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Syifa Kamila Habibah; Halimatus Zahro; Muhamad Naufal; Slametiningsih Slametiningsih

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations and has a significant impact on patients’ psychosocial functioning. This condition can reduce medication adherence, thereby increasing the risk of relapse. In this context, the role of caregivers is crucial in supporting treatment success. This study aims to describe psychiatric nursing care for patients with auditory hallucinations in improving medication adherence through caregiver involvement. The method used is a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. Interventions focus on hallucination management, psychoeducation, and caregiver involvement in care. The results show an increase in patients’ and families’ knowledge regarding the illness and its treatment, improved medication adherence, and enhanced patient ability to control responses to auditory hallucinations. Caregiver involvement has been shown to assist in supervision and providing support to patients. Therefore, comprehensive psychiatric nursing care through hallucination management, psychoeducation, and caregiver involvement is effective in improving medication adherence and controlling symptoms in patients with auditory hallucinations.

Hesti Lutifah Menanda; Ita Apriliyani

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

The Application Of Hallucination Management Using The Shutting-Out Technique For The Control Of Auditory Hallucinations In Schizophrenia Patients In The Angruk Ward Of Prof. Dr. Margono Soekarjo General Hospital, Purwokerto. Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations. Auditory hallucinations may cause patients to talk to themselves, appear restless, and experience difficulty in controlling responses to internal stimuli. One non-pharmacological nursing intervention that can be applied is the rebuking technique, a strategy used to firmly reject or dismiss hallucinatory voices. This study aimed to examine the application of the rebuking technique in controlling auditory hallucinations in patients with schizophrenia. This research employed a descriptive case study design using a nursing process approach and was conducted from February 17 to 19, 2026, on a patient diagnosed with schizophrenia experiencing auditory hallucinations. The intervention was implemented over three days, with one session per day lasting approximately 15–20 minutes. The results showed an improvement in the patient’s ability to recognize and control hallucinations, as indicated by a reduction in self-talking behavior, increased awareness of hallucination onset, and the ability to independently apply the rebuking technique. In conclusion, the rebuking technique is an effective nursing intervention to assist patients with schizophrenia in controlling auditory hallucinations.

Siti Sundari; Norman Wijaya Gati

Jurnal Publikasi Ilmu Psikologi. 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Hallucinations are a mental disorder in which clients experience disturbances in perception, sensory, taste, touch, sight or smell. Auditory hallucinations are where clients hear voices commanding and calling them to carry out activities in the form of two or more voices commenting on a person's behavior or thoughts. (Abdurakhman & Maulana, 2022). According to WHO (World Health Organization, 2020) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people experiencing schizophrenia. Schizophrenia is one of the 15 major causes worldwide. APA data (American Psychiatric Association, 2020) states that 1% of the world's population suffers from schizophrenia. (Dwijayanti, 2022). In this study, the way to see the increase in the ability to control hallucinations is by using the AHRS scale which is used to measure auditory hallucination scores. To determine the results of applying dhikr psychoreligious therapy to patients with auditory hallucination disorders. Applying dhikr psychotherapy therapy using a descriptive case study method for 2 respondents for 2 years. consecutive days. The instrument used was the Auditory Hallucinations Rating Scale. Results: Based on the results of applying psychoreligious dhikr therapy to 2 respondents, there was a decrease in the symptoms of auditory hallucinations in patients. Psychoreligious dhikr therapy can be used as an implementation of independent nursing to control and overcome the emergence of hallucinations.

