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Asuhan Keperawatan Jiwa Pada Pasien dengan Resiko Perilaku Kekerasan di Wisma Nuri RSJ. Prof. HB. Sa’anin Padang Tahun 2026 afiva nabila putri rinaldi; Dwi Happy Anggia Sari; Vivi Yuderna; Ramaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1822

Abstract

Mental disorders are conditions characterized by disturbances in cognitive function, emotional regulation, and behavior, which affect an individual’s ability to perform daily activities (American Psychiatric Association, 2022). The World Health Organization (WHO) defines mental disorders as clinically significant disturbances accompanied by psychological distress and impaired functioning in important areas of life (WHO, 2025). Globally, approximately 970 million people experienced mental disorders in 2023, increasing to more than 1.1 billion in 2024. In Indonesia, the prevalence of mental disorders in West Sumatra Province is 1.3% (Indonesia Health Survey, 2023). One of the common problems found in severe mental disorders such as schizophrenia is the risk of violent behavior, which is a maladaptive response due to the inability to control aggressive impulses that may harm oneself, others, and the environment. Data from RSJ Prof. Dr. HB. Saanin Padang indicate that the risk of violent behavior is the second most common nursing problem after hallucinations. This study aims to describe psychiatric nursing care for patients with a risk of violent behavior in Wisma Nuri at RSJ Prof. Dr. HB. Saanin Padang in 2026. The method used is a case study with the implementation of the Nursing Intervention Strategy (SP), including physical exercises, medication adherence, verbal emotional control, and spiritual approaches over five days. The results showed an improvement in the patient’s ability to control emotions and behavior. It can be concluded that comprehensive psychiatric nursing care is effective in reducing the risk of violent behavior.
Asuhan Keperawatan Jiwa Pada Pasien Dengan Halusnasi   Pendengaran Di Ruang Melati  Rsj Prof. Dr. Hb, Sa’anin Padang Tahun 2026 Silvia Jelita; Dwi Happy Anggia Sari; Ramaita .; Vivi Yuderna
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1831

Abstract

Hallucinations are disturbances in sensory perception in which individuals experience false sensations such as hearing voices, seeing, tasting, touching, or smelling things that are not actually present. These disturbances can affect cognition, emotional control, and behavior, thereby influencing an individual’s functional abilities (American Psychiatric Association, 2022). The World Health Organization reported that approximately 970 million people worldwide experienced mental disorders in 2023, increasing to more than 1.1 billion people in 2024. In Indonesia, mental health remains a significant concern, with a prevalence of 1.3% in West Sumatra Province (Indonesia Health Survey, 2023). The Prof. HB. Saanin Mental Hospital in Padang is recorded as the hospital with the highest number of psychiatric patient visits in the region, reaching 38,332 visits in 2024 and remaining high in 2025. This study aims to describe psychiatric nursing care for patients with auditory hallucinations in Wisma Melati at Prof. HB. Saanin Mental Hospital, Padang, in 2026. Nursing care was provided through theimplementation of the Implementation Strategy (SP), which includes practicing rebuking the hallucinations, medication adherence, engaging in conversations, and performing scheduled activities. The five-day implementation showed an improvement in the patient’s ability to control auditory hallucinations. The results of this study emphasize the importance of the nurse’s role in providing comprehensive psychiatric nursing care to help patients control violent behavior and prevent risks to themselves and their environment.
Asuhan Keperawatan Jiwa pada Klien dengan Halusinasi Pendengaran di Wisma Melati Rumah Sakit Jiwa Prof HB Saanin Padang Alya Amelia Putri; Vivi Yuderna; Ramaita .; Dwi Happy Anggia Sari
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1842

Abstract

Hallucinations are sensory perception disturbances that occur without any real stimulus. One common type of hallucination is auditory hallucinations, which involve the perception of hearing voices or sounds that do not originate from external stimuli. Based on medical records at Prof. HB. Saanin Mental Hospital, Padang, the most common nursing problem in the past three years was hallucinations, with 12,419 patients. The purpose of this case study is to apply psychiatric nursing care to a client with auditory hallucinations at Prof. HB Saanin Mental Hospital, Padang. The method used in this scientific paper is a case study through a nursing process approach, which includes assessment, diagnosis, intervention, implementation, and evaluation. The assessment results indicate that the client experienced signs and symptoms of hallucinations, including hearing whispers. The primary diagnosis was hallucinations, with a co-diagnosis of self-care deficit. After providing this nursing care, the patient was able to independently control the hallucinations using implementation strategies (SP): SP 1: reprimanding, SP 2: taking medication regularly, SP 3: having conversations, and SP 4: carrying out scheduled daily activities. These results indicate that the implementation of implementation strategies is effective in helping the patient control hallucinations. It is hoped that through this research, everyone will understand the importance of psychiatric nursing care, thereby increasing awareness in maintaining and preserving mental health, and implementing behaviors that support optimal mental well-being in everyday life
Asuhan Keperawatan Jiwa pada Pasien dengan Resiko Perilaku Kekerasan di Wisma Cendrawasih RSJ Prof. Dr. HB. Sa’anin Padang Windy Suryaningsih Amazihono; Dwi Happy Anggia Sari; Vivi Yuderna; Ramaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1849

