scholarly journals Gambaran Strategi Koping Keluarga dalam Merawat Anggota Keluarga yang Menderita Gangguan Jiwa Bera

1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Yelsi Wanti ◽  
Efri Widianti ◽  
Nita Fitria

Keluarga yang merawat anggota keluarga dengan gangguan jiwa sering mengalami stres karena perilaku anggota keluarga yang mengalami gangguan jiwa dan stigma yang melekat pada keluarga. Keluarga akan melakukan strategi koping untuk mengatasi stres yang dialami. Tujuan Penelitian ini adalah untuk mengidentifikasi strategi koping keluarga dalam merawat anggota keluarga yang menderita gangguan jiwa berat di rumah di Desa Sukamaju dan Desa Kersamanah Kecamatan Kersamanah Kabupaten Garut. Jenis penelitian ini adalah deskriptif kuantitatif dengan jumlah responden sebanyak 43 orang anggota keluarga yang merawat pasien gangguan jiwa berat, diambil dengan total sampling. Data penelitian diambil menggunakan kuesioner dari instrumen baku Ways Of Coping (WOC) dan analisis data yang digunakan dalam bentuk persentase. Hasil penelitian menunjukkan sebagian dari responden yaitu 20 orang (47%) lebih cenderung menggunakan emotional focused coping, sebagian kecil responden yaitu 13 orang (30%) cenderung menggunakan problem focused coping dan sebagian kecil responden lainnya yaitu 10 orang (23%) dominan menggunakan problem focused coping dan emotional focused coping secara bersamaan. Simpulan dari penelitian ini menunjukkan bahwa keluarga dalam merawat pasien gangguan jiwa berat di rumah melakukan usaha untuk menghadapi stres dengan cara mengatur respon emosionalnya untuk menyesuaikan diri dari dampak yang ditimbulkan oleh pasien. Hasil penelitian ini diharapkan dapat memberikan masukan bagi perawat di puskesmas setempat untuk memberikan konsultasi dan konseling bagi keluarga dalam merawat pasien gangguan jiwa berat di rumah.Kata kunci: Gangguan jiwa berat, keluarga, strategi koping. Describe Of Family Coping Strategies In CaringFamily Members Suffering From Severe Mental DisordersAbstractFamilies who care for family members with mental illness often stresor due to the behavior of family members with mental illness and the stigma attached to the family. The family will do the coping strategies to overcome the stres experienced. The study purpose is to identify family coping strategies in caring for family members who suffer from severe mental disorders at home in Sukamaju and Kersamanah Villages in District of Garut. This design of study is quantitative descriptive with the number of respondents about 43 family members who care for patients with severe mental disorders, using total sampling. The data were taken using a questionnaire of raw instrument Ways Of Coping (WOC) and data analysis used form of a percentage. The results showed the majority of respondents, 20 people (47%) were more likely to use emotional focused coping, a small portion 13 respondents (30%) tend to use problem focused coping and a small portion 10 respondents (23%) predominantly use problem focused coping and emotional focused coping simultaneously. The conclusions of this study indicate that the family in caring for patients with severe mental disorders at home to make efforts to deal with stres by regulating the emotional response to adjust from the impact caused by the patient. The results of this study are expected to provide input for a nurse at a Health care to provide consultation and counseling for families in caring for patients with disorders severe mental at home.Keywords: Coping strategies, family, severe mental disorders.

2020 ◽  
pp. 1-7
Author(s):  
Tara Sims

BACKGROUND: The impact of paediatric upper limb difference may extend beyond the child themselves to their parents and other family members. Previous research has found that feelings of shock, numbness and loss are common amongst parents and that peer support can be a buffer against stress. OBJECTIVE: The current study aimed to explore the experiences of parents of children with limb difference, and the role of services and prosthetic devices in these experiences. METHODS: Nine parents of children with limb difference participated in either a group (n= 2) or individual (n= 7) interview. RESULTS: Analysis of the interview transcripts revealed four themes – ‘grief and guilt’, ‘prosthesis as a tool for parental adjustment’, ‘support’ and ‘fun and humour’. CONCLUSIONS: Parents may employ coping strategies to help them adjust to their child’s limb difference, including use of a prosthesis, accessing support from statutory services and peers, and use of fun and humour within the family.


