PENERAPAN STRATEGI PENATALAKSANAAN WAHAM PADA PASIEN SKIZOFRENIA

Milenia Shafaria; Taty Hernawaty; Imas Rafiyah

Authors

Milenia Shafaria Universitas Padjadjaran
Taty Hernawaty Universitas Padjadjaran
Imas Rafiyah Universitas Padjadjaran

Keywords:

Skizofrenia, Strategi, Waham

Abstract

Skizofrenia di Indonesia menunjukkan peningkatan dari yang sebelumnya 1,7 permil menjadi 7 permil di tahun 2018. Skizofrenia terdapat dua gejala psikotik utamanya merupakan halusinasi dan waham. Gangguan isi pikir: waham jauh lebih jarang daripada kondisi lain seperti skizofrenia, gangguan bipolar, dan gangguan mood lainnya. Penanganan waham dapat berupa penerapan strategi penatalaksaan umum untuk menurunkan intensitas waham yang dialami seperti orientasi realita, melatih aspek positif, dan patuh dalam pengobatan. Tujuan: penelitian ini untuk menggambarkan penerapan strategi penatalaksanaan waham pada pasien skizofrenia dengan masalah keperawatan gangguan isi pikir: waham agama. Metode: Metode penelitian menggunakan pendekatan laporan kasus kepada satu pasien dengan menggunakan proses asuhan keperawatan jiwa meliputi pengkajian, perencanaan (Strategi Pelaksanaan Tindakan Keperawatan (SPTK)), implementasi dan evaluasi. Analisis data yang digunakan yaitu pengelompokan data sesuai dengan tanda gejala diagnosa keperawatan. Hasil: Hasil yang didapatkan adalah diagnosa keperawatan prioritas pasien gangguan isi pikir: waham. Setelah diberikan tindakan keperawatan selama tujuh hari menggunakan strategi penatalaksanaan (SP) 1-3 kriteria hasil tercapai. Kesimpulan: Penerapan strategi pelaksanaan dapat menurunkan intensitas waham Tn.S dengan Tn.S mampu berorientasi terhadap realita, melakukan aspek positif dan patuh mengonsumsi obat dengan prinsip 8 benar

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References

Cahaya, N., Kristina, S. A., Widayanti, A. W., & Green, J. (2022). Interventions To Improve Medication Adherence In People With Schizophrenia: A Systematic Review. Patient Preference and Adherence, 16, 2431–2449. https://doi.org/10.2147/PPA.S378951

Direktorat Jenderal Pelayanan Kesehatan. (2022). Psikosis: Sulit Membedakan Mana yang Nyata dan yang Tidak Nyata. Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehatan Republik Indonesia. https://yankes.kemkes.go.id/view_artikel/1307/psikosis-sulit-membedakan-mana-yang-nyata-dan-yang-tidak-nyata

Fadl Abd El Khalik, E., Mohammad Abd Elbaky, M., Ahmed Ahmed, N., & Hamza Taha Moursy, S. (2020). The Effectiveness Of Using Breathing Exercise On Sleep Quality Among Hospitalized Patients. American Journal of Nursing Science, 9(4), 272. https://doi.org/10.11648/j.ajns.20200904.28

Falukozi, E., & Addington, J. (2012). Impact of Trauma On Attenuated Psychotic Symptoms. Psychosis, 4(3), 212. https://doi.org/10.1080/17522439.2011.62686712

Fariba, K. A., & Fawzy, F. (2022). Delusions. In Encyclopedia of Human Behavior: Second Edition (1st ed., Vol. 1). StatPearls Publishing. https://doi.org/10.1016/B978-0-12-375000-6.00126-9

González-Rodríguez, A., Seeman, M. V., Izquierdo, E., Natividad, M., Guàrdia, A., Román, E., & Monreal, J. A. (2022). Delusional Disorder In Old Age: A Hypothesis-Driven Review of Recent Work Focusing on Epidemiology, Clinical Aspects, and Outcomes. International Journal of Environmental Research and Public Health, 19(13), 1–14. https://doi.org/10.3390/ijerph19137911

Grover, S., Davuluri, T., & Chakrabarti, S. (2014). Religion, Spirituality, And Schizophrenia: A Review. Indian Journal of Psychological Medicine, 36(2), 124. https://doi.org/10.4103/0253-7176.130962

Hany, M., Rehman, B., Azhar, Y., & Chapman, J. (2023). Schizophrenia. In StatPearls (1st ed., Vol. 1). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK539864/

Health Information Western Australians. (2023). Delusions. Department of Health Goverment Od Western Australia. https://www.healthywa.wa.gov.au/Articles/A_E/Delusions

Irawati, K., Indarwati, F., Haris, F., Lu, J.-Y., & Shih, Y.-H. (2023). Religious Practices And Spiritual Well-Being Of Schizophrenia: Muslim Perspective. Psychology Research and Behavior Management, Volume 16, 739–748. https://www.dovepress.com/religious-practices-and-spiritual-well-being-of-schizophrenia-muslim-p-peer-reviewed-fulltext-article-PRBM

Joseph, S. M., & Siddiqui, W. (2022). Delusional Disorder. In The Medical Basis of Psychiatry: Fourth Edition (1st ed., Vol. 1). StatPearls Publishing. https://doi.org/10.1007/978-1-4939-2528-5_8

Kalayasiri, R., Kraijak, K., Mutirangura, A., & Maes, M. (2019). Paranoid Schizophrenia And Methamphetamine-induced Paranoia Are Both Characterized By A Similar LINE-1 Partial Methylation Profile, Which Is More Pronounced In Paranoid Schizophrenia. Schizophrenia Research, 208, 221–227. https://doi.org/10.1016/J.SCHRES.2019.02.015

Kamarina, A. N., & Rahmawati, A. N. (2023). Studi Kasus Implementasi Terapi Orientasi Realita (TOR) Pada Pasien Waham. Jurnal Penelitian Perawat Profesional, 5(2), 825–832.

