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Analysis of Nursing Clinical Practice Using Ecoprint Occupational Therapy to Reduce Auditory Hallucination Symptoms Lulu Khairiyah; Arief Budiman; Dwi Rahmah Fitriani; Linda Dwi Novial
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 2 (2026): April 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i2.396

Abstract

Auditory hallucinations are a major symptom experienced by patients with schizophrenia and can disrupt cognitive, emotional, and social functioning, thus requiring comprehensive therapeutic management. This study is necessary because pharmacological therapy alone is not sufficient to optimize patients’ ability to control hallucinations, making meaningful non-pharmacological interventions essential. This study aimed to determine the effectiveness of ecoprint occupational therapy in reducing signs and symptoms of auditory hallucinations in Mr. I. The research employed a case study design involving one patient, with data collected using the Auditory Hallucination Rating Scale (AHRS), conducted over two consecutive days. The ecoprint intervention was implemented for approximately 60 minutes per session and analyzed descriptively. The results demonstrated a reduction in AHRS scores from 23 to 21 on the first day and from 17 to 11 on the second day, with improvements observed in frequency, intensity, negative voice content, disturbance to activities, and control over hallucinations. The patient also showed increased focus and engagement during the activity. In conclusion, ecoprint occupational therapy is effective as a supportive intervention for helping patients control auditory hallucinations. It is recommended for continued implementation with expanded duration and activity variations to enhance therapeutic outcomes.
Pengaruh Terapi Murottal terhadap Halusinasi Pendengaran pada Pasien Skizofrenia di Kota Samarinda Halipah Nurajijah; Dwi Rahmah Fitriani; Mukhripah Damaiyanti
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 2 (2025): Desember
Publisher : Universitas Widya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65175/kewinus.v2i2.34

Abstract

Mental disorders are conditions in which an individual experiences disturbances in brain function, behavior, and emotions, leading to significant changes. Schizophrenia is one of the most prevalent mental disorders and is characterized by symptoms such as hallucinations, particularly auditory hallucinations. Murottal therapy is known to provide a relaxation effect through changes in brainwave activity. This study aimed to determine the effect of murottal therapy on patients with auditory hallucinations in Samarinda City. This research employed a quasi-experimental design with a pretest-posttest with control group. The sample consisted of 32 respondents divided into 16 participants in the experimental group and 16 in the control group, recruited from Sempaja Public Health Center, Juanda Public Health Center, and the Joint Adulam Ministry Foundation. The instrument used in data collection was the Auditory Hallucinations Rating Scale (AHRS). The experimental group received murottal therapy using Surah Ar-Rahman verses 1–78 for 15 minutes through an MP3 audio file. The results showed that the Independent t-test indicated a significant difference between the experimental and control groups, with a p-value of 0.000 (<0.05), indicating a reduction in auditory hallucination intensity following the murottal therapy. The study concludes that murottal therapy has a significant effect in reducing the intensity of auditory hallucinations among patients with schizophrenia and can be recommended as a supportive non-pharmacological intervention in the management of hallucinations.
Hubungan Komunikasi Keluarga terhadap Kekambuhan Pasien Skizofrenia di Wilayah Puskesmas Kota Samarinda Mira Sutari; Mukhripah Damaiyanti; Dwi Rahmah Fitriani
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 6 No 1 (2025): JULI
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/asjn.v6i1.1662

Abstract

Latar Belakang: Penderita skizofrenia sering mengalami delusi, seperti mendengar suara tanpa stimulus eksternal (halusinasi auditori), meyakini diri sebagai Tuhan, menyakiti orang lain, serta menarik diri dari interaksi sosial. Salah satu faktor penting yang memengaruhi kekambuhan adalah komunikasi dalam keluarga. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara komunikasi keluarga dan tingkat kekambuhan pada individu dengan skizofrenia. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional dan metode korelasional deskriptif. Instrumen yang digunakan adalah Family Communication Scale (FCS) versi terjemahan Bahasa Indonesia untuk mengukur komunikasi keluarga, serta Brief Psychiatric Rating Scale (BPRS) versi Bahasa Indonesia untuk mengukur tingkat kekambuhan. Sampel sebanyak 258 responden dipilih dari total populasi 781 pasien skizofrenia di wilayah kerja Puskesmas Kota Samarinda, menggunakan teknik cluster random sampling. Hasil: Hasil analisis statistik menunjukkan adanya hubungan signifikan antara komunikasi keluarga dan tingkat kekambuhan pasien skizofrenia, dengan nilai p = 0,000 (< 0,05). Kesimpulan: Komunikasi keluarga berhubungan signifikan dengan kekambuhan pasien skizofrenia. Oleh karena itu, disarankan agar layanan kesehatan di Kota Samarinda membentuk forum dukungan keluarga penderita skizofrenia, misalnya melalui grup media sosial seperti WhatsApp dan penyediaan layanan call center khusus sebagai sarana komunikasi, edukasi, dan dukungan berkelanjutan.
The Relation of Educational Level, Academic Achievement (GPA) and Depression Among Public School Adolescent Damaiyanti, Mukhripah; Fitriani, Dwi Rahmah
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 3 (2017): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.1365

Abstract

Depression is a worlwide mental health problem psychology disorder in adolescent. Depression is one of the emotional problems, hopelessness and  helplessness are its main causes. The other word, depression is aprevalent problem among college’s student ability to perform activities of daily life.  This descriptive correlation study aimed to describe the relation of educational level, academic achievement (GPA) and depression  among public school adolescents of Samarinda municipal, East Kalimantan province, Indonesia. A total of 552 adolescents in senior high school aged between 14-19 years were recruited through stratified cluster sampling. The instruments was The Center for Epidemiologic Studies Depression (CES-D). The data were analyzed by statistical method including t-test, Chi-square, and Pearson correlation. The result showed the prevalence of depression in this sample of Indonesian adolescents was 52.7%. Adolescent females showed almost equal prevalence of depression than adolescents’ males (26.6%, 26.1%), respectively. There was significant relationship between adolescents’ depression and educational level (X²= 8.039, p value= 0.018). Specifically, based on the findings suggest interventions program to reduce depression in adolescents by giving health education with specific mental health in school. Some programs are able to do in school such as counseling center, stress management program, time management, and screening about negative life events. This strategy need to include the participation of other personnel such as class coordinator and health workers to be successful of program.