Search Repository Universitas Baiturrahim

PENERAPAN TERAPI THOUGHT STOPPING TERHADAP KEMAMPUAN MENGONTROL HALUSINASI PASIEN SKIZOFRENIA PADA TN. MI DI RSUD AHMAD RIPIN MUARO JAMBI M. JUFRI Abstrak Halusinasi merupakan gangguan persepsi sensori yang sering dialami pasien skizofrenia dan dapat menimbulkan perilaku gelisah, ketakutan, menarik diri, serta risiko mencederai diri sendiri, orang lain, dan lingkungan. Salah satu intervensi nonfarmakologis yang dapat membantu pasien mengontrol halusinasi adalah terapi thought stopping. Laporan akhir profesi ini bertujuan untuk menggambarkan penerapan terapi thought stopping terhadap kemampuan mengontrol halusinasi pada pasien skizofrenia di RSUD Ahmad Ripin Muaro Jambi. Metode yang digunakan adalah studi kasus pada Tn. MI, laki-laki usia 35 tahun, dengan diagnosis medis skizofrenia dan masalah keperawatan gangguan persepsi sensori berhubungan dengan gangguan pendengaran. Hasil pengkajian menunjukkan klien mendengar suara laki-laki yang menyuruhnya membakar baju dan menyakiti diri, muncul 3 sampai 4 kali sehari, terutama saat malam hari dan ketika sendirian. Intervensi keperawatan meliputi membina hubungan saling percaya, memonitor perilaku halusinasi, mengidentifikasi isi, frekuensi, waktu, dan situasi pencetus, serta melatih klien menggunakan terapi thought stopping dengan mengatakan stop dan mengalihkan pikiran 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. Disimpulkan bahwa terapi thought stopping membantu meningkatkan kemampuan klien dalam mengontrol halusinasi sebagai bagian dari asuhan keperawatan jiwa. Kata kunci: halusinasi, thought stopping, skizofrenia, asuhan keperawatan, keperawatan jiwa

APPLICATION OF THOUGHT STOPPING THERAPY TO THE ABILITY TO CONTROL HALLUCINATIONS IN A SCHIZOPHRENIC PATIENT, MR. MI, AT RSUD AHMAD RIPIN MUARO JAMBI M. JUFRI Abstract Hallucinations are sensory perception disturbances commonly experienced by patients with schizophrenia and may cause restlessness, fear, social withdrawal, and the risk of harming themselves, others, and the environment. One of the nonpharmacological interventions that can help patients control hallucinations is thought stopping therapy. This final professional report aimed to describe the application of thought stopping therapy to improve the ability to control hallucinations in a schizophrenic patient at RSUD Ahmad Ripin Muaro Jambi. The method used was a case study of Mr. MI, a 35-year-old male, with a medical diagnosis of schizophrenia and a nursing problem of sensory perception disturbance related to auditory impairment. The assessment results showed that the client heard a male voice telling him to burn clothes and hurt himself, occurring 3 to 4 times a day, especially at night and when he was alone. Nursing interventions included establishing a trusting relationship, monitoring hallucinatory behavior, identifying the content, frequency, time, and triggering situations of hallucinations, and training the client to use thought stopping therapy by saying stop and shifting his thoughts to positive activities. The evaluation showed that the client began to recognize the hallucinations, tried to apply the thought stopping technique, appeared calmer, cooperative, and no longer talked to himself during observation. It was concluded that thought stopping therapy helped improve the clients ability to control hallucinations as part of psychiatric nursing care. Keywords: hallucinations, thought stopping, schizophrenia, nursing care, psychiatric nursing