Asuhan Keperawatan pada Ny. R dengan Halusinasi Pendengaran Melalui Terapi Musik Klasik
Keywords:
Schizophrenia, Hallucination, Classical Music TherapyAbstract
Indonesia is one of the countries with a high incidence of schizophrenia. Schizophrenia patients in general often experience positive symptoms of auditory hallucinations. If auditory hallucinations are not treated immediately, it will risk the safety of the patient and others because they follow the voice commands of their hallucinations. The provision of classical music therapy is a modification strategy that can be used in minimizing auditory hallucinations. The method used is a case study with the provision of generalist therapy and classical music therapy. This case study aims to determine the benefits of holistic nursing care with the application of generalist therapy and classical music therapy for 5 days. The evaluation results obtained were a decrease in the level of hallucinations in patients from a score of 25 to 21 as measured using the Auditory Hallucination Rating Scale (AHRS), reduced anxiety, no longer pacing the room, the patient did not show behavior following hallucinations in the form of raising his hands, and good eye contact. The conclusion of this case study is that the provision of generalist therapy and classical music therapy is effective in reducing the symptoms of auditory hallucinations in patients. It is hoped that classical music therapy can become a routine program that can be applied in the Teratai ward as an effort to reduce the signs and symptoms of patients with auditory hallucinations at the Aceh Mental Hospital.
References
Al-Abbasi, F. A., Kumar, V., and Anwar, F. (2020). Biochemical and toxicological effect of diazepam in stress-induced cardiac dysfunctions. Toxicology Reports, 7(6), 788–794. https://doi.org/10.1016/j.toxrep.2020.06.004
Alfaniyah, U., and Pratiwi, Y. S. (2021). Penerapan terapi bercakap-cakap pada pasien gangguan persepsi sensori: halusinasi. In Prosiding Seminar Nasional Kesehatan, 1(2), 2398–2403.
Angriani, S., Mato, R., and Rahman. (2023). Terapi musik klasik terhadap penurunan halusinasi pendengaran pada pasien gangguan jiwa. Jurnal Ilmiah Kesehatan, 5(1), 1–7.
Arini, L., and Syarli, S. (2020). Deteksi dini gangguan jiwa dan masalah psikososial dengan menggunakan Self Reporting Qustioner ( SRQ-29 ). 5(1), 167–172.
Artika, D., Fitri, N. L., and Hasanah, U. (2022). Penerapan terapi musik klasik terhadap tanda dan gejala pasien risiko perilaku kekerasan. Jurnal Cendekia Muda, 2(1), 139–146.
Astuti, A. P., Tri, S., and Putra, S. M. A. (2017). Hubungan kepatuhan minum obat dengan periode kekambuhan pada pasien skizofrenia: halusinasi di rumah sakit jiwa Prof. Dr. Soeroyo magelang. Jurnal Keperawatan Dan Kesehatan Masyarakat Cendikia Utama, 6(2), 53–86.
Barus, N. S., and Siregar, D. (2020). The effecttiveness of classical music therapy towards auditory hallucinations in schizofrenia patient. Nursing Current Journal, 7(2), 49–55.
Cort, J., Cort, D., Alexander, A., and Gonz, O. (2023). Psychiatric disorders in post-traumatic brain injury patients : a scoping review. Heliyon, 9(5), 2–17. https://doi.org/10.1016/j.heliyon.2023.e12905
Dellazizzo, L., Giguère, S., Léveillé, N., Potvin, S., and Dumais, A. (2022). A systematic review of relational-based therapies for the treatment of auditory hallucinations in patients with psychotic disorders. Psychological Medicine, 52(11), 2001–2008. https://doi.org/10.1017/S003329172200143X
Dilú, L., and Vázquez, F. (2022). An approach to music therapy and its impact on the management of schizophrenia. Advances in Ophthalmology and Visual System, 12(3), 67–68. https://doi.org/10.15406/aovs.2022.12.00421
Endriyani, S., Kusmawati, I., Pastari, M., and Umaya, W. (2022). Implementasi keperawatan mengontrol halusinasi dengan menghardik. Jurnal Nursing Update, 13(2), 83–86.
