Self-Esteem Optimization through Plant Therapy for Patients with Chronic Low Self-Esteem

Main Article Content

Deden Dermawan Deden
Luluk Ambarwati

Abstract

Background: Chronic low self-esteem is a common psychiatric nursing issue that often leads to social isolation and an inability to achieve self-actualization. Plant therapy has emerged as a potential occupational intervention to enhance self-efficacy and self-esteem in patients.


Objective: This study aims to analyze the effectiveness of plant therapy in improving self-esteem among patients with chronic low self-esteem at the Larasati Ward, RSJD dr. Arif Zainudin Surakarta.


Methods: This study utilized a case study design with a nursing care approach involving 8 research subjects. The intervention was conducted over six sessions, including education, gardening skills training, and self-concept evaluation. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES) before and after the intervention.


Results: The results showed an increase in RSES scores for all subjects (score ≥30) after the intervention, indicating a transition from low to high self-esteem. 62.5% of respondents achieved "Full Resolution" status, while 37.5% achieved "Partial Resolution." Plant therapy was proven successful in disrupting negative thought cycles through two mechanisms: the establishment of a sense of mastery from successful plant care and cognitive distraction through nature-based mindfulness activities.


Conclusion: Plant therapy is an effective, practical, and holistic psychiatric nursing modality for enhancing patient self-esteem. Family support and social environment reinforcement are crucial variables for sustainable recovery.

Article Details

How to Cite
Self-Esteem Optimization through Plant Therapy for Patients with Chronic Low Self-Esteem. (2026). Journal of Integrated Nursing and Public Health, 2(2), 1-4. https://doi.org/10.36577/dt9peb06
Section
Articles

How to Cite

Self-Esteem Optimization through Plant Therapy for Patients with Chronic Low Self-Esteem. (2026). Journal of Integrated Nursing and Public Health, 2(2), 1-4. https://doi.org/10.36577/dt9peb06

References

Arni, A., & Annisa, S. (2021). Psikologi konsep diri pada pasien isolasi sosial. Journal of Mental Health Nursing, 3(1), 45-52.

Cahyani, D., & Pratiwi, A. (2023). Dukungan keluarga dan risiko kekambuhan pada pasien gangguan jiwa pasca perawatan rumah

sakit. Indonesian Journal of Nursing Practice, 7(2), 112-120.

Cockerham, W. C. (2020). Sociology of mental disorder (11th ed.). Routledge.

Dinas Kesehatan Provinsi Jawa Tengah. (2023). Profil kesehatan provinsi Jawa Tengah tahun 2023. Dinas Kesehatan Provinsi

Jawa Tengah.

Dinas Kesehatan Provinsi Jawa Tengah. (2024). Laporan data kesehatan jiwa provinsi Jawa Tengah. Dinas Kesehatan Provinsi

Jawa Tengah.

Efendi, S., & Purbasari, A. (2021). Pengaruh plant therapy terhadap kemampuan interaksi sosial dan harga diri pasien isolasi sosial.

Jurnal Keperawatan Jiwa, 9(3), 567–576.

Egerer, M., et al. (2022). Nature-based therapy for mental health: The role of gardening in fostering self-esteem and cognitive

recovery. Journal of Environmental Psychology, 81, 101799.

Irma, S., et al. (2023). Gender roles and mental health vulnerability in early adulthood. Journal of Psychology and Mental Health,

5(2), 89-98.

Kinasih, A. S., Prasetyo, E., & Handayani, R. (2019). Hubungan faktor predisposisi dan presipitasi dengan harga diri rendah pada

pasien gangguan jiwa. Jurnal Ilmu Keperawatan Jiwa, 2(4), 221–230.

Mawaddah, N., et al. (2020). Stresor psikososial pada dewasa muda dengan gangguan jiwa. Jurnal Keperawatan Jiwa, 8(1), 15-

22.

Rejeki, S. (2021). Hubungan tingkat pendidikan dengan strategi koping pada pasien gangguan jiwa. Jurnal Kesehatan Masyarakat,

9(3), 201-209.

Rinawati, E., & Alimansyur, M. (2019). Mekanisme koping pasien harga diri rendah. Jurnal Ilmiah Keperawatan, 4(2), 34-40.

Syahputra, A., et al. (2021). Pengaruh status pekerjaan terhadap harga diri individu dengan gangguan mental. Jurnal Kesehatan

Jiwa, 4(1), 55-63.

Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. PPNI.

Wijayati, P. (2020). Manajemen Asuhan Keperawatan Jiwa. Pustaka Kesehatan.

Wijayati, P., Mulyanti, D., & Hidayat, A. (2020). Manajemen asuhan keperawatan jiwa pada pasien harga diri rendah. Pustaka

Kesehatan Indonesia.

World Health Organization. (2024). World mental health report: Transforming mental health for all. World Health Organization.