Abstract

The risk of violent behavior is one of the common nursing problems found in patients with mental disorders and has the potential to harm themselves, others, and the environment. This study aims to describe psychiatric nursing care for patients at risk of violent behavior. The method used is a case study of patients, who was treated at Prof. Dr. HB Saanin Mental Hospital in Padang for 5 days, from February 2 to February 7, 2026. The assessment results showed three nursing diagnoses: risk of violent behavior, hallucinations, and self-care deficit. Nursing interventions were carried out using implementation strategies (SP) 1 to 4, which included physical exercises, medication adherence, verbal approaches, and spiritual approaches. The evaluation results indicated a decrease in the signs and symptoms of violent behavior risk; the patient became calmer, was able to control emotions, and showed improved ability to perform self-care independently. It can be concluded that the implementation strategies are effective in helping patients control violent behavior and improve their independence. Additionally, family and environmental support play an important role in maintaining the outcomes achieved by the patient.
Asuhan Keperawatan Jiwa Pada Pasien Dengan Halusinasi Pendengaran Di Wisma Cendrawasih RSJ PROF. DR. HB SA’ANIN Padang Tahun 2026 Zelfaisy Resfa Ramadhina; Dwi Happy Anggia Sari; Vivi Yuderna; Ramaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1853

Abstract

Mental disorders are conditions in which individuals experience disturbances in thought patterns, behavior, and emotional responses that affect their ability to carry out daily activities. One of the most common mental disorders is schizophrenia with symptoms of auditory hallucinations. This study aimed to implement psychiatric nursing care for patients with auditory hallucinations at Cendrawasih Ward, Prof. Dr. HB Sa’anin Mental Hospital Padang in 2026. The method used was a case study approach through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The case study was conducted over six days from February 4 to February 10, 2026, involving one patient with the primary problem of auditory hallucinations. The assessment results showed that the patient experienced auditory hallucinations characterized by talking and laughing alone, hearing voices without real stimuli, social withdrawal, and difficulty controlling the hallucinations. The main nursing diagnosis was auditory hallucinations with a secondary diagnosis of self-care deficit. It can be concluded that the implementation strategy (SP) was effective in helping the patient control auditory hallucinations. It is expected that the results of this study can serve as a guideline for improving the quality of psychiatric nursing care services, especially for patients with auditory hallucinations.
Asuhan Keperawatan Jiwa Pada Pasien Dengan Resiko Perilaku Kekerasan Di Wisma Nuri Rsj Prof Hb Saanin Padang Indah Lediana; Vivi Yuderna; Ramaita .; Dwi Happy Anggia Sari
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1899

Abstract

The risk of violent behavior is one of the psychiatric nursing problems in patients with severe mental disorders caused by the inability to control emotions, which may potentially harm oneself, others, or the surrounding environment. Data from the World Health Organization (WHO) in 2024 showed that mental disorders have increased, affecting more than 1.1 billion people worldwide. Based on medical record data at Prof. HB. Saanin Mental Hospital Padang, cases of violent behavior were reported as many as 213 cases in 2023, 138 cases in 2024, and 159 cases in 2025.This study aimed to provide mental health nursing care for patients with a risk of violent behavior. The method used in this scientific paper was a case study approach with the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation. The implementation of nursing care was carried out from February 9 to 14, 2026, with five meetings. Nursing interventions were provided through deep breathing exercises, hitting a pillow as a safe outlet for anger, medication adherence education, effective verbal communication, and spiritual activities. The results showed that the patient became calmer, more cooperative, able to control anger, did not use harsh language, and adhered to medication. In conclusion, mental health nursing care can reduce the signs and symptoms of the risk of violent behavior. It is expected that nurses and families play an active role in preventing relapse.  
Asuhan Keperawatan Jiwa Pada Pasien Dengan Risiko Perilaku Kekerasan di Wisma Nuri RSJ Prof. HB. Saanin Padang Defri Fairuz Zaki; Ramaita Ramaita; Vivi Yuderna; Dwi Happy Anggia Sari
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1917

