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All Journal Jurnal Keperawatan D Nursing and Health Journal (DNHJ) Lentera Perawat JOURNAL OF Mental Health Concerns
Kusumaningsih, Amalia
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Humanities Health Professions Neuroscience Nursing Public Health Veterinary

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The Effectiveness of Occupational Therapy : Drawing on Mrs. “K” on The Ability to Control Auditory Hallucinations in The Flamboyant Room Dr. RSJ. Radjiman Wediodiningrat Lawang Agustin, Nanda Leoni; Kurniyawan, Enggal Hadi; Kusumaningsih, Amalia; Deviantony, Fitrio
D'Nursing and Health Journal (DNHJ) Vol. 3 No. 2 (2022): Maternity Nursing as A Management in The Provision of Nursing Care
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v3i2.423

Abstract

Introduction: Hallucinations are defined as perceptual disturbances in which an object is not stimulated from outside, this sensory perception disorder covers all five senses. One effort that can be done to overcome hallucination is by occupational drawing therapy. Drawing therapy can release the patient’s emotions, express themselves through non-verbal ways and build communication. This final scientific paper aims to determine the drawing strategy for reducing hearing hallucination symptoms. Method: The research design uses a qualitative case study. This case study explores a problem in patients with sensory percepyion disorders: auditory hallucination with a sample of 1 person. Result: After 3 days of drawing therapy, there were changes in the symptoms that appeared in Mrs. “K” before and after being given the intervention of occupational therapy drawing, where before being given therapeutic therapy there were 12 symptoms (85%) from 14 symptoms and after the intervention was given 3 symptoms (22%).Therapy can minimize the patient’s interaction with his own world, remove thoughts, feeling, or emotions that have been influencing, unconscious behavior, motivate and provide joy, entertainment, and attention to the mind from hallucinations so that the mind does not focus on the hallucinations. Conclusion: Drawing therapy is effective in reducing auditory therapy is effective in reducing auditory symptoms in schizophrenic patients.
PENERAPAN TERAPI GENERALIS DAN TERAPI AKTIVITAS KELOMPOK SOSIALISASI PADA GANGGUAN ISOLASI SOSIAL: STUDI KASUS Ni’mah, Afa Faiqotun; Fitria, Yeni; Kurniawan, Enggal Hadi; Kusumaningsih, Amalia
Bahasa Indonesia Vol 14 No 1 (2025): Jurnal Keperawatan
Publisher : STIKes William Booth Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47560/kep.v14i1.632

Abstract

Isolasi sosial menjadi salah satu gejala negatif skizofrenia yang menyebabkan perilaku menarik diri. Upaya meminimalkan perilaku maladaptif, diperlukan pemberian terapi non farmakologis berupa terapi generalis dengan Strategi Pelaksanaan (SP) maupun terapi modalitas, seperti Terapi Aktivitas Kelompok (TAK) Sosialisasi. Tujuan penelitian ini untuk menerapkan proses asuhan keperawatan dan menganalisis terapi generalis dan TAK Sosialisasi terhadap penurunan tanda dan gejala pasien isolasi sosial. Metode penelitian ini yaitu deskriptif kualitatif dengan rancangan studi kasus pada satu responden sesuai kriteria inklusi. Intervensi diberikan mulai dari SP 1-3 dengan 5 kali pertemuan selama 15-20 menit dan TAK Sosialisasi 2 kali pertemuan selama 45 menit. Hasil intervensi diobservasi menggunakan lembar tanda dan gejala mayor dan minor SDKI. Proses analisa data menggunakan pendokumentasian asuhan keperawatan jiwa. Hasil pemberian terapi generalis dan TAK Sosialisasi terdapat penurunan tanda gejala gangguan isolasi sosial dari skor awal 13 menjadi 9. Pemberian terapi generalis dan TAKS sosialisasi membantu klien berperan aktif meningkatkan kemampuan sosialnya. Terapi generalis yang dipadukan dengan terapi kelompok lebih efektif mengurangi tanda dan gejala isolasi sosial. Sehingga, individu dengan masalah isolasi sosial perlu diberikan terapi generalis dan TAK Sosialisasi dalam membantu proses penyembuhan dan meminimalkan masa perawatan.
The effectiveness of drawing occupation therapy on auditory hallucinations among patients with schizophrenia Robby Prihadi Aulia Erlando; Wuryaningsih, Emi Wuri; Kusumaningsih, Amalia; Hikmah, Faiqotul
JOURNAL OF Mental Health Concerns Vol. 4 No. 4 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i4.1590

Abstract

Background: Hallucinations are symptoms of mental disorders that affect sensory perception and impair thought control, often leading to risky behaviors if not supported by family or friends. Purpose: To evaluate the effectiveness of occupational drawing therapy in reducing auditory hallucinations in patients with schizophrenia. Method: A qualitative case study aimed to examine changes in hallucinatory symptoms and the ability to control them through drawing occupational therapy. The intervention was conducted from January 25 to February 1, 2025, involving one patient who received daily sessions lasting 20–30 minutes. Instruments used included the Drawing Therapy SOP, Auditory Hallucination Rating Scale (AHRS), and a symptom observation sheet. Results: Before therapy, the patient's AHRS score was 19, and symptom observation was 12. After therapy, the scores decreased to 9 and 4, respectively. Conclusion: Drawing therapy helped divert attention from hallucinations, encouraged emotional expression, and reduced symptom intensity. Keywords: Hallucinations; Occupational Drawing Therapy; Schizophrenia.
Application of progressive muscle relaxation therapy to reduce anxiety in clients with hypertension: A case study Fitria, Lailatul; Dewi, Erti Ikhtiarini; Deviantony, Fitrio; Kusumaningsih, Amalia
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.562

Abstract

Background: Hypertension is frequently associated with psychological disorders, particularly anxiety, which may worsen physiological responses and lead to decreased quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention proven to reduce anxiety and enhance psychological and physiological stability among clients with chronic diseases. Objective: This case study aimed to evaluate the effectiveness of PMR therapy in reducing anxiety levels in a hypertensive client. Methods: A single-case study design using a nursing care approach was implemented on a client diagnosed with stage 2 hypertension and moderate anxiety based on the Hamilton Anxiety Rating Scale (HARS). PMR therapy was performed once daily for five consecutive days, supported by assessments through interviews, observation, vital sign monitoring, and HARS evaluation. Results: The client demonstrated a decrease in anxiety level from moderate (HARS score: 17) to mild (HARS score: 13) after five therapy sessions. Additional improvements were noted in sleep duration, perceived relaxation, and blood pressure stability. The client became able to independently perform PMR beginning on day three. Conclusion: Progressive Muscle Relaxation therapy demonstrated a positive impact on reducing anxiety among hypertensive clients when practiced consistently and systematically. PMR may be recommended as a complementary nursing intervention in community settings to improve psychological well-being and prevent hypertension-related complications. Further studies using larger sample sizes are recommended to strengthen generalizability.
Co-Authors Agustin, Nanda Leoni Emi Wuri Wuryaningsih Enggal Hadi Kurniyawan Erti Ikhtiarini Dewi Faiqotul Hikmah, Faiqotul Fitria, Lailatul Fitrio Deviantony Kurniawan, Enggal Hadi Ni’mah, Afa Faiqotun Robby Prihadi Aulia Erlando Yeni Fitria