Therapeutic Communication

This article focuses on the concept of "Therapeutic communication". it also tries to highlight the importance of this concept, which through verbal or nonverbal communication makes the nurse consciously influence a client or help the client. it involves the use of specific strategies that encourage the patient to express feelings and ideas. There are different reactions to "therapeutic communication" as all patients differ in their characters, background, social status, culture, etc. This article will also compare the role of the nurse as compared to that of the doctor. They must both master efficient therapeutic techniques of communication in order to establish empathy towards the experience that the patient reveals. it is of great importance for them to have communicative therapeutic skills in order to successfully apply the communicative process as well as to fulfil the standards of healthcare for the patients. Through therapeutic communication they should est...

Background: Dental anxiety is anxiety about dental treatment carried out before or immediately after a dental treatment procedure, which will have an impact on the difficulty of the dental team in carrying out dental treatment. One of the interventions that the dental team can carry out with pediatric patients is therapeutic communication. Objective: This study aims to further discuss regarding the effectiveness of therapeutic communication in reducing anxiety in children during dental treatment procedures. Methods: A systematic search of the Google Scholar database, then a narrative review of the identified articles was conducted with a focus on articles published in the last 10 years. Discussion: Therapeutic communication, a non-pharmacological intervention, plays an important role in managing anxiety in children when undergoing dental treatment procedures, because it has the benefit of reducing psychological problems in children such as anxiety, fear and changes in behavior, especially during dental treatment procedures. Some scientific evidence shows a significant value of p <0.05 and an OR value >1 which indicates a correlation between therapeutic communication and the level of dental anxiety. Conclusion: Based on the results of the narrative review conducted, we conclude that the better the therapeutic communication carried out by the dental team, the lower the level of anxiety in children during dental treatment procedures.

Intensive Care Unit (ICU) that a ward for treat critical ill patients. The treatment for patients in ICU has a physical and psychological impact on the family, one of which is anxiety. The anxiety requires effective intervention to reduce it. To determine the types of effective interventions, duration of implementation, and implementation techniques to reduce family anxiety of ICU patients. This study was a literature review. Ten literatures were identified from three databases sources such as Google Scholar, Proquest, and Science Direct in the range of publication 2016-2021. The research design was a quasi-experimental study with adult ICU patients as population. Articles analysis was carried out using the JBI Critical Appraisal Checklist for Quasi-Experimental Studies. All interventions were influential and effective in reducing family anxiety of ICU patients. There are 10 kinds of interventions that can be used to reduce family anxiety of ICU patients.There are ten effective interventions to reduce family anxiety of ICU patients including spiritual welfare provision, yoga, aurosoma therapy, spiritual therapy, health education about critical care, education, nurse therapeutic communication, consultation activities, spiritual counseling, and religious and spiritual. Only 5 out of 10 articles mention the duration of the intervention.

This study aims to explain the relationship between therapeutic communication done by nurses and the anxiety of family members of hospitalized child who are suffering from infectious diseases. A total of 44 respondents were included in this study using purposive sampling technique. The data were taken using a questionnaire on therapeutic communication and anxiety with a closed question types. The data then were processed using Kendal tau statistical tests with 95% significance level. The results of the analysis shows that 75 % of respondents experienced minor anxiety, 13.6 % had moderate anxiety, and 11.4 % had severe anxiety. Data on therapeutic communication indicates that 9.1 % of nurses less communicate, 52.3 % make enough communication, and 36.6 % make a good communication. Correlation analysis using Kendal tau technique shows that there is a relationship between therapeutic communication done by a nurse and the degree of anxiety experienced by families whose child are being ho...

