The Application of Positive Affirmation Therapy to Improve Quality of Life in Patients With Low Self-Esteem at Tampan Mental Hospital in The Riau Province

Abstrak

Mental health is a fundamental aspect of human well-being, influencing physical, psychological, social and spiritual balance. Low self-esteem is one of the most common psychosocial issues experienced by people with mental health conditions and can result in a decreased quality of life. This study aimed to describe the implementation of positive affirmation therapy to improve the quality of life of patients with low self-esteem at Tampan Mental Hospital in the Riau Province of Indonesia. A case study approach based on EvidenceBased Nursing Practice (EBNP) was employed for two patients diagnosed with low selfesteem. Data were collected using the Indonesian version of the Subjective Well-Being Under Neuroleptic (IM-SWN) questionnaire before and after the intervention. The therapy was conducted once daily for three consecutive days, with each session lasting 10–15 minutes. The results showed significant improvements in the quality of life scores of both patients, with scores increasing from 58 to 70 for patient 1 and from 56 to 66 for patient 2, indicating an adequate quality of life. Positive affirmation therapy was found to effectively enhance selfconfidence, self-acceptance and overall well-being. In conclusion, positive affirmation therapy can serve as a non-pharmacological intervention to improve the quality of life of patients with low self-esteem, and it should be considered for broader implementation in mental health nursing practice.