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NURSING CARE FOR SENSORY PERCEPTION DISORDERS: AUDITORY HALLUCINATIONS IN Mr. T WITH A FOCUS ON HARASSMENT TECHNIQUES AT THE DR. RM. SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN

Choeriyatun Ngatiyah, Sudiarto, Wiwik Priyatin
Abstract: Mental disorders are a health problem that remains a major challenge in Indonesia. Auditory hallucinations are a sensory perception disorder that often occurs in patients with schizophrenia. Patients have difficulty distinguishing… inguishing between real and unreal stimuli, which can lead to risky behaviors such as harming themselves or others. One non-pharmacological intervention that can be applied to address hallucinations is the rebuke technique, which is a firm and directed verbal action to reject perceived hallucinations. The purpose of this study is to describe nursing care for patients with sensory perception disorders: auditory hallucinations with the application of the rebuke technique as the main intervention. This study uses a descriptive case study approach on one patient in the Flamboyan Ward of Dr. RM. Soedjarwadi Klaten Mental Hospital. Data collection was carried out through interviews, observations, and documentation studies, then analyzed based on the stages of the nursing process. The results showed that after the rebuke technique intervention was consistently implemented for three days, there was a decrease in the frequency of hallucinations from 3-4 times to 1-2 times a day. The patient also showed an increase in the ability to recognize and reject hallucinations independently. Furthermore, the patient began to engage in social interactions and participate more actively in daily activities. The conclusion is that the reprimand technique has proven effective as a nursing intervention in addressing auditory hallucinations. This intervention is simple, easy to implement, and can improve the patient's coping skills in dealing with hallucinatory symptoms.  

NURSING CARE FOR SOCIAL ISOLATION: WITHDRAWAL IN Mr. S WITH A FOCUS ON SOCIALIZATION THERAPY AT DR. RM. SOEDJARWADI KLATEN REGIONAL PSYCHIATRIC HOSPITAL

Anggita Presti Utami, Sudiarto, Wiwik Priyatin
Abstract: Background: Social isolation is a condition in which individuals feel lonely. This condition is often caused by a lack of interaction with others and reflects a negative and threatening situation. Therefore, nursing interventions… rventions are needed to reduce symptoms of social isolation and increase the interest in initiating interactions, one of which is through introduction training. Introduction training is an activity designed to develop an individual’s ability to initiate and maintain conversations, as well as to get to know others with the aim of building positive social relationships. Objective: This study aims to describe nursing care for social isolation disorder: withdrawal, with a focus on the intervention of introduction training. Method: This study used a descriptive method with a case study approach. Results: After three days of nursing interventions, the symptoms of social isolation: withdrawal were reduced, and the patient was able to introduce himself. Conclusion: Nursing care for social isolation: withdrawal, focusing on the introduction training intervention over three days, proved to be highly effective for patients with social isolation: withdrawal and can help reduce the associated symptoms.

NURSING CARE FOR MRS. A AT RISK OF VIOLENT BEHAVIOR WITH A FOCUS ON DEEP BREATHING RELAXATION AT DR. RM SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN

Ika Setiani, Fida Dyah Puspasari, Sudiarto
Abstract: Background: According to WHO (2022), there are 24 million people suffering from schizophrenia, with 3,980 of them at risk of violent behavior. The risk of violent behavior is an angry response that can manifest physically… y or verbally. If not addressed promptly, the risk of violent behavior can endanger both the individual and others. This condition poses a serious challenge as it can disrupt the patient’s recovery process and create anxiety in the surrounding environment. Therefore, appropriate nursing interventions are needed—not only to calm the patient but also to enhance the patient’s ability to control their emotions. One of the interventions that can be applied is the deep breathing relaxation technique. Objective: To describe the nursing care from assessment to evaluation for Mrs. A with a risk of violent behavior, focusing on the deep breathing relaxation intervention. Method: This scientific paper uses a descriptive research method in the form of a case study. Results: After three days of nursing interventions for patient with a risk of violent behavior using deep breathing relaxation, the client showed reduced tension and was able to control her emotions well. Conclusion: Deep breathing relaxation for patient was effective in reducing the risk of violent behavior.

ENHANCING STUDENTS’ MASTERY OF THE FOUR ENGLISH SKILLS THROUGH THE DRILL METHOD AT LKP YHSUA TRAINING INSTITUTE FOR SELF-DEVELOPMENT

Halitopo, Manase, Kogoya , Napius, Maitimu , Laura Sansa
Abstract: The international language nowadays is English. To make learning more enjoyable and fun for students, the right approach is required. The researcher aims to explain the drilling method to enhance the students’ English skills.… skills. In this research, the researchers used a qualitative descriptive study as the research methodology. The study takes place at the LKP YHSUA Training Institute for Self-Development, involving 20 students. The data was collected through observation, interview, and documentation. The data analysis was done through data collection, reduction, display, and drawing conclusions. The results showed that the drilling method used became the suitable method that has a significant effect on the young learners’ mastery of the four English skills. In addition, the young learners can pronounce, read, write, and listen to the whole lessons and games given through the use of the drilling method combined with printed stories through learning process. Besides that, teaching and learning process becomes more fun. Overall, the drilling method has proven to be an effective approach for teaching the four English skills to students.