Hospitalisasi merupakan suatu proses karena alasan tertentu mengharuskan anak untuk tinggal di Rumah Sakit. Di Indonesia jumlah anak usia prasekolah yang dirawat pada tahun 2014 sebanyak 15,26%. Penelitian ini bertujuan mengetahui hubungan komunikasi terapeutik dengan tingkat kecemasan akibat hospitalisasi pada anak usia sekolah 3-6 tahun. Komunikasi terapeutik difokuskan pada kesembuhan pasien dan merupakan komunikasi profesional yang dilakukan oleh perawat. Kecemasan adalah gangguan alam perasaan yang ditandai dengan perasaan ketakutan atau kekhawatiran yang mendalam dan berlanjutan dengan perasaan tidak pasti dan tidak berdaya. Metode penelitian cross sectional. Teknik pengambilan sampel yaitu quota sampling sebanyak 30 responden. Teknik pengumpulan data menggunakan kuesioner dengan. Uji validitas menggunakan rumus pearson product moment dengan hasil r hitung (0,407-0,718) dan uji reabilitas cronbach's alpha=0.927. Hasil penelitian menunjukan komunikasi terapeutik perawat kategori cukup (60%) dan kecemasan pada pasien kategori berat (53.3%). Uji statistik menggunakan chi square dengan tingkat kemaknaan α = 0,05. Hasil analisis mendapatkan nilai p-value 0,016 artinya ada hubungan antara komunikasi terapeutik dengan tingkat kecemasan pasien yang dirawat di RSAU dr. M. Salamun Bandung. Perawat perlu meningkatkan komunikasi terapeutik terutama dalam pemberian informasi sebelum dilakukan tindakan medis untuk menurunkan tingkat kecemasan akibat hospitalisasi. Untuk meningkatkan pengetahuan dari komunikasi terapeutik perawat dianjurkan untuk mengikuti pelatihan tentang komunikasi terapeutik.

Perawat merupakan profesi yang menolong untuk beradaptasi secara positif terhadap stress yang dialami. Pertolongan yang diberikan perawat kepada klien harus bersifat terapeutik. Instrumen utama yang digunakan adalah diri perawat sendiri sehingga kesadaran interpersonal menjadi sangat penting. Komunikasi terapeutik harus direncanakan secara terstruktur dengan baik agar respon emosional kecemasan dari keluarga dapat teratasi. Kondisi pasien yang dirawat di ruang ICU adalah kondisi kritis yang sangat menimbulkan kecemasan keluarga, oleh karena itu betapa pentingnya komunikasi terapeutik dilaksanakan.Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik terhadap tingkat kecemasan keluarga pasien di ruang ICU RSUD KOJA tahun 2018.Desain penelitian ini menggunakan metode analitik dengan pendekatan crossectional studi dimana data dikumpulkan secara bersamaan, dengan jumlah 49 responden yang terdiri dari keluarga pasien yang dirawat di ruang ICU RSUD KOJA pada bulan Januari 2018. Berdasarkan hasil penelitian ada hubungan antara komunikasi terapeutik terhadap tingkat kecemasan keluarga pasien di Ruang ICU RSUD KOJA dengan p value = 0,000 atau p value kurang dari a (0,005), tetapi untuk variabel kuantitas komunikasi tidak ada hubungannya dengan p value 0,651 atau p value lebih dari a (0,05).

Objective: Determine the level of therapeutic communication professional nursing from the perspective of people hospitalized in the Internal Medicine Service of the General Hospital Jaén, Peru. Material and method: Research quantitative, descriptive level; an observational, prospective and cross-sectional study, univariate statistical analysis. The sample was composed of 122 people hospitalized, It was used as an instrument of the "therapeutic communication Questionnaire" developed by Lourdes Guevara Chuquillanqui, which was validated by expert judgement as VC = 2.2 > VT = 1.6449 and a reliability of 0.92. Results: 100% (122) of persons hospitalized; 71.3% (87) perceived a therapeutic communication of low level and the 28.7% (35) medium level. According to the dimensions: In empathy 86 (70.5%) perceived a therapeutic communication of low level, the 27% (33) Medium level and 2.5% (3) high level, in the respect dimension 67 (54.9%) perceived a therapeutic communication a low level, the 42.6% (52) a medium level and 2.5% (3) high level, in the dimension receptive listening 67 (54.9%) perceived a therapeutic communication of low level and the 45.1% (55) medium level, in the emotions of the patient 70 (57.4%) perceived a therapeutic communication of low level, the 34.4% (42) Medium level and 8.2% (10) high level, in the dimension accompanying upon their reflection the 68% (83) earned a therapeutic communication of low level, the 68% (83) low level, 25.4% (31) Medium level and 6.6% (8) high level. Conclusions: In conclusion the perception of therapeutic communication of persons hospitalized was of low to medium level.

