Chairurrijal Chairurrijal
Program Studi Magister Kesehatan Masyarakat, Pascasarjana Universitas Muhammadiyah Aceh

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Analisis Hubungan Disabilitas Dengan Gangguan Mental Emosional (GME) di Provinsi Aceh (Riskesdas Tahun 2013) Chairurrijal Chairurrijal; Asnawi Abdullah; Nurjannah Nurjannah; Marthoenis Marthoenis; Aulina Adamy
Jurnal Ilmu Keperawatan Vol 6, No 2 (2018): Jurnal Ilmu Keperawatan (JIK) Volume VI No.2 Juli-Desember 2018
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Prevalensi GME pada penduduk umur ≥ 15 tahun di Indonesia dilaporkan terjadi penurunan dari 11,6 persen (2007) menjadi 6,0 persen (2013) namun meningkat menjadi 9,8% tahun 2018, disabilitas menunjukkan penurunan dari 21,3% (2007) menjadi 11% (2013) dan meningkat menjadi 13,7%. sedangkan GME di Provinsi Aceh sebanyak 4,9% (2007) menjadi 6,6% (2013) dan 9,8% (2018), disabilitas dari 12,7% (2013) menjadi 18% (2018). Penelitian ini bertujuan untuk mengetahui hubungan disabilitas dengan GME di Provinsi Aceh (analisis lanjutan data Riskesdas 2013). Penelitian ini menggunakan data sekunder Riskesdas 2013 dengan desain Cross-sectional. Lokasi penelitian di Provinsi Aceh, dilakukan pada Mei-Juni 2013. Populasi pada penelitian ini adalah seluruh anggota rumah tangga terpilih sebanyak 40.951 orang. Sampel dalam penelitian ini adalah ART umur ≥ 15 tahun sebanyak 28.059. Analisa data dilakukan dengan analisis univariat, bivariat dengan uji chi square. Hasil analisis univariat didapat bahwa persentase responden GME (6,94%), disabilitas bermasalah (85,7%). Analisis bivariat menunjukkan hubungan jenis kelamin (p value 0,0001), tingkat pendidikan menengah (p value 0,0001), tingkat pendidikan tinggi (p value 0,0001), status pekerjaan (p value 0,0001), status perkawinan (p value 0,0001) dengan GME. Tidak ada hubungan antara status dalam keluarga (p value 0,094) dan disabilitas (p value 0,526) dengan GME. Uji Independent sample t-test menyatakan rata-rata umur responden mengalami GME 45 tahun dan yang tidak 38 tahun (p value 0,0001). Penderita GME akan berdampak kepada menurunnya produktifitas dan pengembangan diri. Kata Kunci: Sosial-Demografi, Disabilitas, GME AbstractThe prevalence of mental emotional disorders in people aged ≥ 15 years in Indonesia was reported a declined from 11.6 percent (2007) to 6.0 percent (2013) but it increased to 9.8% in 2018. The prevalence of disability also declined from 21.3% (2007) to 11% (2013) and to 13.7% (2018). In Aceh Province, mental emotional disorders declined from 4.9% (2007) to 6.6% (2013) and to 9.8% (2018), disability from 12.7% in 2013 increased to 18% in 2018. This study aimed to determine the relationship of disabilities with mental emotional disorders (GME) in Aceh Province (analysis of Riskesdas 2013). This study uses secondary data Riskesdas 2013 with a cross-sectional design. The location of the study in Aceh Province, was conducted in May-June 2013. The population in this study were all members of the selected household as many as 40,951 people. The sample in this study was ART aged 15 years as many as 28,059. Data analysis was performed by univariate and  bivariate analysis with chi square test. The results of the univariate analysis showed that the percentage of respondents had mental emotional disorders (6.94%), disability in the problem category (85.7%). Bivariate analysis found that there was a relationship between mental emotional disorders with gender with (p value 0,0001), secondary education level (p value 0,0001), higher education level (p value 0,0001) , employment status (p value 0,0001), marital status (p value 0,0001) with mental emotional disorders. There was no relationship between family status (p value 0.094; AOR 1.11) and disability (p value 0.526) and mental emotional disorders. Independent sample t-test test states that the average age of respondents experiencing emotional mental disorders is 45 years and not 38 years (p value 0.0001). Patients with mental emotional disorders will have an impact on decreased productivity and self-development. Keywords: Social-Demographics, Disability, Emotional Mental Disorders 
