ASUHAN ASU HAN KEPERAW KEPE RAWA ATAN JIWA DENGA DENGAN N DEPRESI Makalah ini disusun untuk untuk memenuhi tugas mata kuliah keperawatan keperawatan jiwa dengan dosen koordinator Sawab, S.Kep, Ns, M.Kep
DISUSUN OLEH : Kelompok 2 1. 2. . 4. ). -. 7. !.
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PROGRAM STUDI DIII KEPERAWATAN SEMARANG JURUSAN JURU SAN KEPERAW KEPE RAWA ATAN TAN POLITEKNIK KESEHATAN KEMENKES SEMARANG TAHUN AJARAN 2015
KATA KATA PENGANTAR PENG ANTAR
P# sykr ke+a/#ra% lla+ ST ya$3 %ela+ mel#mpa+ka$ ra+ma% /a$ kar$#aNya se+#$33a pe$l#s /apa% me$yelesa#ka$ makala+ ma%a kl#a+ Kepera'a%a$ 5#'a ya$3 6er/l s+a$ Kepera'a%a$ 5#'a /e$3a$ Depres#8. Pe$l#s me$39apka$ %er#makas#+ kepa/a p#+akp#+ak ya$3 %ela+ mem6a$% /alam pe$ys$a$ makala+ #$# 1. ;apak Sa'a6 S.Kep Ns <.Kep selak /ose$
Semara$3
5a$ar# 201)
Pe$ys$
BAB I PENDAHULUAN
A. Latar Belaka!
'a$#%a /a$ 12> pr#a pa/a sa% 'ak% /alam ke+#/pa$$ya per$a+ me$3alam# /epres#. Depres# 6#asa$ya 6erasal /ar# s%ress ya$3 %/ak /#a%as#. Pe$yak#% #$# 6#asa /#a6a#ka$ kare$a /#a$33ap 6#as +#la$3 se$/#r# %a$pa pe$3o6a%a$. Pa/a+al /epres# /apa% me$#m6lka$ /ampak ya$3 ser#s 6a+ka$ /apa% 6erak+#r /e$3a$ 6$+ /#r#. D#perk#raka$ -0> /ar# selr+ kea/#a$ 6$+ /#r# /#ka#%ka$ /e$3a$ /epres#. Se9ara 3lo6al )0> /ar# pe$/er#%a /epres# 6er=#k#ra$ $%k 6$+ /#r# %e%ap# ya$3 ak+#r$ya me$3ak+#r# +#/p$ya a/ala+ 1)>. Sela#$ #% /epres# 6era% 3a /apa% me$#m6lka$ m$9l$ya 6er6a3a# pe$yak#% =#s#k seper%# 3a$33a$ pe$9er$aa$ (3as%r#%#s" asma 3a$33a$ pa/a pem6l+ /ara+ (kar/#o,askler" ser%a me$r$ka$ pro/k%#,#%as. Seak /epres# ser#$3 /# /#a3$os#s HO memperk#raka$ /epres# aka$ me$a/# pe$ye6a6 %ama masala+ pe$yak#% /$#a pa/a %a+$ 2020 (S#a$%r# 200- /alam lky 2011". ;er/asarka$
ra#a$ /#a%as pera$ pera'a% sa$3a% pe$%#$3 /a$ /#6%+ka$ /alam mem6er#ka$ as+a$ kepera'a%a$ ya$3 %epa% pa/a kl#e$ /epres#.
B. R"#"$a Ma$ala% 1. paka+ ya$3 /#maks/ /e$3a$ /epres#? 2. ;a3a#ma$a klas#=#kas# /epres#? . pa pe$ye6a6 /epres#? 4. ;a3a#ma$a %a$/a /a$ 3eala /epres#? ). ;a3a#ma$a ps#kopa%olo3# /epres#? -. ;a3a#ma$a pe$a%alaksa$aa$ /epres#? 7. ;a3a#ma$a as+a$ kepera'a%a$ pa/a kl#e$ /e$3a$ /epres#? &. T"'"a 1.
