Arum Pratiwi, Enita Dewi


This research aim was to develop a model of reality orientation therapy on patients with schizophrenia who had auditory hallucinations. This design of the study was a sequential exploratory research which combines qualitative and quantitative approach. Respondents in this study were patients with schizophrenia who experience auditory hallucinations. Ten respondents who met the criteria were used as a population target in trials of therapeutic procedures. Five nurses who have experience treating patients in a mental hospital established as an expert on trial of instrument development.

Initially, the contents of the hallucinations were identified using "Beliefs about the Voices Questionnaire (BaVQ)" through interviews, and then were analysed using thematic analysis. The results of the analysis were the themes that used to develop a reality orientation therapy procedure. The procedure was applied for one month, three times every week for the respondents. Evaluation of treatment programs to the target population was evaluated using an anxiety scale and evaluation of instrument therapy using a content validity test which includes the step of designing, testing, validation, verification, and final validation.

The content validity test illustrated that application of reality orientation therapy had been developed from verification until final validation. The level of the patient's anxiety was statistically significant 1,078 (P 0.309). It can be concluded that there was no difference between the patient's anxiety before and after cognitive therapy reality orientation.


Key words: Cognitive therapy orientation reality, nursing intervention, auditory hallucination.

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