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Optimalisasi Intervensi Terapi Musik Klasik Terhadap Penurunan Tingkat Halusinasi Pendengaran Pada Pasien Gangguan Jiwa Di Rsjd Dr.Rm.Soedjarwadi Klaten Provinsi Jawa Tengah Nadia Sulisti Azizah; Sitti Rahma Soleman; Wahyu Reknoningsih
An-Najat Vol. 2 No. 3 (2024): AGUSTUS - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i3.1602

Background: Mental disorders are the condition of a person who has experienced disturbances in psychiatric functions, such as thought processes, emotions, willpower and psychomotor behavior. This type of music therapy is used for a variety of conditions including psychiatric disorders, medical problems, physical disability conditions, sensory disorders, developmental disabilities, and aging issues, to improve study concentration, support physical exercise, and stress and anxiety. Objective: To determine the results of the implementation of classical music therapy on the reduction of auditory hallucinations in patients with mental disorders at Dr. RM Hospital. Soedjarwadi Klaten. Methods: In this study, using the pre-test and post-test case study method conducted on two respondents, hallucination measurements were carried out with AHRS (Auditory Hallucinations Rating Scale), then classical music therapy was given for three days with a frequency of 1 time a day within 10-15 minutes. Results: The results obtained from the description and discussion above show that after 3 days of intervention on both respondents Mrs. M and Mrs. S respectively, namely 36:35, there was a significant decrease in auditory hallucination scores. Conclusions: There was a decrease in symptoms and hallucinations in both respondents after being given the classical music intervention with" a ratio of the AHRS scale of 22:20.

Penerapan Terapi Generalis Halusinasi Untuk Menurunkan Tingkat Halusinasi Pada Pasien Skizofrenia Di RSJD Dr.RM. Soedjarwadi Klaten Fadhilah Intan Pratiwi; Sitti Rahma Soleman; Wahyu Reknoningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 3 (2023): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i3.2074

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond to them (Pardede, 2020). Generalist therapy is the application of standard scheduled nursing care that is applied to patients with the aim of reducing the mental nursing problems being handled. (Livana et al., 2020).Objective: To find out the results of implementing Generalist Therapy to Reduce the Level of Hallucinations in Schizophrenic Patients at RSJD Dr.RM Soedjarwadi Klaten.Method: The method used was a case study research design, the sample used was 2 respondents, the research instrument used was the AHRS observation sheet which was carried out before and after Hallucination Generalist Therapy was carried out. Findings: Before Generalist Hallucination Therapy Mr. A was in the category of severe hallucinations while Mr. P was in the category of moderate hallucinations. After Generalist Hallucination Therapy Mr. A was in the category of seeding hallucinations while Mr. P was in the mild category. Implication: There was a decrease in the level of hallucinations after the Hallucination Generalist Therapy was carried out on Mr. A and Mr.P which was carried out for 3 meetings.

Penerapan Strategi Pelaksanaan Komunikasi Terapeutik Terhadap Resiko Perilaku Kekerasan Pada Pasien Gangguan Jiwa Di RSJD Dr. RM. Soedjarwadi Klaten Nurul Aini Musthofia; Tri Susilowati; Wahyu Reknoningsih
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 2 No. 8 (2023)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Perilaku kekerasan merupakan suatu bentuk perilaku yang bertujuan untuk melukai seseorang secara fisik maupun psikologis. Salah satu penanganannya yaitu dengan memberikan strategi pelaksanaan menggunakan komunikasi yang terapeutik. Tujuan : untuk mengetahui hasil implementasi strategi pelaksanaan menggunakan komunikasi terapeutik pada pasien resiko perilaku kekerasan di Rsjd Dr. Rm. Soedjarwadi Provinsi Jawa Tengah. Metode : Rancangan penelitian ini dilakukan pada 2 responden dengan cara pretest posttest dengan wawancara dan memberikan lembar obervasi Hasil : resiko perilaku kekerasan sebelum dilakukan strategi pelaksanaan menggunakan komunikasi terapeutik menunjunkan hasil intensif 2, setelah dilakukan tindakan strategi pelaksanaan menggunakan komunikasi terapeutik menjadi hanya membutuhkan perlakuan intensif 1. Terdapat perkembangan dan perbandingan yang cukup baik terhadap kedua responden resiko perilaku kekerasan. Kesimpulan : terdapat perbandingan perkembangan antara pasien resiko perilaku kekerasan sebelum dan sesudah diberikan strategi pelaksanaan menggunakan komunikasi terapeutik

PENERAPAN TERAPI PSIKORELIGIUS : DZIKIR DALAM MENURUNKAN TINGKAT HALUSINASI PENDENGARAN PADA PASIEN SKIZOFRENIA DI RSJD Dr. RM. SOEDJARWADI PROVINSI JAWA TENGAH Saputra, Fery; Mulyaningsih, Mulyaningsih; Reknoningsih, Wahyu
Jurnal Ilmiah Ilmu Kesehatan Vol. 2 No. 3 (2024): Volume 2 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jiik.v2i3.32868

