scholarly journals The Effect of Milieu Therapy towards Knowledge of Caregivers and Relaps Response Patients Mental Disorders in Hospital

2018 ◽  
Vol 6 (5) ◽  
Author(s):  
Nurdiana Siahaan ◽  
Omi Haryati ◽  
Nur Halimah
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Support System ◽  
Strong Support ◽  
Care Patient ◽  
P Value ◽  
Milieu Therapy ◽  
The Past ◽  
The Family ◽  
Before And After

Patients with mental disorder need the regularly strong support system from their surroundings, one of the support system that most closely is the family including the parents and other people that live together with the clients. Knowledge of Caregivers about carrying patients with mental disorders is very important. Sometimes they faced some troubles because lack of knowledge how to care patient with the mental disorder,  This research aim is to know the effectiveness of milieu therapy toward Caregivers knowledge, attitudes, and the response of the recurrence for patients with mental disorder. The research methodology used a quasi-experiment pretest and posttest design.  Using by purposive sampling  35 respondents were involved in this study. The research took place in Jakarta, Indonesia. The results of research is that the knowledge of caregiver before and after the intervention of the very means where the P value, 0.000, There is no difference about attitude  caregivers before and after the intervention towards occurrence with P value is 0,402, There is a difference before and after intervention of caregiver to the patient for doing milieu therapy with p-value 0.000. Conclusion: Milieu therapy made the patient with mental disorder having activities in their daily living, so there is no time for thinking the past days that made recurrence.

scholarly journals Pengaruh Beban Terhadap Stres yang Dialami Keluarga Dalam Merawat Pasien Gangguan Jiwa

2017 ◽  
Vol 6 (1) ◽  
pp. 22
Author(s):  
Fajar Rinawati ◽  
Sucipto Sucipto
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Research Design ◽  
Family Members ◽  
The Other ◽  
P Value ◽  
Cross Sectional ◽  
The Family ◽  
Quantitative Design ◽  
The Invisible

Patients with mental disorders in community (a family) will have impact on the family, the environment, and the other, such as Puskesmas, Dinkes, and Goverment. The graetest impact is on the family, because they live together with the patient everyday. the main problem that arises in the family is the burden and stress in caring the patient. The purpose of this research is to see whether there is an influence of the burden on the stress of the family who caring the patient with mental disorder at home. The research design used is a quantitative design with cross sectional approach. The sample of this research is a family that caring the patient with mental disorder, with a sample zise of 30 respondens. The results showed that the burden significantly affects to the stress, with p-value 0.008. every family who caring the patients with mental disorder must have felt the burden, both the visible and the invisible. This burden will cause stress to the family, so need cooperation to the others, such as all family members, the environment, Puskesmas, Dinkes, and Goverment.

scholarly journals Actions of the nurse to the patient with a mental disorder

2021 ◽  
Vol 10 (1) ◽  
pp. e15510110385
Author(s):  
Aline de Sousa Rocha ◽  
Benedita Maryjose Gleyk Gomes ◽  
Roberta Sousa Meneses ◽  
Marcos Antonio Silva Batista ◽  
Rosane Cristina Mendes Gonçalves ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Nursing Care ◽  
Temporal Analysis ◽  
Social Reintegration ◽  
The Family ◽  
The World ◽  
The Individual ◽  
Provision Of Care ◽  
The Relationship

The psychiatric reform that took place in Brazil carries characteristics of other movements that occurred in other parts of the world. The idea common to all movements is the struggle for the rights of the individual in mental suffering, seeking mainly the rupture of the mental model. These changes led to several transformations in the care scenario, for all professions directly linked to the patient. Nursing in turn has experienced and experiences significant changes in the provision of care. The aim of this study is to talk about nursing care for patients affected by mental disorder, making a temporal analysis of how this care occurred and how it presents itself in the current mental health conjuncture. The methodology is of the literature review type, which occurred through research in the databases BIREME, Lilacs, Scielo, BDENF and VHL. For this, the descriptors: nursing care for people with disorders were selected; nursing care for patients with mental disorders. In view of the results, it was evidenced that nurses are an important part of caring for patients with mental disorders, noting that these make up a multidisciplinary team and highlighting that care goes far beyond just caring for the patient, but that it consists mainly in the relationship with the patient's family, in bonding, in the work that aims at social reintegration and often also the family reinsertion of the individual. Profession that needs to undergo constant updates, but has experienced numerous transformations throughout this period of Reformation.