S obzirom na kontinuirano povećanje broja starijih osoba u ukupnoj populaciji u Hrvatskoj, za očekivati je da će se broj starijih osoba s akutnim psihičkim smetnjama koje zahtijevaju hitno zbrinjavanje sve više povećavati. Najčešći psihički poremećaji kod starijih osoba su: depresivni poremećaji, kognitivni poremećaji, demencija, poremećaji vezani uz uzimanje alkohola, poremećaji vezani uz druga zdravstvena stanja i lijekovima izazvani poremećaji. Gerijatrijski bolesnici bi u pravilu prvo trebali biti pregledani od strane stručnjaka somatske medicine (internista, neurologa, kirurga) prije nego što se upućuju u hitnu psihijatrijsku službu, kako bi se ustanovilo da su primarne smetnje iz psihijatrijske domene. Izražena depresija, suicidalnost, agitacija, sklonosti lutanju i ostalim rizičnim ponašanjima kod kuće, izražena anksioznost i smanjena sposobnost brige o sebi, glavni su razlozi hospitalizacije kod ovih bolesnika. / Related to the fact of the continuous increase in the number of elderly people in the total population of Croatia, it can be expected that the number of elderly people with acute psychiatric disorders that require emergency care will increase. The most common psychiatric disorders found in the elderly are depressive disorders, cognitive disorders, dementia, alcoholrelated disorders, disorders related to other health conditions and drug-induced disorders. Geriatric patients should, generally speaking, first be reviewed by a psychosomatic medical specialist (internist, neurologist, surgeon) before they are sent to psychiatric emergency services in order to establish that the primary complaint is connected with the psychiatric domain. Pronounced depression, suicidality, agitation, wandering tendencies and other home-based risk behaviours, with anxiousness and reduced self-care ability, are the main reasons for hospitalization.

Intensive Care Unit  (ICU) merupakan unit perawatan pasien kritis dengan suasana yang serba cepat, aktivitas yang sibuk, dan jam besuk yang dibatasi sehingga menyebabkan keluarga mengalami kesulitan untuk berkomunikasi dengan pasien, sedangkan pasien kritis biasanya lama dirawatnya, hal tersebut dapat memicu keluarga mengalami kecemasan. Penelitian ini bertujuan untuk mengetahui hubungan antara lama rawat dengan tingkat kecemasan keluarga pasien yang dirawat Di Ruang ICU RSUD dr Soekardjo Kota Tasikmalaya. Metode penelitian adalah kuantitatif korelatif dengan pendekatan cross sectional. Sampel penelitian adalah keluarga pasien yang sedang menunggu di ruang ICU, sebanyak 16 orang menggunakan accidental sampling selama 2 minggu. Pengumpulan data menggunakan skala HARS.Analisa data yaitu Chi Square. Hasil penelitian menunjukkan bahwa pasien dengan lama hari rawat baru (&lt; mean=3,81) sebanyak 7 orang, keluarga pasien tidak mengalami cemas sebanyak 5 orang (71%) dan keluarga yang menga...

Komunikasi terapeutik penting diterapkan perawat dalam memberikan pelayanan keperawatan, tetapi pelaksanaannya tidak maksimal. Penelitian ini bertujuan untuk mengetahui gambaran penerapan komunikasi terapeutik perawat pada saat tindakan keperawatan di ruang rawat kelas III RSUD Arifin Achmad Provinsi Riau. Penelitian ini merupakan deskriptif kuantitatif studi dengan pendekatan survei pada 52 orang sampel yang diambil secara proportional random sampling. Instrumen penelitian menggunakan kuesioner dan lembar observasi. Hasil penelitian melalui observasi tahapan orientasi didapatkan 8 orang (15,4%) perawat yang tidak menjelaskan tujuan tindakan sebelum melakukan tindakan, pada tahapan interaksi sebanyak 31 orang (59,6%) perawat tidak melakukan sikap komunikasi dua arah. Hasil kuisioner pada tahapan terminasi mayoritas perawat mengatakan tidak melakukan rencana tidak lanjut yakni sebanyak 21 orang (40,4%) hasil ini sesuai dengan data observasi yaitu sebanyak 51 orang (98,1%). Pada aspek fisik dari data kuisioner diperoleh mayoritas perawat mengatakan tidak membelakangi pasien saat berkomunikasi yaitu sebanyak 45 orang (86,5%) sedangkan hasil observasi menunjukkan sebaliknya yaitu sebanyak 28 orang (53,8%). Penerapan komunikasi terapeutik perawat pada aspek psikologis dalam dimensi respon, hasil kuisioner mayoritas perawat mengatakan telah menanyakan perasaan klien yang masih dirasakan sebelum melakukan tindakan sebanyak 49 orang e-ISSN 0000-0000 Volume 01, Nomor 01 Tahun 2021 JURNAL KEPERAWATAN HANG TUAH (HANG TUAH NURSING JOURNAL) 32 (94,3%), sedangkan hasil observasi menunjukkan hasil sebaliknya yaitu sebanyak 26 orang (50%), dan pada dimensi tindakan hasil kuisioner mayoritas perawat mengatakan segera melakukan tindakan sebanyak 51 orang (98,1%), sementara hasil observasi menunjukkan hasil sebaliknya yakni sebanyak 36 orang (96,2%). Disarankan kepada pihak rumah sakit untuk mengadakan supervisi serta pelatihan terkait penerapan komunikasi terapeutik perawat.