Gangguan jiwa merupakan respon maladaptif terhadap suatu stressor yang datang dari dalam maupun dari luar diri sesorang, berakibat munculnya perubahan pada pola pikir, persepsi, perilaku dan perasaan. Skizofrenia merupakan gangguan jiwa berat berupa kesulitan berfikir, kesulitan membedakan realitas dan hilangnya kontak dengan hal yang nyata, biasanya seseorang yang mengalami halusinasi pendengaran pikirannya akan terpengaruhi, dimana pasien diperintahkan untuk melakukan sesuatu yang kadang-kadang membahayakan. Berdasarkan kondisi tersebut perlu dilakukan penatalaksanaan halusinasi pendengaran secara non-farmakologi yaitu dengan terapi dzikir. Terapi dzikir, apabila dilafalkan secara baik dan benar dapat membuat hati menjadi tenang dan rileks. Mengetahui hasil implementasi Penerapan Terapi Psikoreligius : Dzikir Dalam Menurunkan Tingkat Halusinasi Pendengaran Pada Pasien Skizofrenia Di RSJDDr. RM. Soedjarwadi Provinsi Jawa Tengah. Penerapan bersifat deskriptif, desain penelitian studi kasus Pretest Postest One Group Design, sampel 2 responden, instrument penelitian kuesioner Auditory Hallucinations Rating Scale. Penerapan terapi psikoreligius : dzikir. Setelah dilakukan terapi psikoreligius : dzikir selama 3 kali pertemuan, kedua pasien mengalami penurunan halusinasi pendengaran dari skor halusinasi sedang menjadi skor halusinasi ringan. Terapi Psikoreligius : Dzikir dapat menurunkan tingkat halusinasi pendengaran pada pasien Skizofrenia Di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah.

Dhikr Therapy as an Approach to Handling Auditory Hallucinations in Schizophrenia Patients at Dr. RM. Soedjarwadi Mental Hospital Novitasari, Eka; Diktina, Amalia Arifatul; Reknoningsih, Wahyu
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 1: April 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i1.493

Background: The incidence of schizophrenia in Indonesia reaches 400,000 people or 1.7 per 1,000 population, where Central Java has 8.7% of the population experiencing schizophrenia. 70% of patients diagnosed with schizophrenia experience auditory hallucinations. Auditory hallucinations are stimulus disturbances where the patient hears voices that are not real. Objective: To determine the results of applying dhikr therapy on the ability to control auditory hallucinations in mental disorders patients. Methods: This type of research is a case study that uses descriptive methods with pre-test and post-test observation sheets. Results: The change score in the ability to control hallucinations in 2 respondents before dhikr therapy was carried out was at stage II (moderate) where respondent 1 got a score of 27 and respondent 2 with a score of 31. After being given dhikr therapy for three days, the respondent experienced a change in score to stage I (mild) hallucinations where respondent 1 got a score of 16 and respondent 2 with a score of 21. Conclusion: There are differences in changes in the ability to control hallucinations before and after dhikr therapy in patients with auditory hallucinations.

Application of Positive Affirmation Therapy to Improve The Quality of Life in Patients with Low Self-Esteem at dr. RM Soedjarwadi Mental Hospital Klaten Anggraini, Intan; Gati, Norman Wijaya; Reknoningsih, Wahyu
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 2: August 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i2.512

Background: Low self-esteem is a psychological problem commonly experienced by patients with mental disorders, particularly schizophrenia, which can negatively impact their quality of life. Positive affirmation therapy is one effective non-pharmacological intervention to enhance both quality of life and self-esteem. This therapy works by embedding positive thoughts through repeated self-statements to shape a better self-perception, boost self-confidence, and reduce negative thinking patterns. Objective: This study aims to determine the effectiveness of positive affirmation therapy in improving the quality of life of patients with low self-esteem at the Flamboyan Ward of dr. RM Soedjarwadi Mental Hospital Klaten. Method: This research employed a descriptive case study approach involving two patients diagnosed with low self-esteem. The positive affirmation therapy was administered twice daily for three consecutive days. The patients’ quality of life was assessed before and after the intervention using the WHOQOL-BREF instrument. Results: The results showed increased quality of life in both patients. Patient B improved from a WHOQOL score of 50 (moderate) to 75 (good), while patient A improved from 50 (moderate) to 100 (excellent) after receiving the positive affirmation therapy. Conclusion: Positive affirmation therapy has proven to be an effective, safe, and simple non-pharmacological method for improving the quality of life in patients with low self-esteem. This intervention can be a supportive therapy in mental health nursing, especially in strengthening patients' self-concept.

