Asuhan Keperawatan Pada Ny. N Dengan Masalah Utama Gangguan Sensori Persepsi :Halusinasi Pendengaran Akibat Skizofrenia Paranoid Di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah
DOI:
https://doi.org/10.62027/praba.v3i3.544Keywords:
auditory hallucinations, nursing care, paranoid schizophrenia, psychiatric nursingAbstract
Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.
References
Amira, D., Hidayat, M., & Susanti, R. (2023). Nursing interventions to reduce auditory hallucinations in patients with paranoid schizophrenia. Journal of Psychiatric Nursing Practice, 12(2), 45–52. https://doi.org/10.1016/j.jpn.2023.04.005.
Aryani, R. D., Putri, N., & Sari, Y. (2024). Family support and recovery outcomes in patients with schizophrenia: A nursing perspective. Indonesian Journal of Mental Health Nursing, 18(1), 22–31. https://doi.org/10.24853/ijmh.2024.22.
Asyim, M., & Yulianto, D. (2022). Defining holistic health: Integrating physical, mental, and social well-being. International Journal of Public Health Science, 11(3), 647–655. https://doi.org/10.11591/ijphs.v11i3.22011.
Glennasius, M., & Ernawati, L. (2023). Prevalence and burden of schizophrenia in Indonesia: An updated review. Asian Journal of Psychiatry, 82, 103523. https://doi.org/10.1016/j.ajp.2023.103523.
Mislianti, R., Zulfikar, M., & Wulandari, P. (2021). Community stigma and its impact on families with mental illness patients. Jurnal Keperawatan Jiwa, 9(4), 210–219. https://doi.org/10.26714/jkj.9.4.2021.210-219.
Nugraha, F., Setiawan, H., & Dewi, A. (2024). Clinical characteristics of auditory hallucinations in paranoid schizophrenia patients. Malaysian Journal of Psychiatry and Mental Health, 33(1), 15–24. https://doi.org/10.17576/mjpmh-2024-33-01-03.
Nur Syamsi Norma Lalla, & Yunita, W. (2022). Auditory hallucinations among schizophrenia patients: A case series. Jurnal Ilmu Keperawatan Jiwa, 5(2), 133–141. https://doi.org/10.32584/jikj.2022.5.2.133.
Oktiana, S. (2023). The effectiveness of therapeutic communication in managing hallucinations in psychiatric patients. NurseLine Journal, 8(1), 55–64. https://doi.org/10.19184/nlj.v8i1.37321.
Pardede, J. A., & Ramadia, A. (2021). Positive and negative symptoms of schizophrenia and their implications for nursing care. Jurnal Keperawatan Jiwa, 9(3), 150–160. https://doi.org/10.26714/jkj.9.3.2021.150-160.
Parcoyo, S. (2023). Group activity therapy for schizophrenic patients: An effective psychosocial intervention. Journal of Psychosocial Rehabilitation and Mental Health, 10(2), 75–83. https://doi.org/10.1007/s40737-023-00309-5.
Perry, A. G. (2020). Fundamentals of Nursing (10th ed.). Elsevier.
Pratama, Y., & Senja, R. (2022). Management of auditory hallucinations in schizophrenia: A nursing intervention study. Indonesian Journal of Nursing Education and Practice, 6(2), 70–82. https://doi.org/10.24853/ijnp.2022.70.
Priya, M., Thomas, L., & George, S. (2024). Cognitive behavioral therapy in treating auditory hallucinations: Evidence from a clinical trial. Journal of Clinical Psychiatry and Nursing, 19(1), 88–97. https://doi.org/10.1016/j.jcpn.2024.01.010.
Rahmawati, I. (2024). Mental health resilience and its role in preventing severe psychiatric disorders. Jurnal Keperawatan Indonesia, 27(1), 12–20. https://doi.org/10.7454/jki.v27i1.1567.
Rindi Dwi Aryani, R., Lestari, F., & Pramudita, R. (2024). Nursing interventions for hallucination control: A family-centered approach. Journal of Holistic Nursing and Health Science, 7(1), 101–110. https://doi.org/10.33377/jhnhs.2024.101.
Riskesdas. (2018). Laporan Nasional Riset Kesehatan Dasar 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.
Simanjutak, T. (2020). The burden of schizophrenia for families: An Indonesian context. Asian Nursing Research, 14(4), 201–209. https://doi.org/10.1016/j.anr.2020.09.001.
Suri, L., & Salsabila, D. (2024). Schizophrenia as a heterogeneous syndrome: Implications for nursing practice. Open Journal of Psychiatry & Allied Sciences, 15(2), 102–111. https://doi.org/10.5958/2394-2061.2024.00020.9
Sutejo. (2023). Keperawatan Jiwa: Konsep dan Aplikasi Praktik Klinis. Jakarta: Salemba Medika.
World Health Organization. (2018). Mental health: Schizophrenia. Retrieved from https://www.who.int/news-room/fact-sheets/detail/schizophrenia
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jurnal Praba : Jurnal Rumpun Kesehatan Umum

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.