OVERVIEW OF CINNAMON BOILED WATER ADMINISTRATION TO SUPPORT PERINEAL WOUND HEALING IN MRS. S G2P2A0 POSTPARTUM DAY 4 IN JETIS VILLAGE

Nanda Cindi Dwi Karisma, Priyatin Sulistyowati, Dwi Astuti
Abstract: Background:Perineal rupture is a condition in which the perineal tissue tears during the childbirth process. This condition can cause pain, discomfort, and interfere with the mother’s activities after delivery. One non-pharmacological… -pharmacological intervention that can support perineal wound healing is the administration of cinnamon boiled water. Cinnamon contains active compounds such as polyphenols, coumarin, and flavonoids, which possess antioxidant and anti-inflammatory properties, thus potentially accelerating the wound healing process. Objective:This study aims to describe the administration of cinnamon boiled water in supporting the healing of perineal wounds among postpartum mothers in Jetis Village. Method:This scientific paper uses a descriptive research method with a case study approach. Results:The results showed a decrease in the degree of perineal wound after the administration of cinnamon boiled water. Conclusion: Based on the case study conducted over seven days, the administration of cinnamon boiled water to postpartum mothers can help accelerate the healing of perineal wounds.

OVERVIEW OF RED GINGER BOILED WATER ADMINISTRATION FOR REDUCING PRIMARY DYSMENORRHEA PAIN IN ADOLESCENT GIRLS IN KARANGCENGIS VILLAGE

Bintari, Nufia, Sulistyowati, Priyatin, Priyatin, Wiwik
Abstract: Primary dysmenorrhea is menstrual pain commonly experienced by adolescent girls and can disrupt daily activities. One alternative non-pharmacological pain management option is herbal therapy, such as boiled red ginger (Zingiber… ingiber officinale var. rubrum), which is known to have anti-inflammatory and analgesic properties. Red ginger contains gingerol, an anticoagulant that can inhibit the release of enzymes into prostaglandins, which contribute to inflammation and reduce uterine contractions, thus relieving menstrual pain.To determine the effectiveness of red ginger decoction on adolescent girls with primary dysmenorrhea in the Karangcengis Village area. This study uses a descriptive case study with respondents of adolescent girls with primary dysmenorrhea focusing on the administration of red ginger decoction as a complementary therapy. This study was conducted in Karangcengis Village for 3 days starting from June 23-25, 2025. After administering red ginger decoction for 3 days once a day from the first day of menstruation to the third day of menstruation, the results of the pain scale before being given red ginger decoction reached 6 (moderate pain).After administering 200ml of red ginger decoction once daily in the morning for three days, from the first day of menstruation to the third day, the pain scale decreased to a level 1 (mild pain). Administering red ginger decoction to adolescent girls experiencing dysmenorrhea can reduce the pain.

NURSING CARE FOR SENSORY PERCEPTION DISTURBANCE: VISUAL HALLUCINATIONS IN MR. S WITH A FOCUS ON DHIKR INTERVENTION AT DR. RM SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN

Asiah, Yayuk Nur, Fida dyah Puspasari, Sudiarto
Abstract: Background: Visual hallucinations are sensory perception disturbances in which individuals perceive objects or shadows that do not actually exist, even though they appear vivid and real. Therefore, nursing interventions… are needed to reduce the occurrence of visual hallucinations in patients, one of which is through dzikir (remembrance of Allah). Linguistically, dzikir comes from the word dzakar, which means remembering. Remembering Allah implies maintaining one’s consciousness toward Him by following specific etiquettes prescribed in the Qur’an and Hadith. The purpose of dzikir is to purify the heart and glorify Allah SWT. Purpose: To determine the implementation of nursing care for patients with sensory perception disturbances: visual hallucinations, with a focus on dzikir practice. Method: This study used a descriptive method in the form of a case study. Results: The case study showed that the patient was able to carry out SP 1–3 with a focus on dzikir practice, as indicated by behavioral changes such as feeling calmer, being able to recite dzikir independently, and experiencing reduced hallucinations. This suggests that dzikir is quite effective. Conclusion: Nursing care for patients with sensory perception disturbances, specifically visual hallucinations, with a focus on dzikir intervention over three days, can help control hallucinations

OVERVIEW OF MORINGA LEAF PUDDING ADMINISTRATION ON HEIGHT AND WEIGHT IN STUNTED CHILD An. M IN JETIS VILLAGE, KEMANGKON DISTRICT, PURBALINGGA REGENCY VILLAGE