2011 ◽  
Vol 63 (4) ◽  
pp. 343-358 ◽  
Author(s):  
Abraham P. Greeff ◽  
Alfons Vansteenwegen ◽  
Tina Herbiest

The aim of this study was to identify and describe resilience qualities in families after losing a child. Questionnaires, including an open-ended question, were utilized to collect data independently from the parents and siblings of the deceased in 89 Belgian families. The results indicate that family strengths in general, and commitment to the family in particular, helped the families' adaptation after the loss. In addition, the adaptation process after the loss was aided if the family members viewed the crisis as a challenge. Both the siblings and the parents indicated that the extent to which a family experienced support from the community was directly related to family adaptation after the loss. Redefining the situation and utilizing social support from friends and family were underlined as effective family coping strategies. The findings could be used in interventions to promote family resilience, thereby affirming the reparative potential of families.


Author(s):  
Kebogile Elizabeth Mokwena ◽  
Amukelane Ngoveni

The South African Mental Health Act of 2002 advocates the de-institutionalization of treatment of patients with mental disorders, so that the mental health care users or patients are treated in their communities. Although this approach is often used to discharge patients from hospital, no feasibility assessments are conducted to ascertain adequate care for these patients. The objective of the study was to explore the experiences of family members who provide home care for patients with serious mental disorders. A qualitative explorative design was used to interview 20 primary caregivers whose family members were readmitted to a public psychiatric hospital in Pretoria. Data were analysed using NVivo version 11. The findings are that caring for patients with serious mental illness at home is difficult, sometimes unbearable, because the families have to deal with violence perpetrated by the patients, safety concerns, financial difficulties and emotional turmoil, and wish that the patients would be kept in institutions. The absence of required skills and resources to care for the mentally ill at home exposes the patients and their families to emotional, financial and social difficulties, and results in unfavourable outcomes for both the patients and their families.


2018 ◽  
Vol 2 (2) ◽  
pp. 83
Author(s):  
Edi Purnomo ◽  
Zulhaini Sartika A. Pulungan ◽  
Andi Milawati

Mental disorder schizophrenia is a disorder psychic who ranks second in diseases that cause the greatest burden after heart disease. Its burden of mental disorders is mainly felt by the families who have family members with mental disorders. Patients with mental disorders who live with the family does not always indicate the best condition for the recovery of the client. The purpose of this study was to determine the effect of the role of the clerk and the knowledge of the family in improving the ability of families caring for clients with mental disorders at home. This research method is descriptive quantitative research design descriptive analytic approach cross sectional study.  The samples used were 30 families who have family members experiencing mental disorders withpurposivesampling method. The research was conducted in Puskesmas Ulumanda Majene district. Results showed no effect between family knowledge (p=0.005) and the role of health care workers (p=0.008) with the ability of families in caring for clients with mental disorders at home. Conclusion the role of health workers and knowledge affect the ability of families caring for clients with mental disorders at home. Advised the family to be more active in seeking information about the treatment of people with mental disorders at home and health officials often approach to the family to help care clients with mental disorders.


2019 ◽  
Vol 10 (2) ◽  
pp. 809-819
Author(s):  
Ririn Nasriati ◽  
Rona Riasma Oktobriani

