Efektifitas Pemberian Psikoedukasi Keluarga pada Caregiver Pasien dengan Gangguan Jiwa di Rehabilitasi Sosial

  • Dian Fitria Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Dhea Natashia Universitas Muhammadiyah Jakarta
  • Tri Setyaningsih Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Jehan Puspasari Sekolah Tinggi Ilmu Kesehatan RS Husada
Keywords: beban pengasuh, gangguan jiwa, pemulihan, rehabilitasi, psikoedukasi keluarga

Abstract

Perubahan pada aspek perilaku, kognitif, peraasan dan emosi mengakibatkan pasien dengan gangguan jiwa membutuhkan orang lain untuk merawat dan membantu memenuhi kebutuhan, yang disebut dengan caregiver dan mayoritas berasal dari keluarga. Proses perawatan yang panjang yang dilakukan oleh caregiver menimbulkan suatu adanya beban dalam merawat, yang disebut dengan caregiver strain. Caregiver strain  dapat berdampak pada psikologis caregiver  sehingga berdampak dalam kualitas merawat pasien sampai dengan kegagalan dalam merawat pasien. Masalah yang dihadapi oleh caregiver membutuhkan intervensi, oleh sebab itu penelitian ini bertujuan untuk mengetahui pengaruh pemberian psikoedukasi keluarga terhadap  caregiver strain. Penelitian ini menggunakan metode kuasi eksperimen dengan analisis paired t test. Instrument  yang digunakan yaitu modified caregiver strain index (MCSI) dengan sampel 20 keluarga pasien rehabilitasi sosial Unit Informasi Layanan Sosial (UILS) Jakarta Pusat, pengambilan sampel dengan teknik total sampling. Hasil menunjukan adanya perbedaan signifikan pada caregiver strain sebelum dan sesudah intervensi. Rata-rata perbedaan skor sebelum intervensi adalah M = 14,45 (SD = 1,27),  setelah intervensi adalah M = 10,95 (SD = 1,27), dengan perbedaan rerata M = 3,50 (SE = 0,29), dengan interval kepercayaan 95% berkisar antara 2,90 hingga 4,10. Nilai t sebesar 12,25, (df) 19. Nilai signifikansi (p) yang diperoleh adalah < 0,001, menunjukkan bahwa perbedaan ini sangat signifikan secara statistik. Temuan ini menunjukkan bahwa psikoedukasi keluarga efektif dalam menurunkan caregiver strain.

References

Bademli, K., Lök, N., & Kılıc, A. K. (2017). Relationship Between Caregiving Burden and Anger Level in Primary Caregivers of Individuals With Chronic Mental Illness. Archives of Psychiatric Nursing, 31(3), 263–268. https://doi.org/https://doi.org/10.1016/j.apnu.2016.12.001

Bighelli, I., Rodolico, A., García-Mieres, H., Pitschel-Walz, G., Hansen, W.-P., Schneider-Thoma, J., Siafis, S., Wu, H., Wang, D., Salanti, G., Furukawa, T. A., Barbui, C., & Leucht, S. (2021). Psychosocial and psychological interventions for relapse prevention in schizophrenia: a systematic review and network meta-analysis. The Lancet Psychiatry, 8(11), 969–980. https://doi.org/https://doi.org/10.1016/S2215-0366(21)00243-1

Çapacı, S., Duru Aşiret, G., & Kapucu, S. (2022). Effect of progressive muscle relaxation on caregiver satisfaction, caregiver burden and depression levels of the caregivers of older patients: A randomized control trial. European Journal of Integrative Medicine, 50, 102114. https://doi.org/https://doi.org/10.1016/j.eujim.2022.102114

Caqueo-urízar, A., Alessandrini, M., Urzúa, A., Zendjidjian, X., Boyer, L., & Williams, D. R. (2017). Caregiver ’ s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia. 1–10. https://doi.org/10.1186/s12955-017-0652-6

Chan, S. W. (2011). Global Perspective of Burden of Family Caregivers for Persons With Schizophrenia. Archives of Psychiatric Nursing, 25(5), 339–349. https://doi.org/https://doi.org/10.1016/j.apnu.2011.03.008

Chan, S. W., Yip, B., Tso, S., Cheng, B., & Tam, W. (2009). Evaluation of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers. Patient Education and Counseling, 75(1), 67–76. https://doi.org/https://doi.org/10.1016/j.pec.2008.08.028

Chen, X., Wang, S., Liao, X., Li, Y., Leung, S. F., & Bressington, D. T. (2024). Interventions to decrease health students’ stigma toward schizophrenia: A scoping review. International Journal of Nursing Studies, 158, 104837. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2024.104837