BAB II TINJAUN PUSTAKA A. Pe!ert(a
Depres# a/ala+ 3a$33a$ alam perasaa$ (moo/" ya$3 /#%a$/a# /e$3a$ kemr$3a$ /a$ kese/#+a$ ya$3 me$/alam /a$ 6erkela$%a$ se+#$33a +#la$3$ya ke3a#ra+a$ +#/p. (Ha'ar# 2001 +al.1&". Depres# a/ala+ sa% moo/ se/#+ (/#s=or#a" ya$3 6erla$3s$3 le6#+ /ar# empa% m#$33 ya$3 /#ser%a# pr#lak seper%# per6a+a$ %#/r 3a$33a$ ko$se$%ras# #r#%a6#l#%as sa$3a% 9emas kra$3 6ersema$3a% ser#$3 me$a$3#s 'aspa/a 6erle6#+a$ pes#m#s merasa %#/ak 6er+ar3a /a$ me$3a$%#s#pas# ke3a3ala$. (DS<I@T*2000 /alam @#/e6e9k 200! +al.!!" Depres# a/ala+ sa% 3a$33a$ alam perasaa$ ya$3 /#%a$/a# /e$3a$ perasaa$ se/#+ /a$ 6er/ka ya$3 6erle6#+a$ /a$ 6erkepa$a$3a$. (Pr'a$#$3s#+ 200& +al. 10". Depres# a/ala+ kea/aa$ emos#o$al ya$3 /#%$kka$ /e$3a$
kese/#+a$ 6erke9#l +a%# perasaa$ 6ersala+pe$r$a$ +ar3a /#r# ke%#/ak6er/ayaa$ /a$ kep%sasaa$. (Isaa9s 2004 +al. 121" Dar# keempa% pe$3er%#a$ /# a%as /apa% /#s#mplka$ 6a+'a /epres# a/ala+ 3a$33a$ alam perasaa$ ya$3 /#ser%a# ole+ kompo$e$ ps#kolo3#k /a$ kompo$e$ soma%#9 ya$3 %era/# ak#6a% kese/#+a$ ya$3 pa$a$3. B. Kla$()(ka$(
1.
2.
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;er/asarka$ 'ak% %era/#$ya a" Depres# pos%par%m 6#asa$ya %era/# pa/a 'a$#%a +am#l ke+am#la$ /apa% mem6a'a 6a$yak per6a+a$ +ormo$al. Per3esera$ /rama%#s ka/a$3 mempe$3ar+# sasa$a +a%#. Hal #$# mm$ya /#ke$al se6a3a# blue baby syndrome8. Depres# pos%par%m le6#+ /ar# perasaa$ se/#+ se%ela+ mela+#rka$. Hal #$# /apa% sem6+ /e$3a$ se$/#r#$ya aka$ %e%ap# apa6#la sampa# ke 3eala ps#kos#s pos%par%m ya$3 #ka %#/ak /#o6a%# m$3k#$ 6#sa me$ye6a6ka$ pem6$+a$ %ra3#s a$aka$ak.
6" Premenstrual Dysphoric Disorder /epres# 3a /apa% %era/# pa/a me$ela$3 me$s%ras# ya$3 /#se6% Preme$s%ral Dysp+or#9 D#sor/er. eala ya$3 ser#$3 /#laporka$ /ar# premenstrual syndrome (P
per6a+a$ sasa$ +a%# /epres# +#la$3 ke$/al# sela#$ 3eala =#s#k seper%# pem6e$3kaka$ a%a kem6$3 pa/a per% a%a kak# per6a+a$ $a=s maka$ /a$ pay/ara %erasa sak#%. 9" Depres# ms#ma$ mm$ya %era/# pa/a Ne3ara$e3ara 4 ms#m /#ma$a /epres# kam6+ pa/a ms#m /#$3#$ /a$ aka$ mem6a#k kem6al# pa/a ms#m sem# a%a pa$as.
