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All Journal PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Journal Of Holistic Nursing Science Edukasi : Jurnal Penelitian dan Artikel Pendidikan Jurdimas (Jurnal Pengabdian Kepada Masyarakat) Royal Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat JURNAL MUTIARA NERS Journal of Computer System and Informatics (JoSYC) Jurnal Kesehatan SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Community Empowerment Jurnal Keperawatan Karya Bhakti Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan Prosiding University Research Colloquium Borobudur Nursing Review Innovation in Health for Society Jurnal Keperawatan 'Aisyiyah Journal of Educational Innovation and Public Health EDUKASI : Jurnal Penelitian dan Artikel Pendidikan
Sambodo Sriadi Pinilih
Universitas Muhammadiyah Magelang
Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Penerapan Token Ekonomi pada Pasien Gangguan Jiwa dengan Ketidakpatuhan Minum Obat Meilena, Cahya; Amin, Muhammad Khoirul; Astuti, Retna Tri; Pinilih, Sambodo Sriadi
Borobudur Nursing Review Vol 5 No 2 (2025): Borobudur Nursing Review Vol 5 No 2 (July-December 2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/bnur.14174

Abstract

Background: Mental disorders are conditions that affect a person's thoughts, feelings, and behavior, often disrupting daily activities, including adherence to prescribed treatment. Non-adherence to medication is one of the leading causes of relapse and re-hospitalization in patients with mental disorders. One behavioral approach that can be applied to improve adherence is the token economy method. Objective: The aim of this case study is to apply nursing care for patients with mental disorders who experience medication non-adherence by implementing a token economy intervention. Methods: This study used a descriptive case study design. The researcher explored the real-life experiences of patients through direct observation, interviews, and document analysis. The nursing process was guided by the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcomes Standards (SLKI), and Nursing Intervention Standards (SIKI), along with the Morisky Medication Adherence Scale (MMAS-8) as a measurement tool. The subjects were two male clients aged 40–45 years with low adherence scores and no medication supervisors. The intervention was conducted over six sessions in two weeks, providing star-shaped tokens each time the clients took their medication, which could later be exchanged for personal items. Results: The intervention resulted in an increase in MMAS-8 scores from 4 (low) to 7 (moderate) in both clients. Improvements were also observed in all adherence indicators based on SLKI. Clients showed higher motivation, improved behavior, and a reduction in psychiatric symptoms. Conclusion: The application of the token economy method as a behavioral therapy is effective in increasing medication adherence in clients with mental disorders. This intervention helps establish positive routines and provides meaningful motivation for clients.
Co-Authors Adinda, Dera Aena’ul Mardiyah Alifa Amalia Ambarwati, Putri Dewi Amin, M. Khoirul Amin, M. Khoirul Amin, Muhammad Khoirul Audyna Navisa Bilfrans Keyvien Alifiando Daryati Retno Cahyaningsih Dede Yudi Dimas Sasongko Dinda Setiya Ekaputri, Santika Indriyani Elza Shelviana Endah Ratna Arumi, Endah Ratna Enik Suhariyanti Estrin Handayani Evi Rositasari Fahmi Medias Firmansyah, Dwi Ayu Lestari Galih Istiningsih Guno Ariyanto Hargiana, Giur Iftitah, Siti Nur Iftitah, Siti Nur Ihsanudin Jalaluddin, Alif Kharisma Data KHUSNUL LAELY, KHUSNUL Kusuma, Pradana May Yudha Chandra Laksono Trisnantoro M. Khoirul Amin Margowati, Sri Maulana Aziz Meilena, Cahya Muh. Khoirul Amin Muhammad Khoirul Amin Muhammad Resa Arif Yudianto Nandasari, Aulia Devi Novy Helena Chatarina Daulima Nurul Fitri Hidayati Nurul Hidayah Nurul Niawati Prasetyo Budi Utomo Putri Dewi Ambarwati Rasidi, Rasidi Retna Tri Astuti Rini, Desi Risaditia Robiul Fitri Masithoh Shofi Afra Sodiq Kamal Sri Margowati Syifa’ul Husna Uky Yudatama, Uky Wijayanti, Maulintan Yulaikah, Ana Yulaikah, Ana Zulfikar Bagus Pambuko