Penerapan Terapi Aktivitas Kelompok Stimulasi Persepsi untuk Mengontrol Halusinasi Auditori

Authors

  • Lulu Luckysa Nirwana Institut Teknologi dan Kesehatan Mahardika
  • Endah Sari Purbaningsih Institut Teknologi dan Kesehatan Mahardika
  • Erida Fadila Institut Teknologi dan Kesehatan Mahardika

DOI:

https://doi.org/10.59024/jikas.v4i1.2420

Keywords:

Auditory Hallucinations, Group Activity Therapy, Medical Record Documentation, Perceptual Stimulation, Schizophrenia

Abstract

Schizophrenia is a chronic mental disorder in which approximately 90% of sufferers experience hallucinations, dominated by auditory hallucinations at 70%. Pharmacological approaches alone are considered insufficient because they often leave residual symptoms. Therefore, non-pharmacological interventions such as Group Activity Therapy (TAK) Perception Stimulation are needed to improve patients’ self-control abilities. This case study aims to evaluate the application of TAK Perception Stimulation in controlling auditory hallucinations in schizophrenia patients in Lily 13 Room, Prof. Dr. Soerojo Hospital, Magelang. This study employed a descriptive case study using the nursing process approac. The study subjects consisted of 5 schizophrenia patients with active auditory hallucination problems. Data were collected through interviews, observations, mental status examinations, and medical record documentation studies. The TAK Perception Stimulation Intervention was conducted for 4 consecutive days on January 6–10, 2026. After the 4-day intervention, all patients experienced an increase in adaptive ability in controlling auditory hallucinations with based on the AHRS observational checklist maximum score of 5. All subjects succeeded in independently recognizing the content and time of hallucinations, practicing reprimand techniques, participating in regularly scheduled activities, actively conversing with others, and complying with medication, accompanied by a decrease in the frequency of hallucinations. Patients also appeared to be calmer and more cooperative.

References

Andri, J., Febriawati, H., Panzilion, P., Sari, S. N., & Utama, D. A. (2019). Implementasi keperawatan dengan pengendalian diri klien halusinasi pada pasien skizofrenia. Jurnal Kesmas Asclepius, 1(2), 98–105.

Anipah. (2022). Asuhan keperawatan jiwa pada pasien dengan gangguan persepsi sensori halusinasi. Jakarta: Salemba Medika.

Aprilia, D. S., & Musharyanti, L. (2023). Penerapan Pijat Oksitosin Untuk Memperlancar ASI Pada Ibu Post Partum: Studi Kasus. Jurnal Ilmiah Kesehatan Medika Drg. Suherman, 5(2), 34–37.

Arifin, S., & Zaini, M. (2024). Asuhan Keperawatan pada Pasien Skizofrenia dengan Gangguan Persepsi Sensori: Halusinasi Pendengaran. Health & Medical Sciences.

Fahrizal, Y., & Saputri, R. N. (2023). Effect of psycho-religious group therapy on hallucination in schizophrenia patient. MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 21(1), 13–17.

Firmawati, F., Yuliana, Y., & Sari, D. R. (2023). Asuhan keperawatan pada pasien skizofrenia dengan gangguan persepsi sensori halusinasi. Jurnal Keperawatan Jiwa, 11(1), 45–53.

Hafizudiin, M. (2021). Terapi nonfarmakologi pada pasien skizofrenia dengan halusinasi. Jurnal Ilmu Keperawatan Jiwa, 4(3), 201–209.

Hairani, N., dkk. (2021). Gambaran kejadian skizofrenia dan penatalaksanaan keperawatan jiwa. Jurnal Keperawatan Indonesia, 24(2), 87–95.

Herawati, N., Syahrum, S., Sumarni, T., Yulastri, Y., Gafar, A., & Dewi, S. (2019). The Effect of Perception Stimulation Group Activity Therapy on Controlling Ability of Hallucinations in Patients with Schizophrenia. Indonesian Journal of Global Health Research, 2(1).

Hernandi, A. (2020). Rentang respon neurobiologis pada klien dengan gangguan persepsi sensori. Jurnal Keperawatan Jiwa, 8(2), 110–118.

Iyan, R. (2021). Keperawatan jiwa: Konsep dan aplikasi. Bandung: Refika Aditama.

Kamariyah, K., & Yuliana, Y. (2021). Gangguan persepsi sensori halusinasi pada pasien skizofrenia. Jurnal Kesehatan, 9(1), 33–41.

