ASUHAN KEPERAWATAN WAHAM DENGAN GROUNDING THERAPY PADA PASIEN SKIZOFRENIA DI RUANG NAKULA RUMAH SAKIT MANAH SHANTI MAHOTTAMA TAHUN 2026

RIASMINI, NI WAYAN (2026) ASUHAN KEPERAWATAN WAHAM DENGAN GROUNDING THERAPY PADA PASIEN SKIZOFRENIA DI RUANG NAKULA RUMAH SAKIT MANAH SHANTI MAHOTTAMA TAHUN 2026. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026, Jurusan Keperawatan.

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Abstract

ASUHAN KEPERAWATAN WAHAM DENGAN GROUNDING THERAPY PADA PASIEN SKIZOFRENIA DI RUANG NAKULA RUMAH SAKIT MANAH SHANTI MAHOTTAMA TAHUN 2026 ABSTRAK Skizofrenia adalah gangguan jiwa berat yang bermanifestasi sebagai gejala positif berupa waham curiga (persekusi). Tujuan penulisan karya ilmiah akhir ners untuk memberikan asuhan keperawatan waham dengan Grounding Therapy pada pasien skizofrenia di Ruang Nakula Rumah Sakit Manah Shanti Mahottama. Metode asuhan keperawatan menggunakan pendekatan proses keperawatan yang terdiri dari pengkajian keperawatan, diagnosis keperawatan, perencanaan keperawatan, pelaksanaan keperawatan dan evaluasi keperawatan. Hasil pengkajian menunjukkan pasien mengalami waham curiga berat sehingga ditegakkan diagnosis Waham berhubungan dengan isolasi sosial. Intervensi yang dilakukan yaitu manajemen waham, setelah dilakukan implementasi, hasil evaluasi menunjukkan keberhasilan klinis yang signifikan: bina hubungan saling percaya tercapai, verbalisasi serta perilaku waham menurun, dan curiga pasien menurun. Penerapan Grounding Therapy terbukti efektif, aman, dan aplikatif dalam meningkatkan orientasi realita pasien skizofrenia. Rumah sakit disarankan menyusun Standar Prosedur Operasional (SPO) resmi terkait Grounding Therapy. Kata kunci : Skizofrenia, Waham Curiga, Grounding Therapy. NURSING CARE FOR DELUSIONS USING GROUNDING THERAPY IN SCHIZOPHRENIA PATIENTS AT THE NAKULA WARD OF MANAH SHANTI MAHOTTAMA HOSPITAL IN 2026 ABSTRACT Schizophrenia is a severe mental disorder that manifests as positive symptoms, such as delusions of persecution. The purpose of this final nursing thesis is to provide nursing care for delusions using Grounding Therapy for schizophrenia patients in the Nakula Ward at Manah Shanti Mahottama Hospital. The nursing care method uses a nursing process approach consisting of nursing assessment, nursing diagnosis, nursing planning, nursing implementation, and nursing evaluation. The assessment results indicated that the patient experienced severe persecutory delusions, leading to the diagnosis of delusions related to social isolation. The intervention implemented was delusion management; following its implementation, the evaluation results demonstrated significant clinical success: a trusting relationship was established, verbalization and delusional behavior decreased, and the patient’s suspiciousness diminished. The application of Grounding Therapy has proven to be effective, safe, and practical in improving reality orientation in patients with schizophrenia. Hospitals are advised to develop official Standard Operating Procedures (SOP) regarding Grounding Therapy. Keywords: Schizophrenia, Paranoid Delusions, Grounding Therapy

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