ABSTRACT

EFFECT OF TALENAN DAVITY O N HALUSINATION FREQUENCY ON

SKIZOFRENIA PATIENTS IN UPTD LIPONSOS KEPUTIH SURABAYA

Dikrie Vajrii Vegananda Suhartono , Dr. Mundakir., S.Kep., Ns., M.Kep , Reliani , S.Kep., Ns.,
M.Ke s

Undergraduate Program of Nursing Faculty of Health Sciences Muhammadiyah University of

Surabaya

Hallucinations are a change in sensory perception of a vision, hearing, tasting, touch, or

exhortation that is 90% suffered by schizophrenic patients. As many as 70% of people with
mental disorders suffer from auditory hallucinations of varying frequency. This study aims to
study the effect of cutting board davity on hallucinations frequency in schizophrenic patients.
The research design used Pre-Experimental One Group Pre-Post Test Design. The sample in this
study amounted to 20 people by using purposive sampling technique. The instrument of this
study using the davity cutting board, observation sheet and daily check list sheet. The result of
Wilcoxon Rank correlation statistic test with significant value . The result of the analysis shows
that the frequency of the respondents is frequent to the rare category as many as 11 people
(55%), and respondents with frequent frequency category of hallucinations are 9 pe ople (45%).
Based on the above description can be concluded that there is a relationship of davity telenan to
the frequency of hallucinations in patients with schizophrenia UPTD Liponsos Keputih
Surabaya. So it is advisable to health workers to guide the patients to perform scheduled
activities so as to reduce the frequency of hallucinations.