Keliat, B. A. (2016). Keperawatan kesehatan jiwa komunitas. Jakarta: EGC.

Kementerian Kesehatan Republik Indonesia. (2020). Riset Kesehatan Dasar (Riskesdas) 2020. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kusumawati, F., & Hartono, Y. (2014). Buku ajar keperawatan jiwa. Jakarta: Salemba Medika.

Larasati, A., & Widodo, A. (2023). Karakteristik halusinasi pada pasien skizofrenia. Jurnal Keperawatan Mental, 5(1), 14–22.

Mairs, dkk. (2026 ). Efficacy of Behavioural Activation in the treatment of people with schizophrenia spectrum disorders: A systematic review.

Mawarda, J. I., Nabila, S. A., & Adawiyah, I. R. (2026). Efektivitas Terapi Aktivitas Kelompok Stimulasi Persepsi Sensori Pada Pasien Skizofrenia Dengan Halusinasi Pendengaran di RS Radjiman Wediodiningrat Lawang, Jurnal Penelitian Inovatif (JUPIN), 6(2), 1635-1646.

Muhitha, A. (2022). Skizofrenia sebagai gangguan jiwa kronis dan berat. Jurnal Psikiatri Indonesia, 8(2), 66–74

Munandar, M., Sari Purbaningsih, E., & Fadila, E. (2025). The application of video viewing therapy for sensory perception disorders and auditory hallucinations at Soerojo Mental Hospital in Magelang. INDOGENIUS, 4(2A), 202–208. https://doi.org/10.56359/igj.v4i2A.704

Pardede, J. A. (2021). Tanda dan gejala gangguan persepsi sensori halusinasi. Jurnal Keperawatan Jiwa, 9(3), 157–165.

Prabowo, E. (2014). Konsep dan aplikasi asuhan keperawatan jiwa. Yogyakarta: Nuha Medika.

Psychiatric Research and Clinical Practice (2026). Pilot Study of Behavioral Activation Treatment for Schizophrenia Spectrum Disorder. American Psychiatric Association.

Ricci, dkk. (2025). Lateralized brain connectivity in auditory verbal hallucinations: fMRI insights into the superior and middle temporal gyri. Frontiers in Human Neuroscience.

Rosmiati, R., Miswar, M. S., & Fauzi, A. R. (2023). The Effect of Application of Group Activity Therapy Session 1-2 on Controlling Hallucinations. Asy-Syifa: Journal of Science and Technology Nursing, 1(2), 57–63.

Santi, R., dkk. (2021). Gangguan persepsi sensori halusinasi pada pasien skizofrenia. Jurnal Keperawatan Klinis, 6(2), 88–95.

Sari, D. K., Purba, J. M., & Sitohang, N. A. (2024). The Effect of Cognitive Behavioral Intervention Based on Self-Management on the Ability to Control Hallucinations in People with Schizophrenia. Jurnal Kesehatan, 15(2).

Standar Diagnosis Keperawatan Indonesia (SDKI). (2017). Standar diagnosis keperawatan Indonesia. Jakarta: DPP PPNI.

Standar Intervensi Keperawatan Indonesia (SIKI). (2018). Standar intervensi keperawatan Indonesia. Jakarta: DPP PPNI.

Standar Luaran Keperawatan Indonesia (SLKI). (2019). Standar luaran keperawatan Indonesia. Jakarta: DPP PPNI.

Stuart, G. W. (2016). Principles and practice of psychiatric nursing (10th ed.). St. Louis: Elsevier.

Suhermi. (2021). Implementasi keperawatan pada pasien halusinasi. Jurnal Keperawatan Jiwa, 9(1), 25–32.

Sutejo. (2017). Keperawatan kesehatan jiwa. Yogyakarta: Pustaka Baru Press.

Townsend, M. C. (2020). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice. F.A. Davis Company.

Wulandari, N. K. A. D. D., Heri, M., Putra, G. N. W., & Astriani, N. M. D. Y. (2023). Analisis Asuhan Keperawatan dengan Intervensi Terapi Aktivitas Kelompok pada Pasien dengan Masalah Keperawatan Halusinasi Pendengaran. Journal of Telenursing (JOTING), 5(2), 2840–2848

Yosep, I. (2014). Keperawatan jiwa. Bandung: Refika Aditama.

Yosep, I. (2019). Keperawatan jiwa lanjutan. Bandung: Refika Aditama.

Downloads

Published

2026-02-28