Wira Marlinta Ningsi; Novita Anggraini; Bangun Dwi Hardika

Journal of Educational Innovation and Public Health 2024 Pusat Riset dan Inovasi Nasional

Hallucinations are disorders of human perception that assume something exists that actually does not occur. Auditory hallucinations that are not treated properly can have a negative impact on oneself, others and the environment. One treatment to control hallucinations is classical music therapy which can reduce the symptoms of hallucinations. The aim of this research is to determine the possibility of applying classical music therapy to reduce signs and symptoms of auditory hallucinations using the single group pretest and posttest method of applying music therapy to reduce signs and symptoms of auditory hallucinations. The results of the application of EBP classical music therapy which was carried out for 3 days for 10-15 minutes on respondent I (Mr.A), the signs of hallucinations before music therapy were 12 (100%) after classical music therapy the symptoms decreased. hallucinations 3 (25%), Respondent II (Mr. K) had 12 (100%) signs of symptoms down to 4 (33%), Respondent III (Mrs. %). Based on the application of classical music therapy, it was found that signs of auditory hallucinations decreased in three respondents.

Marshela Belina; Arya Bima Prayoga; Wahyu Aulia Zalsini

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

This article is a review of Noviyana Prasati's research on Intervention in patients with Schizophrenia with Auditory Hallucinations who are treated in 2023. Schizophrenia is a psychiatric disorder when a person has difficulty thinking causing hallucinations. Schizophrenia can be cured but it takes a long time with the support of family, people around and education. Hallucinations are caused by a change in the perception of a person due to a stimulus that actually does not exist or something that actually does not happen. This study uses qualitative and quantitative methods and the author uses the literature review method. The result of this study is that the patient experiences auditory hallucinations caused by a small patient who has broken home and the patient fails to marry.

Umi Salamah; Ayu Pratiwi; Mentari Mentari

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

Background: Disturbance soul or mentally experiencing significant increase, according to WHO 2023 Mental disorders with Hallucinations in Indonesia as much as 9.8% to 10.35% occurred in DKI Jakarta. Hallucinations is affecting mental disorders function perception or perception to environment without any real stimulus so that interpret something that doesn't real without stimulus or stimulation from outside (Stuart, 2021). One of method divert hallucinations with Application Intervention read Surah Al- Fatihah besides giving therapy pharmacology. Objective Work Scientific: Knowing the Application of Nursing Care to Hallucination Patients by Providing Al- Fatihah Reading Intervention Against Changes in Sensory Perception. Method: work scientific This use method study data collection case in a way observation, interviews, documentation, as well as using study instruments case with the Fostering format Nursing And Intervention Reading Al- Fatihah. Results: Results Work scientific end Nurse obtained analysis Care Nursing after done intervention for 6 days obtained that Action nursing And innovation intervention get results positive, symptom hallucinations client experience decline And ability client divert with read Surah Al- Fatihah increase, client capable do interventions taught _ in a way independent And with correct procedure. _ Role nurse in handle hallucinations patient in the orphanage or at home Sick Wrong the only one do application Intervention Reading Surah Al- Fatihah. Conclusion: After SP was carried out for 6 days and the Al- Fatihah reading therapy showed that the client remained in the controlling phase where in this phase the client had signs of moderate scale auditory hallucinations, which means the client still had hallucinations that were controlled by intervention. read Surah Al- Fatihah based on measurements using PSYRAT.

Latifah Maulina; Ayu Pratiwi; Mukhamad Saeful

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

Background: Mental disorders have experienced a significant increase, according to WHO 2023, mental disorders with hallucinations in Indonesia are 9.8% to 10.35% occurring in DKI Jakarta. Hallucinations are mental disorders that affect the function of perception or perception of the environment without real stimulus, resulting in interpreting something that is not real without external stimulus or stimulation (Stuart, 2021). One way to divert hallucinations is by implementing occupational intervention by drawing in addition to providing pharmacological therapy. Aim of Scientific Work: To determine the application of nursing care to patients with hallucinations by providing drawing occupational therapy intervention on changes in sensory perception. Method: this scientific work uses case study data collection methods by observation, interviews, documentation, and uses case study instruments in the format of Nursing Care and Occupational Drawing Intervention. Results: The results of the final scientific work of the nurses showed an analysis of nursing care after the intervention was carried out for 3 days within ± 45 minutes, it was found that nursing actions and innovations in the Drawing Occupation intervention had positive results, the client's symptoms of hallucinations decreased and the client's ability to divert with the Drawing Occupation increased, Clients are able to carry out interventions that are taught independently and with the correct procedures. The role of nurses in dealing with hallucinations in patients at home and in hospitals, one of which is implementing the Occupational Drawing Intervention. Conclusion: It was found that after carrying out occupational therapy drawing in patients with auditory hallucinations, there was a significant change in hallucinations

