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All Journal Diagnosa: Jurnal Ilmu Kesehatan dan Keperawatan Jurnal Mahasiswa Ilmu Kesehatan Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Java Nursing Journal Vitamedica: Jurnal Rumpun Kesehatan Umum Transformasi Masyarakat : Jurnal Inovasi Sosial dan Pengabdian Vitamin: Jurnal Ilmu Kesehatan Umum Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat Jurnal Praba: Jurnal Rumpun Kesehatan Umum Sustainable Applied Modification Evidence Community
Titi Sri Suyanti
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Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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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.
The Stigma Associated With Mental Illness and How it Affects Adolescents' Desire for Assistance Indari; Titi Sri Suyanti; Rahmi Sari Kasoema; Amrina Rasyada
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i2.282

Abstract

Adolescent mental health issues are becoming more and more of a global concern.  However, the stigma associated with mental illness continues to be a significant obstacle to getting psychological assistance, particularly for young people. Purpose: This study aims to explore the relationship between the level of stigma against mental illness with the tendency of adolescents to seek professional help. Methods: The research method used is descriptive quantitative survey approach. The sample consisted of 75 adolescents aged 15-18 years who were selected purposively. The instrument used was a questionnaire consisting of two scales: the scale of stigma against mental illness and the scale of seeking psychological help. Results: The results showed that there was a significant negative relationship between the level of stigma with the tendency to seek help (r = -0.56, p < 0.01), which means that the higher the level of stigma, the lower the tendency of adolescents to seek professional help. In addition, adolescent girls tend to have less stigma and are more open to seeking help than adolescent boys. Implications: The implications of these findings suggest the importance of mental health education interventions in schools to reduce stigma and improve mental health literacy. The involvement of teachers, counselors, and parents is key in creating an environment that supports teens to speak up and seek help without fear of being judged. Conclusion: In conclusion, stigma around mental illness is a major factor in preventing teenagers from seeking treatment, and lowering stigma is a calculated move to increase access to mental health care.
Asuhan Keperawatan Jiwa Pada Ny. W Dengan Masalah Utama Gangguan Konsep Diri: Harga Diri Rendah Akibat Skizofrenia Tak Terinci Di Ruang Dewaruci RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Lutfi Aulia; Titi Sri Suyanti
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.737

Abstract

Background: Schizophrenia is a type of mental disorder that affects how sufferers behave, think, and feel. This condition can trigger nursing problems such as low self-esteem (harga diri rendah). In 2023, approximately 970 million people worldwide experience mental disorders, with schizophrenia prevalence in Indonesia reaching 3 per 1,000 households and in Central Java approximately 5.1% of households. Methods: This study used a descriptive approach in the form of a case study through the nursing process, including observation, interview, documentation study, and literature review. The general objective of this writing was to implement psychiatric nursing care for Ny. W with the main problem of Self-Concept Disorder: Low Self-Esteem Due to Undifferentiated Schizophrenia. Results: Nursing diagnoses that emerged were low self-esteem, social isolation, and self-care deficit. Interventions carried out included SP 1 and SP 2 for low self-esteem (HDR) and SP 2 for self-care deficit (DPD). Conclusion: After 4 days of nursing care on Ny. W according to the nursing action plan, the patient was able to establish a trusting relationship, identify positive abilities she possessed, perform chosen activities, and interact with her environment.
Asuhan Keperawatan Jiwa Pada Ny. N Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Tak Terinci Di Ruang Citroanggodo RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah Hishni Munaza; Titi Sri Suyanti
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.754

Abstract

Background: Schizophrenia is a serious mental disorder characterized by disturbances in thought processes, emotions, and behavior. One of the positive symptoms that can occur in schizophrenic clients is the risk of violent behavior. Risk of violent behavior is one of the nursing diagnoses frequently found in the Citroanggodo Ward of RSJD dr. Amino Gondohutomo, Central Java Province. Therefore, the author conducted psychiatric nursing care for Mrs. N with the main problem of risk of violent behavior due to undifferentiated schizophrenia. Methods: The writing method used is descriptive with a case study approach. Data collection was carried out through interviews, observation, documentation studies, and literature studies. The general objective of this Scientific Paper is to provide nursing care to patients with Risk of Violent Behavior due to Undifferentiated Schizophrenia. Results: The nursing diagnoses that emerged in the patient with Risk of Violent Behavior due to Undifferentiated Schizophrenia were: Risk of Violent Behavior, Self-Concept Disorder: Low Self-Esteem, and Self-Care Deficit. Nursing interventions carried out included SP 1 through SP 4 for Risk of Violent Behavior and SP 2 for Self-Care Deficit. Conclusion: After 8 days of nursing implementation, of the 3 diagnoses raised, 1 diagnosis was partially resolved (risk of violent behavior), 1 diagnosis was resolved (self-care deficit), and 1 diagnosis was not implemented (self-concept disorder: low self-esteem).
Asuhan Keperawatan Jiwa Pada Sdr. R Dengan Masalah Utama Isolasi Sosial: Menarik Diri Akibat Skizofrenia Tak Terinci Di Ruang Gatotkaca RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah Lili Kusniawati; Titi Sri Suyanti
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.772

Abstract

Schizophrenia is a mental disorder characterized by deviation in attitudes, thoughts and behaviors, and can cause positive and negative symptoms. One of the most frequently occurring negative symptoms is social withdrawal, which leads to the problem of Social Isolation: Withdrawal. Social isolation is a condition that causes individuals to experience a decline or even inability to interact with others and their environment. The purpose of this case study was to apply nursing care to patients with social isolation: withdrawal due to undifferentiated schizophrenia in Gatotkaca Ward of RSJD dr. Amino Gondohutomo, Central Java Province. This scientific paper was written using a descriptive method in the form of a case study through the nursing process approach. Data collection methods used were interview, observation, documentation study, and literature study. Nursing diagnoses that emerged in the patient with Social Isolation: Withdrawal were Social Isolation as the Core Problem, Low Self-Esteem as the Cause, Risk of Hallucination as the Effect, and Self-Care Deficit as a concurrent problem. Interventions were only carried out on Social Isolation and Self-Care Deficit problems, consisting of SP 1 through SP 3 for Social Isolation and SP 2 for Self-Care Deficit: Grooming. After nursing implementation for 4 days, of the 4 nursing diagnoses that emerged, only 2 nursing diagnoses were intervened, namely Social Isolation and Self-Care Deficit. SP 1 through SP 3 for Social Isolation and SP2 for Self-Care Deficit: Grooming were competently achieved. This indicates that the goals of the Implementation Strategy provided were achieved cognitively, affectively, and psychomotorically.
Co-Authors Ahmad Akhyarudin Aziz Amrina Rasyada Cici Afriani Erida Fadila Esti Nur Janah Fika Putri Utari Hishni Munaza Icha Lulita Iin Nur Aeni Indari Lili Kusniawati Lutfi Aulia Madynatul Khuzaemah Naely Nur Ilahi Nisaul Rosada Rahmi Sari Kasoema Rani Sopiya Sari Renita Juni Yanti Putri Pratama Rindi Dwi Aryani Slamet Wijaya Slamet Wijaya B Slamet Wijaya Biantoro Tati Karyawati Vera Shinta Dewi