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UNIVERSITAS NEGERI PADANG
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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 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 Risiko Perilaku Kekerasan Di Wisma Flamboyan Rsj. Prof. Dr. Hb. Saanin Padang Farhan Pramuja; Vivi Yuderna; Ramaita 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.v3i1.1932

Abstract

Abstrak Risiko perilaku kekerasan adalah jenis gangguan jiwa dimana seseorang dapat membahayakan diri sendiri, orang lain secara fisik ataupun psikologis, dan merusak lingkungan. Berdasarkan data dari rekam medis di RSJ. Prof. Dr. HB. Saanin Padang, masalah keperawatan terbanyak kedua dalam 3 tahun terakhir adalah Risiko perilaku kekerasan yang berjumlah 523 pasien. Tujuan studi kasus ini dilakukan untuk memberikan dan melaksanakan asuhan keperawatan pada pasien dengan risiko perilaku kekerasan di wisma flamboyan RSJ. Prof. Dr. HB. Saanin Padang. Metode yang digunakan dalam penulisan karya tulis ilmiah ini adalah studi kasus melalui pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, intervensi, implementasi, evaluasi dan dokumentasi. Pada hasil pengkajian pasien menunjukkan tanda gejala risiko perilaku kekerasan berupa emosi labil. Diagnosa utama yaitu risiko perilaku kekerasan dan diagnosis pendukung adalah deficit perawatan diri. Setelah dilakukan pemberian asuhan keperawatan pasien mampu mengontrol emosi dan perilaku kekerasannya secara mandiri dengan menerapkan latihan terjadwal strategi pelaksanaan pasien risiko perilaku kekerasan dengan melakukan SP 1 latihan tarik napas dalam dan pukul bantal, SP 2 patuh minum obat secara teratur, SP 3 secara verbal, dan SP 4 melakukan kegiatan spritual dan SP 1-4 Defisit Perawatan Diri. Kesimpulan pasien dapat mengontrol resiko perilaku kekerasan dengan terapi yang di ajarkan oleh peneliti secara mandiri dan terjadwal. Pasien juga dapat melakukan secara mandiri latihan untuk menjaga perawatan diri. Saran ketika dalam memberikan asuhan keperawatan jiwa pada pasien dengan risiko perilaku kekerasan dapat dilakukan dengan meningkatkan komunikasi terapeutik dan pemberian pujian pada pasien pada pasien setiap selesai melakukan latihan.   Kata Kunci: Perilaku Kekerasan, Asuhan Keperawatan Jiwa, Strategi Pelaksanaan
Asuhan Keperawatan Jiwa pada Pasien dengan Halusinasi  Pendengaran Di Wisma Nuri Rumah Sakit Jiwa Prof Dr HB Saanin Padang Halmi Azzahra; Dwi Happy Anggia Sari; Vivi Yuderna; 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.v3i1.2029

Abstract

World Health Organization (WHO) data for 2023 shows that the number of people with mental disorders worldwide continues to increase, reaching 970 million people in 2023 and predicted to exceed 1.1 billion by 2024. One of the symptoms that frequently emerges is hallucinations, where sufferers experience false sensations without any real external stimulus. This case study aims to describe psychiatric nursing care for patients with a diagnosis of auditory hallucinations at RSJ Prof. Dr. HB Sa’anin Padang in 2026. The research method used a case study through a nursing process approach consisting of assessment, diagnosis, intervention, implementation, and nursing evaluation. The results of the assessment showed that the patient experienced auditory hallucinations, social isolation, and self-care deficits triggered by social stressors such as divorce trauma and economic problems. Interventions were carried out through the application of Implementation Strategy (SP) 1-4 which included rebuking (menghardik), medication adherence, conversation, and scheduled activities. Evaluation results after five days of action showed an increase in the client's ability to control hallucinations independently and improvements in self-care independence. In conclusion, the consistent application of implementation strategies is effective in reducing hallucination symptoms in clients. This study is expected to serve as a reference for nursing staff in optimizing comprehensive psychiatric nursing care for clients with sensory perception  
Asuhan Keperawatan Jiwa pada Klien dengan Resiko Perilaku Kekerasan di Wisma Melati Rmah Sakit Jiwa Prof Dr HB Saanin Padang Alya Irwana Putr; Ramaita Ramaita; Dwi Happy Anggia Sari; 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.v3i1.2030

