Analisis Kekambuhan Skizofrenia Berdasarkan Perawatan Berbasis Keluarga

Subhannur Rahman, Warih Andan Puspitosari, Rina Al-Kahfi

Abstract


Latar Belakang : Kekambuhan skizofrenia merupakan tantangan besar bagi penyedia layanan kesehatan mental. Tidak sedikit para penderita harus menjalani proses perawatan ulang. Kekambuhan penderita skizofrenia tentu membawa dampak besar bagi beberapa kalangan, seperti penderita sendiri, keluarga sebagai care giver, sektor pelayanan kesehatan mental dan ekonomi. Perawatan berbasis keluarga yang kurang maksimal merupakan salah satu penyebab kambuhnya anggota keluarga dengan skizofrenia.

Tujuan : Penelitian ini bertujuan untuk merivew evidance tentang faktor penyebab kekambuhan skizofrenia dilihat dari sudut pandang perawatan berbasis keluarga.

Metode : Penelitian ini menggunakan pendekatan studi literatur dengan menggunakan bebarapa sumber yang dipilih berdasarkan kriteria yang sudah di tetapkan peneliti.

Hasil: Dari 20 literatur yang ditemukan ada beberapa faktor penyebab kambuhnya penderita skizofrenia diantaranya Stigma dari lingkungan sosial, adanya perasaan stres dan emosi didalam memberikan perawatan, adanya beban dan masalah ekonomi keluarga, serta adanya ketidakpatuhan didalam menjalani pengobatan.

Kesimpulan: Faktor stres, emosi dan stigma masih manjadi penyebab tertinggi kambuhnya penderita skizofrenia, sehingga perlu adanya kontribusi dan kerjasama antara keluarga dan masyarakat dalam mendukung perawatan, pelayanan dan evaluasi hasil pengobatan selama berada dilingkungan sosial.

Keyword : kekambuhan, Skizofrenia, Perawatan Berbasis Keluarga.

 

Background: Schizophrenia recurrence is a major challenge for mental health service
providers. Not a few patients must undergo a process of re-treatment. The recurrence of
schizophrenia is certainly a big impact for some people, such as patients themselves, families as
caregiver, mental health and economic services sector. Family-less care is less than the
maximum is one cause of recurrence of family members with schizophrenia.

Objective: This study aims to derive evidence of factors causing schizophrenia recurrence seen from the point of view of family-based care.

Methods: This study uses a literature study approach by using several sources selected based
on the criteria that have been set, researchers.

Results: From 20 kinds of literature found there are several factors causing the recurrence of schizophrenia among others Stigma from the social environment, the feeling of stress and emotion in providing care, the burden, and the family economic problems, and the noncompliance in undergoing treatment.

Conclusions: Stress, emotion, and stigma factors are still the highest cause of the recurrence of
schizophrenia so that the need for contribution and cooperation between family and society in
support of care, service, and evaluation of treatment result during social environment.

Keyword: Relapse, Schizophrenia, Family Based Care.

 


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References


Ae-Ngibise, K. A., Doku, V. C. K., Asante, K. P., & Owusu-Agyei, S. (2015). The experience of caregivers of people living with serious mental disorders: A study from rural Ghana. Global Health Action, 8(February).https://doi.org/10.3402/gha.v8.26957.

Agus Budi Raharjo, D. H. (2014). Faktor-Faktor Yang Mempengaruhi Kekambuhan Pada Pasien Skizofrenia Di Rsjd Dr.Amino Gondohutomo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan. 1-7.

Al-Hadi Hasan, A., Callaghan, P., & Lymn, J. S. (2017). Qualitative process evaluation of a psycho-educational intervention targeted at people diagnosed with schizophrenia and their primary caregivers in Jordan. BMC Psychiatry, 17(1), https://doi.org/10.1186/s12888-017-1225-2.

Alsherif, Z.A.E.G., & Elrahman, S.G.E.S. (2013). Schizophrenic patients' perception of factors leading to relapse. Journal of American Science, 9(12), 512-517. ISSN: 1545-1003. http://www.jofamericanscience. org.68

Amelia, D. R., & Anwar, Z. (2013). Relaps Pada Pasien Skizofrenia. Fakultas Psikologi, Universitas Muhammadiyah Malang, 1(1), 53–65.

Annisa, F., Cendekia, K., & Academy, N. (2016). The burden of family caregiver, 2(1), 10–18.

Bansal, S., Arora, R., & Garg, P. D. (2017). Caregiver Burden Among People Caring for Patients With Schizophrenia. Journal of Evidence-Based Medicine and Healthcare, 4(32), 1905–1909. https://doi.org/10.18410/jebmh/2017/372

Byba Melda Suhita, C. U. (2017). The Adaptation Model Of Caregiver In Treating Family Members With Schizophrenia In Kediri East Java. Jurnal News. 12(1): 74-80.

