scholarly journals Pemberdayaan Pasien Dengan Pendekatan Self Help Group Terhadap Perubahan Mekanisme Koping Pada Pasien Gangguan Jiwa Skizoprenia Di RSJD Dr Arif Z Surakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Endang Caturini Sulistyowati ◽  
Dwi Sulistyowati

Background: Schizophrenia is one of the most common forms of mental disorders in Indonesia. Effective treatments for mental disorders are coming from themselves (WHO, 2018), for some mental disorders require empowerment, one of which is Self Help Group therapy. Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual support to form adaptive coping. This study aims to determine the effect of empowering patients with the Self Help Group approach to coping mechanisms in patients with schizophrenic mental disorders. Method: The research is quasi-experiment with a pre-post test design with a control group design. Data were taken before and after the administration of self-help intervention groups in schizophrenia in the intervention group. The number of samples is 66 clients divided by 2, namely 33 respondents for the intervention group and 33 respondents for the control group. This study measured coping mechanisms. The research instrument used a coping mechanism questionnaire. Data were analyzed using a dependent t-test, independent multiple linear regression t-test. Results: The study proved that there are significant differences in the coping mechanism before and after giving the Self Help Group (p-value, 0.000). Self Help Group if implemented by the patient has the opportunity to improve coping mechanisms by 20.1% and is expected to improve the coping mechanism by 4.909 points. Conclusion: The Self Help Group used for interventions is considered effective to increase coping skills.

2020 ◽  
Vol 9 (2) ◽  
pp. 260-268
Author(s):  
Endang Caturini ◽  
Insiyah Insiyah

Introduction: People who experience mental disorders who experience various problems, with different symptoms, generally they have characteristics with some combination of abnormal thoughts, emotions, behavior and relationships with other people that manifest in the form of a series of symptoms and / or changes in behavior which is meaningful and can cause suffering and obstacles in carrying out people's functions as humans (UU Kesehatan no 18 tahun  2014; WHO, 2017; &  WHO, 2018). This is a serious health problem, which usually has problems with poor quality of life. They are associated with feelings of distress, lack of control over symptoms and life in general, negative perceptions of self, stigmatization and rejection, reduced activity and difficulty with daily functioning, and negative outlook. (Connell, J, Brazier, J, O'Cathain, A, Jones, M.L. & Paisley, S., 2012). Group interventions carried out by nurses such as group activity therapy, supportive therapy and self-help groups to help individuals improvement in  their quality of life. Group therapy, one of the self help group, is a group where each member has the same desire to overcome mental disorders or increase the level of cognitive or emotional well-being among group members (Sulistyowati., E.C. & Sulistyowati D, 2018). Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual reinforcement which has an impact on improving the quality of life. This study aims to determine the improvement of the quality of life of people with mental disorders (ODGJ) with the self help group in the city of Surakarta. Methods: This was a quasi-experimental study with a pre-post test control group design. Data were taken before and after giving the intervention of self-help groups of schizophrenia patients in the intervention group. The total sample was 160 clients divided into  2 groups, namely 80 respondents for group 1 at Griya PMI and 80 respondents for group 2 at RSJD Dr Arif Z Surakarta, each group consisting of 40 respondents for intervention and 40 respondents for the control group. This study measures the quality of life with a research instrument using a life quality questionnaire. Data were analyzed using Paired t-test, Wilcoxon signed ranks test, independent t-test and Mann Whitney-test. Results: The study proved that there was a statistically significant difference in the quality of life before and after giving the self help group (p value, 0.000) between the intervention group and the control group, both at Griya PMI with a mean difference of 20.23 and at RSJD Dr. Arif Z. self help group with a mean difference of 10.85. Conclusion: self help group which is used for intervention is considered effective to improve quality of life. Suggestion: self help group is used as a mental nursing group intervention in caring for mentally ill patients.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Yusuf Efendi ◽  
Errix Kristian Julianto