Keywords: Hallucinations, Schizophrenia, Occupational Therapy

BACKGROUND
Schizophrenia is a disease that
affects the brain and causes strange and
disturbed thoughts, perceptions, emotions,
movements, and behaviors (Videbeck,
2008). The prevalence of people with
schizophrenia in Indonesia is 0.3% - 1%
and the most at the age of about 18-45
years, there are also some patients who
experienced at the age of 11-12 years
(MOH, 2008). Number of patient
hallucinations East Java Province recorded
as many as 1065 inhabitants or 2.37% of
the population (Irmansyah, 2010: 7) while
for the hallucinations treated in Liponsos
sebanya 524 people.
Yosep in Kusumawati and Hartono
(2011) states that as many as 90% of
patients with schizophrenia have
hallucinations. Hallucination is a change in
sensory perception of a vision, taste, touch,
or exudation that can not distinguish
internal stimuli (thoughts) and external
stimuli (external world) on the
environment without any real object or
stimulus.
Patients who have hallucinations
can be difficult to connect with others,
sweating, tremor, unable to obey orders
from others and are in a very stressful
condition especially when it comes to
connecting with others. This happens when
the hallucination experienced by the client
has reached the third phase (III), where the
patient stops the resistance to the
hallucination and succumbs to the
hallucination.
And if it is not handled properly,
patient hallucinations may rise to a higher
stage and have a very serious impact such
as losing control of themselves. So the
patient in suicide , killing others ( homicide
), and even damage the surrounding
environment. To minimize the impact,
proper handling of hallucinations (Hawari,
2014) is required. Physical activity reflects
the contents of hallucinations such as;
violent behavior, agitation, withdrawal, or
catatononia. Unable to respond to complex
commands and unable to respond to more
than one person (Videbeck, 2008). In
addition, hallucinations also affect the
patient's daily activities to be disturbed.
When the patient stops the fight against
hallucinations and chooses to give in to the
hallucination, all the daily activities of the
patient such as bathing, dressing, eating,
drinking and so on can not be done alone
by the patient.
Caroline (2008) states that with the
implementation of Nursing Care Standards
(SAK) sensory perception, the cognitive
abilities of patients are known to increase
47% and psychomotor ability of patients
also increased 48%. The application of
SAK sensory perception is also capable of
decreasing hallucinations and symptoms
by 14% but still with the collaboration of
psychopharmaceutical therapy.
Occupational therapy is a form of
supportive psychotherapy in the form of
activities that generate self-reliance
manually, creatively and educatively to
adapt to the environment and improve the
physical and mental health of the patient
(Graff, 2007). Thus there is a need for a
generalist modification, one of which is the
innovation of combined application
between occupational therapy with sensory
perception SAK which can be used as a list
of scheduled activities as a schizophrenia
schizophrenia switcher. One way is to use
innovation tools from a telenan that
includes the workings of occupational
therapy, behavior therapy and sensory
perception SAK.
Telenan Davity is a tool to help
patients control their hallucinations. By
applying the function of occupational
therapy, patients will make their daily
schedules. From the explanation of the
various therapeutic functions, patients are
given various scheduled activities that are
expected to shift the hallucinations.
Telenan davity has a work like
clockwork in general. It's just that there is
no number listed in it but only the schedule
of activities that must be done by the
patient hallucinations.
 Based on the above case the authors
are interested to discuss and conduct
research with the title "the influence of
davity telenan to the frequency of RESULTS
hallucinations in schizophrenic patients" . 1. Special Data F of hallucinatory
recuensi before using davity telenant
RESEARCH METHODS Figure 1. Distribution of hallucinations
Design Research frequency before using davity cavity
P enelitian using this type of Pre- Percentage
No Frequency amount
experimental research design with Design (%)
One Group Pre-Post Test t Design with 1. Never 0 0
schizophrenic patients who have 2. Rarely 5 25
hallucinations. 3. Often 15 75
Population, Sample, and Sampling amount 20 100
The population in this study were Based on the data above shows that
all schizophrenic patients who experienced most respondents often experience
hallucinations in Liponsos Surabaya with a hallucinations in the day before using
population of 524 people . Samples of 20 davity telenant counted 15 people (75%),
respondents included in the exclusion and and few rarely experienced hallucinations
inclusion criteria, sampling technique in a day as many as 5 people (25%).
sampling purposive sampling that is the
sampling by following the criteria desired 2.Data Khusus F hallucinatory
by researchers . receptivity after using davity cavity
Location and Time of Study Percentage
No Frequency amount
This research was conducted at (%)
Liponsos Surabaya East Java Province for
seven days . 1. Never 0 0
Data Collection Procedures
2. Rarely 11 55
The researcher came to Puskesmas and
cooperated with Puskesmas officer. Then 3. Often 9 45
give the intent and purpose that will be
done to the patient schizophrenia is amount 20 100