Brooke-Sumner, C., Petersen, I., Asher, L., Mall, S., Egbe, C. O., & Lund, C. (2015). A systematic review of feasibility and acceptability of psychosocial interventions for schizophrenia in low and middle-income countries. BMC Psychiatry, 15(1), 19. https://doi.org/10.1186/s12888-015-0400-6.

Boyer, L., Millier, A., Perthame, E., Aballea, S., Auquier, P., & Toumi, M. (2013). Quality of life is predictive of relapse in schizophrenia. BMC Psychiatry, 13(1), 15. https://doi.org/10.1186/1471-244X-13-15

Cup, C., Phy, L., Eyh, C., & Rth, H. (2015). Coping with Illness Experiences in Patients with Schizophrenia : The Role of Peacefulness. Journal of Schizophrenia Research. 2 (1) : 2-7

Carrà , G., Cazzullo, C. L., & Clerici, M. (2012). The association between expressed emotion, illness severity and subjective burden of care in relatives of patients with schizophrenia. Findings from an Italian population. BMC Psychiatry, 12(1), 140. https://doi.org/10.1186/1471-244X-12-140

Egbe, C. O., Brooke-Sumner, C., Kathree, T., Selohilwe, O., Thornicroft, G., & Petersen, I. (2014). Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders. BMC Psychiatry, 14(1), 191. https://doi.org/10.1186/1471-244X-14-191

Emsley, R., Chiliza, B., Asmal, L., & Harvey, B. H. (2013). The nature of relapse in schizophrenia. BMC Psychiatry, 13(1), 50. https://doi.org/10.1186/1471-244X-13-50

Farkhah L, Hernawati T. (2017) Faktor Caregiver dan Kekambuhan Klien Skizofrenia Caregivers Factors and Relapse in Schizophrenia Moment dengan Nilai koefisien Lorelai. JKP. 5(1): 37–46

Felicia, G. (2012). Self-assessment of functional ability in schizophrenia: Milestone achievement and its relationship to the accuracy of self-evaluation. Psychiatry Research. https://doi.org/10.1016/j.psychres.2013.02.035.

Fadli, S. M., & Mitra. (2013). Pengetahuan dan Ekspresi Emosi Keluarga serta Frekuensi Kekambuhan Penderita Skizofrenia. Jurnal Kesehatan Masyarakat, 7(5), 466–470. https://doi.org/10.21109/kesmas.v7i10.6.

Febria Syafyu Sari. (2017). Family Support With Recurrence In Schizophrenic Patients. Jurnal Pembangunan Nagari, 1-18.

Gupta, S., Isherwood, G., Jones, K., & Van Impe, K. (2015). Assessing health status in informal schizophrenia caregivers compared with health status in non-caregivers and caregivers of other conditions. BMC Psychiatry, 15, 162. https://doi.org/10.1186/s12888-015-0547-1.

Grad, J. P. D., & Sainsbury, P. M. D. (1963). Mental Illness and The Family. Lancet, 1(7280), 544-547. doi:10.1016/S0140-6736(63)91339-4.

Jagannathan A, Thirthalli J, Hamza A, Nagendra HR, Gangadhar BN. Predictors of family caregiver burden in schizophrenia: Study from an in-patient tertiary care hospital in India. Asian journal of psychiatry. 2014; 8(1):94–8. https://doi.org/10.1016/j.ajp.2013.12.018.

Kartika, A., Amalia, B. and Isma, F. M. (2014). Prediksi Angka Kekambuhan pada Pasien Skizofrenia Episode Pertama dengan Kepatuhan Berobat Rendah dalam Waktu Tiga Tahun. Jurnal Kesehatan Indonesia. 2 (1) : 293- 298.

Kementerian Kesehatan RI. (2013). Laporan Nasional Riset Kesehatan Dasar Tahun 2013 Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Lloyd, J., Lloyd, H., Fitzpatrick, R., & Peters, M. (2017). Treatment outcomes in schizophrenia: a qualitative study of the views of family carers. BMC Psychiatry, 17(1), 266. https://doi.org/10.1186/s12888-017-1418-8

McGrath JJ, Saha S, Welham J, El-Saadi O, MacCauley C, Chant DC. (2004). A systematic review of the incidence of schizophrenia: The distribution of rate items and the influence of methodology, urbanicity, sex and migrant status, and methodology. 67(1):65–6

Mansouri N, et.al. (2013). Risk factors associated with psychiatric hospitalization among Iranian schizophrenic patients. Iran J Psychiatr Behavior Sci, 16–23.