Costa-Font, J., & Vilaplana-Prieto, C. (2022). Mental health effects of caregivers respite: Subsidies or Supports? The Journal of the Economics of Ageing, 23, 100398. https://doi.org/https://doi.org/10.1016/j.jeoa.2022.100398

da Silva, A. H. S., Peixoto, L. E., Martin, I. dos S., Galera, S. A. F., Vedana, K. G. G., de Freitas, L. A., & Zanetti, A. C. G. (2022). Psychotic relapses from the perspective of patients and family members. Archives of Psychiatric Nursing, 41, 300–305. https://doi.org/https://doi.org/10.1016/j.apnu.2022.09.012

Duncan, P., Murphy, M., Man, M. S., Chaplin, K., Gaunt, D., & Salisbury, C. (2018). Development and validation of the Multimorbidity Treatment Burden Questionnaire (MTBQ). BMJ Open, 8(4). https://doi.org/10.1136/bmjopen-2017-019413

Fitria, D., Susanti, H., & Yulia Wardani, I. (2019). UPAYA MENURUNKAN CAREGIVER STRAIN DAN MENINGKATKAN PSYCHOLOGICAL WELL-BEING MELALUI PSIKOEDUKASI KELUARGA DAN TERAPI SUPORTIF. https://lib.ui.ac.id/detail?id=20489681&lokasi=lokal

Galletly, C. A. (2022). Effective family interventions for people with schizophrenia. The Lancet Psychiatry, 9(3), 185–187. https://doi.org/https://doi.org/10.1016/S2215-0366(21)00502-2

Halter, M. J. (2014). Varcarolis’ Foundations of Psychiatric Mental Health Nursing: AClinical Approach (7th ed.). Elsevier Saunders. https://doi.org/10.1016/C2011-0-04479-4

Hua, Z., & Ma, D. (2024). Purpose in life moderates the relationship between loneliness and caregiving stress among family caregivers of people with mental health problems. Archives of Psychiatric Nursing, 49, 99–105. https://doi.org/https://doi.org/10.1016/j.apnu.2024.02.009

Jagannathan, A., Thirthalli, J., Hamza, A., Nagendra, H. R., & Gangadhar, B. N. (2014). Predictors of family caregiver burden in schizophrenia: Study from an in-patient tertiary care hospital in India. Asian Journal of Psychiatry, 8, 94–98. https://doi.org/https://doi.org/10.1016/j.ajp.2013.12.018

Janardhana, N., Muralidhar, D., Naidu, D., & Raghevendra, G. (2015). Discrimination against differently abled children among rural communities in India: Need for action. Journal of Natural Science, Biology and Medicine, 6, 7. https://doi.org/10.4103/0976-9668.149070

Kementerian Kesehatan Indonesia. (2024). Survei Kesehatan Indonesia.

Kumar, D., Ashwini, K., Hegde, S., Prasanna, L., Joseph, B., Bose, A., Nawani, H., Bharath, R. D., Varambally, S., Venkatasubramanian, G., & Gangadhar, B. N. (2019). Caregiver assisted home-based cognitive remediation for individuals diagnosed with schizophrenia: A pilot study. Asian Journal of Psychiatry, 42, 87–93. https://doi.org/10.1016/j.ajp.2019.03.010

Lin, L.-E., Lo, S.-C., Liu, C.-Y., Chen, S.-C., Wu, W.-C., & Liu, W.-I. (2018). Effectiveness of Needs-oriented Hospital Discharge Planning for Caregivers of Patients With Schizophrenia. Archives of Psychiatric Nursing, 32(2), 180–187. https://doi.org/https://doi.org/10.1016/j.apnu.2017.10.013

Liu, Y., Cao, G., Li, T., Xi, S., & Yu, Y. (2022). Caregiving burden and positive aspects of caregiving among family caregivers of people living with schizophrenia: Two sides of the same coin. Applied Nursing Research, 67, 151619. https://doi.org/https://doi.org/10.1016/j.apnr.2022.151619

McClintock, A. S., Anderson, T., & Cranston, S. (2015). Mindfulness Therapy for Maladaptive Interpersonal Dependency: A Preliminary Randomized Controlled Trial. Behavior Therapy, 46(6), 856–868. https://doi.org/10.1016/j.beth.2015.08.002

McFarlane, W. R. (2016). Family Interventions for Schizophrenia and the Psychoses: A Review. Family Process, 55(3), 460–482. https://doi.org/https://doi.org/10.1111/famp.12235

Mubin, M. F., & Livana PH. (2020). Reduction of family stress level through therapy of psychoeducation of skizofrenia paranoid family. Enfermería Clínica, 30, 155–159. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.12.048

Nguyen, P. H. (2016). A psychoeducation and supportive program for vietnamese caregivers of relatives with severe mental illnesses: A grant proposal.

