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ASUHAN KEPERAWATAN PADA PASIEN HALUSINASI DENGAN
PENERAPAN TERAPI THOUGHT STOPPING
DI RSUD AHMAD RIPIN
MUARO JAMBI
MARNI SUSANTI
Abstrak
Halusinasi merupakan gangguan persepsi sensori yang sering dialami pasien
skizofrenia dan dapat menimbulkan perilaku gelisah, ketakutan, menarik diri,
serta risiko mencederai diri sendiri maupun orang lain. Salah satu intervensi
nonfarmakologis yang dapat digunakan untuk membantu pasien mengontrol
halusinasi adalah terapi thought stopping. Laporan akhir profesi ini bertujuan
untuk menggambarkan asuhan keperawatan pada pasien halusinasi dengan
penerapan terapi thought stopping di RSUD Ahmad Ripin Muaro Jambi. Metode
yang digunakan adalah studi kasus pada seorang pasien perempuan berusia 45
tahun dengan diagnosis medis skizofrenia dan masalah keperawatan gangguan
persepsi sensori: halusinasi pendengaran. Hasil pengkajian menunjukkan klien
mendengar suara laki-laki yang menyuruhnya membakar baju dan menyakiti diri,
muncul hampir setiap hari sebanyak 3 sampai 4 kali, terutama saat malam hari dan
ketika sendirian. Intervensi keperawatan meliputi membina hubungan saling
percaya, mengidentifikasi isi, frekuensi, waktu, dan situasi pencetus halusinasi,
serta melatih klien menggunakan teknik thought stopping dengan mengatakan
berhenti atau stop dan mengalihkan perhatian pada aktivitas positif. Evaluasi
menunjukkan klien mulai mampu mengenali halusinasi, mencoba menerapkan
teknik thought stopping, tampak lebih tenang, kooperatif, dan tidak berbicara
sendiri saat observasi. Dapat disimpulkan bahwa penerapan terapi thought
stopping membantu klien dalam mengontrol halusinasi sebagai bagian dari asuhan
keperawatan jiwa.

NURSING CARE FOR PATIENTS WITH HALLUCINATIONS THROUGH
THE APPLICATION OF THOUGHT STOPPING THERAPY AT RSUD
AHMAD RIPIN MUARO JAMBI
MARNI SUSANTI
Abstract
Hallucinations are sensory perception disorders commonly experienced by
patients with schizophrenia and can cause restlessness, fear, social withdrawal,
and the risk of self-harm or harm to others. One of the non-pharmacological
interventions that can be used to help patients control hallucinations is thought
stopping therapy. This final professional report aimed to describe nursing care
for patients with hallucinations through the application of thought stopping
therapy at RSUD Ahmad Ripin Muaro Jambi. The method used was a case study
of a 45-year-old female patient with a medical diagnosis of schizophrenia and a
nursing problem of sensory perception disturbance: auditory hallucinations. The
assessment results showed that the client heard a male voice telling her to burn
clothes and hurt herself, which appeared almost every day 3 to 4 times, especially
at night and when she was alone. Nursing interventions included establishing a
trusting relationship, identifying the content, frequency, timing, and triggering
situations of the hallucinations, and training the client to use the thought stopping
technique by saying stop and shifting attention to positive activities. The
evaluation showed that the client began to recognize the hallucinations, tried to
apply the thought stopping technique, appeared calmer, was cooperative, and did
not talk to herself during observation. It can be concluded that the application of
thought stopping therapy helped the client control hallucinations as part of
psychiatric nursing care.