hallucinated with moderate hallucinogenic
frequency . Figure 2. Distribution of hallucinogenic
After that, the researcher gave the approval frequency after use of davity cavity
sheet to be the respondent. If the
Based on the data above shows that
respondent approves and is willing to be a
the frequency of hallucinations
respondent, then the next step is to start the
experienced by patients in the day after
research by setting research subjects in
using davity telenan as many as 11 people
accordance with inclusion criteria. Prior to
(55%) rarely hallucinated, while as many
the research, licensing and approval have
as 9 people (45%) often experienced
been made to the relevant agencies.
hallucinations.
Data analysis
This study used an analysis with normality 3. Special Data Analysis of
test afterwards with Wilcoxon Ranks Test . hallucinations before and after
Because (1) this study uses numerical or frequency using davity cavity
interval data. (2) the purpose of this study Figure 3. Distribution of hallucinogenic
is to analyze the effect of Telenan Davity frequency analysis before and after using
therapy on hallucinations frequency in davity cavity
schizophrenic patients .
Frequency of Pre Test Post Test
 Hallucinations amount % Jumla h % The frequency of impaired
Not at all : absorption (perception) of the senses
Never shown - - - - without external stimuli may arise because
(76-100%) the patient ceases to stop the resistance to
Rarely: 1-3 hallucinations and succumbs to the
times a day 5 25 11 55 hallucination so that the patient is carried
(56-75%) away by the things heard in the
Often: more hallucinations. If the patient is left
than 3 times a 15 75 9 45 continuously dissolved in the
day (<56%) hallucinations then the patient's life will
AMOUNT 20 100 20 100also be disturbed because the patient more
follow the sound he heard. Sound can
P = 0.014 <α = 0.05 Wilcoxon rank test test come from within the individual or from
outside the individual. The sounds the
Based on table 4. 7 above shows client hears can be recognized, the voice
that the results of research on the effect of can be single, multiple or can be a sound
davity telenan frequency of hallucinations rather than meaningful sound. The contents
in schizophrenic patients has a value of p = of the vote may be ordered about the
0.014 <α = 0.05. client's own behavior and the client himself
is confident that the vote exists (Trimelia,
The result of Wilcoxon Rank Test statistic
2011)
test to know the effect of telenan davity on
the frequency of hallucinations in Hallucinations are conquered.
schizophrenia patients in Liponsos Keputih Hallucinations become more complicated
Surabaya showed that there was influence and patients experience impairments in
of davity frequency to hallucinations assessing their environment. His sensory
frequency in schizophrenia patients in experience becomes distorted, the
Liponsos Surabaya. hallucinations turn threatening,
commanding, scolding and scary when not
following his orders, so the patient begins
to feel threatening. This is what causes the
patient to prefer to enjoy his own world
DISCUSSION rather than accept the reality there. So the
1 Wheezing dentifik ation frequency of frequency of hallucinations that attack can
hallucinations before using telenan be increased.
davity 2 Tone the frequency of hallucinations
Based on the picture 1 in get that of after using the davity cord
20 respondents more than 50% often Based on figure 2, it was found that
experiencing auditory hallucination as 11 people (55%) of patients rarely felt any
much as 15 people (75%) before being whispers or voices they used to hear. The
given occupational therapy by using davity purpose of the infrequent category is the
telenan. The frequent category in question patient experiencing auditory
is if the patient senses auditory hallucinations only 1 to 3 times a day.
hallucinations that attack more than 3
times a day. The prevalence of The decreased frequency of
hallucinations in schizophrenia in hallucinations experienced by patients can
Indonesia is 0.3 to 1% and usually occurs be caused by various factors. Like the
at the age of about 18 to 45 years, but there coping mechanisms and therapies they
are also those who are 11 to 12 years old live. In addition nursing care standard
already suffering from schizophrenia (Arif (SAK) is mandatory for every health
2006 in Wulansih & Widodo, 2008) worker who served in the field of nursing,
especially mental nursing where patients
desperately need attention because of the
impact of hallucinations are very
dangerous that is at risk of causing violent
behavior and even hallucinations caused
by patients can endanger the safety the
environment around it. In nursing care
clients are taught to be able to control the
ability of hallucinations experienced both
through cognitive and psychomotor
abilities. Patients can practice how to
control hallucinations properly and
correctly in accordance with the directions
given by the nurse, therefore the standard
of nursing care is very important. If
nursing care is rarely used, consequently
the patient forgets and there may be
increased hallucinations that could
endanger oneself, others and the
environment (Wardani & Pontianak,
2016).
One type of IFRSs that can be
administered to a hallucination patient may
be a SAK of Hallucinations Perception
Stimulation aimed at training the patient to
perceive the unreal stimulus and the
response experienced in life. SAK applied
