Efektivitas Home Visit dalam Mengurangi Kecemasan Keluarga terhadap Perilaku Kekerasan Pasien dengan Schizoprenia Tak Terinci: Case Report
(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(3) Rumah Sakit Jiwa Daerah dr. Arif Zainuddin Surakarta
(*) Corresponding Author
Abstract
Meningkatnya perawatan kejiwaan di masyarakat telah menyebabkan peningkatan peran pengasuh utama orang dengan penyakit mental. Masalah mental yang sering kita temui adalah skizofrenia yang memiliki beberapa gejala berupa timbulnya gangguan pada emosi, persepsi, gerak, dan perilaku. Pada pasien ini seringkali didapati masalah keperawatan perilaku kekerasan dimana dalam merawat pasien dengan skizofrenia yang mengalami masalah ini membutuhkan kesabaran dalam jangka panjang karena penyakit ini bersifat kronis dan rentan mengalami kekambuhan. Untuk mengetahui efektivitas home visit dalam mengurangi kecemasan pada keluarga yang merawat pasien dengan perilaku kekerasan. Program home visit bertujuan untuk mengurangi perawatan dan memperluas perawatan berbasis komunitas. Case report dengan 1 orang pasien yang menderita schizophrenia tak terinci dan memiliki perilaku kekerasan. Instrument yang digunakan yaitu Self-Reporting Questionnaire-29. Keluarga pasien dilakukan intervensi home visit yang dilakukan oleh perawat dengan durasi 3 kali dalam seminggu. didapatkan penurunan terhadap keluhan yang dirasakan setelah dilakukan home visit oleh tenaga kesehatan Intervensi berupa kunjungan rumah dengan durasi yang sesuai dan program yang disusun dengan baik terhadap keluarga yang merawat pasien dengan skizofrenia dapat membantu meningkatkan kualitas hidup dan menurunkan kecemasan yang dialami keluarga.
Keywords
Full Text:
PDFReferences
Agustin, Nur Laili, Sriatmi, A., & Budiyanti, R. T. (2020). Analisis Kunjungan Rumah Dalam Penanganan Kasus Orang Dengan Gangguan Jiwa Pasca Pendataan Program Indonesia Sehat Dengan Pendekatan Keluarga (Studi Kasus Di Puskesmas Padangsari Kota Semarang). Jurnal Kesehatan Masyarakat (e-Journal), 8(1), 87–96.
Budiarto, E., Rahayu, R., & Fitriani, N. (2022). Predisposing and Precipitating Factors of Schizophrenic Clients with the Risk of Violent Behavior and Hallucination. Jurnal Berita Ilmu Keperawatan, 15(2), 158–163.
Chang, Y. C., & Chou, F. H. C. (2015). Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients. Community Mental Health Journal, 51(5), 598–605. https://doi.org/10.1007/s10597-014-9807-7
Chen, L., Zhao, Y., Tang, J., Jin, G., Liu, Y., Zhao, X., Chen, C., & Lu, X. (2019). The burden, support and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: A qualitative study 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Psychiatry, 19(1), 1–10.
Chen, S. (2022). Anxiety and depression levels and their influencing factors in community-dwelling patients with schizophrenia in China during the COVID-19 pandemic.
Cleary, M., West, S., Hunt, G. E., McLean, L., & Kornhaber, R. (2020). A Qualitative Systematic Review of Caregivers’ Experiences of Caring for Family Diagnosed with Schizophrenia. Issues in Mental Health Nursing, 41(8), 667–683. https://doi.org/10.1080/01612840.2019.1710012
Eltaybani, S., Kawase, K., Kato, R., Inagaki, A., Li, C. C., Shinohara, M., Igarashi, A., Sakka, M., Sumikawa, Y., Fukui, C., & Yamamoto-Mitani, N. (2023). Effectiveness of home visit nursing on improving mortality, hospitalization, institutionalization, satisfaction, and quality of life among older people: Umbrella review. Geriatric Nursing, 51, 330–345. https://doi.org/10.1016/j.gerinurse.2023.03.018
Fadllah, E., Susanti, H., & Wardani, I. Y. (2021). Provision of Psychoeducation on Decreasing Family Anxiety Triggered among Patients with Schizophrenia Relapse : A Case Report. International Journal of Nursing and Health Services ( IJNHS ), 4(2), 208–214.