Fauziah, S., Shinta, A. A., Anggraeni, N., and Nurfadilah, N. A. (2023). Upaya peningkatan pengetahuan keluarga dalam memelihara kesehatan jiwa saat mengalami kehilangan berduka di Kelurahan Muka Kabupaten Cianjur Jawa Barat. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(2), 813–820.
Gurholt, T. P., Haukvik, U. K., Bearden, C. E., Lonning, V., Alloza, C., Arango, C., … Andreassen, O. A. (2022). Intracranial and subcortical volumes in adolescents with early- onset psychosis : A multisite mega-analysis from the ENIGMA consortium. Human Brain Mapping, 43(1), 373–384. https://doi.org/10.1002/hbm.25212
Jimeno, N., Gomez-Pilar, J., Poza, J., Hornero, R., Vogeley, K., Meisenzahl, E., … Schultze-Lutter, F. (2022). (Attenuated) hallucinations join basic symptoms in a transdiagnostic network cluster analysis. Schizophrenia Research, 243(2), 43–54. https://doi.org/10.1016/j.schres.2022.02.018
Kalingga, Q. R. H., Falahiyati, N., and Sirait, A. R. (2021). Dampak psikologis perempuan single parent korban kekerasan dalam rumah tangga. Jurnal Penelitian Pendidikan Humaniora, 6(2), 90–96.
Kaplan, and Sadocks. (2021). Synopsis of psychiatry (12th ed.). Wolters Kluwer.
Kemenkes RI. (2019). Kombinasi obat psikotik dan terapi psikologis untuk pasien skizofrenia.
Kusumawati, I., Yunike, Y., and Pastari, M. (2020). Penyegaran Kader kesehatan jiwa mengenai deteksi dini gangguan jiwa dan cara merawat penderita gangguan jiwa. Journal of Community Engagement in Health, 3(1), 25–28.
Lewerissa. (2019). Pengaruh terapi musik klasik terhadap perubahan gejala dan fungsi pada pasien rawat inap skizofrenia di Rumah Sakit khusus Daerah Provinsi Maluku. Pattimura Medical Review, 1(2), 31–44.
Maharani, D., F, N. L., and H, U. (2022). Penerapan terapi musik klasik terhadap tanda dan gejala pada pasien halusinasi pendengaran application of classical music therapy on signs and symptoms in hearing halumination patients. Jurnal Cendikia Muda, 2(1), 24–31.
Maulana, I., Hernawati, T., and Salahuddin, I. (2021). Pengaruh terapi aktivitas kelompok terhadap penurunan tingkat halusinasi pada pasien skizofrenia: literature review. Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia, 9(1), 153–160.
Mawardani, M. T., and Wahid, R. S. (2023). Gambaran kadar ureum terhadap konsumsi haloperidol dan/atau chlorpromazine dengan obat antipsikotik atipikal pada pasien skizofrenia. Jurnal Sains Natural, 1(2), 64-69.
Maylani, R. Y., Fadraersada, J., and Ramadhan, A. M. (2018). Studi pemberian antipsikotik terhadap beberapa jenis skizofrenia di RSJD Atma Husada Mahakam Samarinda. Proceeding of Mulawarman Pharmaceuticals Conferences, 8(11), 267–275. https://doi.org/10.25026/mpc.v8i1.333
Mulia, M., and Damayanti, D. (2021). Penerapan terapi musik klasik terhadap pasien skizofrenia dengan masalah keperawatan halusinasi. Jurnal Ilmu Keperawatan Indonesia (JIKPI), 2(2), 9–13.
