TERAPI AKTIVITAS WRITING ART JOURNALING UNTUK MENGONTROL HALUSINASI PENDENGARAN DI RUMAH SAKIT ERNALDI BAHAR SUMATERA SELATAN TAHUN 2026

Latar Belakang: Halusinasi pendengaran merupakan gangguan persepsi sensori yang sering dialami pasien skizofrenia dan dapat menimbulkan kecemasan, gangguan emosi, perilaku maladaptif, serta menurunkan kemampuan interaksi sosial. Terapi aktivitas writing art journaling merupakan intervensi nonfarmakologis yang dapat membantu pasien mengekspresikan emosi, mengalihkan perhatian dari suara halusinasi, dan meningkatkan kemampuan mengontrol halusinasi pendengaran. Metode: Studi kasus ini menggunakan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan status mental, dan dokumentasi. Intervensi berupa terapi aktivitas writing art journaling diberikan selama 7 hari pada 4 pasien dengan gangguan persepsi sensori: halusinasi pendengaran di Ruang Bangau Rumah Sakit Ernaldi Bahar Sumatera Selatan. Hasil: Setelah dilakukan terapi aktivitas writing art journaling, pasien menunjukkan penurunan tanda dan gejala halusinasi pendengaran. Pasien lebih mampu mengenali dan mengontrol halusinasi, mengurangi perilaku berbicara sendiri, mengekspresikan emosi secara adaptif, serta tampak lebih tenang dan kooperatif yang lebih terlihat pada pasien Tn. M dengan skor sedang dari 20 menurun menjadi skor ringan 11. Sedangkan pada Tn. R, Tn. C, Tn. A juga mengalami penurunan sedikit Tn. R dan Tn. C dari skor 22 menurun menjadi skor 13 dan 15, serta pada Tn. A skor sedang 21 menurun menjadi skor 14. Terapi aktivitas writing art journaling membantu pasien mengontrol halusinasi, menyalurkan pikiran dan perasaan secara positif. Kesimpulan: Terapi aktivitas writing art journaling efektif membantu mengontrol halusinasi pendengaran, meningkatkan ekspresi emosi, dan mendukung kesejahteraan psikologis pasien dengan gangguan persepsi sensori.

Background: Auditory hallucinations are sensory perception disorders commonly experienced by patients with schizophrenia and may cause anxiety, emotional disturbances, maladaptive behavior, and decreased social interaction ability. Writing art journaling activity therapy is a non-pharmacological intervention that can help patients express emotions, divert attention from hallucinatory voices, and improve their ability to control auditory hallucinations. Methods: This case study used a nursing process approach including assessment, nursing diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observations, mental status examinations, and documentation. The writing art journaling activity therapy intervention was given for 7 days to 4 patients with sensory perception disorders: auditory hallucinations in the Bangau Ward at Ernaldi Bahar Hospital, South Sumatra. Results: After the implementation of writing art journaling activity therapy, patients showed a reduction in the signs and symptoms of auditory hallucinations. Patients became more able to recognize and control hallucinations, reduced self-talking behavior, and demonstrated more adaptive emotional expression, appearing calmer and more cooperative. The most notable improvement was observed in patient Tn. M, whose moderate score decreased from 20 to a mild score of 11. Meanwhile, Tn. R and Tn. C showed a decrease from 22 to 13 and 15 respectively, and Tn. A showed a reduction from 21 to 14. Writing art journaling activity therapy helped patients manage hallucinations and channel thoughts and feelings in a more positive way. Conclusion: Writing art journaling activity therapy is effective in helping to control auditory hallucinations, improve emotional expression, and support the psychological well-being of patients with sensory perception disorders.