ABSTRAKDiera perkembangan jaman saat ini, beberapa keluarga dihadapkan dengan permasalahna tentang adanya angggota keluarga yeng mengaami gangguan jiwa, tak jarang keluarga tidak mengetahui bagaimana merawat angota keluarga dengan gangguan jiwa. Self help group pada keluarga dengan gangguan jiwa perlu dilakukan untuk membantu keluarga mengatasi permasalahannya yang diselesaikan bersama dalam kelompok. Manfaat yang didapatkan pada terapi ini adalah terdapatnya peningkatan pengetahuan keluarga tentang Skizofrenia. Peningkatan pengetahuan ini akan berdampak terhadap kemampuan keluarga dalam merawat klien Skizofrenia..Desain penelitian ini menggunakan desain pre eksperimental dengan rancangan one group pre-posttest design. Sampel pada penelitian ini adalah keluarga penderita Skizofrenia di PKU Jiwa Kalitidu yang berjumlah 32. . Data dikumpulkan menggunakan kuesioner kemudian dianalisis dengan menggunakan uji Wolcoxon sign dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan bahwa kondisi responden sebelum dan sesudah dilakukan intervensi dengan self help group pada kemampuan merawat dengan  nilai uji wilcoxon sebesar 0,001 yang berarti ada pengaruh dari intervensi self help group dengan merawat keluarga dengan gangguan jiwa. Kata Kunci       : Self Help Group, Kemampuan Merawat, Skizofrenia   ABSTRACT. In the current era of development, some families are faced with problems about family members who suffer from mental disorders, often families do not know how to care for family members with mental disorders. Self help groups for families with mental disorders need to be done to help families overcome the problems that are solved together in a group. The benefit of this therapy is that there is an increase in family knowledge about Schizophrenia. This increase in knowledge will have an impact on the ability of families to care for Schizophrenia clients.The design of this study used a pre-experimental design with one group pre-posttest design. The sample in this study was the families of Schizophrenics in  Kalitidu public helath centre, amounting to 32.. Data were collected using a questionnaire and then analyzed using the Wolcoxon sign test with a significance level of 0.05.The results showed that the condition of the respondents before and after the intervention with self help group on the ability to care for Wilcoxon test value of 0.001, which means there is an influence of self help group intervention by caring for families with mental disorders. Keywords: Self Help Group, Caring Ability, Schizophrenia


2021 ◽  
Vol 12 ◽  
Author(s):  
Matías E. Rodríguez-Rivas ◽  
Adolfo J. Cangas ◽  
Daniela Fuentes-Olavarría

Stigma toward mental disorders is one of today's most pressing global issues. The Covid-19 pandemic has exacerbated the barriers to social inclusion faced by individuals with mental disorders. Concurrently, stigma reduction interventions, especially those aimed at university students, have been more difficult to implement given social distancing and campus closures. As a result, alternative delivery for programs contributing to stigma reduction is required, such as online implementation. This paper reports the results of a controlled study focused on an online multi-component program on reducing stigma toward mental illness that included project-based learning, clinical simulations with standardized patients and E-Contact with real patients. A total of 40 undergraduate students from the Universidad del Desarrollo in Santiago, Chile, participated in the study. They were randomly divided between an intervention and control group. The intervention group participated in the online multi-component program, while the control group participated in an online educational program on cardiovascular health. We assessed the impact of the program by using the validated Spanish-language versions of the Attribution Questionnaire AQ-27 and the Questionnaire on Student Attitudes toward Schizophrenia with both groups, before and after the intervention. In addition, an ad hoc Likert scale ranging from 0 to 5 was used with the intervention group in order to assess the learning strategies implemented. Following the intervention, the participants belonging to the intervention group displayed significantly lower levels of stereotypes, perception of dangerousness, and global score toward people with schizophrenia (p < 0.001). In addition, participants presented lower levels of dangerousness-fear, avoidance, coercion, lack of solidarity, and global score (p < 0.001). The control group displayed no statistically significant differences in the level of stigma before and after the evaluation, for all of the items assessed. Finally, the overall assessment of each of the components of the program was highly positive. In conclusion, the study shows that online programs can contribute to reducing stigma toward mental disorders. The program assessed in this study had a positive impact on all the dimensions of stigma and all of the components of the program itself were positively evaluated by the participants.