&. Et(*l*!( a. Bak%or Pre/#spos#s# Ter/apa% 2 %eor# $%k me$elaska$ =ak%or pe$/k$3 %era/#$ya /epres## 1. Teor# ;#olo3#s a+ e$e%#k. Dar# semla+ pe$yel#/#ka$ ya$3 %ela+ /#lakka$ /#%emka$
6a+'a %er/apa% /k$3a$ ke%erl#6a%a$ +ere/#%er /alam pe$yak#% /epres#. Las$ya ak#6a% pa/a pokok$ya %ampak me$a/# le6#+ %#$33# /#a$%ara #$/#,#/#$/#,#/ ya$3 mem#l#k# +6$3a$ kelar3a /e$3a$ kela#$a$ %erse6% /ar#pa/a /#a$%ara poplas# mm ,+ ;#ok#m#a. Ke%#/akse#m6a$3a$ elek%rol#% %ampak mema#$ka$ pera$a$ /alam pe$yak#% /epres#=. Sa% kesala+a$ +as#l me%a6ol#sme /alam per6a+a$ $a%r#m /a$ kal#m /# /alam $ero$. Teor# 6#ok#m#a ya$3 la#$$ya me$ya$3k% 6#o3e$#k am#$ $orep#$e=r#$ /opam#$ /a$ sero%#$#$. T#$3ka%a$ Ca%Ca% k#m#a #$# me$3alam# /e=#s#e$s# /alam #$/#,#/ /e$3a$ pe$yak#% /epres#=.
2. Teor# Ps#kosos#al a+ Ps#koa$al#sa. Teor# #$# mel#6a%ka$ sa% ke%#/akpasa$ /alam
+6$3a$ a'al #66ay# se6a3a# sa% pre/#spos#s# $%k pe$yak#% /epres#=. Ke6%+a$ 6ay# %#/ak %erpe$+# sa% ko$/#s# ya$3 /#3am6arka$ se6a3a# sa% ke+#la$3a$. *espo$s 6er/ka 6elm %erpe9a+ka$ /a$ kemara+a$ /a$ perms+a$ /#%$kka$ kepa/a /#r#
se$/#r#. E3o %e%ap lema+ seme$%ara spere3o melas /a$ me$a/# me$3+km. ,+ Ko3$#%#=. +l# %eor#%eor# #$# yak#$ 6a+'a pe$yak#% /epres#= %era/# se6a3a# sa% +as#l /ar# kela#$a$ ko3$#%#=. Kela#$a$ proses p#k#r mem6a$% perkem6a$3a$ e,alas# /#r# #$/#,#/. Perseps# merpaka$ ke%#/aka/eka%a$ /a$ ke%#/ak6er+ar3aa$. Pa$/a$3a$ $%k masa /epa$ merpaka$ sa% kepes#m#sa$ kep%sasaa$. -+ Teor# Pem6elaara$. Teor# #$# me$3emkaka$ 6a+'a pe$yak#% /epres#= /#pe$3ar+# ole+ keyak#$a$ #$/#,#/ 6a+'a a/a kra$3 ko$%rol a%a s#%as#s#%as# ke+#/pa$$ya. I$# /#a$33ap 6a+'a ke yak#$a$ #$# m$9l /ar# pe$3alama$pe$3alama$ ya$3 me$3ak#6a%ka$ ke3a3ala$ (6a#k ya$3 /#rasaka$ a%a ya$3 $ya%a". Se%ela+ semla+ ke3a3ala$ #$/#,#/ merasa %#/ak 6er/aya $%k 6er+as#l /alam sa+asa+a ya$3 keras /a$ ole+ kare$a #% 6er+e$%# me$9o6a. Pem6elaara$ ke%#/ak6er/ayaa$ #$# /#3am6arka$ se6a3a# sa% pre/#spos#s# $%k pe$yak#% /epres#=. + Teor# Ke+#la$3a$ O6ek. Teor# #$# me$ya%aka$ 6a+'a pe$yak#% /epres#= %era/# #ka pr#6a/# %erse6% %erp#sa+ /ar# a%a /#%olak ora$3 %er/eka% selama - 6la$ per%ama ke+#/pa$. Proses #ka%a$ /#p%ska$ /a$ a$ak me$ar#k /#r# /ar# ora$3 la#$ /a$ l#$3k$3a$.
