TITIK TURMIYATININGSIH, NIM. 202302332 (2024) ASUHAN KEPERAWATAN PADA HARGA DIRI RENDAH SITUASIONAL DENGAN PENERAPAN KOMBINASI TERAPI INDIVIDU DAN AFIRMASI POSITIF KLIEN DIABETES MELITUS DI RUANG MARWAH RS PKU MUHAMMADIYAH PETANAHAN. KIA thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that affects the body's metabolism, characterized by hyperglycemia due to insulin disturbances. Type 2 DM is a global concern, with an increasing prevalence in Indonesia. The impact of DM extends beyond physical health to psychological conditions, such as situational low self-esteem, which significantly affects the quality of life of patients. Objective: This study aimed to provide nursing care for situational low self-esteem through a combination of individual therapy and positive affirmations in Diabetes Mellitus clients in the Marwah Room, RS PKU Muhammadiyah Petanahan. Methods: This descriptive study employed a case study approach. The subjects were five Diabetes Mellitus clients with situational low self-esteem. Instruments included nursing care formats, a Nursing Kit, and Standard Operating Procedures (SOPs) for innovative interventions combining individual therapy and positive affirmations. Data were analyzed qualitatively and descriptively, with results presented in tables and narratives. Results: The application of combined individual therapy and positive affirmations effectively reduced symptoms of situational low self-esteem in Diabetes Mellitus clients, reflected by a decrease in diagnostic scores to 6-7. Positive affirmations helped clients transform negative self-perceptions, enhance self-confidence, and foster stronger connections with their surroundings, leading to a reduction in their low self-esteem symptoms. Conclusion: The combination of individual therapy and positive affirmations effectively alleviated symptoms of situational low self-esteem in Diabetes Mellitus clients in the Marwah Ward, RS PKU Muhammadiyah Petanahan. This intervention demonstrated significant improvements in the psychological well-being of clients, contributing to an overall enhancement in their quality of life. Recommendations: Positive affirmations and individual therapy are recommended as integral components of comprehensive nursing care for Diabetes Mellitus clients with situational low self-esteem. Additionally, nurses are encouraged to actively provide psychological support to Diabetes Mellitus clients by implementing these therapies routinely.

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