IMPLEMENTASI KEPERAWATAN JIWA TERAPI DIVERSIONAL PADA PASIEN HARGA DIRI RENDAH DI RUMAH SAKIT JIWA PROF.DR.MUHAMMAD ILDREM MEDAN

Abstract

Low self-esteem is a psychosocial problem characterized by feelings of orthlessness, low self-confidence, and a tendency to withdraw from ti vironment. This condition can hinder patients' ability to interact socially an carry out daily activities. Diversional therapy is one of the nursing interventions carried out through positive and enjoyable activities to divert patients' attention from negative thoughts and feelings and increase their involvement in activities. The purpose of this case study was to implement diversional therapy to help improve self-esteem and psychological well-being in patients with low self-esteem at Prof. DR. Muhammad Ildrem Mental Hospital, Medan. This case study employed a descriptive design with a case study approach involving two patients with low self-esteem. The implementation was carried out from March 31 to April 2, 2026, for three days with six sessions. Diversional therapy was provided through activities of making bead bracelets and weaving origami paper, accompanied by therapeutic communication and education regarding medication adherence. The results of the case study showed that both patients were able to actively participate in the activities, identify their abilities, repeat the activities that had been taught, improve their interactions, and demonstrate increased self-confidence. The patients were also able to express their feelings, understand the importance of engaging in positive activities, and demonstrate an understanding of the importance of adherence to treatment. The conclusion of this case study shows that the implementation of diversional therapy can help improve self-esteem, self-confidence, interaction, and patients' ability to engage in positive activities