LaporanRKD/IndonesiaNasional.pdf.
  2. Dryden,W., David,D., & Ellis,A. (2010). Rational Emotive Behaviour Therapy. Handbook of Cognitive-behavioral therapies. (3rd ed). New York,NY.US : Guilford Press
  3. Ellis, A (1997) REBT and its application to Group Therapy, In : Special Applications of REBT : A. Therapit’s Casebook,Yankura,J and Dryden,W (eds). Springer Publishing Company. New York, pp 131 – 161
  4. Ellis, A (2003). Reasons why rational emotive behaviour therapy is relatively neglected in the professional and scientific literature. Journal of Rational Emotive & cognitive – behaviour therapy. 21,3/4 : 245 – 252
  5. Ellis, A (2004). Why Rational Emotive Behaviour Therapy is the Most Comprehensive and Effective From of Behaviour Therapy : Journal of Rational emotive behaviour therapy. 22:2, 85 – 92
  6. Fontaine, K.L. (2009). Mental Health Nursing. 7th ed. New Jersey : Pearson Education, Inc.
  7. Froggatt, W (2005). A brief introduction to rational emotive behaviour therapy, journal of rational emotive behaviour therapy,
  8. Hidayat, E. (2011). Pengaruh Cognitive Behaviour Therapy dan Rational Emotive Behaviour Therapy Pada Perilaku Kekerasan dan Harga Diri Rendah di Rumah Sakit Marzoeki Mahdi Bogor. (Tesis Tidak dipublikasikan) Fakultas Ilmu Keperawatan.
  9. Jalil, M. (2006). Faktor-faktor yang mempengaruhi kekambuhan penderita skizoprenia di RSJ Prof. Dr. Soeroyo Magelang. (Skripsi. Tidak dipublikasikan)
  10. Jensen. (2010), Evaluating the ABC models of rational emotive behaviour therapy theory : an analysis of the relationship between irrational thinking and guilt, Thesis of Science in Psychology. The Faculty of Department Psychology Villanova University. United State. ProQuest LLC
  11. Keliat, B.A., (2006). Peran Serta Keluarga Dalam Perawatan Klien Gangguan Jiwa. Jakarta: EGC
  12. Lazarus, A.A (1992). Multimodal therapy: technical eclecticism with minimal integration,New York; Basic Books
  13. Lelono, S.K. (2011). Efektifitas Cognitive Behaviour Therapy dan Rational Emotive Behaviour Therapy terhadap klien perilaku kekerasan, halusinasi dan harga diri rendah di RSMM Bogor. (Tesis, Jakarta, Tidak dipublikasi) Fakultas Ilmu Keperawatan
  14. NANDA. (2009). Nursing Diagnoses : Definitions & Classification 2009-2011. Philadelphia: NANDA International
  15. Putri, D.W. (2010) Pengaruh Rational Emotive Behaviour Therapy (REBT) Terhadap Klien Perilaku Kekerasan di Rumah sakit Marzoeki Mahdi Bogor. Tesis FIK-UI. Tidak dipublikasikan.
  16. Sudiatmika, I.K. (2011). Pengaruh Cognitive Behaviour Therapy dan Rational Emotive Behaviour Therapy Pada Perilaku Kekerasan dan Halusinasi di Rumah Sakit Marzoeki Mahdi Bogor. (Tesis, Tidak dipublikasikan) Fakultas Ilmu keperawatan
  17. Stuart, G.W. & Laraia, M.T. (2005). Principles and Practice of Psychiatric Nursing, 8th ed. Missouri : Mosby, Inc.
  18. Stuart, G.W. (2009). Principles and Practice of Psychiatric Nursing, 9th ed. Missouri : Mosby, Inc.
  19. Townsend, M.C. (2005). Essentials of Psychiatric Mental Health Nursing. 3rd ed. Philadelphia: F.A. Davis Company
  20. Townsend, M.C. (2009). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice. 6th ed. Philadelphia: F.A. Davis Company
  21. Videbeck, S.L. (2006). Psychiatric-Mental Health Nursing. 4th ed. Philadelphia : Lippincott Williams & Wilkins
  22. Videbeck, S.L. (2008). Buku Ajar Keperawatan Jiwa. Jakarta : EGC.

How to Cite

Hastuti, R. Y., Keliat, B. A., & Mustikasari, M. (2015). Efektivitas Rational Emotive Behaviour Therapy Berdasarkan Profile Multimodal Therapy pada Klien Skizofrenia dengan Masalah Keperawatan Perilaku Kekerasan dan Halusinasi di Rumah Sakit Jiwa. Jurnal Keperawatan Indonesia, 18(3), 143–148. https://doi.org/10.7454/jki.v18i3.491