Pengalaman Adaptasi Survivor Schizophrenia Pasca Perawatan di Rumah Sakit

Susanti Niman(1*), Febri Christian(2)


(1) Sekolah Tinggi Ilmu Kesehatan Santo Borromeus
(2) Sekolah Tinggi Ilmu Kesehatan Santo Borromeus
(*) Corresponding Author

Abstract


Schizophrenia adalah gangguan jiwa berat ditandai dengan perubahan pada persepsi, pikiran, afek, dan perilaku seseorang. Gejala schizophrenia berlangsung selama jangka waktu minimum  satu  bulan dan kemunduran  fungsi  berlangsung minimum selama enam bulan dengan tingkat kekambuhan 70 - 82%. Penderita schizophrenia sering ditemukan kurang mendapat dukungan sosial dalam mengoptimalkan proses rehabilitasi setelah menjalani perawatan di Rumah Sakit. Tujuan studi untuk mengekplorasi pengalaman survivor schizophrenia beradaptasi pasca rawat. Metode penelitian kualitatif dengan pendekatan deskriptif fenomenologi terhadap 10  informan. Hasil  ditemukan 5 tema adaptasi pasca perawatan di rumah sakit yaitu cara menghadapi suatu permasalahan, memiliki pekerjaan setelah keluar dari rumah sakit jiwa, dukungan keluarga, dukungan lingkungan dan dukungan tenaga kesehatan. Kesimpulan adaptasi survivor schizophrenia pasca perawatan di rumah sakit  membutuhkan kemampuan problem solving, dukungan dari keluarga dan masyarakat.

 

Kata kunci: adaptasi, pengalaman, schizophrenia, survivor

 

THE EXPERIENCE OF SCHIZOPHRENIA SURVIVOR ADAPTATION POST-CARE IN HOSPITAL  

 

ABSTRACT

Schizophrenia is a severe mental disorder characterized by changes in a person's perceptions, thoughts, affect, and behaviour. Schizophrenia symptoms last for a minimum period of one month and deterioration of function lasts for a minimum of six months with a recurrence rate of 70 - 82%. Schizophrenia sufferers are often found to lack social support in optimizing the rehabilitation process after undergoing treatment at the hospital. Purpose to explore the experience of survivor schizophrenia adapting post-treatment. Method Qualitative with a phenomenological descriptive approach to 10 informants. Results found 5 adaptation post-treatment themes in the hospital namely how to deal with a problem, having a job after leaving the mental hospital, family support, environmental support and support of health workers. Conclusion: Adaptation of post-treatment schizophrenia survivors in hospital requires problem- solving skills, support from family and community.

 

Keywords: adaptation, experience, schizophrenia, survivor


Keywords


adaptasi; pengalaman; schizophrenia; survivor

Full Text:

PDF

References


Adebiyi, M. O., Mosaku, S. K., Irinoye, O. O., & Oyelade, O. O. (2018). Socio-demographic and clinical factors associated with relapse in mental illness. International Journal of Africa Nursing Sciences, 8(May), 149–153. https://doi.org/10.1016/j.ijans.2018.05.007

Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018, pp. 182–183. Retrieved from https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/

Green, C. A. (2004). Fostering Recovery from Life-transforming Mental Health Disorders: A Synthesis and Model. Social Theory and Health, 2(4), 293–314. https://doi.org/10.1057/palgrave.sth.8700036.

Hsiao, C. Y., Lu, H. L., & Tsai, Y. F. (2019). Factors Associated With Primary Family Caregivers’ Perceptions on Quality of Family-Centered Care in Mental Health Practice. Journal of Nursing Scholarship, 51(6), 680–688. https://doi.org/10.1111/jnu.12526

Kanahara, N., Yamanaka, H., Suzuki, T., Takase, M., & Iyo, M. (2018). First-episode psychosis in treatment- resistant schizophrenia : a cross-sectional study of a long-term follow-up cohort. 1–11.

Keliat, B. A.,Akemat.,Daulima,C. H. N.,Nurhaeni, H. (2011). Keperawatan Kesehatan Jiwa Komunitas: CMHN (Basic Course). Jakarta: EGC

Putri, Prahastia K. & Ambarini, Tri K. (2012). Makna Hidup Penderita Skizofrenia Pasca Rawat Inap

Niman, S. (2019). THE PHENOMENON OF FAMILY CAREGIVER EXPERIENCE IN CARING FOR FAMILIES WITH MENTAL DISORDERS . In Jurnal Keperawatan Jiwa (Vol. 7). https://doi.org/10.26714/jkj.7.1.2019.19-26

Niman, S. (2017). Hubungan dukungan informasi keluarga dengan kemampuan klien mengatasi tanda dan gejala skizofrenia residual. Jurnal Kesehatan “Caring and Enthusiasm,” 1. https://doi.org/: 977-2338-7823-01

Pietrini, F., Albert, U., Ballerini, A., Calò, P., Maina, G., Pinna, F., Vaggi, M., Boggian,I., Fontana, M., Moro, C., Carpiniello, B. (2019). The modern perspective for long-acting injectables antipsychotics in the patient-centered care of schizophrenia. Neuropsychiatric Disease and Treatment, 15, 1045–1060. https://doi.org/10.2147/NDT.S199048

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

Rubbyana, Urifah. (2012). Hubungan antara Strategi Koping dengan Kualitas Hidup pada Penderita

Skizofrenia Remisi Simtom. E- Journal of UNAIR

Shimada, T., Nishi, A., Yoshida, T., Tanaka, S., & Kobayashi, M. (2016). Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study. Hong Kong Journal of Occupational Therapy, 28, 7–14. https://doi.org/10.1016/j.hkjot.2016.10.002

Subica, A. M., & Yamada, A. M. (2018). Development of a spirituality-infused cognitive behavioral intervention for individuals with serious mental illnesses. Psychiatric Rehabilitation Journal, 41(1), 8–15. https://doi.org/10.1037/prj0000102

Stuart, Gail W., & Michele T. Laraia. (2001). Principles and Practice of Psychiatric Nursing 7th Ed. St.

Louis, Missouri: Elsevier Mosby.

Tan, Gabriel. (2011). Adaptive Versus Maladaptive Coping and Belief and Their Relation to Cronic Pain

Adjusment. The Clinical Journal of Pain.

Townsend, Mary C. (2009). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice. Philadelphia: F.A. Davis Company

Videbeck, Sheila L. (2008). Psychiatric Mental Health Nursing 2nd Ed. Philippine: Lippincott Williams & Wilkins

Whitley, R., Palmer, V., & Gunn, J. (2015). Recovery from severe mental illness. Cmaj, 187(13), 951–952. https://doi.org/10.1503/cmaj.141558

Yosep, Iyus. (2014). Keperawatan Jiwa (edisi revisi). Bandung: PT. Refika Aditama

Zaprutko, T., Göder, R., Kus, K., Rakhman, L., Bilobryvka, R., & Nowakowska, E. (2016). The Cost of Inpatient Care of Schizophrenia and Treatment Schedules Used in German Academic Center: Kiel. Psychiatric Quarterly, 87(4), 595–603. https://doi.org/10.1007/s11126-015-9412-0


Article Metrics

Abstract view : 578 times
PDF - 79 times

DOI: https://doi.org/10.26714/jkj.8.2.2020.203-210

Refbacks

  • There are currently no refbacks.




View My Stats

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.