scholarly journals FAMILY SUPPORT-BASED PSYCHOEDUCATION IN CARING SCHIZOPHRENIC PATIENTS: A LITERATURE REVIEW

Author(s):  
Dwi Indah Iswanti ◽  
Moses Glorino Rumambo Pandin

Background: The burden of family in caring a schizophrenia impacts on psychological shock and emotional burden; lack of disease knowledge and care skills; poor patient medication adherence; the difficulty of getting along with patients; conflict in the family or at work; financial burden; and need adequate social support. Aim: This study discussed how family support takes care of people with schizophrenia with a psychoeducational approach in mental health service settings. Method: A non-systematic literature review was carried out using the PICO (Population, Intervention, Comparison, Outcome) framework utilizing Scopus, CINAHL, and ProQuest databases in the last 5 years, searching with keywords: Family Support AND Schizophrenia OR Family Psychoeducation. Results: Families with schizophrenia experience the most potent stressors on the burden of care borne, in addition to stigma and the frequency of relapse of sufferers. Community care providers can involve the family in various ways, such as providing psychoeducation, supporting the family's physical, emotional and social needs, and behavioral family assessment or family therapy. Conclusion: Mental health services must develop and imply family psychoeducation training.

2021 ◽  
Vol 1 ◽  
pp. 309-316
Author(s):  
Nurul Febrian Bintari Putri ◽  
Trina Kurniawati

AbstractDiabetes mellitus is a chronic disease that cannot be cured, but can be prevented by using the 5 pillars of diabetes mellitus management, one of which is controlling blood sugar levels. Patients with diabetes mellitus need support from the family because the family can influence a person's behavior and lifestyle so that it has an impact on the quality of life of patients with type 2 diabetes mellitus. To determine the relationship between family support and blood sugar levels in patients with type 2 diabetes mellitus through a literature review. The data collection technique uses a literature review method of 5 articles sourced from an online database with electronic searches on Google Scholar, Garba Garuda, and ProQuest published in 2017-2021. The critical analysis instrument used is using a strobe. The results of a literature review on the family support variable were 2 articles with supporting categories as many as 128 respondents, 2 articles with less categories as many as 63 respondents, and 1 article with good categories as many as 22 respondents. Variable blood sugar levels 2 articles in the controlled category as many as 98 respondents, 1 article in the poor category as many as 45 respondents, 1 article in the controlled category as many as 17 respondents, and 1 article in the diabetes category as many as 29 respondents. There is a relationship between family support and blood sugar levels in patients with type 2 diabetes mellitus.Keywords: Type 2 diabetes mellitus; family support; blood glucose levels; blood sugar levels AbstrakDiabetes mellitus merupakan penyakit kronik yang tidak dapat disembuhkan, namun dapat dicegah dengan menggunakan 5 pilarpengelolaan diabetes mellitus, salah satunya pengendalian kadar gula darah. Pasien diabetes mellitus perlu adanya dukungan dari keluarga karena keluarga dapat mempengaruhi perilaku dan gaya hidup seseorang sehingga berdampak pada kualitas hidup pasien diabetes mellitus tipe 2. Untuk mengetahui hubungan dukungan keluarga dengan kadar gula darah pada pasien diabetes mellitus tipe 2 melalui literature review. Teknik pengumpulan data menggunakan metode literature review 5 artikel yang bersumber database online dengan penelusuran elektronik pada Google Scholar, Garba Garuda, dan ProQuest yang dipublish pada tahun 2017-2021. Instrumen telaah kritis yang digunakan yaitu menggunakan Strobe. Hasil literature review pada variable dukungan keluarga 2 artikel dengan kategori mendukung sebanyak 128 responden, 2 artikel dengan kategori kurang sebanyak 63 responden, dan 1 artikel dengan kategori baik sebanyak 22 responden. Variable kadar gula darah 2 artikel dengan kategori terkendali sebanyak 98 responden, 1 artikel dengan kategori buruk sebanyak 45 responden, 1 artikel dengan kategori terkontrol sebanyak 17 responden, dan 1 artikel dengan kategori diabetes sebanyak 29 responden. Terdapat hubungan antara dukungan keluarga dengan kadar gula darah pada pasien diabetes mellitus tipe 2.Kata kunci: Diabetes mellitus tipe 2;dukungan keluarga;kadar glukosa darah;kadar gula darah


