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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.

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.

Gangguan Psikotik Akut merupakan timbulnya gangguan psikotik secara tiba-tiba yang berlangsung kurang dari satu bulan yang ditandai dengan munculnya satu atau lebih dari gejala psikotik yaitu delusi,halusinasi,berbicara tidak teratur serta prilaku yang sangat tidak tertatur atau prilaku katatonik. Tujuan dari penelitian ini untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian Gangguan Psikotik Akut di Rumah Sakit Jiwa dr. Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024. Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah keluarga dengan orang gangguan psikotik akut dan orang dengan ganggua psikotik yang terdaftar berkunjung di Poliklinik Rumah Sakit Jiwa Daerah dr. Samsi Jacobalis Provinsi Kepulauan Bangka Belitung sebanyak 78 orang. Analisa data menggunakan uji chisquare dengan derajat kepercayaan 95%. Hasil penelitian ini menyimpulkan faktor-faktor yang berhubungan dengan ganguan psiktoik akut adalah dukungan keluarga (p=0,000), pengalaman traumatis (p=0,001), penyalahgunaan napza (p=0,000 dan POR=323.000). Kesimpulan dalam penelitian ini adalah bahwa dukungan keluarga, pengalaman traumatis dan penyalahgunaan napza memiliki hubungan kejadian Gangguan Psikotik Akut di Rumah Sakit Jiwa Daerah dr. Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024. Saran dari penelitian ini diharapkan dapat meningkatkan edukasi kepada keluarga untuk orang dengan gangguan jiwa agar dapat mengelola stress dengan baik serta menjauhkan obat-obatan terlarang. Meningkatkan literasi serta referensi pembelajaran dengan media edukasi lainnya mengenai gangguan jiwa terutama terkait pada gangguan psikotik akut.

Skizofrenia merupakan suatu psikosa fungsional dengan gangguan utama pada proses pikir disertai distorsi terutama karena waham dan halusinasi. Untuk meminimalkan gejala halusinasi maka dibutuhkan penatalaksanaan seperti pemberian terapi okupasi menanam sehingga pasien tidak terfokus dengan halusinasinya. Tujuan penelitian ini untuk mengetahui pengaruh terapi okupasi menanam terhadap perubahan halusinasi pada pasien skizofrenia. Penelitian ini yaitu pre-experimental dengan pendekatan one group pretest posttest design. Populasi adalah seluruh pasien skizofrenia sebanyak 177 orang. Teknik pengambilan sampel menggunakan metode purposive sampling, sehingga jumlah sampel sebanyak 15 orang. Hasil penelitian menunjukkan bahwa dari 15 responden sebagian besar perubahan halusinasi sebelum diberikan terapi okupasi menanam (pretest) yaitu kategori sedang sebanyak 8 responden (53,3%) dan setelah diberikan terapi okupasi menanam (posttest) yaitu kategori ringan sebanyak 13 responden (86,7%). Kemudian dari hasil uji stastistik uji parametik didapatkan p-value = 0,000. Kesimpulan penelitian ini yaitu ada peingaruih sebelum dan sesudah terapi okupasi menanam terhadap perubahan halusinasi pada pasien skizofrenia.

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.

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.

Based on the scientific consensus, ghosts are not a scientifically valid concept. Their existence cannot be explained. Even though it has been investigated for centuries, there is not a single piece of scientific evidence that shows that a place can be inhabited by the spirits of the dead. In Islam there is no such thing as a ghost, Islam calls them jinn, devils and demons. Of the many types of ghosts, the one most feared by people is the ghost of the dead. Some ordinary people think that ghosts are the spirits of dead people who wander around, especially curious dead people whose spirits are trapped in the natural world. The fact that ghosts are the incarnations of dead people cannot be justified. Islam does not reject the existence of spirits, in fact supernatural matters such as the existence of spirits must be believed because the Pillars of Faith themselves consist of supernatural things that must be believed in.

Halusinasi  adalah  gangguan  atau  perubahan  persepsi  dimana  pasien  mempersepsikan  suatu  yang sebenarnya tidak terjadi. Dampak yang dapat ditimbulkan oleh pasien mengalami halusinasi adalah kehilangan  kontrol  dirinya.  Salah  satu  terapi  untuk  mengatasi  halusinasinya itu  Art  Therapy Melukis Bebas.Art Therapy Melukis Bebas dapat diartikan sebagai kegiatan terapeutik yang menggunakan proses kreatif dalam melukis. Tujuan dari studi kasus ini adalah menggambarkan kemampuan pasien mengontrol halusinasi. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus. Peneliti menggunakan 2 orang subyek yang mengalami halusinasi. Hasil studi kasus mengatakan subyek I sebelum diberikan Art Therapy Melukis Bebas pada skor 8, setelah dilakukan Art Therapy Melukis Bebas skor menjadi 10. Subyek II sebelum diberikan Art Therapy Melukis Bebas pada skor 5, setelah diberikan intervensi menjadi skor 8. Kesimpulannya bahwa kedua subyek mengalami peningkatan kemampuan mengontrol halusinasi setelah diberikan Art Therapy Melukis Bebas.

