Distraksi Bercerita Untuk Menurunkan Intensitas Halusinasi Pendengaran Pada Pasien Dengan Gangguan Persepsi Sensori di RSKD Duren Sawit Jakarta Timur

Sianturi, Jestimaya (2026) Distraksi Bercerita Untuk Menurunkan Intensitas Halusinasi Pendengaran Pada Pasien Dengan Gangguan Persepsi Sensori di RSKD Duren Sawit Jakarta Timur. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar Belakang: Halusinasi adalah gangguan persepsi sensorik yang menyebabkan seseorang mendengar, melihat, mencium, merasakan, atau mengecap sesuatu tanpa adanya rangsangan nyata dari lingkungan. Halusinasi pendengaran merupakan jenis halusinasi yang paling sering ditemukan pada pasien dengan gangguan jiwa dan dapat menimbulkan rasa takut, cemas, gangguan tidur, serta menghambat aktivitas sehari-hari. Berdasarkan data rekam medis RSKD Duren Sawit Jakarta Timur periode Januari–Maret 2026, terdapat 597 kasus gangguan persepsi sensori halusinasi (100%). Salah satu intervensi nonfarmakologis yang dapat membantu mengontrol halusinasi adalah teknik distraksi bercerita.Tujuan: Mengevaluasi penerapan distraksi bercerita untuk menurunkan intensitas halusinasi pendengaran pada pasien dengan gangguan persepsi sensori. Metode: Penelitian ini menggunakan desain studi kasus deskriptif pada dua pasien, yaitu Ny. M dan Ny. N, dengan diagnosis keperawatan gangguan persepsi sensori: halusinasi pendengaran. Data diperoleh melalui wawancara, observasi, dan penerapan distraksi bercerita sebanyak 10 kali. Hasil: Terjadi penurunan tanda dan gejala halusinasi pada kedua pasien, dimana Ny. M mengalami penurunan skor dari 6 menjadi 0 dan Ny. N dari 5 menjadi 2. Pasien juga tampak lebih aktif berkomunikasi dan mampu mengalihkan perhatian dari stimulus halusinasi. Kesimpulan: Distraksi bercerita efektif membantu menurunkan intensitas halusinasi pendengaran dan meningkatkan kemampuan pasien dalam mengontrol halusinasi. Kata kunci: Distraksi bercerita, halusinasi pendengaran, gangguan persepsi sensori, keperawatan jiwa. / Background: Hallucinations are sensory perception disorders that cause individuals to hear, see, smell, feel, or taste something without any real external stimulus. Auditory hallucinations are the most common type of hallucination experienced by patients with mental disorders and may cause fear, anxiety, sleep disturbances, and impaired daily functioning. Based on medical record data from Duren Sawit Mental Hospital, East Jakarta, from January to March 2026, there were 597 cases of sensory perception disturbances involving hallucinations (100%). One non-pharmacological intervention that can help patients control hallucinations is storytelling distraction therapy. Objective: To evaluate the implementation of storytelling distraction therapy in reducing the intensity of auditory hallucinations in patients with sensory perception disturbances. Methods: This study employed a descriptive case study design involving two patients, Mrs. M and Mrs. N, who were diagnosed with sensory perception disturbance: auditory hallucinations. Data were collected through interviews, observations, and the implementation of storytelling distraction therapy conducted 10 times. Results: A reduction in the signs and symptoms of hallucinations was observed in both patients. Mrs. M's observation score decreased from 6 to 0, while Mrs. N's score decreased from 5 to 2. The patients also appeared more active in communication and were better able to divert their attention from hallucinatory stimuli. Conclusion: Storytelling distraction therapy was effective in reducing the intensity of auditory hallucinations and improving patients' ability to control hallucinations. Keywords: Storytelling distraction, auditory hallucinations, sensory perception disturbance, psychiatric nursing.

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