MENTAL HEALTH NURSING CARE MANAGEMENT BASED ON SERVICE EXCELLENCE FOR MR. D WITH VIOLENT BEHAVIOR AT PROF. DR. MUHAMMAD ILDREM PSYCHIATRIC HOSPITAL, NORTH SUMATRA PROVINCE, MEDAN CITY, 2025
Keywords:
Mental Disorders, Violent Behavior, Mental Health Nursing Care, Service Excellence, SchizophreniaAbstract
Mental disorders, particularly violent behavior, remain a serious challenge in mental health services in Indonesia. Violent behavior exhibited by individuals with mental disorders not only endangers themselves but also threatens the safety of others and the environment. This study aims to explore mental health nursing care management based on service excellence in patients with violent behavior, focusing on a case study of Mr. D at Prof. Dr. Muhammad Ildrem Psychiatric Hospital in Medan. The research method used is a descriptive qualitative case study approach through interviews, observations, and documentation. The results showed that Mr. D was diagnosed with paranoid schizophrenia and had a history of violent behavior marked by emotional instability, aggression, and low self-esteem. Nursing interventions focused on building trust, relaxation techniques training, assertive communication, spiritual approaches, and medication adherence. Evaluation results indicated a decrease in the frequency of violent behavior and improvement in the patient’s self-control. This study emphasizes the importance of a holistic approach and quality nursing services in managing mental disorder patients with violent behavior
References
Anipah, A. (2024). Mental Health Nursing Care for Clients at Risk of Violent Behavior. Mitra Cendekia Press.
Rahmakusuma, S., & Raharjo, Y. (2024). Implementation of the Healthy Indonesia Program with a Family Approach in Disadvantaged Areas. Indonesian Health Policy Journal, 13(1), 33–41.
Sembiring Isyos Sari et al. (2025). Effectiveness of Health Belief Model–Based Psychoeducation in Enhancing Adolescent Mental Health Accessibility. Journal of Applied Nursing and Health, 7(3). https://doi.org/https://doi.org/10.55018/janh.v7i3.429
Indonesian Ministry of Health. (2023). Health Profile of North Sumatra Province 2023. Jakarta: Center for Health Data and Information.
Ministry of National Development Planning (Bappenas). (2021). Ministerial Decree No. Kep.136/M.PPN/HK/12/2021 on Sustainable Development Goals 2021–2024. Jakarta: Bappenas.
Makhruzah, M., Sudarmi, S., & Herlina, H. (2021). The Relationship between Self-Esteem and Risk of Violent Behavior in Clients with Schizophrenia at a Regional Psychiatric Hospital. Journal of Mental Health Nursing Science, 3(2), 55–61.
President of the Republic of Indonesia. (2023). Presidential Regulation No. 72 of 2021 on Accelerating Improvements in Community Nutrition and Mental Health. Jakarta: State Secretariat.
Prof. Dr. Muhammad Ildrem Mental Hospital. (2024). Internal Report on Inpatients in Sinabung 3 Ward, 2024. Medan: Medical Records Unit.
Rahmakusuma, S., & Raharjo, Y. (2024). Implementation of the Healthy Indonesia Program with a Family Approach in Disadvantaged Areas. Indonesian Health Policy Journal, 13(1), 33–41.
Tukatman, H., Sari, D. P., & Utami, W. (2023). Emotion Management in Reducing the Risk of Aggressive Behavior in Psychiatric Patients. Journal of Psychology and Nursing, 11(1), 17– 25.
World Health Organization. (2022). World Mental Health Report: Transforming Mental Health for All. Geneva: WHO Press.
Yusuf, A. M., Fitryasari, R., & Nihayati, H. E. (2015). Psychiatric Nursing (Revised Edition). Jakarta: Salemba Medika.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Uli Aplinda, Imran Saputra Surbakti Sinaga, Fatiyah, Tri Suhesti, Suci Rani Amalia, Justiman Horiana Sirongo-ringo, Aylinda Harahap

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

