Asuhan Keperawatan pada Pasien Halusinasi Pendengaran Melalui Acceptance and Commitment Therapy (ACT) di Rumah Sakit Jiwa Aceh
Keywords:
Acceptance and Commitment Therapy, Auditiory Hallucinations, SchizophreniaAbstract
Auditory hallucinations are one of the positive symptoms commonly found in patients with schizophrenia. This case study aims to explore the implementation of comprehensive nursing care using generalist therapy and Acceptance and Commitment Therapy (ACT) at Aceh Mental Hospital. The method used in this study is a case study, providing generalist therapy and ACT for seven days of accompaniment. The sample consists of one patient with auditory hallucinations being treated at Aceh Mental Hospital. To assess the level of auditory hallucinations, the Auditory Hallucination Rating Scale (AHRS) questionnaire, which consists of eleven items, was used. The results of the case study show a decrease in the AHRS score, where before the intervention, the patient's score was 30 (severe category), and after the intervention, it decreased to 23 (moderate category). Based on these results, it can be concluded that the implementation of generalist therapy and ACT is effective in reducing the symptoms of auditory hallucinations in patients. Therefore, it is recommended that nurses at Aceh Mental Hospital consistently provide generalist therapy and ACT interventions in managing patients with auditory hallucinations.
References
Al-Abbasi, F., Kumar, V., & Anwar, F. (2020). Biochemical and toxicological effect of diazepam in stress-induced cardiac dysfunctions. Toxicology Reports, 7(1), 788–794. doi: 10.1016/j.toxrep.2020.06.004
Chaurotia, V. K., Verma, K., & Baniya, G. C. (2016). A study of psychosocial factor related with relapse in schizophrenia. Journal of Dental and Medical Sciences, 15(4), 26-34. doi: 10.9790/0853-1504142634
Daulay, W., Wahyuni, S. E., & Nasutioan, M. L. (2021). Kualitas hidup orang dengan gangguan jiwa: systematic review. Jurnal Keperawatan Jiwa, 9(1), 187-196. Retrieved from: https://jurnal.unimus.ac.id/index.php/JKJ/article/view/6905
Ervina, I., & Hargiana, G. (2018). Aplikasi asuhan keperawatan generalis dan psikoreligius pada klien gangguan sensori persepsi: halusinasi penglihatan dan pendengaran. Jurnal Riset Kesehatan Nasional Stikes Bali, 2(2), 1-9. doi: 10.37294/jrkn.v2i2.106
Global Burden Of Disease (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories , 1990 – 2019 : a systematic analysis for the global burden of disease study 2019. The Lancet Psychiatry, 9(2), 137–150. doi: 10.1016/S2215-0366(21)00395-3
Irawan, E. (2016). Pengaruh Terapi Penerimaan dan Komitment (Acceptance dan Commitment Theraphy) Pada Penurunan Nilai Bprs Pada Pasien dengan Gangguan Sensori Persepsi : Halusinasi. Jurnal Ilmu Keperawatan, IV(2), 77–84.
Jimeno, N., Pilar, J. G., Poza, J., Hornero, R., Vogeley, K., Meisenzahl, E., & Schultzelutter, F. (2022). Hallucinations join basic symptoms in a transdiagnostic network cluster analysis. Schizophrenia Research, 24(3), 43-54. doi: 10.1016/j.schres.2022.02.018
Mawaddah, N., Sari, I. P., & Prastya, A. (2020). Faktor predisposisi dan presipitasi terjadinya gangguan jiwa di desa Sumbertebu Bangsal Mojokerto. Hospital Majapahit, 12(2), 116-123.mawaRetrievedfrom: http://ejournal.stikesmajapahit.ac.id/index.php/HM/article/view/655
Maulia, E., Novitayani, S., & Dineva, F. (2022). Acceptance And Commitment Therapy Pada Pasien Halusinasi Pendengaran: Suatu Studi Kasus. Jurnal Ilmiah Mahasiswa, 1(2), 125–131. https://jim.usk.ac.id/FKep/article/view/21444
Mister, Adi, N., & Rahmawati, A. N. (2022). Studi Kasus Halusinasi Pendengaran pada Pasien Schizofrenia. Jurnal Keperawatan Notokusumo, 10(1), 21. https://jurnal.stikes-notokusumo.ac.id/index.php/jkn/article/download/195/129/698
Musdalipah, & Tee, S. A. (2018). Analisis efektivitas biaya obat alprazolam dan diazepam pada pasien depresi di rumah sakit jiwa Provinsi Sulawesi Tenggara. Jurnal Umiah Imiah Ibnu Sina, 3(2), 252-260. Retrieved from: http://e-jurnal.stikes- isfi.ac.id/index.php/JIIS/article/view/175
Novitayani, S. (2018). Terapi psikofarmaka pada pasien rawat jalan di Rumah Sakit Jiwa Aceh. Idea Nursing Journal, 9(1), 16-21. doi: 10.52199/inj.v9i1.10816
Rinjani, S., Murandari, M., Nugraha, A., & Widiyanti, E. (2020). Efektivitas terapi psikoreligius terhadap pasien dengan halusinasi. Jurnal Medika Cendikia, 7(2), 136- 144. doi: 10.33482/medika.v7i02.147.
Stuart, G. W. (2016). Prinsip dan praktik keperawatan jiwa. Singapore: Elsevier. Susilaningsih, I., Nisa, A. A., & Astia, N. K. (2019). Penerapan strategi pelaksanaan:Teknik menghardik pada Ny. T dengan masalah halusinasi pendengaran.JurnalKeperawatan,5(2),1-6.Retrieved
from: http://www.ejournal.akperkbn.ac.id/index.php/jkkb/article/view/28.
Videbeck, S. L. (2020). Psychiatric mental health nursing. China: Wolters Kluwer.
Volkan, K. (2020). Schizophrenia: epidemiology, causes, neurobiology, pathophysiology,and treatment. Journal of Health and Medical Sciences, 3(4), 487-521. doi: 10.31014/aior.1994.03.04.143
WHO (2022). International classification of disorders. Available from: http://id.who.int/icd/entity/625636921disorders.
Yudhantara, S., & Istiqomah, R. (2018). Sinopsis skizofrenia untuk mahasiswa kedokteran. Jawa Timur: Universitas Brawijaya Press.
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