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All Journal Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Indonesian Journal of Global Health research
Mamang, Aisah
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Analysis of the Relationship between Knowledge About Schizophrenia and Family Support on Medication Adherence Among Those Undergoing Repeated Treatment at Dr. Soeharto Heerdjan Mental Hospital Mamang, Aisah; Anwar, Syamsul; Nurhayati, Nurhayati
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 02 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 02 Juni 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i02.3357

Abstract

Background: Schizophrenia is a severe mental disorder characterized by difficulties in thought processes. One of the factors influencing repeated hospitalizations in patients with schizophrenia is the knowledge about schizophrenia and family support, which can lead to medication non-adherence. Methods: This study employs a cross-sectional approach with 129 participants who have a family member experiencing repeated hospitalizations or long-term patients diagnosed with schizophrenia at dr. Soeharto Heerdjan Psychiatric Hospital. The sampling data collection technique uses probability. Data were collecte using questionnaire with a reliability value for knowledge about schizophrenia (KASQ) of 0.945, informational support 0.935, assessment/award support 0.915, emotional 0.907, and medication adherence (MARS) 0.960. Bivariate data analysis using logistic regression and multivariate data using the multiple logistic regression test. Results: The research result showed that the majority of respondents had insufficient knowledge 47.3 % with a p-value of 0.000 that there was a significant relationship between family knowledge about schizophrenia and adherence to taking medication. Informational support is 66.7% lacking with a p-value 0.000 a significant relationship between infomational support and medication adherence. Support for assessment/reward is less that 78.3% with a p-value 0.000 that there is significant relationship between support for assessment/reward and adherence to taking medication. Instrumental support wasl 77.5% with a p-value 0.000 that there was a significant relationship between instrumental support and compliance with taking medication. Emotional support was less at 77.5% with a p-value 0.000 that there was significat reletionship between emotional support and compliance with taking medication. The dominant factor among families of patients diagnosed with schizophrenia experiencing repeated hospitalizations at dr. Soeharto Heerdjan Psychiatric Hospital was the variable of family informational support with an odds ratio of 32.003. This indicates that families with informational support are 32 times more likely to have repeated hospitalizations compared to families without informational support, after controlling for variables of knowledge about schizophrenia, family instrumental support, and family appraisal/esteem support. Conclusion: There is a relationship between knowledge about schizophrenia, informational support, appraisal/esteem support, instrumental support, and emotional support with medication adherence.
Counseling and Supervision Impact on Elderly Tuberculosis Patients’ Medication Compliance Mamang, Aisah; Anwar, Syamsul; Yunitri, Ninik; Herlinah, Lily
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3292

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which spreads mainly through the air, especially attacking the lungs but can infect any organ, including the brain, kidneys, bones, and lymph nodes. One factor contributing to non-compliance in TB patients is irregular treatment. If treatment is not consistent, it can lead to drug-resistant germs, prolonging treatment and reducing success. Objective: The aim of this study was to improve medication compliance through evidence-based nurturing practices. Method: This study employed two phases including a systematic review to determine the EBNP and the second phase was the implementation of the EBNP. We gathered the participant using total participant but stricly applied the inclusion and exlcusion criteria. Fifteen elderly aged 63±3.314 years in Karanganya, Sawah Besar, Jakarta Pusat were participated in this study. The data analysis using Jamovi aimed to assess the impact of counseling and medication supervision on medication compliance in elderly TB patients. Results: Surprisingly, there was no significant increase in compliance after the intervention (p-value of 0.134). However, the X2 continuity correction analysis revealed that counseling and supervision doubled medication adherence in the elderly. Conclusions: health counseling, consisting of 30-minute sessions from diagnosis to recovery, utilizing media such as posters, is highly recommended by health workers. This intervention aims to improve medication compliance and adherence to the recommended schedule effectively.
The Impact of Family Psychoeducation on Medication Adherence in Schizophrenia Clients for Preventing Rehospitalization Mamang, Aisah; Winahyu, Neng Esti; Kahiriyah, Okti Hanalutfi; Musadad, Dede Anwar; Rustika, Rustika
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5507

Abstract

Schizophrenia is a serious mental illness that can significantly impact the quality of life. Families play a crucial role as primary caregivers, providing both physical and mental support to individuals with schizophrenia. Family psychoeducation therapy is a structured intervention designed to address relapse-related challenges in schizophrenia clients. The purpose of this study was to examine the impact of family psychoeducation interventions on medication adherence in schizophrenia clients. This study used a quasi-experimental design with 62 families divided randomly into intervention and control groups (31 each). Families with a member diagnosed with schizophrenia and willing to participate were included. The intervention group received four weekly psychoeducation sessions, while the control group received standard care. Medication adherence was measured using a validated scale. Data were analyzed with the Mann-Whitney U test (p < 0.05) to assess the intervention’s impact. The study found no significant effect of psychoeducation on medication adherence based on age (p = 0.968), gender (p = 0.172), and education level (p = 0.148). However, there was a significant effect of psychoeducation on medication adherence related to employment (p = 0.023), knowledge (p = 0.023), attitudes (p = 0.001), and overall adherence (p = 0.001). The family psychoeducation intervention program showed significant benefits, including improved medication adherence, better family perceptions of medication, enhanced understanding of schizophrenia, and reduced relapse rates and hospital readmissions.
Co-Authors Dede Anwar Musadad, Dede Anwar Kahiriyah, Okti Hanalutfi Lily Herlinah Nurhayati Nurhayati Rustika Rustika Syamsul Anwar, Syamsul Winahyu, Neng Esti Yunitri, Ninik