6. Bak%or Pe$9e%s /a empa% sm6er %ama s%resor ya$3 /apa% me$9e%ska$ 3a$33a$ alam perasaa$ 1. Ke+#la$3a$ ke%er#ka%a$ ya$3 $ya%a a%a ya$3 /#6aya$3ka$ %ermask ke+#la$3a$ 9#$%a seseora$3 =$3s# =#s#k ke//ka$ a%a +ar3a /#r#. Kare$a eleme$ ak%al /a$ s#m6ol#k mel#6a%ka$ ko$sep ke+#la$3a$ maka perseps# pas#e$ merpaka$ +al ya$3 sa$3a% pe$%#$3. 2. Per#s%#'a 6esar /alam ke+#/pa$ ser#$3 /#laporka$ se6a3a# pe$/a+l ep#so/e /epres# /a$ memp$ya# /ampak %er+a/ap masala+masala+ ya$3 /#+a/ap# sekara$3 /a$ kemampa$ me$yelesa#ka$ masala+.
. Pera$ /a$ ke%e3a$3a$ pera$ %ela+ /#laporka$ mempe$3ar+# perkem6a$3a$ /epres# %er%ama pa/a 'a$#%a. 4. Per6a+a$ =#s#olo3#k /#ak#6a%ka$ ole+ o6a%o6a%a$ a%a 6er6a3a# pe$yak#% =#s#k seper%# #$=eks# $eoplasma /a$ 3a$33a$ kese#m6a$3a$ me%a6ol#k /apa% me$9e%ska$ 3a$33a$ alam perasaa$. D. Ma()e$ta$( Kl(($ Geala %ama /ar# /epres# a/ala+ ke+#la$3a$ m#$a% a%a kese$a$3a$.
Pas#e$ me$3a%aka$ 6a+'a mereka merasa mr$3 p%s asa /alam kese/#+a$ a%a %#/ak 6er3$a. /ap$ %a$/a /a$ 3eala /epres# a/ala+ 1+ D#me$s# B#s#k a. 3a$33a$ pr#mer pa/a s%rk%r /a$ =$3s# o%ak /a$ s#s%em sara= ,. per6a+a$ k#m#a'# ya#% pe$r$a$ $orepr#$epr#$ sero%o$#$ /a$ -. . e. ). !.
pe$#$3ka%a$ s%ero#/ pe$r$a$ me%a6ol#sme pe$r$a$ pera'a%a$ /#r# /a$ ke6ers#+a$ /#r# ke+#la$3a$ e$er3# /e$3a$ lela+ /a$ lema+ pe$r$a$ ak%#,#%as mo%or#k /epres# m$3k#$ 6er+6$3a$ /e$3a$ a/a$ya 3a$33a$ s#s%em #m$
2+ D#me$s# I$%elek%al a. pem#k#ra$ $e3a%#= %er+a/ap /#r# se$/#r# /$#al#$3k$3a$ /a$ masa
/epa$ ,. %#/ak mamp 6er=#k#r ras#o$al -. merasa %#/ak mamp me$3o$%rol /#r#$ya se$/#r# map$ l#$3k$3a$ /+ D#me$s# Emos#o$al merasa %ak% /a$ 9emas a. ,. merasa %#/ak 6er/aya /a$ p%s asa -. perasaa$ mara+ /#%eka$ + D#me$s# Sos#al a. +6$3a$ a$%ara ora$3 /epres# /e$3a$ ora$3 la#$ ka/a$3kala %erl#+a% seper%# ke%er3a$%$3a$ ya$3 6erle6#+a$ ,. %#$3ka+ lak /epres# m$3k#$ se6a3a# sa+a $%k mema$#plas# ora$3 la#$ $%k meme$+# ke6%+a$$ya -. ora$3 /epres# merasa %#/ak memp$ya# pe$/k$3 . me$ar#k /#r# /ar# l#$3k$3a$ /a$ +#la$3 ke%er%ar#ka$ E. P$(k*at*l*!( /a 6e6erapa +#po%es#s %e$%a$3 ps#kopa%olo3# /epres# ya#%:
a+ H#po%es#s am#$ 6#o3e$#9 ( 6#o3e$#9 am#$e +ypo%+es#s" H#po%es#s #$#