scholarly journals Hubungan Kesiapan Keluarga Menerima Klien Dengan Gangguan Jiwa Terhadap Angka Kekambuhan Pada Klien Gangguan Jiwa Di Poliklinik Rumah Sakit Jiwa Sambang Lihum Tahun 2018

2019 ◽  
Vol 10 (2) ◽  
pp. 745-457
Author(s):  
Muhammad Saputra
Keyword(s):  
Public Health ◽  
Health Care ◽  
Mental Disorders ◽  
P Value ◽  
Mental Impairment ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Family ◽  
Family Readiness ◽  
To Receive

Latar belakang : Gangguan jiwa merupakan salah satu masalah kesehatan masyarakat di Indonesia. Klien gangguan jiwa dicirikan dengan siklus kekambuhan yang mencapai 60-75% dari keseluruhan penderita. Kekambuhan klien masih tinggi dapat dipengaruhi faktor kesiapan keluarga dalam menerima klien gangguan jiwa.Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan kesiapan keluarga menerima klien dengan gangguan jiwa terhadap angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang LihumMetode penelitian :  analitik dengan rancangan cross sectional. Populasi adalah seluruh keluarga (keluarga inti) klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum yang berjumlah 1.751 orang. Sampel sebagian dari populasi sebanyak 97 orang dengan teknik pengambilan puposive sampling. Analisis data melalui uji Spearman Rank dengan tingkat kepercayaan 95%.Hasil penelitian Didapatkan keluarga klien gangguan jiwa sebagian besar siap dalam menerima klien gangguan jiwa sebanyak 77 orang (79,4%) dan angka kekambuhan klien gangguan jiwa sebagian besar kategori sedang sebanyak 65 orang (67%). Ada hubungan kesiapan keluarga dalam menerima klien dengan angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum Provinsi Kalimantan Selatan (p value = 0,000; r = 0,744).Saran : rumah sakit hendaknya memberikan sosialisasi misalnya melalui kegiatan peningkatan home visite kepada keluarga pasien untuk meningkatkan kesiapan keluarga untuk menerima klien. Kata Kunci : Angka Kekambuhan, Kesiapan Menerima Klien.Background : Mental disorders is one of the problems of public health in Indonesia. The mental impairment client is characterized by a relapse cycle that reaches 60-75% of the sufferer. Client relapse is still high can be influenced by family readiness factor in receiving the client's mental disorders.Research objectives : PEnelitian aims to know the family readiness relationship to receive clients with a mental impairment on the number of relapse in Mental disorders in the clinic of mental illness in Sambang LihumResearch method :       cross sectional analytic. Population is the whole family (core family) of the clients of mental disorders in the polyclinic of the Sambang Lihum psychiatric hospital amounting to 1,751 people. Samples of a portion of the population of 97 people    with        puposive    samplingtechniques. Analysis of data by Test  Spearman Rank    with a trust rate of 95%.The results obtained by the family of mental disorders clients are mostly ready in receiving clients of mental disorders as much as 77 people (79.4%) and the number of mental impairment clients of most categories is currently 65 people (67%). There is a family readiness relationship in accepting clients with a number of relapse on the client's mental disorder in the clinic of health care Sambang Lihum South Kalimantan Province (P  value  = 0.000; r = 0.744).Suggestion : RHospital should provide socialization e.g. through  home visite   Improvement activities to the patient family to improve the family readiness to receive clients. Keywords: number of relapse, readiness of accepting clients

scholarly journals Psychoeducation as an element of psychosocial interventions in a complex system of medic-psychological support for a family, where a patient with endogenous mental disorder lives

