The Ability of Family Caregivers to Prevent Relapse of Schizophrenia
(1) Universitas Karya Husada Semarang
(2) Universitas Karya Husada Semarang
(3) Universitas Karya Husada Semarang
(*) Corresponding Author
Abstract
Schizophrenia relapse occurs due to the family's inability to care for and modify the environment at home. This occurs due to low knowledge of family care, not being taken to mental health services, refusal of treatment from patients, and high emotional expression in the family environment. This study aimed to analyze the ability of family caregivers to prevent relapse of schizophrenia. Quantitative research design with a cross-sectional approach. The sample was 70 families who are caregivers of schizophrenia at the health center in Semarang City with a purposive sampling technique. Instruments in the form of a questionnaire developed from several concepts and tested validity reliability again. Data analysis using Spearman rank correlation with 95% significance. The results showed that there was a strong and unidirectional relationship between the family's ability to care for schizophrenia and relapse prevention (p=0.000, r=0.628). The better the family's ability to care, the better the relapse prevention efforts made. Mental nurses can provide repeated education and training to improve family knowledge of caring for schizophrenia at home.
Keywords
Full Text:
PDFReferences
Agency of Health Research and Development. (2018). Report of Central Java Province in Basic Health Research 2018. In Ministry of Health of the Republic of Indonesia.
Ahmad, I., Khalily, M. T., Hallahan, B., & Shah, I. (2017). Factors associated with psychotic relapse in patients with schizophrenia in a Pakistani cohort. International Journal of Mental Health Nursing, 26(4), 384–390. https://doi.org/10.1111/inm.12260
Benjamin James Sadock, V. A. S. & P. R. (2017). Kaplan and Sadock’s Comprehensive Textbook of Psychiatry (10th ed.). Wolters Kluwer.
Bhandesa, A. M. (2019). Psikoedukasi kelompok kader kesehatan jiwa (k3j) dalam Pemberdayaan penderita skizofrenia di masyarakat. Jurnal Riset Kesehatan Nasional, 3(1), 112–117. http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/145/82
Chien, W. T., Bressington, D., Lubman, D. I., & Karatzias, T. (2020). A randomised controlled trial of a caregiver-facilitated problem-solving based self-learning program for family carers of people with early psychosis. International Journal of Environmental Research and Public Health, 17(24), 1–22. https://doi.org/10.3390/ijerph17249343
Dwi Indah Iswanti, Nursalam, Rizki Fitryasari, F. A. M. M. (2024). Making Meaning Pengasuhan terhadap Kemampuan Keluarga Merawat Skizofrenia. Jurnal Keperawatan, 16(4), 1227–1234. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Febriana, B., Susanto, W., Rochmawati, D. H., & Setiawati, W. E. (2020). Family Support is the Key to Compliance with the Treatment of Relapsing Schizophrenia Patients. Jurnal Ners, 15(1Sp), 457–461. https://doi.org/10.20473/jn.v15i1sp.20361
Fitryasari, R., Nursalam, N., Yusuf, A., Hargono, R., & Chan, C.-M. (2018). Predictors of Family Stress in Taking Care of Patients with Schizophrenia. Jurnal Ners, 13(1), 72. https://doi.org/10.20473/jn.v13i1.7762
Fitryasari, R., Nursalam, N., Yusuf, A., Hargono, R., Lin, E. C. L., & Tristiana, R. D. (2021). Development of a family resiliency model to care of patients with schizophrenia. Scandinavian Journal of Caring Sciences, 35(2), 642–649. https://doi.org/10.1111/scs.12886
Herdman, T. H., Kamitsuru, S., & Takao Lopes, C. (2021). NANDA International, Inc. nursing diagnoses : definitions and classification.