The Application of Progressive Muscle Relaxation Therapy to Reduce Signs and Symptoms in Patients at Risk of Violent Behavior at dr. RM. Soedjarwadi Regional Mental Hospital ‘Ainin, Shiba Qurrotu; Diktina, Amalia Arifatul; Reknoningsih, Wahyu
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 2: August 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i2.513

Background: Risk for Violent Behavior (RPK) refers to aggressive actions that may result in harm to oneself or others, often triggered by unmet needs, perceived failure, frustration, or ineffective stress management. Non-pharmacological interventions play a crucial role in managing such behaviors, and one effective approach is Progressive Muscle Relaxation (PMR) therapy. Objective: This study aims to evaluate the effectiveness of Progressive Muscle Relaxation therapy in reducing signs and symptoms of violent behavior among patients at risk of aggression at Dr. RM. Soedjarwadi Regional Mental Hospital, Central Java. Methods: A descriptive case study design was employed, incorporating a pre-test and post-test approach using the RUFA (Rating Unit for Aggressive Behavior) observation sheet to assess changes in violent behavior. Two respondents were observed before and after the intervention. Results: Prior to the intervention, both respondents exhibited moderate levels of violent behavior, classified as Intensive Stage II, with baseline scores of 11 and 14, respectively. Following three consecutive days of PMR therapy, both respondents showed improvement, transitioning to Intensive Stage I (mild), with post-intervention scores of 8 and 9. Conclusion: Progressive Muscle Relaxation therapy demonstrates a positive impact in reducing violent behavior among psychiatric patients. The findings indicate a noticeable reduction in aggression levels after the intervention, suggesting that PMR is an effective non-pharmacological strategy for managing patients at risk of violent behavior.

Application of Classical Music Therapy to Reduce the Level of Auditory Hallucinations in Patients with Psychiatric Disorders at Dr. RM Soedjarwadi Regional Mental Hospital Sholihah, Amalia Radhiyah; Gati, Norman Wijaya; Reknoningsih, Wahyu
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 2: August 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i2.514

Background: Hallucinations are perceptual disturbances that occur without external stimuli, affecting one or more of the five senses while the individual is fully conscious. In 2024, schizophrenia patients experiencing hallucinations accounted for 2,335 (54.2%) of total admissions at Dr. RM Soedjarwadi Regional Mental Hospital, Central Java Province, making them the largest patient group treated at the facility. Non-pharmacological interventions play a vital role in managing psychiatric symptoms, and music therapy, particularly classical music has shown potential in reducing psychological distress and improving cognitive and emotional functioning. Objective: This study aims to evaluate the effectiveness of classical music therapy in reducing the severity of auditory hallucinations among patients with psychiatric disorders at Dr. RM Soedjarwadi Regional Mental Hospital. Methods: A descriptive case study design was employed, with two respondents undergoing classical music therapy based on the pretest-posttest method. The Auditory Hallucinations Rating Scale (AHRS) questionnaire was used to assess changes in the frequency, intensity, and impact of hallucinations before and after the intervention. Results: Prior to the intervention, both respondents exhibited severe levels of auditory hallucinations, with baseline AHRS scores of 23 and 26, respectively. Following the implementation of classical music therapy, scores decreased significantly to 8 and 9, both falling within the mild category. Conclusion: The findings indicate that classical music therapy, particularly the use of Mozart compositions, is effective in reducing the severity of auditory hallucinations in patients with psychiatric disorders. This suggests that music therapy can serve as a valuable non-pharmacological adjunct in the management of hallucinatory symptoms in clinical psychiatric settings.

Penerapan Terapi Generalis Halusinasi Untuk Menurunkan Tingkat Halusinasi Pada Pasien Skizofrenia Di RSJD Dr.RM. Soedjarwadi Klaten Fadhilah Intan Pratiwi; Sitti Rahma Soleman; Wahyu Reknoningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 3 (2023): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i3.2074

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond to them (Pardede, 2020). Generalist therapy is the application of standard scheduled nursing care that is applied to patients with the aim of reducing the mental nursing problems being handled. (Livana et al., 2020).Objective: To find out the results of implementing Generalist Therapy to Reduce the Level of Hallucinations in Schizophrenic Patients at RSJD Dr.RM Soedjarwadi Klaten.Method: The method used was a case study research design, the sample used was 2 respondents, the research instrument used was the AHRS observation sheet which was carried out before and after Hallucination Generalist Therapy was carried out. Findings: Before Generalist Hallucination Therapy Mr. A was in the category of severe hallucinations while Mr. P was in the category of moderate hallucinations. After Generalist Hallucination Therapy Mr. A was in the category of seeding hallucinations while Mr. P was in the mild category. Implication: There was a decrease in the level of hallucinations after the Hallucination Generalist Therapy was carried out on Mr. A and Mr.P which was carried out for 3 meetings.

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