Asuhan Keperawatan pada Ny. UH dengan Halusinasi Pendengaran Melalui Pemberian Rational Emotive Behavior Therapy (REBT) di Rumah Sakit Jiwa Aceh
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Abstract
Hallucinations are disturbances in an individual’s response to stimuli, in which a person perceives something that is not present. Hallucinations are a hallmark symptom of schizophrenia and often occur in affected individuals. For first-time hospitalized patients, the prognosis for recovery is relatively high if appropriate interventions are implemented. In this case study, the patient received nursing care focused on hallucination management through generalist interventions and evidence-based national therapeutic support, specifically, Rational Emotive Behavior Therapy (REBT). The patient underwent REBT sessions for seven consecutive days, with each session lasting 45–60 minutes. The results of the case study showed a reduction in the Auditory Hallucination Rating Scale (AHRS) score from 21 (severe category) to 9 (mild category), with notable improvements in belief about the source of voices (item 5), presence of negative content (item 6), and distress caused by the voices (item 8). During the intervention, REBT demonstrated a significant impact on the patient’s attitude, self-perception, and self-confidence, guiding the patient toward becoming a calmer and more positive individual. recommends the routine implementation of REBT to patients with hallucinations to support the recovery process.
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