Background Patients of the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg who underwent coronary angiography were surveyed for hypertension, hypercholesterolemia, diabetes and overweight/obesity between 2008/9 and 2013/4. For each cardiovascular risk factor (CVRFs), we analysed the associations between the quality of the patients' communication with the medical practitioner and their adherence declared to preventive behaviours. Methods 1,289 completed a self-administered questionnaire on communication with the medical practitioner (P'Com-5 items scale; Cronbach 0.87). 61.8% stopped smoking, 57.9% reduced or stopped their consumption of salt, 71.9% of fat, and 62.8% of sugar, and whereas 65% increased their consumption of fruit and vegetables and 19.8% increased their physical activity. Around 37% reported having made changes following their doctor's advice. 90% were followed by a cardiologist and 95.9% by an attending physician. Results No link was observed between declaration of physical activity, smoking, fats, and quality of communication. Significant associations: for increased consumption of fruit and vegetables was linked with the quality of doctor-patient communication when patients were overweight (OR = 1.081), obese (OR = 1.130), hypercholesterolemic (OR = 1.102), hypertensive (OR = 1.084) or diabetic (OR = 1.103). Reduction in salt intake was linked only to patients with hypertension (OR = 1.102), whereas reduction or cessation of sugar consumption was linked to overweight (OR = 1.093), and more so obese, (OR = 1.106), hypercholesterolemics (OR = 1.103) and diabetics (OR = 1.173).

Organski uvjetovani duševni poremećaji su poremećaji mišljenja, opažanja, afekta i ponašanja koji nastaju kao posljedica oštećenja mozga. Prepoznavanje i liječenje tih stanja je nužno ne samo za psihijatre, nego za sve liječnike. Poremećaj mentalne funkcije je jedno od najčešćih pratećih stanja kod bolesnika u jedinicama intenzivnog liječenja. Ipak, poremećaji mentalnih funkcija često ostanu neprepoznati. Kod bolesnika smještenih u JIL može se razviti više različitih tipova poremećaja mentalnih funkcija. Oni variraju od poremećaja sna, teške depresije, anksioznosti, posttraumatskog stresnog poremećaja (PTSP) pa do kognitivnih poremećaja koji uključuju i delirij. Delirij je sindrom koji karakterizira poremećaj svijesti te smanjena sposobnost fokusiranja, održavanja i premiještanja pažnje. Smatra se najčešćim mentalnim oblikom distresa u JIL-u. Dijagnoza mentalne disfunkcije postavlja se isključivanjem predisponirajućeg stanja koje može oponašati simptome psihoze. Uzroci su često multifaktorski i za olakšanje simptoma potrebne su brojne mjere. Liječnici i ostalo medicinsko osoblje moraju osvijestiti važnost i posljedice bihevioralnih i emocionalnih poremećaja u kritičnih bolesnika. Kako bi se otkrilo način za prevenciju, smanjivanje učestalosti i težine posljedica te liječenje kognitivnih i emocionalnih poremećaja potrebna su dodatna istraživanja. Ključne riječi: delirij, akutno konfuzijsko stanje, postoperativni mentalni poremećaji, postoperativna depresija, poremećaji sna, kognitivni poremećaji Adresa za dopisivanje: Doc. dr. sc. Dinko Tonković, dr. med. Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje Klinička bolnica "Sv. Duh"

The current phenomenon, patients visiting doctors generally have health information from the internet. So the study aimed to reveal the implications of the patient's health knowledge on the therapeutic communication of the doctor with the patient. This research used an interpretive approach with a case study method. Data collection techniques used interviews with 13 specialist doctors, 66 patients, and three Health Media Online Managers. The study was conducted in the city of Bandung for six months. The results showed that most patients obtained inaccurate health information from the Internet, so the doctor's attitude provides education. The doctor appreciated and supported patients who had accurate health information. The patient's health information from the Internet had positive and negative implications for the doctor-patient therapeutic communication. Positive implications occur because effective therapeutic communication is transactional, in which doctors and patients are equally active as subjects who make joint decisions, especially medical treatment. On the other hand, doctors efficiently provide education, as patients are accommodative. Negative implications occur because patients have inaccurate health information and google too far. The patient makes an incorrect self-diagnosis so that the patient becomes frightened and over-worried. Thus, the therapeutic communication of doctors and overly worried patients become ineffective, making it difficult for doctors to provide education because patients are less accommodative.

