NURSING CARE OF AUDITORY HALLUCINATION PATIENTS WITH THE APPLICATION OF BEETHOVEN'S CLASSICAL MUSIC THERAPY IN A HANDSOME MENTAL HOSPITAL IN PEKANBARU

Abstract

Mental disorders are complex conditions that affect various aspects of human life, including emotions, moods, thought processes, and behavior. One of the most common psychiatric disorders found in mental health facilities is schizophrenia, which is often characterized by auditory hallucinations. These hallucinations, usually in the form of sounds or whispers, can cause fear, anxiety, and confusion, leading to impaired social functioning and quality of life. Treatment of hallucinations generally involves pharmacological therapy; However, many patients continue to experience symptoms despite treatment. Therefore, non-pharmacological interventions such as classical music therapy, particularly Beethoven compositions, are increasingly considered supportive treatments. This study aims to determine the effectiveness of Beethoven's classical music therapy in reducing auditory hallucinations in patients with mental disorders at Tampan Hospital, Riau Province. The implementation of Evidence-Based Nursing Practice (EBN) uses an experimental approach with pre-test and post-test evaluation carried out for five days. Two patients diagnosed with schizophrenia and auditory hallucinations were selected as subjects. Classical music therapy is given once a day for 10-15 minutes using headphones in a quiet environment. The results showed a significant decrease in the intensity of hallucinations after therapy. Both patients showed improved sensory perception, reduced frequency of hearing sounds, and improved concentration and environmental orientation. Based on the assessment of the Indonesian Nursing Outcome Standard (SLKI), improvements were observed in all indicators such as concentration, orientation, and verbal response. These findings suggest that Beethoven's classical music therapy provides a calming and relaxing effect that helps patients distract from hallucinating sounds, reduce anxiety, and improve overall emotional well-being. In conclusion, Beethoven's classical music therapy has proven to be an effective non-pharmacological intervention to reduce auditory hallucinations and improve the cognitive and emotional stability of patients with mental disorders. These therapies can be integrated as complementary evidence-based nursing interventions in psychiatric care settings.