Paranthaman, V., Satnam, K., Lim, J.-L., Amar-Singh, H. S. S., Sararaks, S., Nafiza, M.-N., Ranjit, K., & Asmah, Z.-A. (2010). Effective implementation of a structured psychoeducation programme among caregivers of patients with schizophrenia in the community. Asian Journal of Psychiatry, 3(4), 206–212. https://doi.org/https://doi.org/10.1016/j.ajp.2010.07.002

Parra Castaneda, K., Reynolds, N., & Onwumere, J. (2022). The role of perceived criticism in patient and caregiver outcomes in severe mental health disorders: A systematic review. Health Sciences Review, 3, 100023. https://doi.org/https://doi.org/10.1016/j.hsr.2022.100023

Pitschelwalz, Q., Leucht, S., Bauml, J., Kissling, W., & Engel, R. R. (2001). The Effect of Family Interventions on Relapse and Rehospitalization in Schizophrenia — A Meta-analysis. Schizophrenia Bulletin, 1(27), 73–92. https://doi.org/10.1093/oxfordjournals.schbul.a006861

Puspitosari, W. A., Wardaningsih, S., & Nanwani, S. (2019). Improving the quality of life of people with schizophrenia through community based rehabilitation in Yogyakarta Province, Indonesia: A quasi experimental study. Asian Journal of Psychiatry, 42, 67–73. https://doi.org/https://doi.org/10.1016/j.ajp.2019.03.022

Riskesdas. (2018). HASIL UTAMA RISKESDAS 2018.

Sari, A., & Duman, Z. Ç. (2022). Effects of the family support and psychoeducation program based on the Calgary Family Intervention Model on the coping, psychological distress and psychological resilience levels of the family caregivers of chronic psychiatric patients. Archives of Psychiatric Nursing, 41, 1–10. https://doi.org/https://doi.org/10.1016/j.apnu.2022.07.014

Shamsaei, F. (2015). Burden on Family Caregivers Caring for Patients with Schizophrenia. 239–246.

Shewangizaw, Z., & Mukherjee, R. (2014). Prevalence of relapse and associated factors in patient with schizophrenia at Amanuel mental specialized hospital, Addis Ababa, Ethiopia: Institution based cross sectional study. 2, 184–192.

Spivak, S., Cullen, B., Eaton, W. W., Rodriguez, K., & Mojtabai, R. (2019). Financial hardship among individuals with serious mental illness. Psychiatry Research, 282, 112632. https://doi.org/https://doi.org/10.1016/j.psychres.2019.112632

Stuart, Gail. W. (2013). Principles and Practice of Psychiatric Nursing. Elsevier Mosby.

Susanti, H., Lovell, K., & Mairs, H. (2018). What does the literature suggest about what carers need from mental health services for their own wellbeing? A Systematic Review. Enfermería Clínica, 28, 102–111. https://doi.org/10.1016/S1130-8621(18)30047-0

Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan edisi 1 cetakan 2. Dewan Pengurus Pusat PPNI.

Wardaningsih, S., & Cara, I. (2007). Pengaruh Family Psychoeducation terhadap Beban dan Kemampuan Keluarga dalam Merawat Klien Halusinasi di Kabupaten Bantul Tahun Influence of Family Psychoeducation to Burden and Family Ability in Taking care of Hallucination Client in Regency of Bantul Yea. 7(2), 97–103.

Weisman de Mamani, A., Weintraub, M. J., Gurak, K., & Maura, J. (2014). A randomized clinical trial to test the efficacy of a family-focused, culturally informed therapy for schizophrenia. Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 28(6), 800–810. https://doi.org/10.1037/fam0000021

Williams, L. A. (2008). Theory of Caregiving Dynamics. New York: Springer Publishing Company.

Yates, S., & Gatsou, L. (2021). Idealisation and stigmatisation of parenting in families with parental mental illness. SSM - Qualitative Research in Health, 1, 100020. https://doi.org/https://doi.org/10.1016/j.ssmqr.2021.100020

Yu, Y., Liu, Z., Tang, B., Zhao, M., Liu, X., & Xiao, S. (2017). Reported family burden of schizophrenia patients in rural China. 1–19. https://doi.org/10.1371/journal.pone.0179425

Zhou, Y., Ning, Y., Rosenheck, R., Sun, B., Zhang, J., Ou, Y., & He, H. (2016). Effect of living with patients on caregiver burden of individual with schizophrenia in China. Psychiatry Research, 245, 230–237. https://doi.org/https://doi.org/10.1016/j.psychres.2016.08.046

Published
2024-12-06
How to Cite
Fitria, D., Natashia, D., Setyaningsih, T., & Puspasari, J. (2024). Efektifitas Pemberian Psikoedukasi Keluarga pada Caregiver Pasien dengan Gangguan Jiwa di Rehabilitasi Sosial. Journal of Language and Health, 5(3), 1163-1172. https://doi.org/10.37287/jlh.v5i3.5088

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