Abstract

The risk of violent behavior is one of the angry responses expressed by making threats, injuring oneself or others and can damage the surrounding environment. Based on data from medical records at Prof. HB. Saanin Mental Hospital, Padang, the nursing problem in the last three years is the risk of violent behavior with a total of 573 clients. The purpose of this case study is to be able to apply psychiatric nursing care to patients with a risk of violent behavior at Prof. HB Saanin Mental Hospital, Padang. The application method used is a case study conducted on the client by approaching using the nursing process, namely assessment, diagnosis, intervention, implementation and evaluation. The results of the assessment showed that the client experienced signs and symptoms of the risk of violent behavior in the form of damaging household furniture, breaking glass, sharp eyes, and being easily offended. The main diagnosis that emerged was the risk of violent behavior with a companion diagnosis of self-care deficit. After nursing care is carried out, the client can do it independently through the Implementation Strategy, namely, SP 1 trains how to control anger by doing physical exercises 1 and 2 (Deep breathing and hitting a pillow), SP 2 by taking medication correctly, SP 3 is speaking verbally (expressing, asking and refusing correctly) and SP 4 is training spiritually/doing 2 selected activities (reciting dhikr and istighfar). It is hoped that through this research, everyone can realize the importance of maintaining mental health.
Asuhan Keperawatan Jiwa pada Pasien dengan Halusinasi Pendengaran Di Wisma Nuri Rumah Sakit Jiwa Prof Dr HB Saanin Padang Wella Wulansari; Ramaita Ramaita; Dwi Happy Anggia Sari; 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.v3i1.2031

Abstract

Hallucinations are a condition in which a person loses the ability to distinguish between internal and external stimuli, resulting in the perception of the environment without any real objects or stimuli. This condition is often found in patients with mental disorders and can affect social functioning and quality of life. Based on medical records at Prof. DR. HB Sa’anin Mental Hospital, Padang, the most common nursing problem in the past three years has been hallucinations, with 17,591 patients. The purpose of this case study is to apply psychiatric nursing care to patients with auditory hallucinations at Prof. DR. HB Saanin Mental Hospital. HB Saanin Padang. The method used in this scientific paper is a case study with a nursing process approach, including assessment, diagnosis, planning, implementation, and evaluation. The assessment results indicated that the patient experienced signs and symptoms of hallucinations, including hearing whispers. The primary nursing diagnosis was hallucinations, with a co-diagnosis of self-care deficit (SDC). After nursing care, the patient was able to address self-care issues and control hallucinations independently through the implementation of Implementation Strategies (SP): SP 1: practicing reprimands, 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 and improving self-care skills. It is hoped that through this research, everyone can understand the importance of psychiatric nursing care, thereby increasing awareness in maintaining and preserving mental health, and adopting behaviors that support optimal mental well-being in daily life.
Co-Authors Adila Salsa Bila Adila, Siti Afnuhazi, Ridhyalla Alya Irwana Putr Angraini, Siska Sakti Aprihatin, Yessy Armaita, Armaita Debby Sinthania Defri Fairuz Zaki Dhea Ramayela Elsa Yuniarti Eni, Rosmi Erpita Yanti Erwina, Ira Farhan Pramuja Geby Syafira Hadayati, Hadayati Halmi Azzahra Hasmita, Hasmita herlina, andika Hidayati Hidayati Hidayati Hidayati Hilma Yessi Jeki Haryanto Kheniva Diah Anggita Kirana, Angelisha kirana refani Linda Marni maidawilis, maidawilis Mariza Elvira Mike Asmaria Miswarti Miswarti Mustikasari . Nari, Nindya Nofia, Vino Rika Novariza, Rika Prima Minerva Putri, Ayu Melani Ramaita . Ramaita Ramaita Ramaita Ramaita Ramaita Ramaita rzzy mlftna sandra dewi Sari Ramadhani Sari, Kheniva Diah Anggita Sari, Putri Minas Septri Septri Sinthania , Debby Vino Rika Nofia Vivi Yuderna Vivi Yuderna Vivi Yuderna Wella Wulansari Widya Prarikeslan Windy Suryaningsih Amazihono Yesi, Hilma Yessia, Hilma Yuderna, Vivi