APPLICATION OF ANALYTICAL SITUATION IN ANXIETY NURSING CARE ON HYPERTENSIVE CLIENT WITH COMMUNITY MENTAL HEALTH NURSING APPROACH

Abstract

Background : Hypertension is a disease prevalent in the community. The psychosocial problem often found in hypertensive client is anxiety. The negative impact of anxiety would interfere with the productivity and quality of life. To manage the problem of anxiety in the nursing management, a Community Mental Health Nursing approach is required which consists offour pillars: management approach, professional relationship, Compensatory reward, and patient care delivery. Purpose: The purpose of this paper is to: 1) determine the characteristics of client anxiety, 2) determine the effects of psychiatric nursing treatment for anxiety clients. Methods : This paper was written by using the case study method with a four-pack serial therapy psychiatric nursing. Package is the first therapy generalist action (client and family), followed by progressive relaxation, and family psychoeducation. The second package is the act of generalist therapy (client and family), progressive relaxation, thought stopping, and family psychoeducation. The third package is the act of generalist therapy (client and family), progressive relaxation, family psychoeducation, and supportive group therapy. The fourth treatment package is the act of generalists (client and family), progressive relaxation, thought stopping, cognitive therapy, family psychoeducation, and supportive group therapy. Results: The results of this paper are: 1) the characteristics of the client's anxiety of influence are: age, education level, occupation, marital status, and client stressors are: predisposition, precipitation, response to stressors, ability to solve problems and coping mechanisms. 2) a combination of the most appropriate therapy to improve the ability of clients and the families in managing anxiety is: progressive relaxation therapy, thought stopping, cognitive therapy, family psychoeducation, and supportive group therapy. Conclusion : From the study it was evident that the package that includes nursing with progressive to relaxation, thought stopping, cognitive therapy, family psychoeducation, and supportive group therapy could be used as a standard therapy for psychiatric nursing specialist hypertension clients with psychosocial problems of anxiety in the community order.