Fujimoto, H., Greiner, C., Hirota, M., Yamaguchi, Y., Ryuno, H., & Hashimoto, T. (2019). Experiences of violence and preventive measures among nurses in psychiatric and non–psychiatric home visit nursing services in Japan. Journal of Psychosocial Nursing and Mental Health Services, 57(4), 40–48. https://doi.org/10.3928/02793695-20181023-04
Henriksen, M. G., Nordgaard, J., & Jansson, L. B. (2017). Genetics of schizophrenia: Overview of methods, findings and limitations. Frontiers in Human Neuroscience, 11(June), 1–9. https://doi.org/10.3389/fnhum.2017.00322
Issac, A., Nayak, S. G., Yesodharan, R., & Sequira, L. (2022). Needs, challenges, and coping strategies among primary caregivers of schizophrenia patient: A systematic review & meta-synthesis. Archives of Psychiatric Nursing, 41(February), 317–332. https://doi.org/10.1016/j.apnu.2022.09.001
Mashimo, I., Yotsumoto, K., Fujimoto, H., & Hashimoto, T. (2020). Effects of home-visit occupational therapy using a management tool for daily life performance on severe mental illness: A multicenter randomized controlled trial. Kobe Journal of Medical Sciences, 66(4), E119–E128.
McCutcheon, R. A., Reis Marques, T., & Howes, O. D. (2020). Schizophrenia - An Overview. JAMA Psychiatry, 77(2), 201–210. https://doi.org/10.1001/jamapsychiatry.2019.3360
Moghadam, M., Saed, G., Sohrabi, F., Modaresi, S., & Shams-Alizadeh, N. (2022). Effectiveness of Psychiatric Home-Care in the Treatment Outcome in Newly Discharged Patients with Schizophrenia- A Randomized Control Trial. Scientific Journal of Kurdistan University of Medical Sciences, 26(7), 97–107. https://doi.org/10.52547/sjku.26.7.97
Müller, N. (2018). Inflammation in schizophrenia: Pathogenetic aspects and therapeutic considerations. Schizophrenia Bulletin, 44(5), 973–982. https://doi.org/10.1093/schbul/sby024
Munikanan, T., Midin, M., Daud, T. I. M., Rahim, R. A., Bakar, A. K. A., Jaafar, N. R. N., Sidi, H., & Baharuddin, N. (2017). Association of social support and quality of life among people with schizophrenia receiving community psychiatric service: A cross-sectional study. Comprehensive Psychiatry, 75, 94–102. https://doi.org/10.1016/j.comppsych.2017.02.009
Prabhawidyaswari, N. M. C. (2022). Hubungan Karakteristik Keluarga terhadap Frekuensi Kekambuhan pada Pasien dengan Skizofrenia. Jurnal Berita Ilmu Keperawatan, 15(1), 15–26. https://journals.ums.ac.id/index.php/BIK/article/view/16947/pdf
Pratiwi, A., Subekti, R. T., Kristanto, B., & Muhlisin, A. (2023). Jurnal Aisyah : Jurnal Ilmu Kesehatan Relaxation technique to reduce stress for a caregiver of a mental illness patient. 8(1), 367–372. https://doi.org/10.30604/jika.v8i1.1586
Puspasari, H. W., Sitorus, N., & Agustiya, R. I. (2023). Innovation for Empowering People with Schizophrenia in Empowered Homes Denpasar City. Indigenous: Jurnal Ilmiah Psikologi, 8(1), 39–57.
Rahmani, F., Ranjbar, F., Hosseinzadeh, M., Razavi, S. S., Dickens, G. L., & Vahidi, M. (2019). Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey. International Journal of Nursing Sciences, 6(2), 148–153. https://doi.org/10.1016/j.ijnss.2019.03.006
Seshadri, K., Sivakumar, T., & Jagannathan, A. (2019). The Family Support Movement and Schizophrenia in India. Current Psychiatry Reports, 21(10). https://doi.org/10.1007/s11920-019-1081-5
Shiraishi, N., & Reilly, J. (2019). Positive and negative impacts of schizophrenia on family caregivers: a systematic review and qualitative meta-summary. Social Psychiatry and Psychiatric Epidemiology, 54(3), 277–290. https://doi.org/10.1007/s00127-018-1617-8
Siregar, S., Effendi, Z., & Mardiyah, S. A. (2020). A Comparison of the Effectiveness of Cognitive Behavior Therapy and Assertive Training Against the Ability to Control Violent Behavior in Schizophrenic Patients. Jurnal Ilmu Kesehatan Masyarakat, 11(3), 210–222. https://doi.org/10.26553/jikm.2020.11.3.210-222
Taniguchi, C., Okada, A., Seto, N., & Shimizu, Y. (2020). How visiting nurses detect symptoms of disease progression in patients with chronic heart failure. International Journal of Qualitative Studies on Health and Well-Being, 15(1). https://doi.org/10.1080/17482631.2020.1735768
Vaghee, S., & Abootorabi, J. (2019). The effect of home visits on self-efficacy in patients with schizophrenia: A clinical trial.
Article Metrics
Abstract view : 251 timesPDF - 65 times
DOI: https://doi.org/10.26714/jkj.11.3.2023.665-670
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
PPNI Univ. Muhammadiyah Semarang
Jl. Kedungmundu Raya No. 18 Semarang Gedung NRC University of Muhammadiyah Semarang
Phone: 02476740287
Fax: 02476740287
Email: [email protected]
This work is licensed under a Creative Commons Attribution 4.0 International License.