me$ya%aka$ 6a+'a /epres# /#se6a6ka$ ole+ kekra$3a$ /alam se$ya'a ke%okelam#$ ya#%: $orep#$e=r#$ (NE" /a$ sero%o$#$ ()HT" ,+ H#po%es#s perm#s#= ( permissive hypothesis" %eor# #$# me$ya%aka$ 6a+'a 6erkra$3$ya )HT me$ye6a6ka$ /epres# kare$a me$3##$ka$8 %r$$ya ka/ar NE -+ H#po%es#s se$s#%#,#%as resep%or %eor# #$# me$3a%aka$ 6a+'a resep%or ya$3 6era/a /# /# syara= pas9a s#$ap%#k /apa% me$3alam# sperse$s#%#,#%as + %ro=# hippocampus 6e6erapa s%/# me$$ka$ 6a+'a pa/a pas#e$ /e$3a$ /epres# $#polar me$3alam# ,olme +#ppo9amps (6a3#a$ /ar# o%ak /#ma$a %er/apa% pro3e$#%or sel syara= ya$3 %ers mem6ela+ /a$ mem6e$%k sel syara= 6ar"
. Peatalak$aaa a. Terap# $o$ =armakolo3# 1. Ps#ko%erap# : $%k /epres# r#$3a$. D#6e/aka$ me$a/# 2 ya#%:
#$%erperso$al /a$ 9o3$#%#,e6e+a,#oral %+erapy. Se6a+ s%/# ($%o$99#o 1&&)": #$%er,e$s# ps#ko%erap# sama e=ek%#=$ya /e$3a$ o6a% a$%#/epresa$ %#/ak a/a e=ek samp#$3 mra+ Fmerpaka$ =#rs% l#$e %+erapy pa/a /epres# r#$3a$ 2. Ele9%ro9o$,ls#,e T+erapy (EGT" Terap# /e$3a$ me$33$aka$ ke%a$ l#s%r#k8 %erap# ya$3 ama$ /a$ e=ek%#= %e%ap# /apa% me$#m6lka$ a/,erse e==e9% seper%# /#s=$3s# ko3$#%#=. ;ka$ merpaka$ p#l#+a$ %ama %erap# $o$ =armakolo3#. EGT /#lakka$ 6#la : /#perlka$ respo$s ya$3 9epa% %erap# /e$3a$ o6a% %#/akkra$3 me$#m6lka$ respo$ 6. Terap# =armakol3# 6er/asarka$ meka$#sme aks# %ama$ya: 1. $%#/epresa$ %r#s#kl#k ( TG" meka$#sme aks#$ya me$3+am6a% rep%ake )HT /a$ $orep#$e=r#$ 9o$%o+$ya am#%r#p%#l#$ #m#pram#$e klom#pram#$ /es#pram#$ 2. Sero%o$#$ $orep#$ep+r#$e rep%ake #$+#6#%or (SN*I" meka$#sme aks#$ya me$3+am6a% rep%ake )HT /a$ $orep#$e=r#$ 9o$%o+$ya ,e$ala=aks#$ .
4. Sele9%#,e )HT rep%ake #$+#6#%or (SS*I" meka$#sme aks#$ya pe$3+am6a%a$ rep%ake )HT se9ara selek%#= 9o$%o+$ya =lokse%#$ ser%al#$ parokse%#$ =l,oksam#$ ). m#$oke%o$ meka$#sme aks#$ya pe$3+am6a%a$ rep%ake $orep#$e=r#$ /a$ /opam#$e 9o$%o+$ya 6prop#o$ -. Tr#aColopyr#/#$ meka$#sm$ya a$%a3o$#s resep%or )HT )HT2 pe$3+am6a%a$ rep%ake )HT 9o$%o+$ya %raCo/o$ /a$ $e=aCo/o$ 7. Te%ras#kl#k meka$#sme$ya a$%a3o$#s resep%or al=a2 a/re$er3#k)HT pres#$ap%#k 9o$%o+$ya <#raCap#$ G. A$"%a Keera3ata Paa Kl(e De!a Ga!!"a J(3a Dere$( 1. Pe$3ka#a$ a. Bak%or Pre/#spos#s# a" Bak%or e$e%#k
→
→
mara+ pa/a /#r#
se$/#r#. 9" Teor# Ke+#la$3a$ ;er+6$3a$ /e$3a$ =a9%or perkem6a$3a$ : m#sal$ya ke+#la$3a$ ora$3 %a pa/a masa a$ak perp#sa+a$ ya$3 6ers#=a% %rama%#s /e$3a$ ora$3 ya$3 sa$3a% /#9#$%a#. I$/#,#/ %#/ak 6er/aya me$3a%as# ke+#la$3a$. /" Teor# kepr#6a/#a$