Perilaku dan Hambatan Pengobatan Keluarga Penderita Skizofrenia Rostina Rostina; Auliana Adamy; Asnawi Abdullah; Chairurrijal Chairurrijal
Jurnal Ilmu Keperawatan Vol 8, No 1 (2020): Jurnal Ilmu Keperawatan (JIK) Volume VIII No.1 Januari-Juni 2020
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Pencarian pengobatan yang terjadi di masyarakat pada penderita skizofrenia terlihat masih terdapatnya keluarga penderita skizofrenia yang mencari pengobatan terlebih dahulu ke tradisional kemudian apabila tidak ada perubahan baru melanjutkan ke pengobatan medis. Penulis tertarik untuk mengkaji gambaran pola pencarian pengobatan pada penderita skizofrenia di Kabupaten Pidie Jaya. Penelitian ini merupakan studi kualitatif dengan pendekatan fenomenologi deskriptif dilakukan dengan wawancara mendalam pada 8 orang informan yang memiliki anggota keluarga yang mengalami skizofreia. Transkripsi wawancara dianalisis dengan menggunakan metode trianggulasi. Hasil dari penelitian menemukan enam tema meliputi: informan tidak mengetahui istilah skizofrenia, gejala awal yang terjadi berupa halusinasi, pengobatan pertama mayoritas pada dukun dan teungku, pengobatan kedua pada fasilitas kesehatan seperti puskesmas dan Rumah Sakit  Jiwa, pengobatan saat ini pada pelayanan kesehatan dan tidak berobat (berdiam diri), kendala dalam pelayanan kesehatan adalah biaya dan waktu. Setelah melakukan pengobatan ke dukun dan teungku dan gejala klinis dari skizofrenia tidak sembuh bahkan semakin parah responden kemudian membawa pasien berbat ke palayanan kesehatan seperti Puskesmas, Rumah Sakit umum dan Rumah Sakit  jiwa. Terdapat responden yang tidak lagi melakukan pengobatan karena keterbatasan biaya. Bagi Dinas Kesehatan Kabupaten Pidie Jaya diharapkan dapat membuat kebijakan untuk menetapkan program kesehatan jiwa  dan  membentuk Tim Pelaksana Kesehatan Jiwa Masyarakat (TPKJM). Kata Kunci: Pola, Pencarian, Pengobatan, Skizofrenia AbstractIt has been a common  practice among  the relative of persons with Schizophrenia to always try to get traditional treatment as the first attempt to cure them. If this is not succesful, they would therefore continue the rehabilitation to the medical facilities provided by the govement. This research attempts at analysing the pattern of treatment of Schizophrenia patients attempted by the families in the district of Pidie Jaya, Aceh. This is a qualitative research using discriptive phenomenology approach. The data collected through an indept interview of 8 informants. The informants are the relative of the Schizophrenia patients.  The transcript of interviews were analized using triangulation methods. The study found six important points: namely, the infomants did know the term of Schizophrenia, halusination was the early sign and symptom, the first treament given was that of traditonal ones done by Dukun and Tungku, the second treatment was at health facilities of the govement such as Public Health Centre (Puskesmas) and Provincial Mental Hospital, some of them are curently having medical treatment at the govement facilities while some other having no treatment at all. Some challenges faced by the family are mostly the expenses spent for the treatment and it is time consuming.Having traditionally treated, most of the persons suffer from  Schizophrenia did not show the sign of recovery.  The symptom persists or even worsen. The families would only then take them to get treated at the govement health facilities, such as Public Health Centre (puskesmas), District Public Health (Rumah Sakit Umum), and Provincial Mental Hospital. One informan has had to give up the medical treatment due to the inability to meet the expenses. This research recommends that “Dinas Kesehatan” in the district of Pidie Jaya might issue a policy that deals with the problem of mental illness in the society and forms one particular task force such as “Tim Pelaksana Kesehatan Jiwa Masyarakat (TPKJM)” to help reduce the challenges faced by the families in taking care their respective family members suffering from Schizophrenia Keywords: Pattern, seeking, Treatment, Schizophrenia