in this research is occupational therapy and
scheduled activities that are modified into
a wall clock made from telenan.
Based on observations after doing
therapy by using davity telenan to
hallucinations in schizophrenia patients,
the frequency of patient hallucinations
decreased. This is because SAK therapy
given to the patient aims to assist the
patient in perceiving the unreal stimulus.
3 Analysis of hallucinations before and
after frequency using davity cavity
Based on the result of test by using
Wilcoxon Rank Test test on frequency of
pini okiniquency p = 0,014 with degree of
kema knaan used α <0.05 then Ho rejected
H1 accepted which means there is
It is expected to provide education and
significant influence between therapy
using davity telenan to hallucinations
frequency in schizophrenia patients in
Liponsos Keputih Surabaya . There is no
influence of the type of coconut that can
increase the frequency of hallucinations in
the patient. However, the age factor has an
influence on recurrence or increased
hallucinatory frequency in schizophrenic
patients. This is probably because in the
adult stage, people begin to accept and take
on more severe responsibilities and in the
elderly stage, psychosocial development is
characterized by three important
phenomena, namely intimacy, generative,
and integrity that can be a risk factor for
recurrence (Hurlock, 2006).
This is due to a scheduled activity
that serves as a diversion of patients to
hallucinations in his pain. With the patient
following the scheduled activities the
patient will naturally feel preoccupied with
the activities so that unconsciously the
patient dengen itself has ignored the
whispers or voices that he used to hear.
CONCLUSION
Based on the description of research
results and discussion in the previous
section can be summed up as follows:
1. Prior to the treatment using davity
telenan from 20 respondents, most
experienced frequent hallucinogenic
frequency in as many as 15 people
(75%).
2. After being given therapy using the
davity of 20 respondents, most of the
decreased frequency of hallucinations
from the category often became rare
category as many as 11 people (55%).
3. There is a significant influence
between Davity's Telenant Against
Hallucinations Frequency in
Schizophrenic Patients.
S ARRIVE
Related to the conclusion of the
research result there are some suggestions
that may be used as a reference in
developing the results of this study.
1. For Families with Hallucinations
overview and information on how to
control hallucinations in schizophrenic
patients
2. For the Institution
Expected to assist in the provision of therapy in
patients with mental disorders, especially
auditory hallucinations.
3. For Further Research
Researchers are expected to further research on
related topics as follows:
a) The effectiveness of the therapy
by using davity to hallucinations
frequency in schizophrenic
patients.
b) Doing research with a greater
number of samples in the
treatment by using davity to
hallucinogenic frequency
schizophrenic patients.
c) Using a generalizable method of
administration of therapy
promotes davity excitation against
hallucinatory frequency
schizophrenic patients.
4. For the community
It provides the benefit of modal therapy to the
community so it knows how to take action
and provide therapy for hallucinations.
BIBLIOGRAPHY
Putranto, K 2016, Cognitive
Behavior Application and Behavior
Activation in Clinical Intervention ,
Gafindo Books Media, South Jakarta
Hawari, D 2014, Schizophrenia ,
3rd edition, Publisher Agency FKUI,
Jakarta
Prabowo, E 2014, Concept &
Application of Nursing Soul , Nuha
Medika, Yogyakarta
Sitanto, et al 2016, Interior Design
of Occupational Facility for Schizophrenia
(Mental Disorders) in Surabaya , Journal
of Intra, vol. 4, no. 2, p. 46-59
Yamamoto, et al 2011, Daily
Physical Activity in Patients with
Schizophrenia , Kitasato Med J, no 41, pp
145-153
Gorczynski & Faulkner, 2014,
Exercise therapy for Schizophrenia,
Europe PMC, p. 1-51
Wareham, ND 2013, Traditional
chinese medicine organ , accessed April
20, 2017, http://naturopathicbynature.com/
Broker, C 2008, Nursing
Encyclopedia , EGC Medical Book,
Jakarta
Carolina, KS 2008, The Effect of
Implementation of Nursing Care Standards
in Hallucinations To Client Ability
Controlling Hallucinations In Soul
Soeharto Heerdjan Hospital Jakarta,
Thesis , Faculty of Medicine Universitas
Indonesia Jakarta
in
Fontaine, KL 2009, Mental Health
Nursing Sixth Edition , Pearson, New
Jersey
Keliat, BA; Akemat, C 2009,
Psychiatric Professional Practice Model ,
Publisher Hall of Faculty of Keperawan
Universitas Indonesia, Jakarta
Jie, Sim Kie, 2000, Basic
Acupuncture Science Identification and
Classification of Diseases , PT. Grasindo,
Jakarta
Stuart & Sunden, 1998, Pocket
Guide to Psychiatric Nursing , EGC,
Jakarta
Maramis, WF, 1990. Life Sciences ,
Erlangga University Press, Surabaya
Veronika, S et al, 2007, Effect of
Group Activity Therapy Stimulation of
Hallucinations Perception on
Hallucinations Frequency , JIK 02 (01):
24-27
Stuart, GW & Laraia, 2005,
Principles and Practice of Psychiatric
Nursing (8th ed.) , St. Louis: Mosby Year
Riyadi & Purwanto, 2009, Nursing
Care of the Soul , Graha Ilmu, Yogyakarta
 Trimelia, 2011, Care Nursing
Client Hallucinations , Trans Indo Media,
Jakarta

Yosep, I 2009, Nursing Soul ,

Refika Aditama: Bandung
Scientific, P & Widuri, NR 2016,
Efforts to Reduce the Intensity of
Hallucinations by Controlling
Hallucinations at Arif Zainuddin Hospital
Surakarta , Surakarta