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Mental Health Nursing Care for Mrs. R with the Main Issue of Risk of Violent Behavior Due to Paranoid Schizophrenia in the Brotojoyo Ward, Dr. Amino Gondohutomo Psychiatric Hospital Vera Shinta Dewi; Titi Sri Suyanti; Slamet Wijaya Biantoro
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.100

Abstract

Background: Paranoid schizophrenia is a mental disorder characterized by severe psychopathological symptoms, including delusions and hallucinations, which often lead to a risk of violent behavior. Purpose: This case study aims to provide nursing care for patients with paranoid schizophrenia at RSJD dr. Amino Gondohutomo, Central Java. The case discussed involves Mrs. R, who experiences a risk of violent behavior as a consequence of paranoid schizophrenia. Methods: The method used in this discussion is a case study with a mental health nursing care approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the nursing care show that appropriate interventions, such as physical and verbal anger control exercises, as well as spiritual approaches, can reduce the intensity of violent behavior in the patient. Family support and patient compliance in undergoing pharmacological therapy also play a significant role in the recovery process. Conclusion: In conclusion, comprehensive and collaborative nursing care can improve the patient's psychological condition and reduce the risk of violent behavior.
Pemberdayaan Kader Kesehatan Melalui Penyuluhan Kesehatan Tentang Golden Age Period For Golden Generation di Wilayah Puskesmas Talun Kabupaten Cirebon Sumarmi Sumarmi; Erida Fadila; Titi Sri Suyanti
Transformasi Masyarakat : Jurnal Inovasi Sosial dan Pengabdian Vol. 2 No. 1 (2025): Januari: Transformasi Masyarakat : Jurnal Inovasi Sosial dan Pengabdian
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/transformasi.v2i1.1110

Abstract

The golden period or Golden age period is the initial stage where the child's brain experiences growth and develops rapidly and quickly absorbs the information provided. This golden period is the most important in the early cycle of a child's life. The golden period in children is the most important period in which the child's brain or intelligence develops very rapidly. monitoring a child's Golden Age Period occurs in the first thousand days of life which is calculated from the age in the womb until the child is three years old. The purpose of community service activities is to provide knowledge to the community: health cadres, mothers of babies/toddlers, and families about the importance of the golden age growth. Community service activities carried out by the method of transferring knowledge through counseling and training to health cadres "Golden Age Period for Golden Generation". The results obtained from this community service activity are an increase in knowledge, understanding, and awareness about the golden period of children
Asuhan Keperawatan Jiwa Pada Ny. S Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid Di Ruang Arimbi RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah Renita Juni Yanti Putri Pratama; Titi Sri Suyanti; Slamet Wijaya
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): 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.v3i3.514

Abstract

Schizophrenia is a chronic mental disorder characterized by cognitive, emotional, and behavioral disturbances that may lead to aggressive behavior. Violent behavior risk is one of the most common nursing diagnoses in paranoid schizophrenia patients, which can endanger themselves, others, and the environment. This study aimed to describe psychiatric nursing care for a patient with the main problem of violent behavior risk due to paranoid schizophrenia at Arimbi Ward, RSJD dr. Amino Gondohutomo, Central Java Province. A descriptive case study design was applied, involving data collection through interviews, observation, documentation review, and literature study. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed that the patient exhibited symptoms of verbal aggression, tension, and refusal to take medication. Nursing interventions provided included pharmacological therapy, family psychoeducation, and group activity therapy. After the interventions, the patient showed decreased frequency of anger, improved cooperation with nurses, and willingness to participate in group activities. These findings highlight the importance of comprehensive psychiatric nursing care that integrates medical treatment and psychosocial interventions to reduce violent behavior risk in schizophrenic patients and to promote recovery and reintegration into the community.
Asuhan Keperawatan Jiwa Pada Tn. R dengan Masalah Utama Gangguan Sensori Persepsi: Halusinasi Pendengaran Akibat Skizofrenia Tak Terinci: Studi Kasus di Ruang Hudowo RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Ahmad Akhyarudin Aziz; Titi Sri Suyanti; Tati Karyawati
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 4 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i4.3298

Abstract

Mental health is an important aspect that supports quality of life, including a state of well-being related to happiness, satisfaction, achievement, optimism, and dynamic hope according to life situations (Fitri, 2025; Herlina et al., 2024). Schizophrenia is a severe mental disorder characterized by an inability to communicate, impaired perception of reality (illusions and hallucinations), and loss of self-confidence, included in the category of psychosis (Mardiana et al., 2024). The purpose of writing this scientific paper is to find out and implement psychiatric nursing care for Mr. R, with the main problem of sensory perception disorders: auditory hallucinations due to schizophrenia that are not detailed in the Hudowol Room of Dr. Amino Gondohutomo Mental Hospital, Central Java Province. The method used is a descriptive approach with a case study. The case review results showed that the client heard male and female voices saying negative things and often talked to himself. The problem tree identified sensory perception disorders: auditory hallucinations as the core problem, accompanied by self-care deficits, social isolation, and the risk of violent behavior. Interventions are designed based on implementation strategy guidelines for clients and families, implemented, and evaluated as documented evidence
Asuhan Keperawatan Pada Ny. N Dengan Masalah Utama Gangguan Sensori Persepsi :Halusinasi Pendengaran Akibat Skizofrenia Paranoid Di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah Nisaul Rosada; Titi Sri Suyanti; Slamet Wijaya
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.544

Abstract

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.
Asuhan Keperawatan Jiwa pada Ny.S dengan Masalah Utama Gangguan Persepsi Sensori: Halusinasi Pendengaran Akibat Skizofrenia Paranoid di Ruang Dewaruci RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Icha Lulita; Titi Sri Suyanti; Tati Karyawati
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 3 (2024): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i3.156

Abstract

Mental health is the realization of harmonious mental functions, which allows one to face challenges, feel happy, and feel capable. A healthy soul includes self-actualization, a positive attitude towards oneself, progress, and a realistic perception of adaptation (Oktaviani & Apriliyani, 2022). Hallucinations refer to phenomena when individuals experience sensory changes in response to stimuli that are objectively absent (Refnandes et al., 2023). The purpose of this paper is to determine and provide mental nursing care to Mrs. S with the main problem of sensory perception disorders: auditory hallucinations due to paranoid schizophrenia in the Dewaruci ward of dr. Amino Gondohutomo Mental Hospital, Central Java Province in accordance with nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, literature studies and literature. From the case review, it was found that the patient’s main complaint said “I heard a whisper telling me to leave the house, sis”. There are 4 nursing problems, namely the risk of violent behavior, sensory perception disorders: auditory hallucinations, social isolation and self-care deficits. Interventions are designed based on TUM and TUK and on the client’s condition and can be implemented.