La siguiente investigación explora, desde una perspectiva cualitativa, el rol de un medio de comunicación radiofónico como complemento terapéutico de usuarios y usuarias de salud mental. Considerando la comunicación una actividad inherente al ser humano y, en consecuencia, sus ejercicios a disposición de las comunidades, se admite la existencia de múltiples experiencias periodísticas que permiten el desarrollo de iniciativas como la expuesta en este texto. El trabajo se sitúa en Valparaíso, donde, en dependencias del Hospital Del Salvador, hace 13 años transmite Radio Diferencia, una agrupación comunitaria sin fines de lucro impulsada por personas con diagnóstico psicopatológico. La contribución que la radiofonía realiza al proceso terapéutico de sus integrantes se entiende desde la valoración de los propios miembros de la organización como un espacio para el desarrollo de habilidades sociales, comunicativas y expresivas, junto con la vinculación de los usuarios con su entorno y un ...

Kondisi kritis pada pasien yang dirawat di ruang perawatan intensif bisa menimbulkan kecemasan pada keluarga. Kecemasan keluarga muncul akibat adanya ancaman kematian, kecacatan, dan biaya perawatan yang mahal. Upaya untuk menurunkan tingkat kecemasan adalah dengan psikoterapi melalui interaksi komunikasi terapeutik yang dilakukan perawat. Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi terapeutik terhadap tingkat kecemasan. Metode penelitian yang digunakan adalah pre eksperiment. Data diperoleh dengan menggunakan instrumen ZSAS (Zung-Self Anxiety Scale). Analisa data menggunakan t-test: two-sample assuming unequal variances. Hasil penelitian menunjukan bahwa rata-rata tingkat kecemasan sebelum dan sesudah komunikasi terapeutik adalah 42.73 dan 36.43. Tingkat kecemasan sebelum komunikasi terapeutik yaitu ringan (56.7%) dan sedang (43.3%), dan tingkat kecemasan sesudahnya adalah ringan (100%). Nilai uji T yang dilakukan mendapatkan Thitung 4.49 dengan P-value 0,000 dan ...

Gagal jantung adalah keadaan patofisiologik dimana jantung sebagai pompa tidak mampu memenuhi kebutuhan darah untuk metabolisme jaringan.Gagal jantung merupakan tahap akhir dari sebuah penyakit jantung dan merupakan penyebab peningkatan morbiditas dan mortalitas pasien jantung.Pasien gagal jantung banyak yang mengalami kecemasan ringan sampai dengan berat.Kecemasan dan perasaan takut yang dialami pasien dapat berkurang dengan terapi komunikasi terapeutik.Tujuan penelitan untuk mengetahui efektifitas terapi komunikasi terapeutik terhadap tingkat kecemasan pada pasien gagal jantung di Rumah Sakit Royal Prima Tahun 2020. Jenis penelitan bersifat quasy eksperimen dengan desain cross sectional. Populasi dalam penelitian adalah pasien gagal jantung di Rumah Sakit Royal Prima Tahun 2020 sebanyak 25 orang. Teknik pengambilan sampel menggunakan teknik total sampling  sebanyak 25 orang. Hasil penelitian diperoleh hasil variable sebelum mayoritas kecemasan tingkat panik sebanyak 15 orang (60%)...

The current phenomenon, patients visiting doctors generally have health information from the internet. So the study aimed to reveal the implications of the patient's health knowledge on the therapeutic communication of the doctor with the patient. This research used an interpretive approach with a case study method. Data collection techniques used interviews with 13 specialist doctors, 66 patients, and three Health Media Online Managers. The study was conducted in the city of Bandung for six months. The results showed that most patients obtained inaccurate health information from the Internet, so the doctor's attitude provides education. The doctor appreciated and supported patients who had accurate health information. The patient's health information from the Internet had positive and negative implications for the doctor-patient therapeutic communication. Positive implications occur because effective therapeutic communication is transactional, in which doctors and patients are equally active as subjects who make joint decisions, especially medical treatment. On the other hand, doctors efficiently provide education, as patients are accommodative. Negative implications occur because patients have inaccurate health information and google too far. The patient makes an incorrect self-diagnosis so that the patient becomes frightened and over-worried. Thus, the therapeutic communication of doctors and overly worried patients become ineffective, making it difficult for doctors to provide education because patients are less accommodative.

