ASUHAN KEPERAWATAN JIWA PADA TN. MH DENGAN HALUSINASI PENDENGARAN MELALUI PENERAPAN TERAPI MENGGAMBAR DI RUMAH SAKIT JIWA

Abstract

Auditory hallucination is one of the positive symptoms
commonly experienced by patients with schizophrenia.
Patients with hallucinations may hear unreal voices such as
threats, commands, or whispers that do not exist. If left
untreated, these hallucinations may have negative
consequences for both the individual and others. The purpose
of this case study was to provide comprehensive nursing care
to Mr. MH through the application of implementation
strategies and drawing activity therapy at a psychiatric
hospital. The drawing activity therapy was conducted using
free drawing for five consecutive days, one session per day,
with each session lasting 45 minutes. The results of this case
study indicated a reduction in the Auditory Hallucination
Rating Scale (AHRS) score from 29 (severe category) to 15
(moderate category). Decreases were observed in the aspects
of duration, voice intensity, belief in the origin of the voice,
number of negative voice contents, intensity of negative voice
contents, number of distressing/oppressive voices, intensity
of distressing/oppressive voices, disturbance caused by the
voices, and control over the voices. The nursing interventions
provided also helped the patient become calmer and
improved concentration. Therefore, drawing therapy proved
effective as an intervention to reduce hallucination symptoms
in patients. This method is expected to be applied more
widely at Aceh Psychiatric Hospital to reduce the level of
hallucinations among patients.