PENGARUH TERAPI AKTIFITAS KELOMPOK TERHADAP KEMAMPUAN BERORIENTASI PADA PASIEN SKIZOFRENIA DI LAMONGAN

Abstract

Background: Schizophrenia is a severe mental disorder often accompanied by impaired reality orientation, hindering patients' independence and quality of life. Pharmacological therapy alone is not optimal in addressing this cognitive deficit, necessitating non pharmacological interventions such as Reality Orientation Group Activity Therapy (TAK). Objective: To analyze the effect of Reality Orientation Group Activity Therapy (TAK) on orientation skills in schizophrenia patients in Lamongan. Methods: This study used a one-group pretest-posttest design with 36 respondents selected through purposive sampling. The Reality Orientation Group Activity Therapy (TAK) intervention was implemented in three structured sessions. Data was collected using observation sheets and analyzed using the McNemar test. Results: Before the intervention, 100% of patients (36) experienced orientation disorders in all aspects (person, place, and time). After the intervention, there was a significant improvement, with 25 patients (69.4%) able to recognize people and time, and 24 patients (66.7%) able to recognize places. The McNemar test results showed a p-value of 0.000 for all sessions, indicating a statistically significant effect. Conclusion: Reality Orientation (TAK) effectively improves the orientation skills of patients with schizophrenia and can be implemented as a complementary therapy in mental health care.