Application of Scheduled Drawing Therapy to Reduce Signs and Symptoms of Auditory Hallucinations

Authors

  • Silvia Firsa Permata Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
  • Wita Oktaviana Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
  • Joko Purnomo RSJD dr. Arif Zainuddin Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.36590/kepo.v7i1.2056

Keywords:

auditory hallucinations, drawing therapy, mental disorders

Abstract

Auditory hallucinations are a common problem in individuals with severe mental disorders that affect cognitive, emotional, and behavioral functioning and reduce quality of life. This study aimed to determine the effect of scheduled drawing therapy on reducing the signs and symptoms of auditory hallucinations. The method used was a case study with a nursing care approach involving three patients. The intervention was conducted for five consecutive days using structured drawing activities. The results showed a decrease in signs and symptoms in all patients, indicated by reduced self-talking behavior, fear, and improved focus and self-control. It is concluded that scheduled drawing therapy is effective in reducing auditory hallucination symptoms and is recommended as a supportive intervention in mental health nursing practice.

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Author Biographies

Silvia Firsa Permata, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Wita Oktaviana, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

https://scholar.google.com

Joko Purnomo, RSJD dr. Arif Zainuddin Surakarta, Surakarta, Indonesia

RSJD dr. Arif Zainuddin Surakarta, Surakarta, Indonesia

References

Agusta, D., Yunitasari, P., Istiqomah, Sulistyowati, T., Putri, N.A., 2024. Penerapan Terapi Okupasi Menggambar pada Pasien Halusinasi Pendengaran. Indonesian Journal of Nursing and Health Sciences 5(1), 13–20. https://jurnal.globalhealthsciencegroup.com/index.php/IJNHS/article/view/3182

Anipah., A., Azhari, D.F., Anggarwati, T., Febrianti, D., Kusumawati, H., Sukamti, N., Sratmiti, N.N., Tatisina, C.M., Widodo, Y.P., Wibowo, N.Y., Tubalawony, F., Yudhawati, N.L.P.S., 2024. Buku Ajar Asuhan Keperawatan Jiwa. PT. Sonpedia Publishing, Jambi.

Anitasari, B., Fitriani, F., 2021. Hubungan Pemenuhan Kebutuhan Spiritual dengan Kualitas Hidup Lansia: Literature Review. Jurnal Fenomena Kesehatan 4(2), 506–512. https://garuda.kemdiktisaintek.go.id/documents/detail/2562457

Berowi, A., Rahman, G., Badar, B., 2023. Hubungan Tingkat Pengetahuan dan Dukungan Keluarga dengan Tingkat Kekambuhan pada Pasien Gangguan Persepsi Sensori Halusinasi. Jurnal Sains, Teknologi dan Kesehatan 2(3), 324–335. Https://Doi.Org/10.55681/Saintekes.V2i3.123

Braito, I., Rudd, T., Buyuktaskin, D., Ahmed, M., Glancy, C., Mulligan, A., 2022. Review: Systematic Review of Effectiveness of Art Psychotherapy in Children with Mental Health Disorders. Irish Journal of Medical Science 191(3), 1369–1383. Https://Doi.Org/10.1007/S11845-021-02688-Y

Charlson, F.J., Ferrari, A.J., Santomauro, D.F., Diminic, S., Stockings, E., Scott, J.G., Mcgrath, J.J., Whiteford, H.A., 2018. Global Epidemiology and Burden of Schizophrenia: Findings from The Global Burden of Disease Study 2016. Schizophrenia Bulletin 44(6), 1195–1203. Https://Doi.Org/10.1093/Schbul/Sby058

Cintai, R.A., Riyana, A., Cahyati, P., Somantri, I., 2025. Application of Drawing Therapy to Reduce Signs and Symptoms of Hallucinations in Nursing Care for Auditory Hallucination. Journal of Science and Technology Nursing 3(1), 1–11. Https://Doi.Org/10.52221/Asyjstn.V3i1.724

Damayanti, A.R., Yunitasari, P., Sulistyowati, E.T., Putri, N.A., 2024. Penerapan Terapi Okupasi Aktivitas Waktu Luang terhadap Perubahan Halusinasi pada Pasien Halusinasi Pendengaran. Jurnal Penelitian Perawat Profesional 6(1), 393-398. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/2157

