Management of Restraint Measures Against Decline Anxiety Level in Violent Behavior Patients
Abstract
Introduction: Psychiatric patients often experience anxiety and agitation that has the potential to harm themselves and others, as for actions performed on new patients with anger or anxiety to prevent the risk of injury, one of which is fixation or restraint. Objective: Knowing how to decrease the level of anxiety of patients’ violent behaviours subjected to restraint actions. Method: Qualitative research with this case study approach using a descriptive method using Hamilton Anxiety Rating Scale measurements. Results: In this case study, there was an effect of restraint on the level of anxiety before and after being given restraint. Subject I, Before restraint, obtained a score of 35 for Severe anxiety and Subject II a score of 30 for severe anxiety. After a restraint procedure, the patient's anxiety level decreased until the second day in subject I, with a score of 24 moderate anxiety and II, with a score of 18 mild anxiety. Conclusion: There is a decrease in the anxiety level of patients subjected to restraint. Applying this restraint action can help patients control and recognise violent behaviour that can cause injury to themselves, others, and the environment
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B. Harun and A. Arman, “Peran Dukungan Keluarga Terhadap Kepatuhan Berobat Pasien Skizofrenia Rawat Jalan Di Rumah Sakit Pelamonia Tahun 2016,” J. Kesehat. Delima Pelamonia, vol. 2, no. 1, pp. 54–59, Sep. 2018, doi: 10.37337/jkdp.v2i1.97.
D. M. A. D. Jayanti, N. K. Y. Lestari, and N. N. M. Sugiantari, “Pengaruh Terapi Somatis Isolasi Terhadap Perubahan Perilaku Kekerasan Pada Pasien Skizofrenia,” J. Cent. Res. Publ. Midwifery Nurs., vol. 3, no. 1, pp. 5–10, Jun. 2019, doi: 10.36474/caring.v3i1.59.
E. Sahabuddin, A. Agustang, D. Manda, and S. Oruh, “Partisipasi Sosial Dalam Pemenuhan Activity Daily Living (Adl) Orang Dengan Gangguan Jiwa Di Kota Makassar,” Phinisi Integr. Rev., vol. 3, no. 2, p. 290, Sep. 2020, doi: 10.26858/pir.v3i2.14922.
K. K. R. RISKESDAS, “Laporan Nasional RISKESDAS 2018,” Kementrian Kesehat. RI, pp. 1–582, 2018.
D. A. Dickson, L. Gantt, and M. Swanson, “Effectiveness of the Weighted Blanket With Psychiatric Patients in the Emergency Department: A Pilot Study,” J. Am. Psychiatr. Nurses Assoc., p. 107839032110267, Jun. 2021, doi: 10.1177/10783903211026740.
A. Sahputra, “Asuhan Keperawatan Jiwa Pada Tn. A Dengan Risiko Perilaku Kekerasan Di Ruang Nakula Rsud Banyumas,” 2021, [Online]. Available: https://osf.io/preprints/pbcfk/.
N. Pangaribuan, S. Manurung, V. Amazihono, and ..., “Manajemen Asuhan Keperawatan Jiwa Dengan Masalah Risiko Perilaku Kekerasan Pada Penderita Skiozfrenia: Studi Kasus,” 2022, [Online]. Available: https://osf.io/preprints/typ3g/.
C. S. Narindrianisa, “Kemampuan Perawat Melakukan Tindakan Restrain pada Pasien Amuk di Unit Gawat Darurat RSJD Dr. Arif Zainudin Surakarta,” Univ. Muhammadiyah Surakarta, 2019, [Online]. Available: http://eprints.ums.ac.id/id/eprint/72532.
N. Mawaddah, D. H. Syurandhari, Y. L. H. Kusuma, and D. S. Suryani, “Efektifitas restrain ekstremitas dan isolasi dalam menurunkan skor PANSS-EC pasien perilaku kekerasan,” J. Keperawatan, vol. 20, no. 1, pp. 12–21, Mar. 2022, doi: 10.35874/jkp.v20i1.991.
R. Barzilay, T. Lobel, A. Krivoy, D. Shlosberg, A. Weizman, and N. Katz, “Elevated C-reactive protein levels in schizophrenia inpatients is associated with aggressive behaviour,” Eur. Psychiatry, vol. 31, no. 2, pp. 8–12, Jan. 2016, doi: 10.1016/j.eurpsy.2015.09.461.
