Grief Psychotherapy to Improve Mental Health of Covid-19 Survivors (Experimental Study in Mataram City)

ABSTRACT

There is research that states that if you are exposed to Covid-19 for a year, approximately 50 percent will at least still feel symptoms. After 1 year or more, what you feel varies from shortness of breath, to fatigue, anxiety and depression. Meanwhile, 70 percent of survivors who have recovered from Covid-19 after 6 months admit that they still feel fear, paranoia, and anxiety (PTSD) even though it was declared cured (htt3). In addition, many survivors have been laid off from work due to long treatment and Covid-19 survivors have become the gossip of their neighbors, even though they have been declared negative for Covid-19. The four techniques contained in second-hand psychotherapy are a combination that prioritizes the capacities possessed by survivors. The ability to help oneself, have selfconfidence, awareness of one's role as a human being and the ability to grow. These are the techniques found in humanist and behavioral psychology. So researchers are required to be professional in providing interventions to survivors.

Method
This study used a pre-experimental design and the selection of subjects was carried out by non-random assignment with criteria for the age range of adults who experience low mental health. The material used in grief psychotherapy is in the form of a grief psychotherapy module. The following is a pre-experimental design workflow chart:

Research Setting
The research setting will be carried out in Mataram City, NTB. The implementation of Psychotherapy will be carried out in five sessions.

Population and sample
The population in this study are Covid19 survivors. Furthermore, this research sample must have criteria: The subjects in this study were adults aged 20-40 years. c) Have low mental health scores.

Result and discussion
Based on the assumption test that has been carried out, namely the normality test where the data is not normally distributed. In the output test of normality, it can be seen that Based on the data that has been filled in by the client after participating in the intervention, namely on voluntary items, the average client answers that there are no regrets at all following the therapy process. This indicates that the therapist has good skills in managing the therapeutic process provided. Furthermore, the researchers analyzed the therapist's ability to provide grief therapy material. Judging from the average answer, the client said that they were able to understand all the material provided well.
Observation data that the researcher obtained with the observer team showed several findings, namely that the client seemed quite disciplined in following the series of interventions that had been scheduled by the researcher. This can be seen from the timeliness and client participation from the beginning to the end of the intervention session. In discipline also the client shows enthusiasm when listening to directions and instructions from the therapist. This is a form of voluntary cooperation which is purely done on the basis of awareness.
All activities carried out by the client are always communicated with the therapist.
In this case, the observer obtained several findings, namely the attitude of obedience in the group was shown by all clients. Of course, this is one of the indicators supporting the success of the psychotherapy process carried out. An important note given by the observer is the ability of all clients to work together in their group, this cooperation can be seen from the several group discussions created by the therapist during the therapy. Based on the results of observations, researchers can draw conclusions that between clients and therapists have a The results of the analysis that the researchers collected from all the self-report inventory items showed that the implementation process carried out during the therapy could be categorized as successful. This is of course directly proportional to the results of the significance of posttest data processing that researchers give to clients who take part in grief psychotherapy.

Discussion
Based on data analysis, it is known that there are differences between the pre and post-tests participating in grief psychotherapy. In the post-test group that participated in grief Based on the explanation above, it can be concluded that grief psychotherapy can improve mental health in survivors of covid19. an explanation of grief psychotherapy, this is done so that participants know the purpose and are actively involved in providing psychotherapy. The therapist invites participants to get to know each other so that a sense of comfort is created, and a close and intimate atmosphere is established between the participants and the therapist team. In addition, this stage is to foster a relaxed atmosphere and reduces tension for the participants, and motivates participants to be able to follow the whole process of psychotherapy and the benefits that can be obtained from psychotherapy.
In the second session, client-centered therapy provides an opportunity for participants to get to know themselves better, both their strengths and weaknesses of himself, and provides In the third session, participants were able to learn to express their emotions through writing. Participants slightly reduced their emotions by expressing them. Participants recognize the emotions they feel and then help participants express tension when experiencing emotions. Participants are able to change their negative emotions into more positive emotions so that they realize that the almighty likes people who are able to accept and take lessons from every fateful event. Furthermore, the expected results of this session are that participants are able to learn to express their emotions through writing, and participants reduce their emotions a little by expressing them. Participants recognize the emotions they feel and then help participants express tension when experiencing emotions.
Participants can change their negative emotions into more positive emotions so that they realize that the almighty likes people who can accept and take lessons from every fateful event.
The fourth and third sessions consisted of two main sessions, namely the behavior model and refresher results with all participants. Participants can learn to express their emotions through writing. Participants slightly reduce their emotions by expressing them. Participants can change their negative emotions into more positive emotions and then can practice with action. Furthermore, participants also position themselves as human beings who are present with all the capacities they have. Ability to survive in an environment where participants grow and develop. In the last session, namely, the fifth, participants made a scheme of their potential and were able to find out which potential was more dominant, then learned to express and realize that potential. So that the expected final result is that Participants make a scheme of their potential and then are able to find out what potential is more dominant they have then learned to express and realize their potential. Before the session was closed, the participants filled out a self-report inventory which aimed to provide an evaluation of the entire implementation of the intervention.