Nunik Purwanti, A. Y. (2017). Pengaruh Discharge Planning Berbasis Video Dengan Pendekatan Family Centered Nursing Terhadap Kemampuan Keluarga Merawat Klien Skizofrenia. Jurnal Ilmiah Kesehatan. 10(2): 204-213

Nasriati, R., (2017). Stigma Dan Dukungan Keluarga Dalam Merawat Orang Dengan Gangguan Jiwa (ODGJ). MEDISAINS. Jurnal Ilmiah Ilmu-ilmu Kesehatan. 15 (1) : 56-65

Nurwidawati, L. H. (2013). Hubungan Pola Asuh Dan Ekspresi Emosi Keluarga Dengan Kekambuhan Pasien Skizofrenia Di Rumah Sakit Jiwa Menur Surabaya. Jurnal Psikologi Teori & Terapan. 4 (1) : 24 - 30.

Ribe, J. M., Salamero, M., Pérez-Testor, C., Mercadal, J., Aguilera, C., & Cleris, M. (2017). Quality of life in family caregivers of schizophrenia patients in Spain: caregiver characteristics, caregiving burden, family functioning, and social and professional support. International Journal of Psychiatry in Clinical Practice, 0(0), 1–9.https://doi.org/10.1080/13651501.2017.1360500.

Rofail, D., Regnault, A., Scouiller, S., Lambert, J., & Zarit, S. H. (2016). Assessing the impact on caregivers of patients with schizophrenia : psychometric validation of the Schizophrenia Caregiver Questionnaire (SCQ). BMC Psychiatry.

Sariah, A. E., Outwater, A. H., & Malima, K. I. (2014). Risk and protective factors for relapse among Individuals with Schizophrenia: A Qualitative Study in Dar es Salaam, Tanzania. BMC Psychiatry, 14(1), 240. https://doi.org/10.1186/s12888-014-0240-9

Sri Padma Sari, D. Y. (2014). Keperawatan Spiritualitas Pada Pasien Skizofrenia. Jurnal Ners. 9 (1): 126–132.

S, A. Yusuf. ( 2013). The Effect of Family Therapy with Spiritual Approach Toward Family’S Health Belief Model in Taking Care of Patient with Schizophrenia. Jurnal Ners. 8 (1) :165–173.

Sachit, K.R., & Al-Jubbori, A.K. (2013). Impact of caregivers’ expressed emotion upon schizophrenic patient relapsing. Kufa Journal for Nursing Science, 3(1).

Slade, M., & Longden, E. (2015). Empirical evidence about recovery and mental healthBMC Psychiatry, 15(1), 285. https://doi.org/10.1186/s12888-015-0678-4

Tin, R., Ho, H., Kar, C., Chan, P., Hau, P., Lo, Y., Chen, H. (2016). Understandings of spirituality and its role in illness recovery in persons with schizophrenia and mental-health professionals : a qualitative study. BMC Psychiatry, 1–11. https://doi.org/10.1186/s12888-016-0796-7

Varghese, M., Pereira, J., Naik, S., Balaji, M., & Patel, V. (2017). Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India. Social Science and Medicine, 178, 66–77. https://doi.org/10.1016/j.socscimed.2017.01.061.

WHO. (2014). Schizophrenia. Diakses pada Tanggal 04 December 2017 Retrieved from HTTP://www.who.int/mediacentre/factsheets/ fs397/en/.

Wuryaningsih, Emi W. Achir Yani S.H., dan Novy H.C.D. (2013). Studi Fenomenologi: Pengalaman Keluarga Mencegah Kekambuhan Perilaku Kekerasan Pasien Pasca Hospitalisasi

Yudi Pratama, Syahrial, Saifuddin Ishak. (2015). Hubungan Keluarga Pasien Terhadap Kekambuhan Skizofrenia Di Badan Layanan Umum Daerah (Blud) Rumah Sakit Jiwa Aceh. Jurnal Kedokteran Syiah Kuala. 15 (2) : 77-86

Yan, F. Justina Evy Tyaswati and Cholis Abrori. (2015). Faktor-faktor yang Mempengaruhi Kekambuhan pada Pasien Skizofrenia di RSD dr. Soebandi Jember. Jurnal Keperawatan. 3 (3) : 400–407.

https://doi.org/10.1186/1471-244X-12-140.

Yin, Y, Zhang, W, Hu..Z. (2014). Experiences of Stigma and Discrimination among Caregivers of Persons with Schizophrenia in China: A Field Survey. Plos One. 9 (9) : 1- 11.


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