Du, S.C., Li, C.Y., Lo, Y.Y., Hu, Y.H., Hsu, C.W., Cheng, C.Y., Chen, T.T., Hung, P.H., Lin, P.Y., Chen, C.R., 2024. Effects of Visual Art Therapy on Positive Symptoms, Negative Symptoms, and Emotions in Individuals with Schizophrenia: A Systematic Review and Meta-Analysis. Healthcare 12(11), 1-16. Https://Doi.Org/10.3390/Healthcare12111156

Elvariani, A., Manurung, A., Anggraini, N., 2025. Penerapan Art Therapy: Menggambar pada Pasien Halusinasi Pendengaran. Jurnal Riset Ilmu Kesehatan Umum dan Farmasi 3(1), 97–106. Https://Doi.Org/10.57213/Jrikuf.V3i1.503

Hendrawati, H., Amira, I., Rosidin, U., 2025. Efektivitas Art Therapy untuk Mengurangi Halusinasi pada Pasien Skizofrenia. Malahayati Nursing Journal 7(8), 3540–3556. https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/20580

Hidayat, M., Nafiah, H., 2023. Penerapan Art Therapy: Menggambar pada Pasien Halusinasi the Implementation of Art Therapy: Drawing on Patiens with Auditory Hallucinations in The Sena Room of RSJD dr. Arif Zainudin Surakarta. Prosiding Seminar Nasional Unimus. https://prosiding.unimus.ac.id/index.php/semnas/article/view/1536

Hidajaturrokhmah, N.Y., Nurmansyah, Y., Yudhana, A., 2022. The Effect of Drawing Art Therapy on The Anxiety Level of Students at Nurul Falah Vocational High School in Online Learning Assignments During the Covid-19 Pandemic in Geger Village, Mangaran District, Situbondo. Journal of Global Research in Public Health 7(2), 83–93. Https://Doi.Org/10.30994/Jgrph.V7i2.393

Jongsma, H.E., Turner, C., Kirkbride, J.B., Jones, P.B., 2019. International Incidence of Psychotic Disorders, 2002–17: A Systematic Review and Meta-Analysis. The Lancet Public Health 4(5), E229–E244. Https://Doi.Org/10.1016/S2468-2667(19)30056-8

[Kemenkes] Kementerian Kesehatan., 2024. Kategori Usia. Kementerian Kesehatan RI, Jakarta.

Kuwa, M.K.R., Reong, A.R., Wega, M.O., Aga, S.A., Paji, M.E.T., Yuliani, M.F., Kurniati, M.H., Meti. Maria Endang Estriat., 2025. Terapi Aktivitas Kelompok: Melatih Bersosialisasi dengan Saling Berkenalan di RSJ Dr. Radjiman Wediodiningrat Lawang. Applied Nursing Community Empowerment Journal 1(1), 1-5. https://e-journal.aipviki.org/index.php/ancej/article/view/36/2

Latifah, R.A., Yolanda, Y., Titin, I., 2025. The Application of Art Therapy in Patients with Hallucinations: A Literature Review. Indonesian Journal of Global Health Research 7(5), 985-992. https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/7042

Marbella, Z., Margatot, D.I., Pujiyanti, T.A., 2025. Penerapan Terapi Menggambar untuk Menurunkan Gejala Halusinasi pada Pasien di RSJD dr. Arif Zainudin Surakarta. Indonesian Journal of Public Health 3(3), 604-611.

