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All Journal Jurnal Penelitian Kesehatan Suara Forikes
Rismawan, Wawan
Faculty of Health Science, Universitas Bakti Tunas Husada, Tasikmalaya
Health Professions Medicine & Pharmacology Nursing Public Health

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Implementation of Positive Self‑Talk, Interpersonal Communication, and Activity Involvement to Manage Hallucinations in Patients with Schizophrenia Amalia, Shela Putri; Rismawan, Wawan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170112

Abstract

Auditory perceptual disturbances in the form of hallucinations are commonly experienced by patients with schizophrenia and may interfere with daily functioning if not properly managed. One nursing intervention to help patients control hallucinations is the implementation of structured intervention strategies (SP I–IV). This study aimed to describe the application of these strategies in improving patients’ ability to control auditory hallucinations. This study was a case report conducted on four patients with schizophrenia who experienced auditory hallucinations and were treated in the Perkutut Ward of the West Java Provincial Psychiatric Hospital. Data were collected through interviews, observation, and nursing care documentation. The data were analyzed using a qualitative descriptive approach. The results showed that the structured and routine implementation of the intervention strategies reduced the frequency and intensity of auditory hallucinations and improved patients’ ability and independence in controlling them. It can be concluded that the implementation strategies are effective as part of psychiatric nursing care. Therefore, these strategies are recommended to be applied consistently in nursing practice for patients with auditory hallucinations.Keywords: auditory hallucinations; schizophrenia; nursing implementation strategies; symptom management
Implementation of Deep Breathing Relaxation, Distraction Techniques, Therapeutic Communication, and Spiritual Therapy to Prevent Violent Behavior in Patients with Schizophrenia Nabila, Nisrina; Rismawan, Wawan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170113

Abstract

One of the most commonly encountered and treated mental disorders is schizophrenia, which is characterized by disturbances in reality testing, cognitive functioning, and difficulties in performing daily activities. Patients with schizophrenia tend to be at high risk of engaging in violent behavior. This study aimed to describe nursing care interventions, particularly deep-breathing relaxation, distraction techniques, therapeutic communication, and spiritual therapy, in preventing violent behavior among patients with schizophrenia. This study employed a case report method involving four patients with the primary nursing diagnosis of risk for violent behavior. Nursing care was subsequently implemented, and the outcomes were presented descriptively. The results showed that nursing therapeutic interventions enabled patients to control emotions and violent behavior through deep-breathing relaxation; patients were able to perform emotional distraction by hitting a pillow, communicate appropriately, adhere to medication regimens, and engage in spiritual activities, thereby preventing violent behavior. Nursing therapy was conducted over seven days with the implementation of SP I–V. It can be concluded that the deep-breathing relaxation technique helps patients with schizophrenia control violent behavior. Psychiatric nurses are therefore recommended to apply this technique comprehensively for patients exhibiting violent behavior.Keywords: schizophrenia; risk of violent behavior; psychiatric nursing care; deep-breathing relaxation
Implementation of Independent Personal Hygiene Practices to Address Self‑Care Deficits in Patients with Schizophrenia Ramadhani, Fazira Aulia; Rismawan, Wawan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170114

Abstract

Schizophrenia is a chronic mental disorder characterized by psychotic behavior, concrete thinking, and difficulties in processing information, affecting cognition, perception, emotion, movement, and behavior. Appropriate management of self-care deficits includes interventions aimed at improving personal hygiene. This study aimed to evaluate the implementation of independent personal hygiene activities on the self-care independence of hospitalized patients with schizophrenia experiencing self-care deficits. This study employed a case report approach. Samples were selected using purposive sampling, and data were collected using a psychiatric nursing care format. The subjects consisted of four patients with schizophrenia who received nursing care including assessment, nursing diagnosis, intervention planning, implementation, and evaluation through the application of Implementation Strategies 1–4 (SP1–SP4). The results of the seven-day intervention showed that patients were able to perform self-care activities, including bathing (hygiene), grooming, eating and drinking, and toileting. These findings suggest that the application of personal hygiene interventions can improve patients’ ability to perform self-care independently. It can be concluded that the implementation of independent personal hygiene activities was successful in achieving good personal hygiene conditions among hospitalized patients with schizophrenia.Keywords: schizophrenia; self-care deficit; personal hygiene; implementation strategy
Co-Authors Amalia, Shela Putri Nabila, Nisrina Ramadhani, Fazira Aulia