Introducing the Health Coach Method of Motivational Interviewing to Medical Assistants to Improve the Patient Care Approach by Allison M. Souza MSN, Walden University, 2014 BSN, University of Phoenix, 2010 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University February 2017 Abstract The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care approach while simultaneously assisting clinician...

The current phenomenon, patients visiting doctors generally have health information from the internet. So the study aimed to reveal the implications of the patient's health knowledge on the therapeutic communication of the doctor with the patient. This research used an interpretive approach with a case study method. Data collection techniques used interviews with 13 specialist doctors, 66 patients, and three Health Media Online Managers. The study was conducted in the city of Bandung for six months. The results showed that most patients obtained inaccurate health information from the Internet, so the doctor's attitude provides education. The doctor appreciated and supported patients who had accurate health information. The patient's health information from the Internet had positive and negative implications for the doctor-patient therapeutic communication. Positive implications occur because effective therapeutic communication is transactional, in which doctors and patients are equally active as subjects who make joint decisions, especially medical treatment. On the other hand, doctors efficiently provide education, as patients are accommodative. Negative implications occur because patients have inaccurate health information and google too far. The patient makes an incorrect self-diagnosis so that the patient becomes frightened and over-worried. Thus, the therapeutic communication of doctors and overly worried patients become ineffective, making it difficult for doctors to provide education because patients are less accommodative.

La siguiente investigación explora, desde una perspectiva cualitativa, el rol de un medio de comunicación radiofónico como complemento terapéutico de usuarios y usuarias de salud mental. Considerando la comunicación una actividad inherente al ser humano y, en consecuencia, sus ejercicios a disposición de las comunidades, se admite la existencia de múltiples experiencias periodísticas que permiten el desarrollo de iniciativas como la expuesta en este texto. El trabajo se sitúa en Valparaíso, donde, en dependencias del Hospital Del Salvador, hace 13 años transmite Radio Diferencia, una agrupación comunitaria sin fines de lucro impulsada por personas con diagnóstico psicopatológico. La contribución que la radiofonía realiza al proceso terapéutico de sus integrantes se entiende desde la valoración de los propios miembros de la organización como un espacio para el desarrollo de habilidades sociales, comunicativas y expresivas, junto con la vinculación de los usuarios con su entorno y un ...

Ovaj pregledni rad prikazat će zdravstvenu skrb i zbrinjavanje psihijatrijskih bolesnika koji se nalaze u stanju akutne psihičke bolesti ili krize koje zahtijevaju hitne psihijatrijske i sestrinske intervencije. Biti će navedeni i objašnjeni pojmovi i definicije iz područja psihopatologije, psihijatrije i sestrinstva. Prikazat će se epidemiološke karakteristike psihičkih poremećaja kao što su prevalencija, incidencija i rasprostranjenost. Opisat će se metode procjene mentalnog statusa i ispitivanje psihičkih funkcija i stanja, te pregled somatskog statusa i mjerenje vitalnih funkcija. U glavnom dijelu biti će razrađeni zdravstveni pristupi problematici, počevši od psihijatrijskog pristupa u kojem će se navesti i objasniti dijagnostički kriteriji, komorbiditeti, psihičke i somatske bolesti te liječenje s dominantnim psihofarmakološkim intervencijama. Biti će objašnjen psihoterapijski pristup i tehnike psihoanalitičke – psihodinamske terapije, kognitivno - bihevioralne terapije te hum...