2020 ◽  
Keyword(s):  
Complex System ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Family Caregivers ◽  
Adaptive Capacity ◽  
Paranoid Schizophrenia ◽  
Psychosocial Interventions ◽  
Psychological Support ◽  
Her Family ◽  
The Family

The biopsychosocial model of therapy for endogenous mental disorders involves a flexible combination of psychopharmacotherapy with psychosocial interventions. Psychoeducation is one of the most important components of psychosocial interventions in a multifaceted system of psychosocial rehabilitation. The primary task of psychoeducation is to provide patients and their family caregivers with realistic knowledge about mental disorder, on the basis of which the patient and his or her family members can get more control over the symptoms of the disease. The aim of our work was from the standpoint of a systematic approach, based on the study of clinical and psychological manifestations and risk factors for the development of pathological functioning in a family, where a patient with endogenous mental disorder lives, to develop, substantiate scientifically and introduce a psychoeducational module as an element of psychosocial interventions in complex system of medical -psychological support. To achieve this goal, according to the principles of bioethics and medical deontology, a comprehensive examination of 243 patients with endogenous mental disorders (168 patients with paranoid schizophrenia, 75 patients with affective disorders) and 243 family caregivers was performed. The work was done in three stages: during the the first stage we examined patients and their family caregivers. During the second stage, an in-depth study of psycho-emotional, individual-psychological, interpersonal-communicative and psychosocial predictors of reducing the adaptive capacity of the family was performed. The third stage included scientific substantiation, development and implementation of an appropriate comprehensive system of medical and psychological support for the families, based on the analysis of data obtained during the previous stages. The proposed system of medical and psychological support has shown its effectiveness in improving the adaptive capacity of the family, where patients with endogenous mental disorders live, and can be recommended for further implementation in appropriate medical institutions.

Comparison of the morphology of the adult males of the rhizoecine, phenacoccine and pseudococcine mealybugs (Hemiptera: Sternorrhyncha: Coccoidea), with the recognition of the family Rhizoecidae Williams

Zootaxa ◽  
2012 ◽  
Vol 3291 (1) ◽  
pp. 1 ◽  
Author(s):  
CHRIS HODGSON
Keyword(s):  
Adult Male ◽  
Strong Support ◽  
Scale Insects ◽  
Adult Males ◽  
Phenacoccus Solenopsis ◽  
Maconellicoccus Hirsutus ◽  
The Past ◽  
Male Characters ◽  
The Family ◽  
Male Morphology

In the past, the morphology of adult males of Coccoidea has provided strong support for diagnosing the higher taxonstatus of scale insects (Coccoidea). In particular, studies on adult male morphology have produced some of the stron-gest evidence for considering the Putoidae and Eriococcidae (as then defined) as separate families from the Pseudo-coccidae. This paper uses adult male morphology to assess the relationships of the Pseudococcidae and the hypogaeicand myrmecophilous mealybugs. The latter most often are classified as a subfamily (Rhizoecinae) of the Pseudococ-cidae. In order to diagnose the latter taxa, the adult males of fifteen named species of hypogaeic rhizoecine mealybugs(Kissrhizoecus hungaricus Kozár & Konczné Benedicty, Rhizoecus cacticans (Hambleton), Rh. coffeae Laing, Rh.dianthi Green, Rh. falcifer Künckel d’Herculais, Rh. kazachstanus Matesova, Ripersiella cryphia (Williams), Ri.hibisci (Kawai & Takagi), Ri. kondonis (Kuwana), Ri. malschae (Williams), Ri. puhiensis (Hambleton), Capitisetellamigrans (Green) and Pseudorhizoecus proximus Green) plus two unidentified Ripersiella species are described. Inaddition, the adult males of a Xenococcus sp., three Eumyrmococcus spp. and two Neochavesia spp. are illustratedfrom previously published papers and the adult male of another Neochavesia sp. is described and illustrated. In orderto compare the diagnoses of the above taxa with that of adult males of Pseudococcidae (minus the Rhizoecinae), theadult males of two apterous pseudococcid mealybugs are described or redescribed: Asaphococcus agninus Cox andthe myrmecophilous Promyrmococcus dilli Williams, both belonging to the Pseudococcinae. In addition, threemacropterous Pseudococcidae, namely Phenacoccus solenopsis Tinsley (Phenacoccinae), Planococcus glaucus(Maskell) and Maconellicoccus hirsutus (Green) (Pseudococcinae) are also described and/or illustrated. Prior to thisstudy, the hypogaeic and myrmecophilous mealybugs generally were included in the subfamily Rhizoecinae of thePseudococcidae, with the hypogaeic mealybugs in tribe Rhizoecini and the myrmecophilous mealybugs in Xenococ-cini. Based on the present study and on phylogenetic data, it is concluded that the rhizoecine mealybugs form a sepa-rate family from the Pseudococcidae — Rhizoecidae Williams. This family is considered here to include twosubfamilies, Rhizoecinae Williams and Xenococcinae Tang. Based on adult male characters, there is little support forthe present generic divisions of the Rhizoecinae. Keys are given for separating the adult males of Rhizoecidae from those of Pseudococcidae, and for separating the known adult males within each subfamily.