Martina, M., Syakira, A., Farah, D., 2025. Penerapan Art Therapy: Menggambar pada Pasien Halusinasi Pendengaran: Suatu Studi Kasus. Jurnal Keperawatan Medika 3(2), 1-12. https://garuda.kemdiktisaintek.go.id/documents/detail/5192837

Nursiamti, P., Gati, N.W., 2024. Penerapan Terapi Aktivitas Menggambar terhadap Perubahan pada Pasien Halusinasi terhadap Tingkat Halusinasi di Rumah Sakit Jiwa Daerah (RSJD) Dr. Arif Zainuddin Surakarta. Jurnal Ilmu Kesehatan dan Kedokteran 2(4), 1–26. https://jurnal.stikeskesdam4dip.ac.id/index.php/Anestesi/article/view/1298/1021

Pradana, V.W., Dewi, N.R., Fitri, N.L., 2023. Penerapan Terapi Okupasi Menggambar terhadap Tanda dan Gejala Pasien Halusinasi Pendengaran di Ruang Kutilang RSJD Provinsi Lampung. Jurnal Cendikia Muda 3(1), 149–154. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/451

Pratiwi, A., 2023. Konsep Keperawatan Jiwa. [Skripsi]. Universitas Muhammadiyah Surakarta, Jawa Tengah.

Putri, N.E., Oktaviana, W., Wibowo, S., 2024. Aktivitas Kelompok: Menggambar terhadap Halusinasi Dengar pada Pasien Skizofrenia. Jurnal Keperawatan Profesional 5(2), 381–391. Https://Doi.Org/10.36590/Kepo.V5i2.1159

Rahman, R., Mato, R., Angriani, S., Jaya, N., Nur, M., Erawan, T., Afriani, A., Agussalim, A., 2024. Application of Art Drawing Therapy to Changes in Signs and Symptoms of Auditory Hallucinations in Mental Patients. Pakistan Journal of Life and Social Sciences 22(1), 5795–5800. Https://Doi.Org/10.57239/Pjlss-2024-22.1.00427

Santie, F.N.R., Nugroho, H.A., Soesanto, E., Aisah, S., Hidayati, E., 2021. Perawatan Halusinasi, Dukungan Keluarga dan Kemampuan Pasien Mengontrol Halusinasi: Literature Review. Cendekia Utama 10(3), 272-284. https://www.jurnal.stikescendekiautamakudus.ac.id/index.php/stikes/article/view/842

[SKI]. (2023). Hasil Survei Kesehatan Indonesia Tahun 2023. Kementerian Kesehatan RI, Jakarta.

Sujiah, S., Warni, H., Fikrinas, A., 2023. The Effectiveness of Application of Drawing Activity Occupational Therapy Against Auditory Hallucination Symptoms. Media Keperawatan Indonesia 6(2), 83-91. Https://Doi.Org/10.26714/Mki.6.2.2023.83-91

Syafwan, R.A., 2025. Skizofrenia. Jurnal Ilmiah Kedokteran Dan Kesehatan 4(2), 419–431. https://journalcenter.org/index.php/klinik/article/view/4095

Trishna, A.R., Muhdi, N., 2020. Clinical Manifestation Differences of Schizophrenia Patients Based on Gender. Jurnal Psikiatri Surabaya 9(1), 14-8. https://e-journal.unair.ac.id/JPS/article/view/16356

Valendra, K., Yunitasari, P., Purwaningsih, I., 2024. Implementation of Occupational Drawing Therapy in Auditory Hallucination Patients. Proceedings of the International Conference on Nursing and Health Sciences 5(2), 643-650. https://jurnal.globalhealthsciencegroup.com/index.php/PICNHS/article/view/4620

Waters, F., Fernyhough, C., 2021. Hallucinations: A Systematic Review of Points of Similarity and Difference Across Diagnostic Classes. Schizophrenia Bulletin 43(1), 32–43. Https://Doi.Org/10.1093/Schbul/Sbw132

[WHO] World Health Organization., 2025. Schizophrenia Fact Sheet. World Health Organization, Geneva.

Widyaningtyas, R., Kandar, K., 2025. Occupational Therapy Depiction in Patients with Hallucinations: Literature Review. Journal of Health and Cardiovascular Nursing 5(1), 70–90. Https://Doi.Org/10.36082/Jhcn.V5i1.2202

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Published

2026-05-31

How to Cite

Permata, S. F., Oktaviana, W., & Purnomo, J. (2026). Application of Scheduled Drawing Therapy to Reduce Signs and Symptoms of Auditory Hallucinations. Jurnal Keperawatan Profesional (KEPO), 7(1), 148–159. https://doi.org/10.36590/kepo.v7i1.2056