Mutaqin, A., Rahayu, D. A., and Yanto, A. (2023). Efektivitas terapi musik klasik pada pasien halusinasi pendengaran. Holistic Nursing Care Approach, 3(1), 1–5. https://doi.org/10.26714/hnca.v3i1.10392
Novitayani, S. (2018). Terapi psikofarmaka pada pasien rawat jalan di Rumah Sakit Jiwa Aceh. Idea Nursing Journal, 9(1), 2087–2879.
Pardede, J. A., Simanjuntak, G. V., and Laia, R. (2020). The symptoms of risk of violence behavior decline after given prgressive muscle relaxation therapy on schizophrenia patients. Jurnal Ilmu Keperawatan Jiwa, 3(8), 91–100. https://doi.org/10.32584/jikj.v3i2.534
Park, J. I., Lee, I. H., Lee, S. J., Kwon, R. W., Choo, E. A., Nam, H. W., and Lee, J. B. (2023). Effects of music therapy as an alternative treatment on depression in children and adolescents with ADHD by activating serotonin and improving stress coping ability. BMC Complementary Medicine and Therapies, 23(1), 1–14. https://doi.org/10.1186/s12906-022-03832-6
Pemerintahan Aceh Rumah Sakit Jiwa. (2022). Laporan Kinerja (LKJ) Rumah Sakit JIwa Aceh.
Pratiwi, D. R., Adespin, D. A., and Soeharto, B. P. (2018). Faktor yang berhubungan dengan kinerja mahasiswa S-1 Pendidikan Dokter Universitas Diponegoro dalam pelaksanaan kegiatan interprofessional education. Diponegoro Medical Journal, 7(2), 667–675.
Rumagit, P., Tampa’i, R., Pareta, D., and Tombuku, J. L. (2021). Potensi interaksi obat antipsikotik pada pasien skizofrenia paranoid di Rumah Sakit Jiwa Prof. Dr.V.L Ratumbuysang. Biofarmasetikal Tropis, 4(1), 88–96. https://doi.org/10.55724/j.biofar.trop.v4i1.314
Sahoo, L. K., Holla, V. V., Batra, D., Prasad, S., Bhattacharya, A., Kamble, N., … Pal, P. K. (2020). Comparison of effectiveness of trihexyphenidyl and levodopa on motor symptoms in Parkinson’s disease. Journal of Neural Transmission, 127(12), 1599–1606. https://doi.org/10.1007/s00702-020-02257-0
Stuart, G. W. (2016). Prinsip dan praktik keperawatan Jiwa. Singapore: Elsevier.
Suhermi, Ramli, R., and Caing, H. (2021). Pengaruh terapi activity living terhadap pemulihan pasien halusinasi. Jurnal Penelitian Kesehatan Suara Forikes, 12(4), 54–57.
Tono, A., and Restiana, N. (2022). Pemberian terapi religiuszikir dalam meningkatkan kemampuan mengontrol halusinasi pendengaran pada pasien halusinasi. Journal of Nursing Practice and Science, 1(1), 80–86.
Townsend, M. C., and Morgan, K. I. (2018). Psychiatric mental health nursing: concepts of care in evidence-based practice (9th ed.). United Stases of AMerica: F.A Davis Company. https://doi.org/10.1111/j.1365-2702.2006.01939.x
Videbeck, S. L. (2020). Psychiatric-mental health nursing (8th ed.). China: Wolters Kluwer.
Wahyuningtyas, D., Mualifah, L., and Aziz, A. (2023). Effectiveness of classical music therapy to reducing auditory hallucinations in schizophrenic patients. Advances in Social Science, Education, and Humanities Research, 667(12), 508–512. https://doi.org/10.2991/978-2-494069-49-7_84
Wijayanto, W., and Agustina, M. (2019). Efektivitas terapi musik klasik terhadap penurunan tanda dan gejala pada pasien halusinasi pendengaran. Jurnal Ilmu Keperawatan Indonesia, 7(1), 189–196.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Dilta Yundia Futri, Farah Dineva R, Sri Novitayani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.