Silvia Sri Devi; Marisca Agustina; Ruswanti Ruswanti

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

Background: Auditory hallucinations are a symptom that often appears in schizophrenia sufferers. Distraction techniques in nursing interventions to divert attention to what is being presented. This distraction technique is very influential for individuals with mental disorders, especially those who experience auditory hallucinations. Objective: To determine the effect of distraction techniques on patients with auditory hallucinations. Method: This research uses a quasi-experimental research design with a one group pre-post-test design approach and non-probability sampling techniques with a purposive sampling model. Results: This research found that 4 respondents experienced moderate hallucinations (26.7%), respondents with the criteria of experiencing severe hallucinations as many as 6 respondents (40%), and very severe hallucinations as many as 5 respondents (33.3%). After being given the treatment of conversing with other people, 7 respondents (46.7%) experienced a decrease in their voices, namely they became mild, and 8 respondents (53.3%) experienced a decrease in their voices to moderate. Conclusion: There is an effect distraction technique to reduce voices in patients with auditory hallucinations based on the results of data processing using the paired T-Test.    

Rostiana Dwi Lestari; Slamet Wijaya; Tati Karyawati

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

According to WHO (World Health Organization), health is a state of complete physical, mental and social well-being, not just freedom from disease or weakness/disability. From this description it can be concluded that health implies ideal health conditions, both from a biological, psychological and social perspective. Apart from that, WHO also describes several health characteristics that need to be known, including physical and spiritual health without involving external elements, health related to the internal or external environment, spiritual health, mental health or what is usually called mental health (WHO, 2022). Mental disorders are disorders in the way of thinking (cognitive), will (volition), emotions (affective), actions (psychomotor). One of the mental disorders that greatly affects and disrupts an individual's life is schizophrenia (Makhruzah et al, 2021).

Avica Miftakhul Jannah; Norman Wijaya Gati

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond accordingly. Hallucination sufferers will find it difficult to distinguish between stimuli that arise from internal sources such as thoughts, feelings, somatic sensations and external impulses and stimuli. According to the World Health Organization 2019 mental disorders around the world, according to data, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. In this study, how to see an increase in the ability to control hallucinations by using the AHRS scale used to measure the score of auditory hallucinations Objective: Determine the results of the application of generalist hallucination therapy with increased ability to control hallucinations with hallucinatory sensory perception disorders Method: The application of generalist therapy was carried out using a case study descriptive method to 2 respondents for 2 consecutive days. The instrument used is the Auditory Hallucinations Rating Scale (AHRS). Results: based on the results of the application that has been carried out, there is a decrease in the symptoms of auditory hallucinations in patients, with a comparison of the final results between the two respondents for the level of auditory hallucinations, namely 29:34. Conclusion: Generalist therapy can be used as an intervention to improve the ability to control hallucinations in patients with auditory hallucination psychiatric disorders.

Evika Nadinar Anjani; Wahyu Reknoningsih; Siti Rahma Soleman

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Background: Schizophrenia is a common health problem worldwide, around 70% of people suffering from schizophrenia experience auditory hallucinations. Auditory hallucinations are where patients feel that they can hear voices without a sound source. This situation causes the patient's inability to perceive reality accurately. One of the nursing interventions performed for auditory hallucinations is perceptual stimulation group activity therapy. Method: The method used in this application is descriptive with a case study research design, research subjects totaling 2 respondents, sheet research instruments observation that is AHRS . Findings: There were differences in scores before and after being given Group Activity Therapy (TAK), namely a decrease in the hallucination level score on Mr. F and Mr. W. Implication: Based on the results of the study, it was found that there was an effect of Group Activity Therapy (TAK) in controlling auditory hallucinations in schizophrenic patients after being given Group Activity Therapy (TAK) for 2 applications. In addition to providing Group Activity Therapy (TAK), the patient's recovery or stability is also supported by continued treatment and rehabilitation.