The notion of ‘a person of unsound mind’ under Article 5 § 1(e) of the European Convention on Human Rights

2020 ◽  
Vol 38 (4) ◽  
pp. 283-301
Author(s):  
Marcin Szwed
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Criminal Responsibility ◽  
Case Law ◽  
Self Control ◽  
European Convention ◽  
Personal Liberty ◽  
The Past ◽  
Definition Of ◽  
Article 5

This article presents a critical analysis of the case-law of the ECtHR with regards to the interpretation of the notion of ‘a person of unsound mind’ under Article 5 § 1(e) of the Convention. According to the Court, only a person who has been reliably diagnosed with a mental disorder and who poses a danger to himself or others can be legally detained as ‘a person of unsound mind’. However, the notion of ‘unsoundness of mind’ is not limited to such mental disorders which are treatable or which deprive the persons affected of their ability to self-control and so in the past the Court applied the said provision of the Convention to, among others, persons diagnosed with personality disorders or paedophilia who commited crimes acting with full criminal responsibility. The article argues that such a definition of the notion ‘a person of unsound mind’ is not sufficiently clear, what is dangerous from the perspective of protection of personal liberty. For this reason, the article proposes to limit the scope of the analysed notion to persons affected by such mental disorders that exclude or significantly reduce their ability to make informed decisions about their own health and/or to control their own behaviour and recognise the meaning of their own actions. Only then, provided that other criteria developed in the Court’s case law, such as dangerousness for self or others and lack of less restrictive alternatives, have been satisfied, detention of person with mental disorder may be consistent with the object and purpose of the Convention.

scholarly journals Proportion of patients without mental disorders being treated in mental health services worldwide

2015 ◽  
Vol 206 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Ronny Bruffaerts ◽  
Jose Posada-Villa ◽  
Ali Obaid Al-Hamzawi ◽  
Oye Gureje ◽  
Yueqin Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Dose Response ◽  
Mental Health Treatment ◽  
World Health ◽  
Health Treatment ◽  
The Past ◽  
The World ◽  
Dsm Iv

BackgroundPrevious research suggests that many people receiving mental health treatment do not meet criteria for a mental disorder but are rather ‘the worried well’.AimsTo examine the association of past-year mental health treatment with DSM-IV disorders.MethodThe World Health Organization's World Mental Health (WMH) Surveys interviewed community samples of adults in 23 countries (n = 62 305) about DSM-IV disorders and treatment in the past 12 months for problems with emotions, alcohol or drugs.ResultsRoughly half (52%) of people who received treatment met criteria for a past-year DSM-IV disorder, an additional 18% for a lifetime disorder and an additional 13% for other indicators of need (multiple subthreshold disorders, recent stressors or suicidal behaviours). Dose–response associations were found between number of indicators of need and treatment.ConclusionsThe vast majority of treatment in the WMH countries goes to patients with mental disorders or other problems expected to benefit from treatment.

