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PkM Pelatihan Skrining Orang Dengan Gangguan Jiwa (ODGJ) Mamnuah Mamnuah; Dwi Ernawati; Triyono Triyono
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 6, No 3 (2026): Abdira
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v6i3.2224

Abstract

The high incidence of schizophrenia in the Kasihan I Community Health Center (Puskesmas) area (107 residents) necessitates greater adres understanding of how to screen for and assess the stability of people with mental disorders, which is currently still limited. This activity aims to improve the knowledge of mental health cadres regarding schizophrenia and the use of instruments for early detection of mental health problems. The activity began with a Focus Group Discussion (FGD) and was followed by training for 32 mental health cadres. Participants’ understanding was assessed using pre-test and post-test instruments. There was a significant increase in knowledge, with the average pre-test score of 68.75 rising to 84.68 on the post-test. The group of homemakers showed the highest score increase, while the group with an educational background experienced a ceiling effect. Community-based screening training is highly effective in improving mental health literacy. For future training, it is recommended to use visual and interactive methods (role-playing) to accommodate participants with a basic education background.
Medication adherence education for a patient with severe depression and psychotic symptoms: A case study Zarma Zirani; Mamnuah Mamnuah
JOURNAL OF Mental Health Concerns Vol. 5 No. 4 (2026): July 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.v5i4.3651

Abstract

Background: Medication nonadherence remains a problem among patients with mental disorders. According to 2023 data from the Ministry of Health, the rate of medication nonadherence reached 37.2%. Purpose: To describe changes in medication knowledge and adherence following a seven-day educational intervention in a patient with a mental disorder. Method: A qualitative descriptive approach using a case study design involving one patient diagnosed with nonadherence at Wisma Srikandi, Grhasia Mental Hospital in Yogyakarta. The nursing diagnosis was based on the Indonesian Nursing Diagnosis Standards (INDS). The intervention consisted of education on the benefits of medication, the “5 Rights of Medication” principles, and the consequences of non-adherence, delivered over 7 days for 15–25 minutes per day through lectures, discussions, and informational leaflets. Data were collected through observation, interviews, and pre- and post-tests. Results: After the intervention, patient adherence improved, as indicated by an increase in adherence scores from level 1 to level 5, as well as improved knowledge regarding the benefits of medication, the “5 Rights” of medication adherence, and the consequences of non-adherence. The signs and symptoms of the illness remained unchanged. Conclusion: Education is effective in improving knowledge and medication adherence among patients with mental disorders, thereby supporting the success of therapy and reducing the risk of relapse. Keywords: Adherence Level; Education; Medication.
Application of the scolding technique for managing auditory hallucinations in a patient with schizophrenia: A case study Helena Candra Devi; Mamnuah Mamnuah
JOURNAL OF Mental Health Concerns Vol. 5 No. 4 (2026): July 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.v5i4.3758

Abstract

Background: Schizophrenia is a severe mental disorder characterized by disturbances in perception, thought processes, emotions, and behaviour. Auditory hallucinations are among the most common positive symptoms experienced by individuals with schizophrenia and may interfere with daily functioning if not managed appropriately. Scolding technique are non-pharmacological nursing interventions that can help patients reduce the intensity and frequency of hallucinations by redirecting their attention to external stimuli. Purpose: To evaluate the effectiveness of the scolding technique in reducing auditory hallucinations among patients with schizophrenia. Method: A descriptive case study was conducted on one patient diagnosed with sensory perception disturbance: auditory hallucinations at Wisma Srikandi, Grhasia Mental Hospital, Yogyakarta. The nursing intervention consisted of scolding technique implemented for five consecutive days. Data were collected through observation, interviews, and nursing assessments, and outcomes were evaluated by comparing patients' signs and symptoms before and after the intervention. Results: The implementation of scolding technique reduced the frequency and severity of auditory hallucinations. Improvements were observed in the patient's ability to recognize and control hallucinations, accompanied by decreased signs and symptoms following the intervention. Conclusion: Scolding technique were effective in reducing auditory hallucinations and improving patients' ability to control hallucinatory experiences. This intervention may be considered a complementary non-pharmacological nursing strategy in the management of patients with schizophrenia experiencing auditory hallucinations. Keywords: Auditory Hallucinations; Mental Health Nursing; Schizophrenia; Scolding technique; Sensory Perception Disturbance.
Adaptasi Psikososial Pasien Hemodialisis Terhadap Perubahan Gaya Hidup : Literature Review Psychosocial Adaptation Of Hemodialysis Patients To Lifestyle Changes : Literature Review Bagus Yudantoro; Mamnuah; Wantonoro
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.868

Abstract

Patients with end-stage chronic kidney disease undergoing hemodialysis experience complex lifestyle changes, including fluid and dietary restrictions, dependence on therapy, fatigue, changes in social roles, and psychological distress that affect psychosocial adaptation and quality of life. This literature review aimed to examine the factors influencing psychosocial adaptation among hemodialysis patients and their implications for nursing practice. The review was conducted using PubMed, Scopus, ScienceDirect, ProQuest, MDPI, and BMC databases with keywords related to hemodialysis and psychosocial adaptation. Inclusion criteria were full-text articles published between 2020–2025 in English or Indonesian that discussed psychosocial aspects of hemodialysis patients. Of 326 identified articles, 11 studies were analyzed using a narrative-thematic approach. The findings identified five major themes: illness acceptance, depression and anxiety, social support, burden of physical symptoms, and coping strategies and cultural values. Illness acceptance and social support positively contributed to psychosocial adaptation, whereas depression, anxiety, and physical symptom burden negatively affected patients’ quality of life. Overall, psychosocial adaptation in hemodialysis patients is influenced by psychological, social, physical, and cultural factors. Therefore, nurses should perform routine psychological screening, provide self-management education, strengthen family support, and facilitate adaptive coping strategies to improve patient outcomes.Top of Form
GENERALIST THERAPY OF SENSORY PERCEPTION DISORDERS: AUDITORY HALLUCINATIONS IN NN. S AT RSJ GRHASIA YOGYAKARTA Arjun Firman; Mamnuah Mamnuah
Journal of Nursing Palliative Care Vol. 2 No. 1 (2026): March
Publisher : Journal of Nursing Palliative Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jnpac.v2i1.4558

Abstract

Sensory perception disturbances, particularly hallucinations, are common psychiatric issues encountered in mental health nursing services. Hallucinations are symptoms of mental disorders in which an individual experiences altered sensory perceptions of internal or external stimuli, accompanied by diminished, excessive, or distorted responses. This study used a case study method involving one patient with auditory hallucinations treated at Grhasia Mental Hospital, Wisma Sembodro. A holistic nursing approach was applied through comprehensive assessment, diagnosis formulation based on the Indonesian Nursing Diagnosis Standard (SDKI), and intervention planning aligned with the Indonesian Nursing Outcomes Classification (SLKI) and Nursing Interventions Classification (SIKI). Nursing interventions included techniques such as confronting hallucinations, distraction through conversation, scheduled activities, and enhancing medication adherence. The results showed a noticeable change before and after the interventions in the patient with sensory perception disturbance: auditory hallucinations. Evaluation indicated gradual improvement in the patient’s ability to control and redirect hallucinatory stimuli, as reflected by increased scores in pre- and post- intervention assessments, although the symptoms did not fully disappear. It is recommended that future research involve more patients to obtain more diverse and comparable results. The therapy duration should also be extended to better observe patient progress over time.