ADAPTASI EMOSI PASIEN TUNA RUNGU DENGAN GANGGUAN AFEKTIF BIPOLAR EPISODE MANIK DI RUMAH SAKIT ERNALDI BAHAR PALEMBANG
DOI:
https://doi.org/10.31004/prepotif.v9i3.51574Keywords:
adaptasi emosi, episode manik, gangguan afektif bipolar, kesehatan jiwa, tuna runguAbstract
Penelitian ini bertujuan untuk mendeskripsikan proses adaptasi emosi pasien tuna rungu dengan gangguan afektif bipolar episode manik di RS Ernaldi Bahar Palembang. Penelitian menggunakan pendekatan kualitatif deskriptif berbasis laporan kasus klinis pasien berinisial Tn. W, laki-laki berusia 27 tahun, tuna rungu dan tuna wicara sejak lahir, yang datang dengan gejala mania dan perilaku agresif. Data dikumpulkan melalui telaah catatan medis dan wawancara dengan tenaga medis yang menangani. Hasil menunjukkan bahwa keterbatasan komunikasi merupakan faktor utama yang mempersulit pengelolaan emosi, menyebabkan ledakan amarah, perilaku destruktif, dan ancaman kekerasan. Strategi adaptasi emosi pasien meliputi penarikan diri sosial, ekspresi emosi nonverbal, serta ketergantungan terhadap keluarga. Pendekatan terapeutik yang efektif mencakup kombinasi psikofarmaka (Haloperidol, Risperidone), terapi suportif keluarga, dan pembinaan spiritual. Temuan ini menekankan pentingnya layanan kesehatan jiwa yang inklusif bagi penyandang disabilitas pendengaran dengan penyediaan komunikasi alternatif seperti bahasa isyarat dan media visual.References
American Psychiatric Association. (2023). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). Washington, DC: APA Publishing.
Bonany, J. M., et al. (2024). Bipolar Disorder, Deafness and Culturality in Psychiatric Practice. Journal of Clinical Case Reports, 12(3), 87–95.
Bowlby, J. (1988). A Secure Base: Parent-Child Attachment and Healthy Human Development. Basic Books.
Cabral, D., et al. (2022). Mental Health Services for Deaf Patients: Barriers and Inclusion Strategies. Frontiers in Psychiatry, 13(6), 45–56.
Engel, G. L. (1977). The Need for a New Medical Model: A Challenge for Biomedicine. Science, 196(4286), 129–136.
Fava, M., et al. (2019). Family Support and Emotional Regulation in Bipolar Disorder. Psychiatry Research, 281, 112–120.
Fellinger, J., Holzinger, D., & Pollard, R. (2017). Mental Health of Deaf People: Effects of Communication and Culture. The Lancet Psychiatry, 4(9), 775–783.
Freud, S. (2018). Civilization and Its Discontents (Revised Edition). Norton.
Geddes, J. R., & Miklowitz, D. J. (2020). Treatment of Bipolar Disorder. The Lancet, 396(10265), 1841–1856.
Goodwin, F. K., & Jamison, K. R. (2019). Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression. Oxford University Press.
Grande, I., et al. (2022). Bipolar Disorder. Nature Reviews Disease Primers, 8(1), 98–110.
Gupta, M., et al. (2007). Deaf Client with Bipolar Illness: A Case Report. Journal of Clinical Case Reports, 7(3), 211–214.
Handayani, S. (2022). Pedoman Praktis Komunikasi dalam Keperawatan Jiwa. Jakarta: Penerbit Salemba Medika.
Handayani, T., & Astuti, R. (2021). Komunikasi Terapeutik pada Pasien dengan Gangguan Jiwa. Jurnal Keperawatan Indonesia, 24(1), 13–22.
Kementerian Kesehatan RI. (2021). Pedoman Nasional Kesehatan Jiwa Inklusif untuk Penyandang Disabilitas. Jakarta.
Koenig, H. G. (2018). Religion and Mental Health: Research and Clinical Applications. Academic Press.
Miller, J. P., et al. (2020). Communication Barriers and Emotional Dysregulation in Deaf Populations. Frontiers in Psychology, 11(15), 1223–1234.
Nian, Q. Y., et al. (2024). Increased Risk of Psychiatric Disorder in Patients with Hearing Loss. BMC Psychiatry, 24(5), 421–430.
Roy, C. (2018). The Roy Adaptation Model (4th ed.). Pearson Education.
Santangelo, G., et al. (2021). Family-Based Interventions for Bipolar Disorder: A Systematic Review. International Journal of Bipolar Disorders, 9(1), 32–46.
RS Ernaldi Bahar Palembang. (2023). Laporan Kasus Gangguan Afektif Bipolar Episode Manik dengan Gejala Psikotik (Tn. W). Palembang.
Tse, S., et al. (2014). Occupational Therapy in Mood Disorders: Social Recovery Approaches. BMC Psychiatry, 14(1), 126–134.
Ungar, M. (2021). Multisystemic Resilience: Adaptation and Transformation in Contexts of Change. Oxford University Press.
World Health Organization (WHO). (2022). World Report on Hearing and Mental Health Inclusion. Geneva: WHO Press.
Wright, E. R., & Perry, B. L. (2021). Social Rejection and Mental Health Outcomes in Marginalized Populations. Social Science & Medicine, 285, 114–125.
Yoon, S., & Lee, J. (2020). Inclusive Psychiatry: Communication Models for Deaf Patients. Frontiers in Behavioral Neuroscience, 14, 201–215
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