viii ABSTRAK ASUHAN KEPERAWATAN PADA KLIEN

ABSTRAK
ASUHAN KEPERAWATAN PADA KLIEN SKIZOFRENIA HEBEFRENIK
DENGAN MASALAH HALUSINASI
PENDENGARAN DI RUMAH SAKIT JIWA
MENUR SURABAYA
Oleh: Siska Ngesti Pramita Sari
Skizofrenia adalah suatu penyakit yang mempengaruhi otak dan
menyebabkan timbulnya pikiran, persepsi, emosi, gerakan, dan perilaku yang aneh
dan terganggu. Salah satu jenis skizofrenia adalah skizofenia hebefrenik disebut
juga disorganized type atau tipe “kacau balau”. Gejala yang sering muncul pada
skizofrenia hebefrenik adalah halusinasi, terutama halusinasi pendengaran.
Penelitian ini menggunakan metode studi kasus dengan pendekatan
Asuhan Keperawatan dengan mengambil dua kasus sebagai unit analisis. Unit
analisis adalah dua orang laki-laki dengan skizofrenia hebefrenik yang dirawat di
Ruang Kenari RSJ Menur Surabaya. Metode pengambilan data adalah dengan
wawancara klien, observasi umum dan catatan rekam medis klien. Instrumen
pengumpulan data menggunakan format asuhan keperawatan jiwa dari RSJ Menur
Surabaya. Penelitian ini dilaksanakan pada tanggal 04-18 April 2016.
Hasil pengkajian diperoleh klien 1 mampu mengontrol halusinasi ditandai
klien tampak tenang, tidak berbicara sendiri pada hari ke 3. Sedangkan klien 2
mampu mengontrol halusinasi ditandai klien tampak tenang, tidak berbicara
sendiri pada hari ke 9. Diagnosis keperawatan didapatkan gangguan persepsi
sensori: halusinasi pendengaran. Perencanaan sesuai teori yaitu membina
hubungan saling percaya, membantu klien mengenali halusinasi, melatih klien
mengontrol halusinasi dengan menghardik ketika halusinasi muncul, bercakapcakap dengan orang lain saat halusinasi muncul, melakukan aktivitas yang
terjadwal, melatih klien menggunakan obat secara teratur. Pelaksanaan
keperawatan dilakukan sesuai perencanaan yang telah disusun.
Evaluasi yang didapat berdasarkan respon kedua klien. Diharapkan
perawat untuk mempertahankan penanganan dan pelayanan yang sudah baik dan
lebih ditingkatkan lagi, sehingga kualitas pelayanan keperawatan di Rumah Sakit
Jiwa Menur Surabaya tetap terjaga.
Kata Kunci:
pendengaran
Asuhan
keperawatan,
Skizofrenia
viii
hebefrenik,
Halusinasi
ABSTRACT
NURSING CARE ON CLIENTS SUFFERING FROM HEBEPHRENIC
SCHIZOPHRENIA WITH AUDITORY HALLUCINATIONS AT MENUR
MENTAL HOSPITAL SURABAYA
By: Siska Ngesti Pramita Sari
Schizophrenia is a disease affecting brains, and it also causes abnormal
and disturbed thoughts, perceptions, emotions, movements, and behaviours. One
of the kinds of schizophrenia is hebephrenic schizophrenia which is also called
disorganised type. The symptoms that usually emerge in this disease are
hallucinations, especially auditory hallucinations.
This study used case study as the method and nursing care approach. In
this study, two cases were chosen as analysis units. The two units are two male
patients treated in Kenari room at Menur Mental Hospital Surabaya. The data
was collected through interviews with the patients, general observations, and the
patients’ medical records. The data collecting instruments used in this study was
based on the mental nursing care format proposed by Menur Mental Hospital
Surabaya. This study was implemented from 4th until 18th of April 2016.
From the analysis, it shows that client 1 could control his hallucinations
indicated by the client’s calmness and he did not talk to himself or do monologue
on the 3rd day of the study. Client 2 could also control his hallucinations indicated
by the client’s calmness and he did not talk to himself or do monologue on the 9th
day of the study. Nursing diagnosis shows that there was disruption on his sensory
perception: auditory hallucinations. The planning was based on the theory that
was by building trusting relationship, helping the clients recognise hallucinations,
training the clients to control their hallucinations by scolding every time the
hallucinations show up, training the clients to talk to other people every time the
hallucinations show up, performing scheduled activities, and training the clients
to take their medications regularly. The nursing care was performed based on the
arranged plan.
The evaluations were obtained from the two clients. Nurses are expected to
maintain and increase the quality of the good treatment and service in order to
maintain the service quality at Menur Mental Hospital Surabaya.
Keywords: nursing care, Hebephrenic Schizophrenia, auditory hallucinations
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