Keliat, B. A., Hamid, A. Y. S., Putri, Y. S. E., Daulima, N. H. C., Wardani, I. Y., Susanti, H., Hargiana, G., & Panjaitan, R. U. (2019). Asuhan Keperawatan Jiwa. EGC Medical Publisher.

Keputusan Menteri Kesehatan Republik Indonesia. (2015). Pedoman Nasional Pelayanan Kedokteran Jiwa. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.02.02/MENKES/73/2015. http://hukor.kemkes.go.id/uploads/produk_hukum/KMK_No._HK_.02_.02-MENKES-73-2015_ttg_Pedoman_Nasional_Pelayanan_Kedokteran_Jiwa_.pdf

Kim, J. (2005). Effectiveness Of Reality Therapy Program For Schizophrenic Patients. Taehan Kanho Hakhoe Chi, 35(8), 1485–1492. https://doi.org/10.4040/jkan.2005.35.8.1485

National Institutes of Health (NIH). (2015). Psychotic Disorders: MedlinePlus. National Library of Medicine U.S. Department of Health and Human Services National Institutes of Health. https://medlineplus.gov/psychoticdisorders.html

National Institutes of Health (NIH). (2016). Schizophrenia. National Library of Medicine U.S. Department of Health and Human Services National Institutes of Health. https://medlineplus.gov/schizophrenia.html

National Institutes of Health (NIH). (2023). Undifferentiated Schizophrenia. National Library of Medicine U.S. Department of Health and Human Services National Institutes of Health. https://www.ncbi.nlm.nih.gov/medgen/140267

NHS. (2023). Overview - Schizophrenia. National Health Service United Kingdom. https://www.nhs.uk/mental-health/conditions/schizophrenia/overview/

Oktaviani, F. T., & Apriliyani, I. (2022). Asuhan Keperawatan Pasien Skizofrenia Dengan Masalah Waham Kebesaran: Studi Kasus. JKM : Jurnal Keperawatan Merdeka, 2(2), 151–158. https://doi.org/10.36086/jkm.v2i2.1257

Pothimas, N., Tungpunkom, P., Kanungpiarn, T., & Hannes, K. (2021). Experiences Of Medication Adherence Among People With Schizophrenia: A Qualitative Systematic Review. Pacific Rim International Journal of Nursing Research, 25(2), 229–241.

Pradhan, R., Pahantasingh, S., & Dey, D. (2020). Deep Breathing Exercise And Quality Of Sleep: An Experimental Study Among Geriatrics. European Journal of Molecular and Clinical Medicine, 7(8), 1477–1483. https://www.researchgate.net/publication/347945709

Rahmania, N., Ulya, F., & Fitria, Y. (2022). Asuhan Keperawatan Jiwa Pada Pasien Dengan Gangguan Orientasi Realita: Studi Kasus. Nursing Information Journal, 2(1), 1–6. https://doi.org/10.54832/nij.v2i1.221

Riskesdas. (2018). Hasil Utama Riskesdas. Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia.

Savitri, S. ., Faizah, Z., & Ferdinandus, E. . (2021). The Effect Of Relaxing A Deep Breath On Anxiety Levels. KESANS : International Journal Of Health and Science, 1(2), 88–95.

Spoon, D., Rietbergen, T., Huis, A., Heinen, M., van Dijk, M., van Bodegom-Vos, L., & Ista, E. (2020). Implementation Strategies Used To Implement Nursing Guidelines In Daily Practice: A Systematic Review. International Journal of Nursing Studies, 111, 103748. https://doi.org/10.1016/J.IJNURSTU.2020.103748

Syahfitri, M., Syahdi, D., Syafitri, F., & Pardede, J. A. (2022). Penerapan Asuhan Keperawatan Jiwa Dengan Gangguan Proses Pikir: Waham Kebesaran Pendekatan Strategi Pelaksanaan (SP) 1-4: Studi Kasus. https://doi.org/10.31219/OSF.IO/EWJ4U

Victoryna, F., Wardani, I. Y., & Fauziah, F. (2020). Penerapan Standar Asuhan Keperawatan Jiwa Ners Untuk Menurunkan Intensitas Waham Pasien Skizofrenia. Jurnal Keperawatan Jiwa, 8(1), 45–52. https://doi.org/10.26714/jkj.8.1.2020.45-52

WHO. (2022). Schizophrenia. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/schizophrenia

Wulandari, P. ., Putri, T. H., & Suseno, D. . (2022). Gambaran Penerapan Terapi Generalis Dengan Masalah Keperawatan Waham Di Pontianak. Tanjungpura Journal of Nursing Practice and Education, 4(2). https://doi.org/10.26418/TJNPE.V4I2.56182