Author(s):  
Nur Cahyaningsih ◽  
I Made Dwie Pradnya Susila

Schizophrenic patients have decreased ability to maintain daily care. Family support in the care of schizophrenic patients is influenced by the knowledge of schizophrenic patient care by the family which can give a positive response in daily care for schizophrenic patients. This study aimed at determining the correlation between family support and the level of knowledge in the care of schizophrenics at the Mental Clinic of RSD Mangusada Badung. The study was implemented with an analytic observational design with a cross-sectional approach. The total samples were 67 respondents using the incidental sampling technique. Data were collected using a family support questionnaire and a questionnaire on the level of care knowledge. Data were analyzed using Spearman`s rho test. The results of the study were 36 people with adequate family support with a percentage of 53.7% and 36 people with a high level of knowledge of care with a percentage of 53.7%. correlation analysis between family support and the level of knowledge of care obtained p-value <0.001. There was a correlation between family support and the level of knowledge of schizophrenic care in Mental Clinic RSD Mangusada Badung. The recommendations of this study are expected to be input for nurses to always provide care education for schizophrenia patients to their families.


2019 ◽  
Vol 1 (3) ◽  
pp. 128
Author(s):  
Eni Hidayati ◽  
Novy Helena Catharina Daulima ◽  
Ice Yulia Wardani

Without proper stimulation, self-identity formation in adolescents may lead to inferiority, and further to the mental health problem. It is important to give positive stimulation for adolescents and psychoeducation for the family properly and effectively to improve adolescence identity development. As we know, adolescence is a period of age which is considered to be problematic and crucial for them to set their remarkable foundation regarding the interaction with the surrounding people and environment. This research was aimed to find out the result of therapeutic group therapy for adolescent and family psychoeducation toward the improvement of adolescence development. A case report was used as the method of the research, in which 5 clients were given health education care according to the problem faced by the family during the adolescence development stimulation. The special therapy given was the adolescence therapeutic group therapy and family psychoeducation. The result of therapeutic group therapy is the ability to improve family and adolescence self-identity development within the 10 aspects of adolescence stage; biological, psychosexual, cognitive, language, moral, spiritual, emotional, psychosocial, talent, and creativity. The result of the research was expected to be an input for the Department of Health, especially for the administrator of the community health program in dealing with adolescence mental problems. The research is also expected to be the evidence-based practice in the community of mental health nursing.


2021 ◽  
Vol 1 ◽  
pp. 1777-1783
Author(s):  
Nevita Candra Pangestika ◽  
Eka Budiarto

AbstractSchizophrenia is a mental illness that has a long-term impact. One of the symptoms of schizophrenia is hallucinations. Hallucinations are perceptual disturbances in which the client perceives something that does not exist. One of the things that families do is help family members by playing a role in assisting the clients in controlling hallucinations. The study aimed to determine the role of the family in reducing the hallucination symptoms of schizophrenic patients based on the available evidence. The literature review used Scopus, Science Direct, and GARUDA databases. Articles are selected based on the suitability of keywords, topics, as well as inclusion and exclusion criteria. The appraisal instrument by Hawker was used to select high-quality evidence. The findings of this study highlighted three levels of family roles in reducing symptoms of hallucinations in schizophrenic patients. The first level, the family must be able to see the patient's needs and maintain parental closeness. The second level, the family must be able to provide financial support for patient care, the family should be involved in groups that provide support as well. The third levels, all families must develop a good relationship to help patients with hallucinations to change their attitudes and behavior. Family roles are essential in reducing symptoms of hallucination in schizophrenic patients. This evidence can be used as scientific references to be applied as nursing care interventions.Keywords: Family Roles, Hallucinations, Schizophrenia AbstrakSkizofrenia merupakan penyakit kejiwaan yang memiliki dampak jangka panjang. Salah satu tanda gejala skizofrenia adalah halusinasi. Halusinasi ialah gangguan persepsi di mana klien mempersepsikan sesuatu yang sebenarnya tidak terjadi. Salah satu yang di lakukan keluarga ialah membantu anggota keluarganya dengan cara ikut berperan membantu klien untuk bisa mengontrol halusinasi. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia berdasarkan literatur evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah Scopus, Science Direct, dan GARUDA. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 5 artikel, 2 artikel berbahasa Inggris dan 3 artikel berbahasa Indonesia. Instrumen telaah kritis yang digunakan untuk menelaah kualitas artikel adalah instrumen oleh Hawker et al 2002. Terdapat temuan berupa 3 tingkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia : tingkatan pertama keluarga harus mampu melihat kebutuhan pasien dan mempertahankan kedekatan orangtua, Tingkatan kedua keluarga harus mampu memberikan dukungan financial untuk perawatan pasien dan terlibatan dalam kelompok yang member dukungan dan Tingkatan ketiga keluarga harus mengembangkan hubungan dengan benar untuk membantu pasien halusinasi untuk merubah sikap dan perilaku. Upaya peningkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia ini didapatkan dari bukti ilmiah yang valid sehingga dapat dijadikan referensi ilmiah untuk diaplikasikan sebagai intervensi asuhan keperawatan.Kata Kunci : Halusinasi, Peran Keluarga, Skizofrenia.


