ASUHAN KEPERAWATAN PADA KLIEN HALUSINASI PENDENGARAN DENGAN PENERAPAN TERAPI ZIKIR DI RUANGAN SIAK RSJ TAMPAN PROVINSI RIAU

Abstract

     Auditory hallucinations are one of the common symptoms of schizophrenia, characterized by the perception of voices without real external stimuli, which can lead to behavioral disturbances and social isolation. At Tampan Psychiatric Hospital in Riau Province, the prevalence of auditory hallucinations is quite high. This study aimed to determine the effectiveness of dhikr therapy in reducing auditory hallucination symptoms in patients with sensory perception disorders. The approach used was a case study based on Evidence-Based Practice (EBP) involving two patients with auditory hallucinations. The first patient, Mrs. S, heard voices instructing her to throw stones, appearing in the morning and evening, accompanied by anger, withdrawal, and talking to herself. The second patient, Mrs. W, heard her child’s voice calling her to leave the room, occurring in the morning, afternoon, and evening, causing sleep disturbances and frequent ear covering. The intervention was carried out for three consecutive days with a duration of 10–15 minutes per session. The dhikr recitations used were: “Bismillahirrahmanirrahim”, “Astaghfirullahaladzim”, “Subhanallah”, “Alhamdulillah”, “Laa ilaaha illallah”, and “Allahu Akbar.” On the first day, both patients still experienced hallucinations but began to rebuke the voices and participate in dhikr therapy with guidance. On the second day, the intensity of hallucinations decreased, patients were able to converse with others, engage in simple activities, and appeared more relaxed during dhikr. On the third day, both patients showed a significant reduction in hallucination frequency, appeared calmer, more cooperative, understood proper medication use, and reported that hallucinations rarely occurred. Dhikr therapy proved effective in helping patients recognize and control hallucination symptoms, fostering calmness, and enhancing spiritual closeness to Allah. Thus, dhikr therapy can be a beneficial non-pharmacological intervention in psychiatric nursing care.