Background: Schizophrenia is a psychiatric disorder that affects the work of the brain. The resulting disorders can attack thoughts, perceptions, emotions, movements, and behaviors. Based on the records of the Indonesian Ministry of Health in 2019, the prevalence in Indonesia with the highest psychiatric disorders is found in Bali and Yogyakarta Provinces with each prevalence showing 11.1% and 10.4% per 1000 with people with schizophrenia / psychosis. One of the therapies to reduce anxiety in schizophrenic patients with hallucinations is environmental therapy using drawing methods. Objective: To know the results of the implementation of occupational therapy drawing on the decrease in signs and symptoms of hallucinations in patients with hallucinatory sensory perception disorders. Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: After the application of occupational therapy, both respondents experienced a decrease in hallucination scores, with a total score of 14 and 5 classified as moderate hallucinations. Conclusion: Based on the data obtained, both respondents experienced a development that was originally classified as a very severe hallucination to moderate hallucination.

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.

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.

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.

Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.

Halusinasi merupakan suatu persepsi panca indera tanpa adanya stimulus eksternal. Klien dengan halusinasi sering merasakan keadaan/kondisi yang hanya dapat dirasakan olehnya namun tidak dapat dirasakan oleh orang lain (Nurlaili et al., 2019). Terapi Strategi pelaksanaan adalah penerapan standar asuhan keperawatan terjadwal yang diterapkan pada pasien yang bertujuan untuk mengurangi masalah keperawatan jiwa yang ditangani. (Livana et al., 2020). Data awal yang di dapatkan dari administrasi Rumah Sakit Umum Daerah Tombulilato pasien rawat inap dengan diagnose skizofrenia mengalami peningkatan. Pada tahun 2020 sebanyak 23 pasien, tahun 2021 sebanyak 33 pasien sedangkan tahun 2023 pasien sebanyak 56 pasien, dari 56 pasien yang dirawat di Rumah Sakit Umum daerah Tombulilato, pasien yang menderita halusinasi pendengaran ada 18 orang. tujuan dari penelitian ini adalah Menganalisis Pengaruh Tindakan Generalis Terhadap Penurunan Frekuensi Gangguan Persepsi Sensori Halusinasi di Ruang Rawat Inap Jiwa Rumah Sakit Umum Daerah Tombililato. Penelitian ini dilaksanakan di ruang rawat inap jiwa RSUD Tombulilato selama 2 minggu. penelitian kuantitatif dengan pendekatan quasy eksperimental one group (pre test post test) dengan 18 responden. Setelah dilakukan uji wilcoxom didapatkan hasil atau nilai α = 0,000 dimana nilai α lebih rendah dari nilai ρ (0.005) yang artinya terdapat hubungan antara tindakan terapi generalis dengan penurunan frekuensi gangguan persepsi sensori halusinasi di Ruang Rawat Inap Rumah Sakit Umum Daerah Tombulilato Kabupaten Bone Bolango.

Skizofrenia merupakan gangguan mental yang terjadi dalam jangka panjang yang mengakibatkan pasien mengalami halusinasi, delusi atau waham, dan perubahan perilaku, dengan gejala psikosis yaitu kondisi dimana pasien kesulitan membedakan kenyataan dengan pikirannya sendiri. Halusinasi merupakan gangguan orientasi realita yang di tandai dengan seseorang memberikan tanggapan atau penilaian tanpa adanya stimulus yang di terima oleh panca indra, sebagai dampak dari gangguan persepsi seperti merasakan sensor palsu berupa suara, penglihatan, pengecapan, perabaan atau penghidu. Terapi Psikoreligi dzikir merupakan terapi dengan  pendekatan keagamaan yang dapat menurunkan halusinasi pada klien skizofrenia. Jenis penelitian yang digunakan deskriptif dengan metode pendekatan studi kasus. Subjek yang digunakan sejumlah 2 orang dengan kriteria beragama Islam, mempunyai tanda dan gejala halusinasi dan sudah menjalani SP 1 dan SP 2. Pengukuran halusinasi menggunakan kuisioner pengukuran halusinasi. Terapi psikoreligi Dzikir dilaksanakan selama 7 hari berturut-turut. Hasil analisa data didapatkan subjek I mengalami penurunan halusinasi dari skor 35 (kemampuan cukup) menjadi 16 (kemampuan baik), subjek II dari skor 30 (kemampuan cukup) menjadi 13 (kemampuan baik). Hasil studi kasus menyimpulkan terdapat penurunan halusinasi pada klien skizofrenia. Terapi psikoreligi dzikir direkomendasikan sebagai intervensi keperawatan dalam menurunkan halusinasi pada klien skizofrenia karena dapat memberikan ketenangan, kedamaian, kebahagiaan dan ketentraman jiwa.

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.

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.