EXCELLENT PSYCHIATRIC NURSING CARE MANAGEMENT FOR  Mr. S WITH SOCIAL ISOLATION AT PROF. DR. MUHAMMAD ILDREM MENTAL HOSPITAL NORTH  SUMATRA IN 2025

Feronika Silalahi; Rosmani Sinaga; Furi Estie Honez; Novrianti Sidabutar; Hotma Ritonga; Seisa Lusia Lestari Manullang; Apnita Mayasari

Authors

Feronika Silalahi Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosmani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Furi Estie Honez Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Novrianti Sidabutar Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Hotma Ritonga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Seisa Lusia Lestari Manullang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Apnita Mayasari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Social Isolation, Schizophrenia, Psychiatric Nursing, Therapeutic Communication, Nursing Intervention

Abstract

Social isolation is a common problem in individuals with mental disorders, especially schizophrenia, which significantly affects social function and quality of life. This case study aims to explore the implementation of excellent nursing care in managing a patient with schizophrenia who exhibits symptoms of social withdrawal. The study was conducted at Prof. Dr. Muhammad Ildrem Mental Hospital in North Sumatra in March 2025. A qualitative descriptive method with a nursing care approach was used, consisting of five steps: assessment, nursing diagnosis, intervention, implementation, and evaluation. The subject was a 62 year old male with repeated relapses, diagnosed with paranoid schizophrenia and showing signs of social isolation such as withdrawal, low self-esteem, and lack of communication. Interventions were carried out using therapeutic communication and a structured strategy (SP1-SP4) focused on building trust, exploring the causes of social isolation, and practicing social interaction. The evaluation showed significant improvement, where the patient became more responsive, engaged in conversation, and developed the confidence to interact with peers. This study highlights the importance of structured nursing care in enhancing social functioning in psychiatric patients and supports the role of nurses as care providers and educators.

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