#$# $%k me$3+#$/ar# %eka$a$ ya$3 +e6a%. Depres# ya#% perasaa$ 6er/ka ya$3 6elm /#3$aka$ a/ala+ repres# spres# /e$#al /a$ /#sos#as#. 2. D#a3$osa Kepera'a%a$ 1. *es#ko me$9e/era# /#r# 6er+6$3a$ /e$3a$ /epres#. 2. a$33a$ alam perasaa$: /epres# 6er+6$3a$ /e$3a$ kop#$3 mala/ap%#=. . I$%er,e$s# Kepera'a%a$ a. Ta$ mm : Kl#e$ %#/ak me$9e/era# /#r#. 6. Ta$ k+ss : 1. Kl#e$ /apa% mem6#$a +6$3a$ sal#$3 per9aya T#$/aka$
:
a" Perke$alka$ /#r# /e$3a$ kl#e$ 6" Lakka$ #$%eraks# /e$3a$ pas#e$ seser#$3 m$3k#$ /e$3a$ s#kap empa%# 9" De$3arka$ pemya%aa$ pas#e$ /e$3a$ s#kap sa6ar empa%# /a$ le6#+ 6a$yak memaka# 6a+asa $o$ ,er6al. <#sal$ya: mem6er#ka$ se$%+a$ a$33ka$. /" Per+a%#ka$ pem6#9araa$ pas#e$ ser%a 6er# respo$s sesa# /e$3a$ ke#$3#$a$$ya e" ;#9ara /e$3a$ $a/a sara ya$3 re$/a+ elas s#$3ka% se/er+a$a /a$ m/a+ /#me$3er%# =" Ter#ma pas#e$ apa a/a$ya %a$pa mem6a$/#$3ka$ /e$3a$ ora$3 la#$. 2. Kl#e$ /apa% me$33$aka$ kop#$3 a/ap%#= T#$/aka$ : a" ;er# /oro$3a$ $%k me$3$3kapka$ perasaa$$ya /a$ me$3a%aka$ 6a+'a pera'a% mema+am# apa ya$3 /#rasaka$ pas#e$. 6" Ta$yaka$ kepa/a pas#e$ 9ara ya$3 6#asa /#lakka$ me$3a%as# perasaa$ se/#+me$yak#%ka$ 9" D#sks#ka$ /e$3a$ pas#e$ ma$=aa% /ar# kop#$3 ya$3 6#asa D#3$aka$ /" ;ersama pas#e$ me$9ar# 6er6a3a# al%er$a%#= kop#$3. e" ;er# /oro$3a$ kepa/a pas#e$ $%k mem#l#+ kop#$3 ya$3 pal#$3 %epa% /a$ /apa% /#%er#ma =" ;er# /oro$3a$ kepa/a pas#e$ $%k me$9o6a kop#$3 ya$3 %ela+ /#p#l#+
3" $rka$ pas#e$ $%k me$9o6a al%er$a%#= la#$ /alam me$yelesa#ka$ masala+. . Kl#e$ %erl#$/$3 /ar# per#lak me$9e/era# /#r# T#$/aka$ : a" Pa$%a /e$3a$ seksama res#ko 6$+ /#r#melka# /#r# se$/#r#. 6" 5a+ka$ /a$ s#mpa$ ala% ala% ya$3 /apa% /#3$aka$ ole+ pas#e$ $%k me$9e/era# /#r#$yaora$3 la#$ /#%empa% ya$3 ama$ /a$ %erk$9#. 9" 5a+ka$ 6a+a$ ala% ya$3 mem6a+ayaka$ pas#e$. /" 'as# /a$ %empa%ka$ pas#e$ /# ra$3 ya$3 m/a+ /#pa$%a ole+ pera'a%pe%3as. 4. Kl#e$ /apa% me$#$3ka%ka$ +ar3a /#r# T#$/aka$ : a" ;a$% $%k mema+am# 6a+'a kl#e$ /apa% me$3a%as# kep%sa$$ya. 6" Ka# /a$ kera+ka$ sm6er sm6er #$%er$al #$/#,#/. 9" ;a$% me$3#/e$%#=#kas# sm6er sm6er +arapa$ (m#sal: +6$3a$ a$%ar sesama keyak#$a$ +al +al $%k /#selesa#ka$". ). Kl#e$ /apa% me$33$aka$ /k$3a$ sos#al T#$/aka$ : a" Ka# /a$ ma$=aa%ka$ sm6er sm6er eks%er$al #$/#,#/ (ora$3 ora$3 %er/eka% %#m pelaya$a$ kese+a%a$ kelompok
-.
