Pengelolaan Pelayanan dan Asuhan Keperawatan pada Pasien dengan Resiko Perilaku Kekerasan Melalui Terapi Progressive Muscle Relaxation (PMR) Untuk Mengontrol Emosi Di Rumah Sakit Jiwa Prof Ildrem

Abstract

Mental disorders are one of the health issues that are increasingly prevalent in the era of globalization. One of the manifestations of mental disorders is the Risk of Violent Behavior (RVB), which is a condition where an individual has the potential to harm themselves, others, or the environment. Handling violent behavior can be done through non-pharmacological therapy, one of which is Progressive Muscle Relaxation (PMR) therapy, aimed at helping patients control their emotions. This report aims to describe the management of services and nursing care for patients at risk of violent behavior through PMR therapy at Prof. Dr. Muhammad Ildrem Psychiatric Hospital. Nursing care is provided to clients with a medical diagnosis of paranoid schizophrenia and a primary nursing diagnosis of risk for violence. PMR therapy was conducted in five structured sessions. The assessment results show that the patient has difficulty controlling emotions, exhibits angry behavior, and has maladaptive coping mechanisms. The implementation of PMR therapy helps the patient recognize muscle tension as an emotional response and develop skills to manage anger independently. Evaluation shows a decrease in the frequency of aggressive behavior and an increase in self-control. The conclusion of this nursing care is that Progressive Muscle Relaxation therapy is effective as an intervention in addressing the risk of violent behavior in patients with mental disorders, and it also supports the gradual achievement of better emotional control.