2017 ◽  
Vol 6 (2) ◽  
pp. 48-52
Author(s):  
Dhita Kurnia Sari ◽  
Lingga Kusuma Wardani

ABSTRACT THE EFFECTIVENESS OF FAMILY PSYCHOEDUCATION (FPE) ON DRUG SUBSTITUTION OF SKIZOFRENIA PATIENTS IN THE CITY OF KEDIRI Dhita Kurnia Sari 1, Lingga Kusuma Wardani 2 STIKes Surya Mitra Husada Kediri [email protected] Schizophrenia is one type of psychotic disorders that often experience relapse. About 33% of people with schizophrenia experience recurrence and about 12.1% re-experienced hospitalization. Discontinuation of drugs is a major cause of recurrence of schizophrenic patients. The family of schizophrenic patients is a very important variable in the recurrence of schizophrenic patients. Allegedly the biggest factor in its effect on adherence to taking the drug of schizophrenia is family factor. The purpose of this study is to determine the effectiveness of family psychoeducation therapy on adherence to taking the drug of schizophrenia patients.            The design used in this research is pre-experiment. The population in the study were all families of schizophrenic patients in Kediri. Sampling technique in this research is taken by Purposive Sampling. The independent variable is the provision of family psychoeducatin therapy and the dependent variable in this study is the adherence to taking the drug of schizophrenic patients. Data were collected by observation sheet, then analyzed using Mc Nemar test with significance level a£ 0,05.          The results of the study of adherence to the treatment of schizophrenic patients before given the family psychoeducation of 20 respondents who did not obey 20 respondents (100%), whereas after given the family psychoeducation obedient 17 (85%) and disobedient 3 (15%), from the results of statistical tests with using Mc Nemar test obtained p value 0,000 <α 0.05 means there is influence of adherence to medication before and after given family psycoeducation.            Family knowledge and ability to cope with stressors while caring for family members with schizophrenia can create a comfortable and conducive environment that helps restore the client's condition and reduce and prevent noncompliance with schizophrenia medication. Keywords: adherence, family psychoeducation, schizophrenia