Latar Belakang: Gangguan jiwa merupakan masalah kesehatan yang serius karena jumlahnya yang terus mengalami peningkatan serta merupakan penyakit kronis yang membutuhkan proses panjang dalam penyembuhannya. Terdapat perbedaan dalam perilaku pencarian pengobatan penderita gangguan jiwa yang dilakukan oleh keluarga. Faktor pendidikan, informasi, pendapatan dan stigma yang dialami keluarga dapat menghambat perilaku pencarian pengobatan yang dilakukan oleh keluarga sehingga berdampak pada terlambatnya pengobatan yang diberikan kepada penderita gangguan jiwa.Tujuan: Tujuan penelitian ini adalah menganalisis faktor yang mempengaruhi perilaku keluarga dalam pencarian pengobatan gangguan jiwa.Metode: Rancangan penelitian adalah korelasi dengan pendekatan crossectional. Populasinya adalah seluruh keluarga yang mempunyai anggota keluarga gangguan jiwa dengan jumlah 47  yang diambil dengan total sampling. Pengumpulan data menggunakan kuesioner yang diberikan kepada keluarga orang dengan dengan gangguan Jiwa kemudian data dianalisis dengan menggunakan Chi Square.Hasil: Hasil penelitian menunjukkan bahwa faktor pendidikan dan informasi berpengaruh signifikan terhadap perilaku keluarga dalam pencarian pengobatan gangguan jiwa dengan p value 0,05.Kesimpulan: Faktor pendidikan dan informasi gangguan jiwa menentukan perilaku keluarga dalam pencarian pengobatan gangguan jiwa untuk itu diperlukan upaya lebih lanjut untuk memberikan informasi dan edukasi tentang gangguan jiwa yang adekuat kepada keluarga sehingga keluarga tidak keliru dalam mencari bantuan pengobatan bagi anggota keluarganya yang gangguan jiwa.Kata Kunci: faktor pendidikan, stigma, pendapatan, informasi gangguan jiwa Background: Mental disorders are a serious health problem because the number continues to increase and is a chronic disease that requires a long process of healing. There is a difference in the behavior of seeking treatment for patients with mental disorders carried out by the family. Factors of education, information, income and stigma experienced by families can hinder the behavior of seeking treatment carried out by the family so that the impact on the delay of treatment given to people with mental disorders.Objective: The purpose of this study is to analyze the factors that influence family behavior in seeking treatment for mental disorders.Method: The study design was correlated with a cross-sectional approach. The population is all families who have mental illness family members with a total of 47 taken with total sampling. Data collection using a questionnaire given to families of people with mental disorders then the data were analyzed using Chi Square.Results: The results showed that education and information factors had a significant effect on family behavior in seeking mental health treatment with a p value 0.05.Conclusion: The factor of education and information on mental disorders determines family behavior in seeking treatment for mental disorders. Therefore, further efforts are needed to provide adequate information and education about mental disorders to families so that families are not mistaken in seeking treatment for family members with mental disorders.Keywords: education factors, stigma, income, information on mental disorders


2019 ◽  
Vol 7 (3) ◽  
pp. 253
Author(s):  
Irene Febriany Mamo Kitu ◽  
Meidiana Dwidiyanti ◽  
Diyan Yuli Wijayanti

Permasalahan yang terjadi pada pasien skizofrenia tidak hanya melibatkan pasien itu sendiri tetapi juga melibatkan keluarga sebagai orang terdekat dari pasien tersebut. Keluarga mempunyai beban tersendiri saat merawat anggota keluarga yang mengalami gangguan jiwa. Terapi keperawatan diberikan kepala keluarga agar koping keluarga lebih efektif dalam menghadapi situasi yang ditimbulkan selama perawatan pasien skizofrenia. Literature ini bertujuan untuk mengetahui terapi keperawatan yang dapat digunakan pada keluarga agar koping keluarga lebih efektif. Metode yang digunakan dalam penulisan ini yaitu literature review dengan menggunakan artikel/ jurnal dari tahun 2003 – 2019 dan pencarian artikel melalui Science Direct, Google Scholar dan Pubmed. Tema artikel yang digunakan yaitu terapi keperawatan terkait dengan koping keluarga pasien skizofrenia. Hasil sintesa dari artikel-artikel yang telah ditelusuribahwa terapi keperawatan spesialis mampu mengatasi masalah koping pada keluarga pasien skizofrenia namun perlu adanya penelitian lebih lanjut tentang terapi keperawatan komplementer terhadap masalah koping keluarga pada pasien skizofrenia.  Kata kunci: terapi keperawatan, koping keluarga, skizofrenia  NURSING THERAPY TOWARD THE COPING OF FAMILLIES OF SCHIZOPHRENIC PATIENTS: A LITERATURE REVIEW ABSTRACTThe problems that occur in schizophrenic patients not only involve the patient himself but also involve the family as the closest person to the patient. Families have their own burdens when caring for family members who experience mental disorders. Nursing therapy is given by the head of the family so that family coping is more effective in dealing with situations caused during the treatment of schizophrenic patients. This literature aims to determine nursing therapy that can be used in families so that family coping is more effective. The method used in this writing is the literature review by using articles / journals from 2003 - 2019 and searching articles through Science Direct, Google Scholar and Pubmed. The theme of the article used was nursing therapy related to coping with the family of schizophrenic patients. The results of the synthesis of the articles that have been traced that specialist nursing therapy is able to overcome coping problems in the family of schizophrenic patients but need further research on complementary nursing therapy on family coping problems in schizophrenic patients  Keywords: nursing therapy, family coping, schizophrenic 


