REDUCING SIGN AND SYMPTOMS OF THE RISK OF VIOLENT BEHAVIOR IN SCHIZOPHRENIA PATIENTS THROUGH THERAPEUTIC WRITING

Sheren Audina

Abstract


Schizophrenia is a common and widely encountered mental illness, characterized by perceptual disturbances and significant changes in behavior. Patients with schizophrenia have complex disorders, one of which is a disorder of the frontal lobe brain region which plays an important role in emotional experience and mood expression. This can cause individuals with schizophrenia to have difficulty controlling their emotions and moods, which can have an impact on the risk of violent behavior. The risk of violent behavior is vulnerable to behaviors that can be physically, emotionally, and/or sexually harmful to oneself or others. The purpose of this scientific work is to identify the application of de-escalation using therapeutic writing in reducing signs and symptoms of risk of violent behavior in patients with schizophrenia. Patient initials Mr. I, 27 years old and has a history of violent behavior of raging and hitting parents at home. Nursing action for the risk of violent behavior is given for 10 days with the application of de-escalation: therapeutic writing. This scientific work is written based on a case study using a signs and symptoms evaluation instrument developed by the Department of Mental Nursing, Faculty of Nursing Sciences, University of Indonesia. The results of the application of therapeutic writing on the patient showed a decrease in signs and symptoms of risk of violent behavior from a score of 12 to a score of 1. De-escalation therapy with therapeutic writing is expected to be applied as an alternative nursing action to reduce signs and symptoms of risk of violent behavior in patients.

Keywords


schizophrenia, risk of violent behavior, therapeutic writing

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References


Amimi, R., Malfasari, E., Febtrina, R., Maulinda, D. (2020). Analisis Tanda dan gejala Risiko Perilaku Kekerasan pada Pasien Skizofrenia. Jurnal Ilmu Keperawatan Jiwa Volume 2 No 1, Hal 65 – 74.

Keliat, B. A., S. Hamid, A. Y., Eka, Y. S., Daylima, N. H., Wardani, I. Y., Susanti, H., Hargiana, G., Panjaitan, R. U. (2019). Asuhan Keperawatan Jiwa. EGC.

McCutcheon, Robert A., Reis Marques, Tiago; Howes, Oliver D. (2019). Schizophrenia—An Overview. JAMA Psychiatry, 1–. doi:10.1001/jamapsychiatry.2019.3360.

NANDA International. (2021). Nursing Diagnoses: Definitions and Classification 2021-2023 (12th ed.). Thieme.

Nehlin, C., Grönbladh, L., Fredriksson, A., & Jansson, L. (2013). Alcohol and Drug Use, Smoking, and Gambling among Psychiatric Outpatients: A 1-Year Prevalence Study. Substance Abuse, 34(2), 162–168. doi:10.1080/08897077.2012.728991.

Nyssen, O. P., Taylor, S. J. C., Wong, G. (2016). Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic considerations. National Institute for Health Research.

Parpiyeva, O. R., & Ostanaqulov, A. D. (2019). Schizophrenia Disease. Ferghana State University.

Pasaribu, F., Hamid., & Mustikasari, N. (2013). Pengaruh usia produktif pada pasien skizofrenia dengan perilaku kekerasan di Rumah Sakit Marzoeki Mahdi Bogor. FIK UI.

Ruini, D., & Mortara, C. C. (2022). Writing Technique Across Psychotherapies—From Traditional Expressive Writing to New Positive Psychology Interventions: A Narrative Review. Jurnal of Contemporary Psycotherapyl; 52, 23-24. https://doi.org/10.1007/s10879-021-09520-9.

Stuart, G. W. (2013). Principles and Practice of Psychiatric Nursing. Elsevier Mosby.

Tizabi, Y., Bai, L., Copeland, R. L., & Taylor, R. E. Combined Effects of Systemic Alcohol and Nicotine on Dopamine Release in the Nucleus Accumbens Shell. Alcohol & Alcoholism, Vol. 42, No. 5, pp. 413–416. doi:10.1093/alcalc/agm057.

Upthegrove, R., Marwaha, S., & Birchwood, M. (2017). Depression and Schizophrenia: Cause, Consequence, or Trans-diagnostic Issue? Schizophrenia Bulletin, 43(2), 240-244.

Videbeck, S. L. (2020). Psychiatric-Mental Health Nursing (8th ed.). Wolters Kluwer.

World Health Organization. (2022). Mental Health. Retrieved September, 26 from https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response.

World Health Organization. (2016). Mental Disorders. Retrieved September, 26 from https://www.who.int/mediacentre/factsheets/fs396/en/




DOI: https://doi.org/10.37430/jen.v7i1.180

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