Nisaul Rosada, Titi Sri Suyanti, Slamet Wijaya

Asuhan Keperawatan Pada Ny. N Dengan Masalah Utama Gangguan Sensori Persepsi :Halusinasi Pendengaran Akibat Skizofrenia Paranoid Di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah

Introduction

Asuhan keperawatan pada ny. N dengan masalah utama gangguan sensori persepsi :halusinasi pendengaran akibat skizofrenia paranoid di ruang dewaruci rsjd dr. Amino gondohutomo provinsi jawa tengah. Asuhan keperawatan komprehensif untuk skizofrenia paranoid dengan halusinasi pendengaran. Studi kasus RSJD Dr. Amino Gondohutomo menunjukkan intervensi efektif & dukungan keluarga.

Abstract

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.

Review

This descriptive case study offers a valuable insight into the comprehensive nursing care provided to a patient with paranoid schizophrenia experiencing auditory hallucinations in a specific clinical setting in Central Java. The study clearly outlines its objective to describe the nursing process, which is appropriately addressed through a case study design. The methodological approach, incorporating interviews, direct observation, and medical record review, alongside thematic analysis using Miles and Huberman's framework, demonstrates a robust qualitative methodology for data collection and interpretation. The detailed focus on individualized care for a significant mental health challenge makes this paper relevant to nursing practice, particularly in psychiatric settings, and contributes to the body of knowledge on managing severe mental disorders. The findings effectively illustrate the positive impact of structured nursing interventions on patient outcomes. The reported gradual reduction in hallucination intensity and improvement in social interactions after interventions such as identification of hallucinations, distraction techniques, therapeutic communication, and collaborative pharmacological treatment highlight the effectiveness of a multi-modal approach. Crucially, the abstract emphasizes the significant role of family involvement in the recovery process, underscoring the importance of a holistic, socio-spiritual dimension in patient care. This reinforces the study's implication that comprehensive nursing care, integrating bio-psycho-socio-spiritual approaches and active family participation, is effective in managing complex symptoms like hallucinations and enhancing overall patient well-being. While the study provides valuable in-depth understanding through a single case, its primary limitation, as inherent to case study designs, is the generalizability of its findings to a broader population. Future research could build upon these insights by employing designs with larger sample sizes, such as comparative studies or quasi-experimental designs, to further validate the effectiveness of the described interventions across diverse patient groups and cultural contexts. Additionally, incorporating quantitative measures for outcome assessment alongside qualitative data could offer a more robust evaluation of intervention efficacy. Nonetheless, this paper serves as an excellent foundation, providing practical guidance and highlighting critical components for effective nursing care in challenging psychiatric conditions.

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