Experiences of Aggressive Behavior Patient after Physical Restraint in Mental Hospital, A Qualitative Study

ISSN 2354-8428 e-ISSN 2598-8727 JURNAL KEPERAWATAN KOMprEhEnsIF COMPREHENSIVE NURSING JOURNAL Vol. 8 No. 2, April 2022 Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat Knowledge Analysis of Pregnant Mothers About Newborn Treatment (Diah Nurhidayati, Tuti Yanuarti ) The Relationship Between Nurse Supervision With Compliance Toward Handover During The Pandemic COVID‐19 in Indonesia (Dudi Mauludin, Lia Idealistiana) The Effect of Father's Education on Increasing Knowledge, Attitudes, and Practice of Health Protocols in Preventing COVID‐19 in Nursing Students (Sarma Eko Natalia Sinaga) Behavior Prevention Modification of Non‐Communicable Diseases During the COVID‐19 Pandemic Using Android‐Based Telenursing Application "SI‐TELUR PETIS" (Mei Rianita Elfrida Sinaga, Indrayanti, Muhammad Irfan) The Effect of Touch Less Spiritual Therapy and Yin Yoga Toward Student's Perceived Stress During Covid‐19 Pandemic (Oda Debora, Sulistyono) Mix Method Impact of Exposure of Inhalants Exposure “Glueing” on Street Children Community in Kendari City (Asbath Said, Mikawati, Wa Ode Rahmadania, Sartini Risky) Experiences of Aggressive Behavior Patient after Physical Restraint in Mental Hospital, A Qualitative Study (Iyus Yosep, Ati Surya Mediawati, Ai Mardhiyah) The Relationship of Brith Ball Therapy on Primigravida Mothers With A Fair Delivery Process (Novianti, Feva Tridiyawati) The Effect of Three Good Things Technique on Self‐Leadership to Nursing Students (Diwa Agus Sudrajat, Andalis Munawaroh Aisyah, Suci Noor Hayati, Tria Firza Kumala) The Effectiveness of Soaking the Feet in Salt Water to Reduce the Degree of Edema in Pregnant Women Trimester III (Arlinda Patola, Feva Tridiyawati) The Effectiveness of Fingerhold Relaxation Techniques and Lemon Aromatherapy Towards Reducing Pain Intensity in Post Section Caesarian Patients (Fenty Ika Wardani, Elfira Sri Futriani) Diabetes Distress: Assessment and Screening of Stress Levels Among People with Diabetes Mellitus (Asbath Said, Mikawati, Waode Rahmadania, Ahmad Mudatsir) Telerehabilitation In Monitoring Treatment of Heart Disease Patients: Literature Review (Wahyuni Arni, Yuliana Syam, Syahrul) Communication Therapy in Stroke Patients with Aphasia: A Narrative Review (Sally Syamima, Urip Rahayu, Nur Oktavia Hidayati) Combination of Music and Guided Imagery on Relaxation Therapy to Relief Pain Scale of Post‐Operative Patients (Nur Hidayat, Rudi Kurniawan, Yudisa Diaz Lutfi Sandi, Esti Andarini, Fidya Anisa Firdaus, Heri Ariyanto, Reffi Nantia Khaerunnisa, Henri Setiawan) Telerehabilitation In Monitoring Treatment of Heart Disease Patients: Literature Review (Erma Wahyu Mashfufa, Ranti Kurnia Sari, Navy Sealsi Adinda Prisca Marina, Nur Aini, Lilis Setyowati, Ollyvia Freeska Dwi Marta The Effect of Tai Chi Exercise on Reduction the Risk of Falls in the Elderly: A Literature Review (Novya Ashlahatul Mar'ah) JURNAL KEPERAWATAN KOMPREHENSIF VOL. 8 NO. 2 Page 126-293 Bandung April 2022 ISSN 2354-8428 e-ISSN 2598-8727 172 p-ISSN : 2354 8428 | e-ISSN: 2598 8727 Jurnal Keperawatan Komprehensif Vol. 8 No.2 April 2022 Research Article Experiences of Aggressive Behavior Patient after Physical Restraint in Mental Hospital, A Qualitative Study Iyus Yosep1* │ Ati Surya Mediawati2 │ Ai Mardhiyah3 1,2,3Faculty of Nursing, Padjadjaran University, Sumedang, West Java – Indonesia *contact Received : March 10, 2022 Revised : April 26, 2022 Accepted : April 28, 2022 Online : April 30, 2022 Published : April 30, 2022 Abstract Aims. The prevalence of Violence in nurses and patients is an important issue today. One of the handlings of violent patients in mental hospitals is restraint. Restraint becomes a difficult choice for nurses in mental hospitals. This choice is still made with ethical considerations to prevent a worse risk. Restraints can violate patient rights. But if not done can threaten the environment. After physical restraint the patient has special experiences that need to be evaluated by the mental health nurse. Purpose. The purpose of this study was to describe the experience of patients with physical violence after restraint at the Mental Hospital, West Java. Methods. The informant selection technique used in this study was purposive sampling. The number of informants in this study was six patients. Patients were selected based on two inclusion criteria, first; have ever done physical violence, secondly, have experienced physical restraint. Patients have been selected by the head of the ward and approved by the nursing ethics board. Data was collected through focus group discussions (FGD). Data was recorded using an audiovisual camera. The discussion was conducted over three sessions, in three days, each for 60 minutes. The collected data is typed verbatim. The thematic analysis used in this study refer to six steps qualitative analysis. Result. There are six themes that arise in the client's response to violent behavior during physical restraint. It includes ignoring the patient's basic needs, Feelings of anger and irritation, thinking that there is no perceived positive influence, controlling his behavior for fear of the next physical restraint, Surrender to the conditions experienced, Feelings of relief and joy after not undergoing physical restraint, there is a feeling of revenge and want to take revenge. Conclusion. The patient's experience with physical violence after the act of restraint reveals the occurrence of neglect of basic human needs, the emergence of feelings of anger and irritation and thinking that restraint is of no benefit. After going through the angry phase, there is a sense of resignation to the patient and the informant's efforts to control his behavior for fear of getting physical restraint again. However, there is also a feeling of resentment that is triggered by the experience of being treated inhumanely. Keywords Behaviour patient, physical restraint, mental https://doi.org/10.33755/jkk This is an open access article under the CC BY-SA license 173 p-ISSN : 2354 8428 | e-ISSN: 2598 8727 INTRODUCTION The prevalence of Violence in nurses and patients is an important issue today. Based on 65 research results involving 61,800 nurses from 30 countries published by (1), the one-year prevalence of physical violence is one in five nurses (19.33%) who have experienced physical violence by patients. On the other hand, one of the effects of stigmatization on patients with mental disorders has led to aggressive behavior of patients towards their families, nurses and society. On the other hand, patients also experience violence from family, community and nursing professionals (2) Mental patients are not only perpetrators of violence but also victims of violence. The research of Iyus (3), concludes the phenomenon of the patient's experiences as a perpetrator. These experiences have been grouped into categories as: Committing physical violence to family, quarreling with family, verbal abuse to family, a perpetrato (...truncated)