CASE STUDY ON CHRONIC LOW SELF-ESTEEM AMONG SCHIZOPHRENIA PATIENTS AT RSJD. ATMA HUSADA MAHAKAM SAMARINDA

Abstract

Introduction

Chronic low self-esteem is one of the most commonly found nursing diagnoses in schizophrenia patients and is a reflection of a negative self-concept that can worsen the course of the disease. This study aims to describe the nursing care of chronic low self-esteem in four schizophrenia patients at RSJD Atma Husada Mahakam, Samarinda.

Method

A descriptive case study method was used with a nursing process approach applied to four schizophrenia patients experiencing chronic low self-esteem. Data were collected through interviews, observation, and documentation studies conducted in April 2026 at RSJD Atma Husada Mahakam.

Result

All four patients showed signs and symptoms of chronic low self-esteem including feelings of shame, inability, lack of self-confidence, avoidance of eye contact, and pessimistic outlook. Nursing implementation using implementation strategies (SP) 1-3 was successfully carried out. Evaluations showed improvements in self-esteem across all four subjects.

Conclusion

Nursing care for schizophrenia patients with chronic low self-esteem at RSJD Atma Husada Mahakam, when delivered using therapeutic communication principles and a structured implementation strategy, can significantly improve patient self-esteem and adaptive behavior.