Skizofrenia merupakan gangguan jiwa yang paling banyak dialami, salah satu gejala yang paling sering muncul yaitu halusinasi pendengaran. Halusinasi pendengaran merupakan gangguan persepsi terhadap suara. Asuhan keperawatan pada halusinasi pendengaran meliputi memberikan intervensi mengenal halusinasi dan melatih teknik menghardik, pendidikan obat, bercakap, dan melakukan aktivitas terjadwal. Asuhan keperawatan ini penting diberikan dengan pendekatan berbasis spiritual, terutama aktivitas dzikir untuk menunjang proses perawatan klien. Beberapa penelitian terkait terapi spiritual pada gangguan jiwa sudah banyak yang membuktikan keefektifannya. Pemberian asuhan keperawatan ini dilakukan pada klien skizofrenia dengan gejala halusinasi pendengaran, dengan masalah keperawatan penyerta harga diri rendah kronik, isolasi sosial, dan risiko perilaku kekerasan. Asuhan keperawatan diberikan secara online pada Tn. Z (28 Th) asal Jambi yang mengikuti facebook Komunitas Peduli Skizofrenia Indonesia. Setelah diberikan intervensi selama tiga minggu dengan intensitas interaksi 3 kali perminggu, didapatkan perkembangan kondisi yang baik, klien mampu mengontrol halusinasinya dan distress spiritual yang dialami klien berkurang. Selain itu, klien menunjukkan semangat menjalani hidup dengan beraktivitas dan bersosialisasi secara bertahap. Berdasarkan hasil penerapan asuhan keperawatan ini disarankan kepada perawat jiwa, keluarga dan pasien agar dapat mempraktikan pendekatan berbasis spiritual terjadwal ini dalam penatalaksanaan pasien skizofrenia dengan halusinasi.
Schizophrenia is a mental disorder that many people experienced, one of the symptoms that most often appear which is auditory hallucinations. Auditory hallucinations are impaired perceptions of sound. Nursing care in auditory hallucinations involves giving interventions to hallucinations and practicing rebuking techniques, drug education, and conducting scheduled activities. Nursing care is important given with a spiritual based approach, especially dzikir activity to support the client's care process. Some research that related to spiritual therapy in life disorders which has proven its effectiveness. This nursing care is done to the schizophrenia client with auditory hallucinations symptom, with other nursing problems are chronic low self-esteem, social isolation, and the risk of violent behavior. Nursing care was given online to In Z (28 years old) from Jambi who followed the Indonesian Schizophrenia Concern Community Facebook. After being given intervention for three weeks with an intensity of interaction 3 times a week, there was a good development, the client is able to control his hallucinations and spiritual distress were lessened. In addition, the client shows the spirit to live life with activities and socializing with step by step. Based on the results of the application of this nursing care, it is advisable for psychiatric nurses, families and patients to be able to use this scheduled spiritual based approach in the management of schizophrenia patients with hallucinations. |
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