Berlian Ayu Rahmawati
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Efektivitas Terapi Dzikir dalam Menurunkan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Panti Gramesia Cirebon Ruswati Ruswati; Berlian Ayu Rahmawati; Duri Harto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): 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.v5i3.8020

Abstract

Schizophrenia is a chronic mental disorder characterized by disturbances in the mind, emotions, and behavior that can affect an individual's ability to carry out daily activities. According to the World Health Organization (WHO, 2022), there are approximately 24 million people with schizophrenia worldwide, while in Indonesia the prevalence reaches 1.8 per 1,000 population. This condition is often accompanied by the risk of violent behavior that can harm oneself and others. Based on data from the Panti Gramesia Cirebon, 24 patients were recorded at risk of violent behavior due to schizophrenia. One intervention that can be provided to reduce this risk is spiritual therapy, specifically through the practice of dhikr, which is believed to provide mental peace and reduce agitation levels in patients. This paper uses a case study design with a nursing process approach that includes the stages of assessment, establishing a nursing diagnosis, intervention planning, implementation, and evaluation. The case subject is Ms. S, a patient at risk of violent behavior due to schizophrenia. The intervention provided was spiritual therapy dhikr for three consecutive days with the assistance of a psychiatric nurse. The implementation results showed a decrease in symptoms in the form of reduced verbal threats, decreased agitation, increased patient cooperation, and active participation in spiritual activities. Further evaluation showed the achievement of short-term and long-term goals, namely a reduced risk of violent behavior and increased emotional calm of the patient. The findings of this case study indicate that spiritual therapy dhikr is an effective intervention that can be applied in psychiatric nursing care, especially for schizophrenia patients at risk of violent behavior. Therefore, it is recommended that dhikr therapy be made a routine and integrated intervention in healthcare facilities to support patient recovery holistically.
Efektivitas Terapi Murottal Al-Quran dalam Menurunkan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Panti Gramesia Cirebon Ruswati Ruswati; Sofiyati Sofiyati; Dyah Sriwigati; Yolailah Haritsah; Berlian Ayu Rahmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5834

Abstract

Background: Schizophrenia is a chronic mental disorder that can cause changes in thoughts, emotions, and behavior. According to WHO (2022), there are 24 million people with schizophrenia worldwide, with a prevalence in Indonesia of 1.8 per 1,000 population. At Panti Gramesia Cirebon, 24 patients were recorded as having a risk of violent behavior. Purpose: To obtain a real-life overview of providing nursing care to Mr. H with the nursing problem of risk of violent behavior due to schizophrenia. Method: The study used a case study design with data collection through observation, interviews, and documentation. The case study subject was one patient with a risk of violent behavior. Results: Implementation was carried out over three days and showed that the patient experienced progress. Initially, the patient showed a high drive for violence, such as threats or self-harm. However, after interventions, the patient showed a significant reduction in violent urges, with improved ability to control emotions and aggressive behavior. This indicates that the combination of pharmacological therapy and non-pharmacological therapy using Quran Murottal Therapy was effective in helping the patient manage violent behavior. Conclusion: This shows that collaboration between pharmacotherapy, implementation strategies, and Quran Murottal Therapy is effective in reducing aggressive behavior and symptoms of risk for violent behavior.