2021 ◽  
Vol 1 ◽  
pp. 1323-1331
Author(s):  
Azkiyah Fitriana ◽  
Eka Budiarto

AbstractSchizophrenia is a condition of inability to think logically. There is a disturbance in motor activity. Caregivers are vulnerable to burdens and stress that can interfere with their role as companions and fuctions in the family. Therefore, social support are needed so that caregivers cab face the stress and burden of caring for schizophrenic patient. The study aimed to determined social supports to Improve The Psychological Well-Being of caregivers of schizophrenia patients based on available evidence. The study used a literature review method. The databased used to search article were PubMed,Science Direct, and GARUDA.there were five article selected based on the suitability of the specified keywords, topic, and inclusion dan exclusion criteria. The articles were published in the 2012-2021 period. The instrument used was the Hawker instrument. There were 5 types of social support found in the articles. Those were social support as a coping streategy, instrumental social support in increasing patient interaction with other, maladaptive coping strategies used by family caregivers, instrumental social support which was positively related to social interaction andshowed lower levels of psychotic symptoms, social support perceived by family caregiver which played and important role as it improved their psychological-well being. These five social support to improve caregiver psychological well-being in schizophrenic patients are obtained from valid scientific avidence. Therefore, they can be used as scientific references to be applied as nursing care intervention.Keywords :Caregiver;schizophrenia;social support;psychological well-being AbstrakSkizofrenia merupakan keadaan dimanapemikiran tidak saling berhubungan secara logis dan adanya gangguan aktivitas motorik. Caregiver rentan mengalami beban dan stress yang dapat menganggu perannya sebagai pendamping dan fungsi dalam keluarga. Sehingga diperlukan dukungan sosial agar caregiver dapat menghadapi stress dan beban dalam merawat pasien skizofrenia.Penelitian bertujuan untuk mengetahui dukungan sosial untuk meningkatkan kesejahteraan psikologis caregiver pasien skizofrenia berdasarkan evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah PubMed, Science Direct, GARUDA. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang ditentukan. Artikel digunakan dalam penelitian berjumlah 5 artikel yang terbit pada rentang waktu 2012-2021. Instrumen yang digunakan adalah instrumen Hawker. Terdapat temuan berupa 5 macam dukungan sosial untuk meningkatkan kesejahteraan psikologis caregiver pada pasien skizofrenia; dukungan sosial sebagai strategi koping, dukungan sosial instrumental meningkatkan interaksi pasien dengan orang lain, pengasuh keluarga menggunakan strategi koping maladaptif, dukungan sosial instrumental berhubungan positif dengan interaksi sosial dan menunjukan tingkat gejala psikotik lebih rendah, dukungan sosial yang dipersepsikan oleh family caregiver berperan penting karena dapat meningkatkan kesejahteraan psikologisnya. Kelimadukungan sosial untuk meningkatkan psikologis caregiver pada pasien skizofrenia ini didapatkan dari bukti ilmiah yang valid sehingga dapat dijadikan referensi ilmiah untuk diaplikasikan sebagai intervensi asuhan keperawatan.Kata kunci: caregiver;dukungan sosial;kesejahteraan psikologis;skizofrenia


1972 ◽  
Vol 2 (1) ◽  
pp. 17-32 ◽  
Author(s):  
Barbara C. Stevens

SYNOPSISAs part of a survey of the need for rehabilitation services in Camberwell, a representative group of 56 unemployed psychiatric patients were selected from the Camberwell Register during 1968; most of these were chronic schizophrenics, and 29, or just over half of them, were living with their parents or siblings. This paper describes a special analysis made by a medical sociologist into the problems of these 29 patients as perceived by their relatives. Assessment of the patient's handicaps and the burden felt by the family showed a dependence on parents of pensionable age which is an obstacle to rehabilitation. Patients were content, but relatives were dissatisfied and experienced considerable financial burden and symptoms of reactive anxiety and depression. The need for special services is emphasized to help the patient towards a more independent existence when the relative dies.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Licong Zhi ◽  
Fahd S Alotaibi ◽  
Hamdy Abdelhameed

Abstract College students continue to improve their consumption levels due to compassion or vanity, but it not only increases the financial burden of the family, but is also not conducive to their personal health. In order not to affect the mental health of college students, to solve the problem of mutual comparison consumption, this paper establishes differential equation models to describe this phenomenon, from qualitative and quantitative angles to interpret and predict the results of comparison consumption. The results show that the current consumption behaviour of college students also has a reasonable place for being unreasonable, mainly from college students’ own and living environment.


2016 ◽  
Vol 2 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Faida Annisa

Shifting from hospital-based care to community-based care involves the family as advanced caregivers to the patients with Schizophrenia at their home. Yet, they have need of knowledge and skill in caring the patients as well as support from health care providers and society. Family caregivers should be well-prepared to take care the patients with Schizophrenia at home since it gets some negative consequences on their physical, psychological, social, and financial. Nurse need to assess the factors that might influence the family caregivers to felling burden, and include the family caregivers into nursing care in which would not only to improve the patients’ mental health but the family caregivers as well.


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