Objective: Effective communication between physicians and their patients is important in optimizing patient care. This project tested a brief, intensive, interactive medical education intervention using coaching and standardized psychiatric patients to teach physician-patient communication to family medicine trainees. Methods: Twenty-six family medicine trainees (9 PGY1, 11 PGY2, 6 fellows) from five university-affiliated hospitals conducted four once-weekly, 30-minute videotaped interviews with "difficult" standardized patients. After each interview, trainees received 1 hour of individual coaching that incorporated selfassessment and skills-teaching from experienced psychiatrists. Two follow-up interviews with standardized patients occurred 1 week and an average of 6 months post-intervention. Trainee selfreported physician-patient communication efficacy was measured as a control 1 month before the intervention; during the month of the intervention; and an average of 6 months after the intervention. Coach-rated physician-patient communication competence was measured each week of the intervention. Results: Improvements in physician-patient communication were demonstrated. Self-efficacy for physician-patient communication improved significantly during the intervention, in contrast to no improvement during the control period (i.e., training-as-usual). This improvement was sustained during the follow-up period. Conclusions: This innovative educational intervention was shown to be highly effective in improving trainee communication competence and self-efficacy. Future applications of this brief model of physician training have potential to improve communication competence and, in turn, can improve patient care.

Introduction
There is evidence that Borderline Personality Disorder (BPD) is associated with stereotypes, prejudices and stigmatization even among mental health professionals. Negative attitudes and behaviors from the part of the medical and nursing personnel towards people living with BPD (PLBPD) could be counter-therapeutic.
Objectives
To develop an inclusive and comprehensive model of therapeutic communication and effective management of the relationship between the mental health professionals and PLBPD, taking into account the views and the experiences of both actors in terms of facilitating factors and barriers. The purpose is to inform the content of interventions in order to support change in clinical and societal level.
Methods
The program consists of research, educational and communication activities. A mixed methods research approach will be implemented, including: a) interviews with psychiatrists and psychologists, b) focus groups with psychiatric nurses, c) interviews with PLBPD, d) participant observation in psychiatric wards, e) cross-sectional research with students in mental health professions, and f) on-line survey for PLBPD. The outcome will lead to a model of therapeutic communication and professional training sessions. Further communication activities are expected to contribute to social visibility and stigma tackling.
Conclusion
We believe that the specific project presents a number of social innovations according to the EU standards. Specifically: a) at an epistemological level seeks to connect different theories, b) at a methodological level uses mixed methods research, c) adopts an empowering approach, d) promotes new collaborations between institutions and groups, e) seeks to create social change through public awareness and knowledge.

Objective: Effective communication between physicians and
their patients is important in optimizing patient care. This project
tested a brief, intensive, interactive medical education intervention
using coaching and standardized psychiatric patients to teach
physician–patient communication to family medicine trainees.
Methods: Twenty-six family medicine trainees (9 PGY1, 11
PGY2, 6 fellows) from five university-affiliated hospitals
conducted four once-weekly, 30-minute videotaped interviews with
“difficult” standardized patients. After each interview, trainees
received 1 hour of individual coaching that incorporated selfassessment
and skills-teaching from experienced psychiatrists.
Two follow-up interviews with standardized patients occurred 1
week and an average of 6 months post-intervention. Trainee selfreported
physician–patient communication efficacy was measured
as a control 1month before the intervention; during the month of the
intervention; and an average of 6 months after the intervention.
Coach-rated physician–patient communication competence was
measured each week of the intervention.
Results: Improvements in physician–patient communication were
demonstrated. Self-efficacy for physician–patient communication
improved significantly during the intervention, in contrast to no
improvement during the control period (i.e., training-as-usual).
This improvement was sustained during the follow-up period.
Conclusions: This innovative educational intervention was
shown to be highly effective in improving trainee communication
competence and self-efficacy. Future applications of this brief
model of physician training have potential to improve
communication competence and, in turn, can improve patient care.
Academic Psychiatry 2013; 37:87–93

