Ice Yulia Wardani

Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school

Adolescents are prone to use drugs when they have low self-esteem. Assertiveness training and family psychological education therapies are mental health nursing specialist interventions that are expected to increase adolescent self esteem so that adolescent has ability to prevent drug use. This study aims to determine the effect of assertiveness training and family psychological education therapy on adolescent self-esteem in the prevention of drug use in boarding schools. The research design was a quasi-experimental pre-post test with a control group. Sixty four adolescent students at the boarding school were selected using purposive sampling technique and cluster random sampling. The intervention group 1 only received general nursing intervention and the intervention group 2 received general nursing intervention, assertiveness training, and family psychological education therapy. The results showed that the self-esteem of adolescent students increased significantly after receiving nursing intervention and in the high self-esteem category (p = 0.017), after assertiveness training and family psychological education therapy, adolescent self-esteem in the intervention group 2 increased greater than only general nursing intervention ( P = 0, 000) with the high self-esteem category. There is the influence of assertiveness training and family psychological education therapy on adolescent self-esteem in prevention of drugs uses in a boarding school. Community health center is recommended to do nursing care in school through school health unit program either by primary care nurse or nurse specialist of mental health nursing.

Respon Sosial dan Kemampuan Sosialisasi Pasien Isolasi Sosial melalui Manajemen Kasus Spesialis Keperawatan Jiwa

Background: Social isolation is a condition of loneliness felt by the individual being unable to make contact with other people. Social isolation can result in further on the issue of fulfillment of basic needs, so it would appear hallucinations that endanger themselves and others. Objective: The purpose of writing scientific papers to describe social changes, and socialization capabilities in social isolation’s patients using nursing care management of psychiatric specialist. Methods: Nursing orders given to 22 clients using nurses action, Social Skills Training (SST), and Cognitive-Behavioral and Social Skills Training (CBSST). Result: Results obtained reduction in social symptoms of social isolation mark that includes withdraw behaviour, interaction difficulties, refuse to communicate with others, fail to interact with others nearby, disabillity to participate in social activities, ignoring the environtment, and mistrust with others. The result also shown the improvement of socialization patient ability. Conclusion: : There were reduction in symptoms of social isolation obviously showed on social aspects as well as an increase in the clients ability to socialize. Recommendations of this study was to use a combination of measures such as nurses and specialist nurses Social Skills Training and Cognitive-Behavioral and Social Skills Training on clients with social isolation. Key Words : Social Skills Training, Cognitive-Behavioral and Social Skills Training

Cognitive Behavioral and Family Psychoeducational Therapies for Adolescent Inmates Experiencing Anxiety in a Narcotics Correctional Facility

ABSTRACT Illicit substance use is becoming a major global issue. In Indonesia, inmates imprisoned for illicit substance offences accounted for 40% of the total inmate population. This study aimed to identify the effects of cognitive behavioral and family psychoeducational therapies on inmates’ anxiety in the narcotics correctional facility. Quasi-experimental pre-test–post-test with control group was employed in this study. Intervention Group 1 received a general nursing intervention whereas Intervention Group 2 received a combination of general nursing intervention with cognitive behavioral and family psychoeducational therapies. This study involved 31 inmates for each group. Data were collected using the Hamilton Anxiety Rating Scale (HAM-A) and were analyzed using repeated ANOVA and independent t-tests. The study demonstrated that anxiety was significantly lower among those who received the combination of those three therapies compared to those who received general nursing intervention standalone (p < .005). This study suggested the implementation of both general nursing intervention and specialty therapies, particularly cognitive behavioral and family psychoeducational therapies, to address the anxiety problems experienced by adolescent inmates suffering from illicit substance dependence.