Iswanti, D. I., Motuho Mendrofa, F. A., Nursalam, N., Rizki Fitryasari, & Kandar, K. (2024). Relationship Disease Management and Parenting Stress on Families Ability to Care For Schizophrenia. Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa), 6(1 SE-Articles), 1–7. https://doi.org/10.20473/pnj.v6i1.53344
Iswanti, D. I., Nursalam, N., Fitryasari, R., Mendrofa, F. A. M., & Kandar, K. (2023). Family Empowerment Strategies for Relapse Prevention in Individuals With Schizophrenia: A Scoping Review. Journal of Psychosocial Nursing and Mental Health Services, 1–9. https://doi.org/10.3928/02793695-20231018-02
Iswanti, D. I., Nursalam, N., Sari, M. W., & Livana, P. H. (2022). Relationship of discharge planning action with relapse rate in schizoprenia patients. International Journal of Health Sciences, 6(June), 6659–6567. https://doi.org/10.53730/ijhs.v6ns4.11249
Kandar. (2017). Gambaran Karakteristik Pasien Gangguan Jiwa yang Mengalami Rawat Inap Ulang. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, Vo. 7(No. 1), 11–15.
Kusumawardani, W., Yusuf, A., Fitryasari, R., Ni’mah, L., & Tristiana, R. D. (2019). Family burden effect on the ability in taking care of schizophrenia patient. Indian Journal of Public Health Research and Development, 10(8), 2654–2659. https://doi.org/10.5958/0976-5506.2019.02269.1
Livana, P. H., Susanti, Y., & Putra, D. E. A. (2018). Hubungan Karakteristik Keluarga Dengan Tingkat Ansietas Saat Menghadapi Kekambuhan Pasien Gangguan Jiwa. Indonesian Journal for Health Sciences, 2(1), 46–57.
Ministry of Health of the Republic of Indonesia. (2018a). Main Result of Basic Heatlh Research. Riskesdas, 52. http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Riskesdas Result 2018.pdf
Ministry of Health of the Republic of Indonesia. (2018b). Main Results Basic Health Research. Ministry of Health of the Republic of Indonesia, 1–582.
Mubin, M. F., & Livana, P. H. (2019). Hubungan kepatuhan minum obat dengan kekambuhan pasien skizofrenia paranoid. Jurnal Farmasetis, 8(1), 21–24.
Ntsayagae, E. I., Poggenpoel, M., & Myburgh, C. (2019). Experiences of family caregivers of persons living with mental illness: A meta-synthesis. Curationis, 42(1), 1–10. https://doi.org/10.4102/curationis.v42i1.1900
Pothimas, N., Tungpunkom, P., Chanprasit, C., & Kitsumban, V. (2020). A cross-sectional study of factors predicting relapse in people with schizophrenia. Pacific Rim International Journal of Nursing Research, 24(4), 448–459.
Tlhowe, T. T., du Plessis, E., & Koen, M. P. (2017). Strengths of families to limit relapse in mentally ill family members. Health SA Gesondheid, 22, 28–35. https://doi.org/10.1016/j.hsag.2016.09.003
Verity, F., Turiho, A., Mutamba, B. B., & Cappo, D. (2021). Family care for persons with severe mental illness: experiences and perspectives of caregivers in Uganda. International Journal of Mental Health Systems, 15(1), 1–10. https://doi.org/10.1186/s13033-021-00470-2
Yu, B. C. L., Mak, W. W. S., & Chio, F. H. N. (2021). Family involvement moderates the relationship between perceived recovery orientation of services and personal narratives among Chinese with schizophrenia in Hong Kong: a 1-year longitudinal investigation. Social Psychiatry and Psychiatric Epidemiology, 56(3), 401–408. https://doi.org/10.1007/s00127-020-01935-4
Zhou, D. H. R., Chiu, Y. L. M., Lo, T. L. W., Lo, W. F. A., Wong, S. S., Luk, K. L., Leung, C. H. T., Yu, C. K., & Chang, Y. S. G. (2020). Outside-in or Inside-out? A Randomized Controlled Trial of Two Empowerment Approaches for Family Caregivers of People with Schizophrenia. Issues in Mental Health Nursing, 41(9), 761–772. https://doi.org/10.1080/01612840.2020.1734992
Article Metrics
Abstract view : 157 timesPDF - 44 times
DOI: https://doi.org/10.26714/jkj.12.3.2024.569-576
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.