INTERVENSI ORIENTASI REALITA PADA PASIEN SKIZOFRENIA DENGAN DIAGNOSIS KEPERAWATAN GANGGUAN PROSES PIKIR DI RUANG KAKA TUA RUMAH SAKIT JIWA DR. RADJIMAN WEDIODININGRAT LAWANG
DOI:
https://doi.org/10.71282/jurmie.v3i2.1662Keywords:
schizophrenia, grandiose delusions, reality orientation therapy, psychiatric nursingAbstract
Schizophrenia is a severe mental disorder characterized by disturbances in thought processes, including grandiose delusions that affect social functioning and patient behavior. Reality Orientation Therapy (ROT) is a nursing intervention that helps patients recognize reality through therapeutic communication. This scientific paper aims to describe the implementation of Reality Orientation Therapy in patients with schizophrenia with the nursing diagnosis of disturbed thought processes: grandiose delusions in the Kaka Tua Ward of Dr. Radjiman Wediodiningrat Mental Hospital, Lawang. The study used a descriptive design with a case report approach involving two patients with schizophrenia. Data were collected through interviews, observation, mental status examinations, and medical record documentation. Interventions included orientation to person, place, and time, establishing a therapeutic relationship, medication adherence education, and family involvement. The results showed decreased delusional verbalization and improved reality orientation, communication, and concentration. Reality Orientation Therapy is effective in helping control disturbed thought processes in patients with schizophrenia experiencing grandiose delusions.
Downloads
References
Ayun, P., Hidayati, L. N., & Akrim, W. (2024). Implementasi terapi orientasi realita pada pasien waham. Observasi: Jurnal Publikasi Ilmu Psikologi, 2(2), 151–158.
Darmayanti, N. N. I., Susanti, N. L. P. D., & Sagitarini, P. N. (2025). Literature review pengaruh terapi musik terhadap perubahan perilaku penderita halusinasi pendengaran pada pasien skizofrenia. Bali Medika Jurnal, 12(2), 150–159.
Firdaus, R. D., Hernawaty, T., & Sutini, T. (2024). Penerapan asuhan keperawatan pasien dengan gangguan isi pikir waham. SENTRI: Jurnal Riset Ilmiah, 3(6), 3065–3073.
Lero, L., & Avelina, Y. (2023). Penerapan strategi pelaksanaan 1 dan 2 pada pasien dengan gangguan proses pikir: waham kebesaran. JKKM: Jurnal Keperawatan dan Kesehatan Masyarakat, 10(1).
Lestari, Y. P., & Deviantony, F. (2023). Efektivitas terapi mindfulness dengan pendekatan spiritual pada pasien waham. Jurnal Kesehatan Kusuma Husada, 97–105.
Nasriati, R. (2017). Stigma dan dukungan keluarga dalam merawat orang dengan gangguan jiwa. MEDISAINS, 15(1), 56–65.
Nurin, A., & Rahmawati, A. N. (2023). Implementasi terapi orientasi realita pada pasien waham: studi kasus. Jurnal Penelitian Perawat Profesional, 5(2), 825–832.
Oktaviani, F. T., & Apriliyani, I. (2022). Asuhan keperawatan pasien skizofrenia dengan masalah waham kebesaran: studi kasus. JKM: Jurnal Keperawatan Merdeka, 2(2), 151–158.
Persatuan Perawat Nasional Indonesia. (2018). Standar diagnosis keperawatan Indonesia (SDKI). Jakarta: PPNI.
Persatuan Perawat Nasional Indonesia. (2018). Standar intervensi keperawatan Indonesia (SIKI). Jakarta: PPNI.
Persatuan Perawat Nasional Indonesia. (2018). Standar luaran keperawatan Indonesia (SLKI). Jakarta: PPNI.
Prakasa, A., & Milkhatun, M. (2020). Analisis rekam medis pasien gangguan proses pikir waham. Borneo Studies and Research, 2(1), 8–15.
Rahmania, N., Ulya, F., & Fitria, Y. (2022). Asuhan keperawatan jiwa pada pasien dengan gangguan orientasi realita. Nursing Information Journal, 2(1), 1–6.
Ritchie, H., & Roser, M. (2019). Mental health statistics. Our World in Data.
Shafaria, M., Hernawaty, T., & Rafiyah, I. (2023). Strategi penatalaksanaan waham pada pasien skizofrenia. SENTRI: Jurnal Riset Ilmiah, 2(8), 3315–3325.
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.
World Health Organization. (2022). Mental health action plan 2013–2022. WHO.
Zukna, N. A. M., & Lisiswanti, R. (2017). Pasien dengan halusinasi dan waham bizarre. MEDULA, 7(1), 38–42.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Nuzulul Rizqi Hamdani, Indari, Juliati Koesrini (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