Tarjo, Metode Penelitian. 2019.
E.- Purwanti, “Gambaran Tingkat Penerapan Prinsip Etik Keperawatan Di Ruang Rawat Inap Kelas Iii Rumah Sakit Pku Muhammadiyah Gombong,” J. Ilm. Kesehat. Keperawatan, vol. 16, no. 1, p. 19, Jun. 2020, doi: 10.26753/jikk.v16i1.426.
D. D. Setiawan, U. Hasana, and N. R. Dewi, “Pengaruh terapi relaksasi otot progresif terhadap tingkat kecemasan pada pasien resiko perilaku kekerasan di RSJ daerah Provinsi Lampung,” J. Cendekia Muda, vol. 1, no. September, pp. 357–360, 2021, [Online]. Available: http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/481.
I. Iskandar, “Pelaksanaan Restrain Pada Pasien Perilaku Kekerasan Di Rumah Sakit Jiwa Menur Surabaya.” Universitas Muhammadiyah Surabaya, 2019, [Online]. Available: http://repository.um-surabaya.ac.id/5635/.
I. Suryani and A. Prasetya, “Hubungan Durasi Pemberian Restrain Dengan Risiko Perilaku Marah Berulang Pada Pasien Skizofrenia Di Rumah Sakit Jiwa Dr. Radjiman Wediodiningrat Lawang-Malang,” Medica Majapahit (Jurnal Ilm. Kesehat. Sekol. Tinggi Ilmu Kesehat. Majapahit), vol. 9, no. 2, 2017, [Online]. Available: http://ejournal.stikesmajapahit.ac.id/index.php/MM/article/view/490.
J. A. Pardede, “Standar Asuhan Keperawatan Jiwa Dengan Masalah Kecemasan,” no. November, pp. 2–5, 2020, doi: 10.31219/osf.io/whjpv.
Mustaqin and L. Dwiantoro, “Restrain yang Efektif untuk Mencegah Cedera,” J. Keperawatan, vol. 10, no. 1, pp. 19–27, 2018, [Online]. Available: http://www.journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/64.
D. A. Sulistyowati and E. Prihantini, “Keefektifan Penggunaan Restrain Terhadap Penurunan Perilaku Kekerasan Pada Pasien Skizofrenia,” Interes. J. Ilmu Kesehat., vol. 3, no. 2, 2014, [Online]. Available: http://jurnal.poltekkes-solo.ac.id/index.php/Int/article/view/94.
W. A. Setyowati and S. K. Arum Pratiwi, “Tingkat Kegawatdaruratan Pasien Gangguan Jiwa Sebelum dan Sesudah Diberikan Terapi Relaksasi Guided Imagery.” Universitas Muhammadiyah Surakarta, 2019, [Online]. Available: http://eprints.ums.ac.id/id/eprint/69959.
C. Tiara, W. Pramesti, U. Pebriyani, and R. Alfarisi, “Hubungan Konsep Dukungan Keluarga Dengan Tingkat Kekambuhan Pada Paisen Skizofrenia,” J. Ilm. Kesehat. Sandi Husada, vol. 11, no. 1, pp. 522–532, Jun. 2020, doi: 10.35816/jiskh.v11i1.339.
A. Guenna Holmgren, N. Juth, A. Lindblad, and A.-C. von Vogelsang, “Restraint in a Neurosurgical Setting: A Mixed-Methods Study,” World Neurosurg., vol. 133, pp. 104–111, Jan. 2020, doi: 10.1016/j.wneu.2019.09.105.
A. Slaatto, A. V Mellblom, L. C. Kleppe, G. A. Baugerud, and J. Kjøbli, “Conflict prevention, de-escalation and restraint in children/youth inpatient and residential facilities: A systematic mapping review,” Child. Youth Serv. Rev., vol. 127, p. 106069, Aug. 2021, doi: 10.1016/j.childyouth.2021.106069.
R. Thalib and R. Abdullah, “Pemberian Rational Emotive Behavior Therapy Dalam Mengontrol Perilaku Agresif Pada Pasien Perilaku Kekerasan,” J. Ilm. Kesehat. Sandi Husada, pp. 127–137, Jun. 2022, doi: 10.35816/jiskh.v11i1.718.
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