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Journal : JOURNAL OF Mental Health Concerns

Management of patients who are at risk of violent behaviour: A case study report Prasetya, Denni; Apriliyani, Ita
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.v4i4.1804

Abstract

Background: Risk of Violent Behavior is a manifestation of uncontrolled anger, which can cause harm to oneself, others, and the environment, both physically, emotionally, and sexually. This problem has to do with a strong range of emotions, in which anger arises in response to situations that offend self-esteem, unmet needs, or expectations that do not correspond to reality. Purpose: To explain the management of patients at risk of violent behavior. Method: A case study with stages of study, diagnosis, intervention, implementation, and evaluation for 4 days. The intervention focused on the implementation of Implementation Strategies (SP) 1-4, including deep breathing relaxation techniques and pillow beating, medication adherence, assertive communication, and spiritual approaches. Results: The results showed an improvement in self-control skills, a decrease in anger intensity, and emotional stability in patients. Conclusion: SP 1-4 interventions have been shown to be effective in reducing the risk of violent behavior so that the problem of violent behavior risk can be resolved. Keywords: Nursing Intervention; Risk of Violent Behavior; Self-Control Skills.
Reality orientation therapy for a patient with schizophrenia and paranoid delusions: A case study report Bian Wintana, Dwi Amalia Putri; Apriliyani, Ita
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
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.v4i5.1903

Abstract

Background: Schizophrenia is a chronic mental disorder that significantly affects cognitive function and behavior, frequently characterized by prominent delusions in Paranoid Schizophrenia. Delusional nursing problems are marked by severe distortions of reality perception, which impair patients’ ability to think logically and interact appropriately with their environment. Purpose: To describe and evaluate the implementation of Reality Orientation Therapy (ROT) in addressing delusional nursing problems in a patient with Paranoid Schizophrenia. Method: This research employed an intensive descriptive case study conducted over four days to illustrate and assess the application of Reality Orientation Therapy in Mrs. Y at Liliy 4 Ward, Seorojo Hospital. The primary intervention focused on the consistent, non-confrontational application of ROT through orientation to person, place, and time, integrated with collaborative pharmacological management. Results: The findings demonstrated that Reality Orientation Therapy was substantially effective in correcting cognitive distortions and enhancing reality-based thinking abilities. This improvement was evidenced by significant clinical progress and increased scores in reality-oriented thought content, indicating that the delusional nursing problem experienced by Mrs. Y was successfully resolved. Conclusion: Reality Orientation Therapy can be considered an effective nursing intervention for reducing delusions and improving reality-based thinking in patients with Paranoid Schizophrenia when implemented consistently and collaboratively with pharmacological treatment.   Keywords: Delusions; Paranoid Schizophrenia; Reality Orientation Therapy (ROT).
Co-Authors A'yuni, Qurrotul Adiratna Sekar Siwi Amalia, Aninda Novra Amik, Mukhamad Miftah Izul Andini, Amelia Anggriani, Elsa Nala Arni Nur Rahmawati Arni Nur, Rahmawati Bagus Wijayanto, Fitrianingditya Bian Wintana, Dwi Amalia Putri Carwati, Carwati Desy Nugraheni, Prawesty Ediyono, Suryo Fajrianti, Gustin Fani Try Oktaviani Faozi, Trimo Hidayat Farach Aliffatunisa Feti Kumala Dewi Gandi, Febrianti Sonia Herlisah, Mei Ika Setiyani, Harni Indri Heri Susanti, Indri Heri Jatmiko, Heli Kurniawan, Wasis Eko Lathifunnisa, Husna M. Dirham, Nurul Rifah Ulmi Madyo Maryoto Maharani, Eliana Septi Mahyar, Mahyar Mariah Ulfah Maryanto - Maya Safitri Meilani, Tri Arisma Menanda, Hesti Lutifah Muhanifah, Laili Muktar, Zenitha Mulyani, Maya Sulistiawati Sri Mustafa Nisa, Nuria Kholifatun Noor Yunida Triana Novianasari, Eka Nurianti, Novi Nurjanah, Dzawi Oktaviana Oktaviana Oktaviani, Fani Try Prasetya, Denni Prastiwi, Annisa Hayyu Pujianto, Undip Purwatiningsih Purwatiningsih Purwatiningsih Rahmadani, Arzalia Dwi Rena Fitri, Rena Riana, Maya Reza Salshabila, Jenar Ayu Sartika, Soniyati Dewi Sekar Siwi, Adiratna Septiantoro, Rian Setiani, Lina Setyawati, Matyarini Budi Siti Haniyah sonia gandi, Febrianti Sundari, Ririn Isma Suryani, Roro Lintang Susanto, Amin Tin Utami Triana, Noor Yunida Triyudono, Danang Wardhani, Debora Betty Dwi Wibowo, Prasetyo Laksmana Wijaya, Intan Puspa Wijaya, Lintang Indra Wijayanti, Wili Indah Wintana, Dwi Amalia Putri Bian Wirakhmi, Ikit Netra Yudono, Danang Tri Yunida Triana, Noor Zenitha, Muktar