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All Journal Madago Nursing Journal
Bela Puspita Sari
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Nursing

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Integrating Expressive Writing into Nursing Care for Schizophrenia Patients with Hallucinations: A Case Report Bela Puspita Sari; Erti Ikhtiarini Dewi
Madago Nursing Journal Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i1.4095

Abstract

Background: Hallucinations represent a common sensory perception disorder in schizophrenia patients, affecting 70-80% of cases. Expressive writing therapy serves as a potential non-pharmacological intervention to reduce hallucination symptoms through emotional catharsis and distraction mechanisms. To analyze the effectiveness of expressive writing therapy in reducing hallucination symptoms in schizophrenia patients. Methods: A qualitative case study was conducted on a 23-year-old female patient with hebephrenic schizophrenia diagnosis at Dr. Radjiman Wediodiningrat Mental Hospital Lawang. The intervention was performed for 3 days combining expressive writing therapy 20 minutes/day and hallucination management implementation strategies. Data were collected through observation, interviews, and document analysis. Results: A significant reduction in hallucination symptoms was observed, decreasing from 5 symptoms to 3 symptoms post-intervention. The patient demonstrated improved ability to control hallucinations through rejecting techniques (100%), regular medication adherence (100%), and beginning social interaction capability. Emotional expression through writing showed progression from traumatic experiences toward positive hopes. Conclusion: Expressive writing therapy is effective as an adjuvant intervention in reducing hallucination symptoms and enhancing emotional expression in schizophrenia patients.
Co-Authors Erti Ikhtiarini Dewi