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Susanne A. Elsner ◽  
Sam S. Salek ◽  
Andrew Y. Finlay ◽  
Anna Hagemeier ◽  
Catherine J. Bottomley ◽  
...  

Abstract Background The Family Reported Outcome Measure (FROM-16) assesses the impact of a patient’s chronic illness on the quality of life (QoL) of the patient’s partner or family members. The aim of the study was to translate, explore the structure of and validate the FROM-16. Methods The questionnaire was translated from English into German (forward, backward, four independent translators). Six interviews with family members were conducted to confirm the questionnaire for linguistic, conceptual, semantic and experiential equivalence and its practicability. The final German translation was tested for internal consistency, reproducibility and test validity. Criterion validity was tested by correlating the scores of the FROM-16 and the Global Health Scale (GHS). Principal component analysis, factor analysis, and confirmatory factor analysis was used to assess the questionnaire’s structure and its domains. Reliability and reproducibility were tested computing the intraclass correlation coefficient (ICC) using one sample t-test for testing the hypothesis that the difference between the scores was not different from zero. Results Overall, 83 family members (61% female, median age: 61 years) completed the questionnaire at two different times (mean interval: 22 days). Internal consistency was good for the FROM-16 scores (Cronbach’s α for total score = 0.86). In those with stable GHS, the ICC for the total score was 0.87 and the difference was not different from zero (p = 0.262) indicating reproducible results. A bi-factor model with a general factor including all items, and two sub-factors comprising the items from the original 2-factor construct had the best fit. Conclusions The German FROM-16 has good reliability, test validity and practicability. It can be considered as an appropriate and generic tool to measure QoL of a patient’s partner or family member. Due to the presence of several cross-loadings we do not recommend the reporting of the scores of the two domains proposed for the original version of FROM-16 when using the German version. Thus, in reporting the results emphasis should be put on the total score. Trial registration: Retrospectively registered: DRKS00021070.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients


2015 ◽  
Vol 5 (2) ◽  
pp. 157-181 ◽  
Author(s):  
Torsten Schmidts ◽  
Deborah Shepherd

Purpose – The purpose of this paper is to use social identity theory to explore factors that contribute to the development of family social capital. Effects are investigated both for the family and the business. Design/methodology/approach – A single in-depth case study focussing on the family unit was coducted within a fourth-generation family business involved in the arts retailing. Findings – The findings suggest that social identity theory is a useful lens to explore the development of family social capital. The six themes identified highlight that there is a normative and an affective dimension, leading to family members’ desire to uphold the status of the business. Evidence suggests that the normative factors may be both positively and negatively related to the development of family social capital, due to their potentially restrictive nature. Originality/value – The paper’s findings imply that social identity can contribute to understanding family dynamics. Evidence highlights various factors for family members that are not involved in the family business to uphold its status. This is attributed to the emotional significance of the business to the family’s identity. Furthermore, this paper suggests that the strong focus on norms and values, which developed gradually, may have adverse effects on the identification with the business and the willingness to uphold its status. Propositions are offered to provide guidance for future research to investigate this controversial evidence regarding the impact of value orientation on family social capital.


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