Mulyanti, Mulyanti
Department Of Nursing, Faculty Of Health Science, Universitas Alma Ata

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Family Psychoeducation mengurangi Tingkat Kecemasan pada Caregiver Pasien Skizofrenia di Puskesmas Sedayu 2 Mulyanti Mulyanti; Sofyan Sofyan Indrayana
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol 17, No 1 (2022)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.22 KB) | DOI: 10.32504/sm.v17i1.490

Abstract

ABSTRACT Background: Caregivers have pivotal roles in the treatment process of people with schizophrenia. However, providing long-term care increase the risk of caregivers’ anxiety that will hamper the healing process of people with schizophrenia. Family psychoeducation is one of the interventions that is expected to reduce anxiety among those caregivers.  Objective: This study aimed to prove the effect of family psychoeducation on reducing anxiety among people with schizophrenia caregivers. Methods: This quasi-experimental study with the pre-post design was conducted in the working area of Sedayu 2 Public Health Center. An Amount of 28 caregivers of people with schizophrenia were recruited from the population by using the purposive sampling technique. Participants were given family psychoeducation therapy for a month. Zung Self-Rating Anxiety Scale was administrated to collect the data. To measure the effects of intervention, the paired t-test was performed. Results: Most of participants was female (53,6%), more than 66 years old (39,3%), and more than 15 years caring for people with schizophrenia (42.9%). Paired t-test analysis showed the significant effect of the intervention (p=0,006) with the coefficient t=2.957. Conclusion: Giving family psychoeducation is effective in reducing anxiety in caregivers of schizophrenic people. Keywords: caregiver, schizophrenia, family psychoeducation, anxiety
Anxiety and Burnout Predict the Depression among Primary Caregivers of People with Schizophrenia in Sedayu II Public Health Centre Bantul Sofyan Indrayana; Mulyanti Mulyanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8 (2020): Supplement 2
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).6-7

Abstract

Schizophrenia is defined as a severe mental illness characterized by disturbance of thinking, perception, and emotion.  The role of caregiver is pivotal to help the patients’ daily needs such as bathing, eating, cooking, dressing, and taking medicines. Unfortunately, caregivers of schizophrenia patients tend to have depression greater than other population. It is because chronic diseases will affect not only physically but also psychological and financial as well for patients and family. To decide the appropriate intervention for schizophrenia caregivers to reduce depression among them, it is important to know the predictors of depression among the primary caregivers of people with schizophrenia in Sedayu II Public Health Centre Bantul. This study aimed to determine the predictors of depression among the primary caregivers of People with Schizophrenia in Sedayu II Public Health Centre Bantul. This was a non-experimental study with the cross-sectional approach. As much as 38 caregivers recruited by using the purposive sampling technique. Data was administrated using DASS questionnaire and Zarit Burden Scale. Two variables that having VIF < 10 and p-value of simple regression < 0.25  namely anxiety and burnout were included into multiple regression analysis. Most of caregivers were women (71.1%), elementary school educated (36.8%), marriage (78.9%), and unemployed (57.9%). All of participants were family of schizophrenia patients in Sedayu II Public Health Centre Bantul with the mean of age was 54.3 (±14.74). Multiple regression showed that this model resulted in the adjusted R2 0.717 (p<0.01) which means this model explained 71.7% of the variability of depression among caregivers of people with schizophrenia in Sedayu II Public Health Centre Bantul. Moreover, our study confirmed that the predictors of depression among caregivers of people with schizophrenia in Sedayu II Public Health Centre Bantul were anxiety (p=0.000) and burnout (p=0.002). Anxiety and burnout were the significant predictors of depression among caregivers of people with schizophrenia in Sedayu II Public Health Centre Bantul. Hence, some interventions reducing anxiety and burnout such as family psycho-education might help to prevent depression among them.
Self Efficacy And The Quality Of Life Of Schizophrenia Caregivers Mulyanti Ners; Brune Indah Yulitasari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 7, No 2 (2019): JULI 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.368 KB) | DOI: 10.21927/jnki.2019.7(2).79-85

Abstract

Self efficacy is an important factor to improve the quality of life of Schizophrenia caregivers. A caregiver’s quality of life affects treatment process which is an important key in curing Schizophrenia patient. This research aims to investigate the relation of self-efficacy to the quality of life.  This is a quantitative research with cross sectional approach. The research was conducted in the working area of Puskesmas Godean I, i.e. Desa Sidoluhur, Desa Sidoagung, Desa Sidomulyo, and Desa Sidomoyo on August 1 to September 15, 2018. There were 47 participants chosen using consecutive sampling technique. The dependent variable is the quality of life of Schizophrenia caregivers. Meanwhile, the independent variable is self-efficacy. Both variables were measured through questionnaire. The quantitative data was analyzed using chi square test. The characteristics of the research subjects are: female, middle aged, married, low-income earners, senior high school graduates, and have caring experience of more than 5 years. It is found that the self-efficacy of schizophrenia caregivers is in ‘strong’ category. There is a significant relation between the self-efficacy of Schizophrenia caregivers and their quality of life. The quality of life of Schizophrenia caregivers is influenced by high level of self-efficacy. 
Effectiveness of Affirmation Stress Management on The Stress level Among Caregivers of Shizophrenia Patient Mulyanti Ners; Brune Indah Yulitasari; Tri Paryati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 2 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(2).82-86

Abstract

Schizophrenia is a chronic and severe disease so they need caregivers to help their daily activities. Caregivers of patients with schizophrenia have experienced chronic stress in their daily lives. The effects of caregiver of Schizophrenia with high stress level are the disruption of family relationships, constraints in social, leisure and work activities, financial difficulties, and negative impact on their own physical health. Affirmation stress management one of the intervention to reduce the level stress on caregiver of patients with Schizophrenia.This study aimed to prove effect affirmation stress management on the stress level among caregivers of Schizophrenia people.This research was quasi-experimental with one group pretest-postest without control. Subjects of this study were 29 caregivers of schizophrenia patients. Subjects selection technique used purposive sampling. Measuring instruments used perceived stress scale. The technique of data analysis used correlation of paired t-test. The results showed that the average level of stress caregiver before the stress management action was 15.17 (SD: 6.54) and the average stress level after the action was 13.59 (5.39). Statistical test results showed that there were significant differences between the stress level values before and after the affirmative stress management intervention was given (p. Value = 0.015). The conclusion of this research is there was an influence of affirmation stress management on stress level on caregivers of Schizophrenia patient.