ASUHAN KEPERAWATAN GANGGUAN PERSEPSI SENSORI AUDITORY DENGAN ART THERAPY MELUKIS BEBAS PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT MANAH SHANTI MAHOTTAMA

Paramita, Ida Ayu Pradnya (2025) ASUHAN KEPERAWATAN GANGGUAN PERSEPSI SENSORI AUDITORY DENGAN ART THERAPY MELUKIS BEBAS PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT MANAH SHANTI MAHOTTAMA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.

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Abstract

ASUHAN KEPERAWATAN GANGGUAN PERSEPSI SENSORI AUDITORY DENGAN ART THERAPY MELUKIS BEBAS PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT MANAH SHANTI MAHOTTAMA Ida Ayu Pradnya Paramita Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email : dayupradnya733@gmail.com ABSTRAK Skizofrenia menimbulkan gejala positif seperti halusinasi yang mengubah pola pikir dan perilaku seseorang, dan jika tidak diatasi, dapat membuat pasien kehilangan kontrol diri, berisiko bunuh diri, melakukan kekerasan, serta merusak lingkungan. Penelitian ini bertujuan mengetahui asuhan keperawatan gangguan persepsi sensori auditory dengan art therapy melukis bebas pada pasien skizofrenia di Rumah Sakit Manah Shanti Mahottama. Metode yang digunakan adalah deskriptif dengan desain studi kasus dan pendekatan proses keperawatan pada satu pasien. Pengkajian menunjukkan pasien sering mendengar suara perempuan menangis dan suara yang menyebutnya tahanan, muncul saat sendiri di pagi, siang, dan malam hari, sehingga sulit tidur. Suara muncul durasi 4 menit, frekuensi 4-5 kali sehari, membuat pasien takut dan berusaha menutup telinga serta berteriak agar suara hilang. Diagnosis keperawatan adalah gangguan persepsi sensori auditory. Intervensi berupa manajemen halusinasi dan art therapy melukis bebas diberikan selama 6 kali pertemuan, masing-masing 30 menit. Evaluasi menunjukkan suara-suara tersebut semakin jarang terdengar, hanya sekali sekitar satu menit saat bangun tidur, dan tidak muncul saat melukis. Kesimpulannya, asuhan keperawatan dengan terapi inovasi art therapy melukis bebas efektif menurunkan gejala halusinasi auditory, meningkatkan kontrol halusinasi, dan membantu mengekspresikan emosi. Terapi ini dapat dipertimbangkan sebagai alternatif nonfarmakologi untuk meningkatkan kesadaran diri dan orientasi realitas pasien skizofrenia dengan gangguan persepsi sensori auditory. Kata Kunci: Halusinasi, Art Therapy Melukis Bebas NURSING CARE OF AUDITORY SENSORY PERCEPTION DISORDER WITH FREE PAINTING ART THERAPY IN SCHIZOPHRENIA PATIENTS AT MANAH SHANTI MAHOTTAMA HOSPITAL Ida Ayu Pradnya Paramita Nursing Profession Study Program Poltekkes Kemenkes Denpasar Email: dayupradnya733@gmail.com ABSTRACT Schizophrenia causes positive symptoms such as hallucinations, which alter a person's thinking patterns and behavior. If left untreated, these symptoms can lead patients to lose self-control, be at risk of suicide, engage in violence, and cause environmental damage. This study aims to determine the nursing care for auditory sensory perception disorders using free painting art therapy in patients with schizophrenia at Manah Shanti Mahottama Hospital. The method used is descriptive with a case study design and a nursing process approach applied to one patient. Assessment showed that the patient frequently heard the sound of a woman crying and voices calling him a prisoner, which appeared when he was alone in the morning, afternoon, and evening, making it difficult for him to sleep. The voices lasted about 4 minutes, occurred 4–5 times a day, caused the patient to feel afraid, and led him to cover his ears and scream to make the voices go away. The nursing diagnosis was auditory sensory perception disorder. Interventions included hallucination management and free painting art therapy, provided over six sessions, each lasting 30 minutes. Evaluation showed that the voices became increasingly rare, occurring only once for about one minute upon waking up, and did not appear during painting sessions. In conclusion, nursing care with the innovative therapy of free painting art therapy was effective in reducing auditory hallucination symptoms, improving hallucination control, and helping patients express their emotions. This therapy can be considered a non-pharmacological alternative to enhance self-awareness and reality orientation in schizophrenia patients with auditory sensory perception disorders. Keywords: Hallucinations, Free Painting Art Therapy.

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