Abstract

Risk of violent behavior is a condition in which individuals have the potential to harm themselves, others, or the environment physically and psychologically. This condition is commonly found in patients with mental disorders, especially schizophrenia, and requires appropriate psychiatric nursing care. This study aimed to implement psychiatric nursing care for patients at risk of violent behavior at Wisma Nuri Prof. HB. Saanin Psychiatric Hospital Padang. The research method used was a case study with a nursing process approach including assessment, diagnosis, intervention, implementation, and evaluation. The assessment results showed that the patient experienced labile emotions, irritability, sharp gaze, high-tone speech, and aggressive behavior. The main nursing diagnosis established was risk of violent behavior with a secondary diagnosis of self-care deficit. Interventions were carried out through implementation strategies including deep breathing exercises and hitting pillows, medication adherence, adaptive verbal communication, and spiritual approaches. After nursing care was implemented, the patient was able to control emotions and reduce aggressive behavior independently. The implementation strategy proved effective in helping patients control the risk of violent behavior and improve self-care abilities.
Asuhan Keperawatan Jiwa pada Pasien dengan Risiko Perilaku Kekerasan di Wisma Cendrawasih RSJ Prof. Dr. HB Saanin Padang Tahun 2026 Adila Salsa Bila; Vivi Yuderna; Dwi Happy Anggia Sari; Ramaita Ramaita
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1918

Abstract

The risk of violent behavior is a psychiatric nursing problem in patients with severe mental disorders due to the inability to control emotions and aggressive impulses that can harm themselves, others, and the environment. This study aims to implement psychiatric nursing care for patients at risk of violent behavior at Wisma Cendrawasih, Prof. Dr. HB Saanin Mental Hospital, Padang, in 2026. The research method used a descriptive case study with a nursing process approach through assessment, nursing diagnosis, intervention, implementation, and evaluation. Data collection was conducted through interviews, observation, and documentation on one patient. The assessment results indicated that the patient experienced emotional instability, irritability, aggressive behavior, and auditory hallucinations. Nursing interventions provided included deep breathing exercises and pillow hitting, adaptive verbal communication, medication education, and a spiritual approach. The results showed an increase in the patient's ability to control emotions, decreased aggressive behavior, and improved communication skills. It was concluded that comprehensive psychiatric nursing care was effective in helping reduce signs and symptoms of the risk of violent behavior and increasing the patient's self-control.
Asuhan Keperawatan Jiwa Pada Pasien Dengan Halusinasi Pendengaran Di Wisma Flamboyan Rsj Prof. Dr. Hb. Sa’anin Padang Syahira Hayati Yusrineza; Dwi Happy Anggia Sari; Vivi Yuderna; Ramaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1922

Abstract

Hallucinations are a client's false perception through the five senses of an environment without any real stimulus or stimulation. According to WHO data from 2023, the prevalence of mental disorders worldwide was 970 million individuals worldwide. This data increased in 2024 to exceed 1.1 billion people. This increase in prevalence confirms that the global burden on mental health is increasingly severe. Based on initial data obtained from Prof. HB. Saanin Mental Hospital, Padang, the most common problem in 2025 was hallucinations, with 6,062 patients. This study aims to implement Mental Health Nursing Care for Mr. K with Hallucinations at Wisma Flamboyan, Prof. HB. Saanin Mental Hospital, Padang. The implementation of Nursing Care for Mr. K was conducted on February 4 to February 10, 2025 with a visit of six days of meetings. The method of this Scientific Paper is a Case Study. The results of the provision of Mental Nursing Care were obtained that Mr. K was able to control Hallucinations independently by using the implementation strategy (SP), namely SP 14. In this study, it is expected that Mr. K understands the provision of Mental Nursing Care and the client is able to control hallucinations independently and signs of hallucination symptoms decrease.
Asuhan Keperawatan Jiwa Pada Pasien Dengan Resiko Perilaku Kekerasan Di Wisma Flamboyan Rsj Prof. Dr. Hb Sa’anin Padang Rini Refalina; Dwi Happy Anggia Sari; Vivi Yuderna; Ramaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1923

Abstract

Risk of Violent Behavior is a condition where a person commits an act that can be physically dangerous, both to themselves and others, accompanied by uncontrolled rage, noise, and anxiety. Based on medical record data from Prof. HB. Sa'anin Mental Hospital Padang, the nursing diagnosis of Risk of Violent Behavior is still high, namely in 2023 there were 213 cases, in 2024 there were 138 cases, and in 2025 there were 159 cases. The purpose of this case study is to obtain an overview of the implementation of psychiatric nursing care for patients with Risk of Violent Behavior. The method used is a descriptive case study with a nursing process approach including assessment, diagnosis, intervention, implementation, and evaluation. Nursing actions are given through deep breathing exercises, hitting pillows, education on taking medication regularly, good verbal communication, and spiritual activities. The results show that patients are calmer, more cooperative, able to control anger, do not speak harshly, and are compliant in taking medication. It can be concluded that psychiatric nursing care is effective in reducing signs and symptoms of the risk of violent behavior. It is hoped that nurses and families will play an active role in preventing recurrence.