EXCELLENT NURSING CARE MANAGEMENT SERVICES FOR MRS.F WITH SUICIDE RISK AT PROF. Dr. MUHAMMAD ILDREM MENTAL HOSPITAL, MEDAN, NORTH SUMATRA PROVINCE, IN 2025
Keywords:
Suicide Risk, Hebephrenic Schizophrenia, Psychiatric Nursing Care, Service ExcellenceAbstract
Suicide risk is a critical complication among patients with psychiatric disorders, particularly those diagnosed with hebephrenic schizophrenia. This study aims to delineate the implementation of psychiatric nursing care integrated with service excellence principles for Mrs. F, a patient at high risk for suicide at Prof. Dr. Muhammad Ildrem Mental Hospital, Medan. Case study design was employed, with data triangulated through clinical observation, in-depth interviews, and medical record documentation. The initial assessment revealed profound hopelessness, perceived worthlessness, social withdrawal, and a documented history of suicidal behavior. The established nursing diagnoses were Suicide Risk, Risk for Self-Directed Violence, and Chronic Low Self-Esteem. Interventions focused on service excellence through structured relaxation training, cognitive restructuring to bolster self-worth, and the fortification of adaptive coping mechanisms. Following a three-day intensive implementation, evaluation results demonstrated a significant reduction in suicidal ideation and an enhanced capacity for emotional regulation. A psychiatric nursing care model rooted in service excellence effectively mitigates suicide risk and optimizes the quality of life for patients with complex mental disorders
References
Apriliani, Yosi, and Esti Widiani. 2020. “Penerapan Komunikasi Terapeutik Pada Pasien Skizofrenia Dalam Mengontrol Halusinasi Di RS Jiwa Menur Surabaya.” 16(2): 61–74.
Dewi, Jasmine Palupi, Gresia Fani, Ashifa Wulan Pradani, Qoshdan Amala, Sarwani Sri Rejeki, Siwi Pramatama, and Mars Wijayanti. 2025. “SYSTEMATIC REVIEW : FAKTOR-FAKTOR RISIKO YANG MEMENGARUHI KUALITAS HIDUP PENDERITA SKIZOFRENIA.” 6: 8835–46.
Diri, Perawatan, Yang Mengalami, and Relapse Case. 2024. “Asuhan Keperawatan Pada Klien Dewasa Skizoafektif Disorder Depressive Type Dengan Isolasi Sosial Dan Defisit Perawatan Diri Yang Mengalami Relapse: Case Report.” 12(1): 105–16.
Imagery, Guided. 2021. “Intervensi Keperawatan Untuk Pencegahan Klien Risiko Bunuh Diri: Telaahan Literature.” 9(3): 569–78.
Jiwa, Gangguan, Prof M Ildrem, Disorder Patients, and M Ildrem Medan. 2024. “Hospital.” 10(2): 333–43.
Klinis, Gejala, and D A N Pendekatan Rehabilitasi. 2023. “Central Publisher.” 1: 1292–98.
Manurung, Herna Rinayanti. 2020. “The Relationship Between Excellent Midwifery Services With the Level of Kb Acceptors Satisfaction in Public Health Center Hamparan Perak Deli Serdang District Year 2019.”
Nomor, Volume. 2025. “Jurnal Penelitian Perawat Profesional.” 7: 729–36.
Savitri, Dian, and Esti Nur Janah. 2023. “Asuhan Keperawatan Jiwa Pada Ny . M Dengan Masalah Utama Gangguan Persepsi Sensori : Halusinasi Penglihatan Akibat Skizofrenia Typemanik Di Ruang Dewaruci RSJD Dr . Amino Gondohutomo Provinsi Jawa Tengah.” 1(4).
Sha, Priscyllia. 2024. “Pengaruh Social Support Dan Hopelessness Terhadap Suicidal Ideation Pada Dewasa Awal The Influence of Social Support and Hopelessness on Suicidal Ideation in Early Adulthood Abstrak.” 11(02): 1180–97.
Sinaga, Siti Nurmawan. 2022. “Quality Management of Maternal and Child Health Services in Antenatal Care Services in The Time of The Covid-19 Pandemic.” Jurnal Aisyah : Jurnal Ilmu Kesehatan 7(1): 399–406. doi:10.30604/jika.v7i1.1503.
Wahyu, Itsnaini, Puspita Dewi, Erna Erawati, Program Studi, Sarjana Terapan, Keperawatan Magelang, Poltekkes Kemenkes Semarang, and Jln Perintis Kemerdekaan. 2020. “ASUHAN KEPERAWATAN JIWA PADA KLIEN SKIZOFRENIA NURSING CARE FOR SCHIZOPHRENIA CLIENTS WITH RISK OF SELF-RISK.” 8(2): 211–16.
.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Putri Zuraini, Isyos Sari Sembiring , Indra Agussamad , Darwis, Laura Gultom , Begtaria Oktavia Simamora , Desi Ratnasari
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