scholarly journals HUBUNGAN LAMA HARI RAWAT DENGAN TANDA DAN GEJALA SERTA KEMAMPUAN PASIEN DALAM MENGONTROL HALUSINASI

2019 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Prastiwi Puji Rahayu ◽  
Retno Utami
Keyword(s):  
Mental Hospital ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Statistical Test ◽  
P Value ◽  
The Family ◽  
Before And After ◽  
Hospital Boards ◽  
The Impact

Dampak adanya halusinasi dapat mengakibatkan seseorang mengalami ketidakmampuan untuk berkomunikasi atau mengenali realitas yang menimbulkan kesukaran dalam kemampuan seseorang untuk berperan sebagaimana mestinya dalam kehidupan sehari-hari. Dampak bagi keluarga halusinasi sulit diterima oleh masyarakat, individu dan dipandang negatif oleh lingkungan.Mengetahui hubungan lama hari rawat dengan tanda dan gejala serta kemampuan pasien dalam mengontrol halusinasi di RSJ Grhasia Yogyakarta. Penelitian ini menggunakan menggunakan Desain penelitian studi korelasional (Corrrelation study). Penelitian ini menggunakan teknik total sampling, Sampel yang digunakan dalam penelitian ini berjumlah 45 pasien halusinasi yang ada diruang inap Rumah Sakit Jiwa Grhasia Yogyakarta. Metode analisis yang digunakan adalah uji statistik menggunakan kendal Tau. Hasil penelitian ini menunjukkan bahwa berdasarkan lama hari rawat pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan  paling banyak lebih dari 30 hari sebanyak 42 responden, tanda dan gejala pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak kategori kurang sebanyak 30 responden, dan kemampuan pasien dalam mengontrol halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak  kategori cukup sebanyak 27 responden.Tidak ada  hubungan lama hari rawat dengan tanda dan gejala dilihat dari nilai p-value sebesar 0,170<0,05, dan terdapat hubungan lama hari rawat dengan kontrol halusinasi dilihat dari nilai p-value sebesar 0,030<0,05 dengan nilai keeratan hubungan 0,325 dalam kategori rendah. Bagi pimpinan RS agar memberikan pengembangan pelayanan kesehatan pada pasien dalam meningkatkan kualitas pelayanan, khususnya dalam lama hari rawat dengan tanda dan gejala kemampuan pasien dalam mengontrol halusinasi. Alahkah baiknya ada perbandingan antara tanda dan gejala sebelum di teliti dan sesudah di teliti. Kata kunci: Lama hari rawat, tanda dan gejala, kemampuan mengontrol halusinasi THE CORRELATION BETWEEN INPATIENT DURATION, AND SIGNS, SYMPTHOMS AND PATIENT’S ABILITY TO CONTROL HALLUCINATIONS ABSTRACTHallucinations can cause disability to communicate or recognize the reality that creates difficulties to act properly in everyday life. The impact of hallucinations on the family is hard to accept by society and individuals, and it is viewed as negative thing by the environment. The study aims to identify the correlation between inpatient duration and signs, symptoms and patient's ability to control the hallucinations at Grhasia Mental Hospital of Yogyakarta. This study used correlational study design. This study used total sampling technique. The samples were 45 hallucination patients at impatient wards at Grhasia Mental Hospital of Yogyakarta. The analytical method used statistical test using Tau constraints. The results of this study indicated that based on the hallucination of inpatient duration at Grhasia Mental Hospital of Yogyakarta, there were 42 respondents who had 30 days of inpatient duration; there were 30 respondents of hallucination patients at Grhasia Mental Hospital of Yogyakarta who have signs and symptoms in low category; there were 27 respondents at Grhasia Mental Hospital of Yogyakarta who had the ability in controlling hallucinations in moderate category. There was not any correlation between inpatient duration and signs and symptoms that can be seen from the p-value of 0.170 <0.05, and there was correlation between the inpatient duration and the control of hallucinations that can be seen from the p-value of 0.030 <0.05 with the closeness value 0.325 in low category. Hospital boards are suggested to provide the development of health services to patients in improving the quality of care, especially about inpatient duration and signs and symptoms of the patient's ability to control hallucinations. Is it better to have a comparison between the signs and symptoms before and after being studied. Keywords: Inpatient Duration, signs and symptoms, ability to control hallucinations