Abstrak Berkomunikasi dengan pasien merupakan masalah yang sering dianggap tidak penting oleh banyak pihak termasuk staf medis, akan tetapi kajian komunikasi terapeutik membuktikan bahwa segenggam obat tidaklah efektif dalam membantu proses penyembuhan pasien. Melalui komunikasi antarpersona secara tepat ternyata dapat membantu meringankan beban pasien. Untuk melaksanakan komunikasi staf medis dengan pasien diperlukan strategi komunikasi yang dimulai dari kebijakan rumah sakit sebagai tempat rujukan berobat pasien. Penggunaan strategi komunikasi yang tepat akan mejadikan proses komunikasi staf medis dengan pasien lebih mudah dan tepat. Pendahuluan Sejak pertengahan Oktober 2003, Indonesia dikejutkan dengan berkembanganya virus flu burung. Sebuah virus yang membutuhkan penanganan khusus karena tingkat penyebarannya yang sangat cepat dan permasalahan pengobatan yang belum tuntas memberikan jaminan kesembuhan bagi yang terkena. Beberapa rumah sakit seperti RS Suliyanti Saroso Jakarta kebanjiran pasien. Sampai 20 Maret 2006, lebih dari 150 pasien yang telah mendapat perawatan. Banyak diantara yang dirawat opname akhirnya mengalami kematian. Keluarga yang tidak siap ditinggalkan merasa mendapat pelayanan yang tidak semestinya. Bahkan ada diantara keluarga pasien tersebut yang berencana membawa ke pengadilan karena pihak rumah sakit dituding telah melakukan malpraktik. Kondisi seperti ini jelas tidak membawa kenyamanan, baik bagi pengelola rumah sakit, para staf medis juga pasien dan keluarganya. Dibutuhkan sebuah kearifan agar penanganan pasien yang menjalani perawatan inap mendapatkan pelayanan yang semestinya. Sebuah media berkomunikasi yang tepat sesuai kebutuhan masing-masing pihak mejadi mutlak dibutuhkan. Berkomunikasi dengan pasien merupakan masalah yang tidak jarang dianggap sepele, akan tetapi ternyata dalam kesehariannya sangat terasa besar pengaruhnya bagi kesembuhan pasien sekaligus berfungsi sebagai pencitraan pelayanan positif sebuah rumah sakit kepada konsumennya. Bercakap-cakap dengan pasien adalah berkomunikasi dengan manusia yang sedang sakit. Komunikasi akan sangat menolong tidak saja bagi pasien tapi juga untuk staf medis. Bagi staf medis informasi mengenai pasien sangat penting sekali untuk menetapkan diagnosa maupun pengobatannya. Bagi pasien, berkomunikasi dapat

Main theme of this research was interpersonal communication role to increase healing motivation to cancer patients in Banyumas Public Hospital. The research focuses in two parts; (1) communication activities from medic staff and cancer patients family to the patients, consists are medic staff as communicator and family of the cancer patients as communicator to the cancer patients, (2) how communication messages were encoded each other. The goals of this research are to know how important interpersonal communication in medic staff to their patients to be done well, and to know how influence interpersonal communication to increasing healing motivation to cancer patients. Objects of this research were cancer patients in general nursing in Banyumas Public Hospital. Medic staff consists are doctors, nurses, and psychologist then cancer patients family. The method of this research use qualitative method with job and activity analysis descriptive. Data finding is done by observation, deep interview and literature study. The research results indicated that there were increasing healing motivation to cancer patients with effectively interpersonal communication from medic staff and cancer patients family. PENDAHULUAN Kasus Rima Melati, seorang selebritis Indonesia, memperlihatkan betapa kuat pengaruh komunikasi antarpribadi yang dilakukan oleh keluarga dan pendeta yang secara rutin terus memberikan semangat kepadanya untuk sembuh. Pada akhirnya, Rima Melati dinyatakan sembuh dari penyakit kankernya. Dilihat dari sisi komunikasi, di luar pengobatan medis yang dilakukan dokter, dorongan kesembuhan ini ternyata dimunculkan oleh komunikasi antarpribadi yang dilakukan oleh keluarga dan pendeta yang selalu menemani dan membantunya. Contoh kasus ini, bisa menjadi tanda betapa pentingnya komunikasi antarpribadi dalam kehidupan seorang penderita kanker. Komunikasi antarpribadi juga terjadi dalam komunitas terapeutik atau sering disebut sebagai komunikasi dalam lingkup dunia kesehatan, seperti rumah sakit, di mana dalam rumah sakit tersebut terjadi interaksi antara staf medis dan pasien, dengan tujuan untuk mengobati pasien dari penyakitnya (Purwanto, 1994). Sementara itu, menurut Organisasi Kesehatan Dunia (WHO), tiap tahun jumlah penderita kanker di dunia bertambah 6,25 juta orang. 10 tahun mendatang diperkirakan sembilan juta orang akan meninggal tiap tahun akibat kanker. Dua pertiga dari penderita kanker di dunia akan berada di negara-negara yang sedang berkembang. Di Indonesia, diperkirakan tiap tahunnya terdapat 100 penderita kanker yang baru dari setiap 100.000 penduduk. Menurut hasil Survai Kesehatan Rumah Tangga (SKRT) Departemen Kesehatan RI, kematian yang disebabkan kanker meningkat dari tahun ke tahun ialah : 4,5 persen (1989), 4,5 persen (1992), dan 4,9 persen (1995).