Lentora Nursing Journal
Vol. 6 No. 2 (2026): June 2026

The Effect of Origami-based Intervention Therapy on Hallucination Control Among patients with Schizophrenia

Dina Palayukan Singkali (Universitas Tadulako)
Windu Unggun Cahya Putra (Diploma III Nursing Study Program, Palu, Tadulako University, Palu, Indonesia)
Wirda Wirda (Diploma III Nursing Study Program, Palu, Tadulako University, Palu, Indonesia)
Raden Bagus Edi Santoso (Diploma III Nursing Study Program, Palu, Tadulako University, Palu, Indonesia)
Asmiwarti Abdullah (Diploma III Nursing Study Program, Palu, Tadulako University, Palu, Indonesia)



Article Info

Publish Date
07 Jul 2026

Abstract

Hallucinations are among the most distressing symptoms in schizophrenia, affecting 60–80% of patients and often persisting despite pharmacotherapy. Origami play therapy, a structured fine-motor activity, may improve hallucination control through attention diversion and sensory grounding. This study aimed to determine the effect of origami play therapy on hallucination control ability in patients with schizophrenia. A quasi-experimental one-group pre-post test design was used. The study was conducted at Madani General Hospital, Central Sulawesi, from August to September 2025. Twenty-five inpatients with active hallucinations were selected using purposive sampling. Participants received six 30-minute origami therapy sessions over 14 days. Hallucination control was measured using the Hallucination Control Scale (HCS) before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test. The mean hallucination control score increased significantly from 12.4 (SD = 0.71) pre-intervention to 19.2 (SD = 1.38) post-intervention. The median score improved from 12 to 20. The Wilcoxon test revealed a significant improvement (Z = -2.10, p = 0.036).  Origami play therapy was associated with significant improvement in hallucination control. However, due to the one-group design without a control group, causality cannot be established. Randomized controlled trials are needed to confirm efficacy before clinical implementation.

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Journal Info

Abbrev

LNJ

Publisher

Subject

Nursing

Description

Lentora Nursing Journal (eISSN: 2776-1622 & pISSN: 2776-1371 ) is a peer-reviewed journal published by Poltekkes Kemenkes Palu, which is focusing on several issues in nursing field. The first volume was published in October 2020, and it is published twice a year, issued in April and October. Lentora ...