MODEL STRES ADAPATASI

DYAH SYAHRENI
MODEL STRESS-ADAPTASI
 Model yang utuh
 Menggabungkan landasan teoritis, komponen
bio-psiko-sosial, rentang respon, dan
keperawatan
 Dilandasi pd tahap pengobatan pasien:

1) Peningkatan kesehatan,
2) pemeliharaan,
3) akut,
4) krisis.
BIOPSYCHOSOCIAL COMPONENTS
 Predisposing Factors : conditioning or risk
factors that influence both the type and amount
of resources the person can use to handle stress.
 Precipitating stressors are stimuli that the
individual perceives as challenging, threatening,
or demanding.
 Appraisal of stressor is the processing and
comprehension of stressful situation that takes
place on many levels.
BIOPSYCHOSOCIAL COMPONENTS
 Coping Resources, optios, or strategies, help to
determine what can be done, as well as what is at
stake.
 Coping Mechanisms : any efforts directed at
stress management.
 Nursing Diagnosis: a clinical judgment about
individual, family, or community responses to
stress.
KOMPONEN BIOPSIKOSOSIAL MODEL STRESS ADAPTASI
1. FAKTOR PREDISPOSISI

Biologi psikologi sosbud

2. STRESOR PRESIPITASI

Sifat Asal Waktu Jumlah

3. PENILAIAN THD STRESOR

Kognitif Afektif Fisiologik Perilaku Sosial

4. SUMBER-SUMBER KOPING

Kemampuan personal Dukungan sosial Aset Materi Keyakinan Positif

5. MEKANISME KOPING

Konstruktif Destruktif

6. RENTANG RESPON KOPING

Respon Adaptif Respon Maladaptif

7. DIAGNOSA KEPERAWATAN
 model-stress-adaptasi-stuart-laraia1.pdf
AKTIVITAS INTERVENSI
 Health promotion
 Maintenance

 Acute

 Crisis
HEALTH PROMOTION
 Treatment goal: optimal level of wellness
 Nursing assessment is focused on the patient’s
quality of life and well-being.
 Nursing intervention is directed toward inspiring
and validating the patient.
 Expected outcome is the patient will attain the
optimal quality of life.
MAINTENANCE/PEMELIHARAAN

 Tujuan : pemulihan pasien scr tuntas.

 Pengkajian difokuskan pd status fungsional

 Intervensi : memberikan reinforcement lgs thd

respon adaptif pasien.
 Kriteria hasil: meningkatkan fungsi pasien.
TAHAP AKUT

 Tujuan keperawatan : pemulihan kondisi sakit

pasien.
 Pengkajian berfokus pada gejala pasien dan coping
maladaptif
 Intervensi keperawatan ditujukan perencanaan
bersama pasien dan modeling dan mengajarkan
respon adaptif
 Kriteria hasil: gejala berkurang
TAHAP CRISIS
 Tujuan keperawatan : stabilisasi pasien
 Pengkajian keperawatan berfokus pd faktor
risiko yg mengancam kesehatan dan
kesejahteraan pasien
 Intervensi keperawatan : menciptakan
lingkungan yang aman
 Kriteria hasil : tdk ada tindk mencederai bg
pasien atau org lain.
THANK YOU FOR YOUR
ATTENTION

Have a nice learning