Umaisah, Fitri, Priyatin Sulistyowati, Sudiarto
Abstract: Stunting is a condition of failure to thrive in children under 5 years of age due to chronic malnutrition, especially in the first 1.000 days of life (HPK), which is apparent after the child is years old, resulting in the… e child being shorter than thein peers In Purbalingga Regency, the prevalence of stunting in toddlers is 26,8 %, wasting in toddlers is 6,5 %, and underweight in toddlers 16,1%. The prevalence of stunting in Purbalingga Regency remains relatively high, thus requiring affordable and safe local nutritional interventions to support the growth and development of children under five. One of the alternative approaches to address stunting is through the provision of moringa leaf pudding. This study aimed to determine the changes in body weight and height after the administration of moringa leaf pudding in a stunted toddler over a 14-day intervention. This qualitative case study was conducted on a two-year-old stunted toddler (An. M). The intervention consisted of providing 100 grams of moringa leaf pudding every two days (a total of seven servings) over 14 days. Anthropometric measurements were taken at baseline (before intervention), at the seventh meeting, and at the end of the intervention (fourteenth meeting). In addition, observation of pudding acceptance and a brief interview with the family regarding dietary habits were conducted. After receiving moringa leaf pudding every two days for 14 days, the toddler experienced a weight gain of 0.4 kg and an increase in height of 0.9 cm. Observations indicated that the child accepted the moringa leaf pudding well, although mild boredom occurred midway through the intervention. Interviews with the family revealed that the provision of moringa leaf pudding improved the toddler’s appetite, leading to measurable weight and height gains.  The provision of moringa leaf pudding every two days for 14 days had a positive effect on increasing body weight and height in this case of a stunted toddler. Therefore, moringa leaf pudding may serve as an alternative nutritional support to improve the growth of stunted children, particularly in regions with a high prevalence of stunting.

ILLUSTRATION OF THE PROVISION OF WATER TEPID SPONGE (WTS) ON REDUCING BODY TEMPERATURE IN TODDLERS WITH HYPERTHERMI PROBLEMS IN PANICAN VILLAGE

Adelia, Yora, Sudiarto, Sudiarto, Puspasari , Fida Dyah
Abstract: Background: Maintaining children's health is a special concern for parents. Changes in children's health conditions are influenced by changes in weather, one of the symptoms that often occurs in children is fever or hyperthermia.… rthermia. One of the non-pharmacological treatments is by administering Water Tepid Sponge (WTS). Water Tepid Sponge is a combination of warm compress techniques, superficial vascular block compress techniques and wiping techniques. The compression technique is carried out at several points where there are large blood vessels (neck folds, right and left axillary folds, right and left thigh folds) so that vasodilation occurs and then accelerates evaporation and conduction to lower body temperature in children. Objective: To determine the effectiveness of administering Water Tepid Sponge (WTS) to reduce body temperature in toddlers with hyperthermia problems in Panican Village. Method: This study used a descriptive case study with respondents of toddlers with hyperthermia problems. The focus of this case study is the provision of Water Tepid Sponge (WTS) with hyperthermia problems as a nonpharmacological action. This study was conducted in Panican Village for 3 days starting on 23-25 June 2025. Results: After being given Water Tepid Sponge (WTS) for 3 days with 1 meeting within 15-30 minutes using water temperature of 37oC40oC, the child's body temperature decreased, the initial result was 38.7oC and after being given Water Tepid Sponge (WTS) for 3 days, the result was 37.3oC. Conclusion: Providing Water Tepid Sponge (WTS) can reduce body temperature in toddlers with hyperthermia problems in Panican Village.  

ILLUSTRATION OF THE APPLICATION OF SHALLOT RUBBINGON DECREASING BODY TEMPERATURE IN CHILDREN AGED 2-5 YEARS WITH FEVER IN DESA KEMOJING, KEMANGKON DISTRICT PURBALINGGA REGENCY

Setiani, Purwaningsih Endah, Astuti, Dwi, Sulistyowati, Priyatin
Abstract: Febris fever is a condition in which body temperature rises above normal due to an increase in the temperature-regulating center located in the hypothalamus. Red Onion can be used for compress because they contain the organic… ganic sulfur compound Allylcysteine Sulfoxide. After applying an onion compress, body temperature decreases because blood flow returns to the blood vessels near the skin's surface, thus optimizing heat dissipation.To determine the effectiveness of applying onion compress to children with fever. This study used a descriptive case study approach and was conducted in Kemojing Village. After applying onion compresses for three days, with each session lasting 15 minutes, the children's body temperature decreased. The initial body temperature was 38.4°C, which decreased to 36.8°C by the end of the third day.  Using onion compresses on children with fever can effectively reduce their body temperature.