QANITA HUMAIMMAH CANDRANING TYAS, NIM. 202201070 (2025) ASUHAN KEPERAWATAN JIWA PADA PASIEN HALUSINASI PENDENGARAN DENGAN MODIFIKASI SP 4 MEMBUAT MINUMAN ES BUAH DI RUMAH PELAYANAN SOSIAL DISTABILITAS MENTAL “MARTANI” CILACAP. KTI thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: Patients with mental disorders often show very strange behavior toward themselves and others. Auditory hallucinations are one of the main focuses in mental health nursing care. Generalist therapy with SP 4 Modification by Making Fruit Ice is a nonpharmacological approach that can help reduce hallucinations. Objective: To describe nursing care for a patient with auditory hallucinations using generalist therapy with SP 4 modification by making fruit ice. Method: This study used a case study method on three patients at the Martani Cilacap Mental Disability Service House with inclusion criteria of auditory hallucination symptoms. The intervention focused on nursing care for SP 1 to SP 4, namely: controlling hallucinations by scolding, obediently taking medication, talking to people around, and carrying out activities through making fruit ice. The instruments used included SOP for making fruit ice, ability observation sheets, observations of SP 1–SP 4, and activity schedules. The implementation was carried out for 7 days, each for 20 minutes per session. Results: The results showed a decrease in the score of signs and symptoms of auditory hallucinations. Patient 1 (P1) and Patient 3 (P3) had an increase in scores from 1 to 11, and Patient 2 (P2) had a decrease in score from 1 to 6. There was also an improvement in the patients’ ability to do generalist therapy with SP 4 modification by making fruit ice. P1 and P3 had an increase in scores from 1 to 5, and P2 had a decrease in score from 1 to 3. Recommendation: There is a need to include generalist therapy with SP 4 modification by making fruit ice in mental health nursing practice as a simple but effective way to reduce auditory hallucinations.

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