scholarly journals PREDICTION OF MENTAL DISORDERS DEPRIVED BY FAMILY

Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 118
Author(s):  
Sri Mugianti ◽  
Suprajitno Suprajitno
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Human Beings ◽  
Survey Analysis ◽  
Cross Sectional ◽  
The Family ◽  
Care Facilities ◽  
Cluster Random Sampling

Introduction: The family was the place and the fi rst to meet the basic needs of human beings, has fi ve tasks in health. The inability of the family perform its tasks will be a problem in a family member suffering from a mental disorder, so allow the deprivation occurred. The aim of this study was to formulate the possibility of deprivation of people with mental disorders by family. Method: The study design was cross sectional. Study subjects by 45 families who have family members with mental disorders from four clusters at health centres of Bacem Ponggok and Sutojayan of Kabupaten Blitar, selected by cluster random sampling with rapid survey. Analysis using nominal regression with α = 0.05. Result: Two tasks the family that affect was deprived of the ability of families caring for patients with signifi cant value 0.009 and the ability of families utilizing health care facilities with signifi cant value of 0.034. The possibility of patients to be deprived by family was formulated. Discussion: Influences family task was 37.1% (Nagelkerke = 0.371) whereas 62.9% influenced by other factors. To minimize the occurrence of deprived be expected to treat patients with a family of faith, love, and use of health service facilities.Key words: five tasks family, mental disorder, deprivation

scholarly journals Pengembangan Sistem Pendukung Keputusan Untuk Mendukung Penegakkan Diagnosa TB Dots Di Rumah Sakit Aisyiyah Muntilan

2016 ◽  
Vol 4 (2) ◽  
pp. 123-128
Author(s):  
Susanti Susanti ◽  
Mateus Sakundarno Adi ◽  
Atik Mawarni
Keyword(s):  
Information System ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
T Test ◽  
P Value ◽  
Research Subjects ◽  
Quality Of Information ◽  
Before And After

Tuberculosis (TB) disease intervention is a national program and being a target of MDGs. Therefore, a government determined minimum service standards of a hospital that had to be implemented in all health service units and hospitals in Indonesia. A strategy of DOTS at Aisyiyah Hospital in Muntilan had been available particularly in terms of case finding. Notwithstanding, a process of patient diagnosis had not been implemented in accordance with a standard of human resource. Number of medical officers at a TB DOTS unit was not sufficient. In addition, quality of information like completeness, accurateness in diagnosis, and timeliness in reporting TB cases had not achieved a target. The aim of this study was to develop decision support system of TB as an effort to systematically diagnose and manage data of TB based on the standard. This was qualitative-quantitative research. A qualitative method was used to identify each step of information system development. Meanwhile, a quantitative method was used to assess quality of information between before and after developing information system using pre-experimental design (the one group pre and posttest design). Qualitative data were collected by conducting indepth interview, whereas quantitative data were collected using checklist. Data were analysed using T test. Research object was decision support system before and after applying at TB unit at Aisyiyah Hospital in Muntilan. Research subjects consisted of four TB officers as main informants. Informants for triangulation purpose consisted of head of SIMRS and head of medical services. The results of T test showed that variables of completeness, accurateness, and preciseness after developing the decision support system were better than that of before developing the system (p-value = 0.000). As suggestions, head of SIMRS needs to conduct further development of decision support system of TB in another unit particularly in inpatient unit. The decision support system needs to be evaluated and adjusted with the standard.

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