Halusinasi merupakan salah satu gangguan jiwa yang pasien mengalami perubahan sensori
persepsi, serta merasakan sensasi palsu berupa suara, penglihatan, pengecapan, perabaan atau
penciuman. Akibat yang ditimbulkan halusinasi bisa membahayakan diri sendiri, orang lain
maupun merusak lingkungan (resiko mencederai diri, orang lain dan lingkungan). Total sampel
yang digunakan pada populasi target dalam penelitian ini adalah klien bernama Tn. E, berusia
36 tahun, belum menikah, agama Islam, suku bangsa Sunda, pendidikan terakhir SMA, bahasa
yang digunakan bahasa Indonesia, klien tidak bekerja, alamat Kp. Sumantizi Rt 002/01 Ds:
Sukamantri, Kecamatan: Karang Tengah, Kabupaten: Cianjur, sumber biaya BPJS, sumber
informasi dari klien, perawat ruangan dan status rekam medis. Berdasarkan data penelitian di
dapatkan hasil diagnosa keperawatan yaitu gangguan sensori persepsi: halusinasi pendengaran,
harga diri rendah, isolasi sosial, resiko perilaku kekerasan, defisit perawatan diri. Dari hasil
penelitian ini dapat pembahasan terdiri dari pengkajian, diagnosa keperawatan, perencanaan
keperawatan, implementasi keperawatan, dan evaluasi keperawatan.
Kata kunci: gangguan sensori persepsi: halusinasi pendengaran, asuhan keperawatan, perubahan
sensori persepsi.
Abstract
Hallucinations are one of the mental disorders in which the patient experiences a change
in sensory perception, as well as feeling false sensations in the form of sound, sight,
taste, touch or smell. As a result of hallucinations can endanger yourself, others and
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damage the environment (risk of injuring oneself, others and the environment). The total
sample used in the target population in this study is a client named Tn. E, 36 years old,
unmarried, Islam, Sundanese ethnicity, last high school education, language spoken in
Indonesian, client does not work, address Kp. Sumantizi Rt 002/01 Ds: Sukamantri,
District: Karang Tengah, Regency: Cianjur, BPJS cost source, sources of information
from clients, room nurses and medical record status. Based on research data, the results
of nursing diagnoses are sensory perception disorders: auditory hallucinations, low selfesteem, social isolation, risk of violent behavior, self-care deficits. From the results of
this study discussion can consist of assessment, nursing diagnoses, nursing planning,
nursing implementation, and nursing evaluation.
Keywords: sensory perception disorder: auditory hallucinations, nursing care, sensory
change in perception