pe$/k$3 a3ama ya$3 /#a$%". 6" Ka# s#s%em pe$/k$3 keyak#$a$ ($#la# pe$3alama$ masa lal ak%#,#%as kea3amaa$ keper9ayaa$ a3ama". 9" Lakka$ rka$ sesa# #$/#kas# (m#sal : ko$sel#$3 pemka a3ama". Kl#e$ /apa% me$33$aka$ o6a% /e$3a$ 6e$ar /a$ %epa% T#$/aka$ : a" D#sks#ka$ %e$%a$3 o6a% ($ama /os#s =reke$s# e=ek /a$ e=ek samp#$3 m#$m o6a%". 6" ;a$% me$33$aka$ o6a% /e$3a$ pr#$s#p ) 6e$ar (6e$ar pas#e$ o6a% /os#s 9ara 'ak%". 9" $rka$ mem6#9araka$ e=ek /a$ e=ek samp#$3 ya$3 /#rasaka$. /" ;er# re#$=or9eme$% pos#%#= 6#la me$33$aka$ o6a% /e$3a$ 6e$ar
BAB III PENUTUP
A. S(#"la Depres# a/ala+ sa% e$#s alam perasaa$ a%a emos# ya$3 /#ser%a# kompo$e$ ps#kolo3#k : rasa ssa+ mr$3 se/#+ p%s asa /a$ %#/ak 6a+a3#a ser%a kompo$e$ soma%#k: a$oreks#a ko$s%#pas# kl#% lem6a6 (rasa /#$3#$" %eka$a$ /ara+ /a$ /e$y% $a/# se/#k#% me$r$. Depres# /#se6a6ka$ ole+ 6a$yak =ak%or a$%ara la#$ : =ak%or +er#/#%er /a$ 3e$e%#k =ak%or ko$s%#%s# =ak%or kepr#6a/#a$ pramor6#/ =ak%or =#s#k =ak%or ps#ko6#olo3# =ak%or $erolo3#k =ak%or 6#ok#m#a /ala m %6+ =ak%or kese#m6a$3a$ elek%rol#% /a$ se6a3a#$ya.
B. Sara Se6a3a# %e$a3a pro=es#o$al %#$/aka$ pera'a% /alam pe$a$3a$ masala+ kepera'a%a$ k+s$ya kl#e$ /e$3a$ a$33a$ lam Perasaa$ +ars mem#l#k# pe$3e%a+a$ ya$3 las /a$ %#$/aka$ ya$3 /#lakka$ +ars ras#o$al sesa# 3eala pe$yak#% /a$ as+a$ kepera'a%a$ +e$/ak$ya /#6er#ka$ se9ara kompre+e$s#= 6#ops#kosos#al 9l%ral /a$ sp#r#%al.
DATAR PUSTAKA
Kel#a% ;.. 1&&&. Kmpla$ Proses Kepera'a%a$
Pe$er6#% ;k Ke/ok%era$: EG #66so$ To'se$/ < G 1&&). Kmpla$ Kepera'a%a$ 5#'a8. 5akar%a : ;k Ke/ok%era$ C#C * /kk. 200. Pedoman suhan Keperawatan !iwa Semarang . *S5P Dr.m#$a : o$/o U%ama
Garpe$#%o Ly$/a 5all. 200-. "uku Saku Diagnosa Keperawatan. 5akar%a : EG
+%%p:'''.s9r#6/.9om #P$perilaku$kekerasan /#akses pa/a Se$#$ 2- 5a$ar# 201)
