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All Journal JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Peduli Masyarakat Jurnal Kesehatan Tambusai Prima Wiyata Health
Masnina, Rusni
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Journal : Prima Wiyata Health

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MEDICATION ADHERENCE AND MENTAL HEALTH AMONG PATIENTS WITH SCHIZOPHRENIA AT LOA BAKUNG PRIMARY HEALTH CENTER, SAMARINDA Najdah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin; Atthoba, La Debi
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.116

Abstract

Background: Schizophrenia is a chronic severe mental disorder associated with impaired functioning and high relapse rates. Medication nonadherence remains a major challenge in maintaining mental health stability, particularly in primary health care settings where resources are limited. Objectives: To examine the association between medication adherence and mental health status among outpatients with schizophrenia at Puskesmas Loa Bakung Samarinda. Methods: A cross-sectional analytic study was conducted from October to November 2024 involving 40 outpatients with schizophrenia selected through total sampling. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8), while mental health status was measured using the General Health Questionnaire-12 (GHQ-12). Data were analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Results: Most participants had low medication adherence (57.5%) and experienced mild psychological distress (47.5%). Bivariate analysis showed a statistically significant association between medication adherence and mental health status (p < 0.001), with patients who had moderate to high adherence showing a lower likelihood of psychological distress (OR = 0.032; 95% CI: 0.003–0.295). Conclusion: Medication adherence was significantly associated with mental health status among outpatients with schizophrenia in a primary health care setting. These findings indicate an important relationship between adherence and psychological condition, although causal conclusions cannot be drawn due to the cross-sectional design.
FAMILY SUPPORT AND MEDICATION ADHERENCE AMONG PATIENTS WITH SCHIZOPHRENIA IN PRIMARY HEALTHCARE Nurkhalisah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.118

Abstract

Background: Schizophrenia is a chronic mental disorder requiring long-term pharmacological treatment. Medication non-adherence remains a major challenge and contributes to relapse and rehospitalization. In primary healthcare settings, family support is considered a key psychosocial factor influencing medication adherence. Objectives: This study aimed to examine the association between family support and medication adherence among outpatients with schizophrenia in a primary healthcare setting. Methods: An analytical cross-sectional study was conducted at Puskesmas Loa Bakung Samarinda, Indonesia. A total of 40 schizophrenia outpatients were recruited using total sampling. Family support was measured using the Duke-UNC Functional Social Support Questionnaire, while medication adherence was assessed with the Morisky Medication Adherence Scale-8 (MMAS-8). Data were analyzed using univariate analysis and Chi-square or Fisher’s exact test, with odds ratio (OR) estimation at a significance level of p < 0.05. Results: Of the respondents, 52.5% reported sufficient to high family support, while 47.5% reported low support. Medication adherence was categorized as low in 57.5% of patients, moderate in 17.5%, and high in 25.0%. A significant association was found between family support and medication adherence (p = 0.022). Patients with low family support had a sixfold higher risk of non-adherence compared to those with sufficient or high family support (OR = 6.094). Conclusion: Family support is significantly associated with medication adherence among patients with schizophrenia in primary healthcare. Strengthening family involvement in community-based mental health services is essential to improve adherence and reduce the risk of relapse.
THE ASSOCIATION BETWEEN FAMILY SUPPORT AND MENTAL HEALTH AMONG OUTPATIENTS WITH SCHIZOPHRENIA Aqilah, Syafwa; Masnina, Rusni; Wiwin Asthiningsih, Ni Wayan
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.119

Abstract

Background: Outpatients with schizophrenia still face the risk of mental health distress despite regular treatment. Family support is considered an important psychosocial factor that potentially plays a role in maintaining stable mental health. However, empirical evidence regarding the relationship between family support and mental health in patients with schizophrenia in primary healthcare settings is limited, particularly in the outpatient setting. Objectives: This study aims to analyze the relationship between family support and mental health in outpatients with schizophrenia. Methods: This study used a quantitative analytical design with a cross-sectional approach. The subjects were 40 outpatients with schizophrenia registered at the Loa Bakung Community Health Center, Samarinda, who were selected using total sampling. Family support was measured using the Duke–UNC Functional Social Support Questionnaire (FSSQ), while mental health was assessed using the General Health Questionnaire-12 (GHQ-12). Data were analyzed descriptively and bivariately using the Chi-square test with continuity correction, and presented with Odds Ratio (OR) values ​​and 95% confidence intervals with a significance level of p < 0.05. Results: The analysis results showed that the majority of respondents were in a state of mental health distress (72.5%). There was a statistically significant relationship between family support and the mental health of schizophrenia patients (p = 0.008). Respondents with adequate to high family support were less likely to experience mental health distress than respondents with low family support (OR = 0.061; 95% CI: 0.007–0.545). Conclusion: This study demonstrates a significant association between family support and mental health in outpatients with schizophrenia. However, given the cross-sectional design and limited sample size, these results cannot be used to conclude a causal relationship. These findings emphasize the importance of family support as a psychosocial factor that needs to be considered in community-based mental health services.
Co-Authors Annaas Budi Setyawan Aqilah, Syafwa Asthiningsih, Ni Wayan Wiwin Atthoba, La Debi Azzahra, Amarilis Fatimah Enok Sureskiarti Kefie, Muhammad M. Bachtiar Safrudin Najdah Nurkhalisah Nursela, Nursela Septiawan, Taufik tri wahyuni Wiwin Asthiningsih, Ni Wayan