Agustina Kartika Sari; Wahyu Reknoningsih; Sitti Rahma Soleman

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Background: Skizofrenia is a mental disorder where the prevalence is actually small, affecting about 1% of the world's population. In Central Java alone, there are 8.7% of the population who have schizophrenia, this is one of the fifth highest number of professions. Planting occupational therapy aims to minimize the patient's interaction with his unreal world, bring out thoughts, feelings, or emotions that have influenced unconscious behavior, provide joy, entertainment, and distract the patient from the hallucinations he is experiencing so that the patient's mind is not focused on his special hallucinations. in patients with auditory hallucinations (Yuniar N.S et al., 2019). Objective: To find out the results of the implementation of the application of occupancy therapy to control the level of hallucinations. Method: The method used in this application is descriptive with a case study research design totaling 2 respondents, the research instrument is the AHRS questionnaire observation sheet. Findings Before being given occupational therapy, Mrs. G was planted in the category of moderate hallucinations and Mrs. M was in the category of severe hallucinations. After being given occupational therapy, planting for 6 times, Mrs. G was in the category of mild hallucinations and Mrs. M was in the category of moderate hallucinations. Implication:  Planting Occupational Therapy has an effect on controlling the level of hallucinations in patients with auditory hallucinations.

Nur Syamsi Norma Lalla; Wiwi Yunita

Jurnal Riset Rumpun Ilmu Kedokteran 2022 Pusat riset dan Inovasi Nasional

Application of generalist therapy in Schizophrenic Patients with Nursing Problems Hearing Hallucinations   Auditory hallucinations are hearing voices or noises that are less clear or clear, where sometimes these sounds are like talking to the patient and sometimes ordering the patient to do something. If auditory hallucinations cannot be controlled, it can result or impact injuring oneself, others and the environment. The purpose of this case study is to determine the implementation of generalist therapy in schizophrenia patients with auditory hallucinations nursing problems at the Avicenna Clinic Makassar. This scientific paper uses a case study method design with a nursing process approach consisting of assessment, diagnosis, intervention, implementation and evaluation of nursing. The data collection technique was carried out through interviews and observations at the Avicenna Clinic in Makassar which was carried out on 27-30 December 2021.

Delima Fitri Hapsari; Azhari, Nanang Khosim

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.

Azhari, Nanang Khosim; Kharisa Anggi

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Schizophrenia is a disorder in a person with a state of being unable to think logically so that he cannot control his behavior and emotions. One of the positive symptoms of schizophrenia is hallucinations. Hallucinations occupied the highest number in 2018 as many as 5,339 people in RSJD Dr. Amino Gondhoutomo, Central Java Province. Hallucinations are the inability to distinguish between internal and external stimuli. One of the therapies for hallucinations is occupational therapy. Occupational therapy is an activity to correct abnormalities, maintain and improve the client's health status. The purpose of this case study is to describe the symptoms of hallucinations before and after being given occupational therapy for leisure activities. This type of research is descriptive with a case study approach. This study used 2 people with auditory hallucinations as subjects who were willing to be respondents. The results showed a decrease in the score of hallucinatory symptoms before and after being given occupational therapy for leisure activities to Mr. T from 13 to 4 and Br. R from 16 to 8. It can be concluded that the provision of occupational therapy for leisure activities has an effect on reducing hallucinatory symptoms experienced by schizophrenic patients with auditory hallucinations.