2016 ◽  
Vol 32 (1) ◽  
Author(s):  
M. K. BARIYA ◽  
P. R. Kanani ◽  
S. J. Parmar

The present study was an attempt to identify the impediments faced by SHGs under Integrated Watershed Management Programme (IWMP). A total of 90 women self help group members as respondents were selected from Amreli district of Gujarat. The study findings revealed that the self help group women mainly encountered with the lack of knowledge in record maintenance. Their dependency on family male member was another impediment in solving money problems. Handling of bank account in which SHG Women were unaware of the rules has continuation of project and its expansion in other villages by establishing new SHG and addition of new activities have been largely suggested by most SHG-women. Although they were found not competent in performing bank formalities, yet their co-ordination among members and interpersonal trust were intact. Internal loaning and loaning through bank, clashes in their loan taking time, lack of time for meeting, dependency on members of family, and lack of marketing information needed major reforms as suggested by SHG members.


2005 ◽  
Vol 23 (27) ◽  
pp. 6516-6523 ◽  
Author(s):  
Karen M. Emmons ◽  
Elaine Puleo ◽  
Elyse Park ◽  
Ellen R. Gritz ◽  
Rita M. Butterfield ◽  
...  

Purpose Cancer survivors smoke at rates that are only slightly lower than the general population. This article reports on the final outcomes of Partnership for Health, a smoking cessation intervention for smokers in the Childhood Cancer Survivors Study (CCSS). Methods This study is a randomized control trial with follow-up at 8 and 12 months that involved smokers (n = 796) enrolled onto the CCSS cohort. Participants were randomly assigned to either a self-help or a peer-counseling program that included up to six telephone calls from a trained childhood cancer survivor, tailored and targeted materials, and free nicotine replacement therapy. The intervention was delivered by telephone and postal service mail. Results The quit rate was significantly higher in the counseling group compared with the self-help group at both the 8-month (16.8% v 8.5%; P < .01) and 12-month follow-ups (15% v 9%; P ≤ .01). Controlling for baseline self-efficacy and readiness to change, the intervention group was twice as likely to quit smoking, compared with the self-help group. Smoking cessation rate increased with an increase in the number of counseling calls. The cost of delivering the intervention was approximately $300 per participant. The incremental cost-effectiveness of the intervention compared with controls was $5,371 per additional quit. Conclusion Interventions to prevent future illnesses are of critical importance to childhood cancer survivors. The Partnership for Health intervention resulted in a doubling of smoking cessation quit rates. Because of the seriousness of smoking among childhood cancer survivors, this intervention model may be appropriate as a multicomponent treatment program for survivors who smoke.


2017 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Liyanovitasari Liyanovitasari ◽  
Noor Hamdani ◽  
Asti Melani Astari

Schizophrenia is a psychiatric illness that causes the burden and maladaptive coping mechanism on the family. The burden and maladaptive coping mechanisms have an impact on the quality of family life and the ability of families to care for schizophrenic patients. The purpose of this study was to prove the effect of supportive group therapy on the burden and coping mechanisms in caring for family members who suffer schizophrenia. The design of this research was a pretest-posttest quasi-experimental study with control group design. The number of samples was 14 in the treatment group and 15 in the control group with purposive sampling. Variable of burden was measured with the Zarit Burden Interview (ZBI) and the coping mechanism was assessed by using Brief COPE Inventory (BCI). This supportive therapy was performed in 4 sessions with a total of 6 meetings. The results showed that there were significant differences on burden values and coping mechanisms before and after supportive therapy in the treatment group (p-value= 0.000). In the control group, there was a significant difference on the value of burden before and after health counseling (p-value =0.010), but there was no difference of coping mechanism value before and after health counseling (p-value=0.225). There were significant differences on the burden value (p-value=0.002) and coping mechanisms (p-value= 0.001) between treatment and control group. dr Rehatta Hospital is expected to facilitate the formation of peer support group in the psychiatry clinic so mental health in the family can be achieved.


1987 ◽  
Vol 13 (4) ◽  
pp. 390-393 ◽  
Author(s):  
Paul E. Jennings ◽  
Helen C. Morgan ◽  
Anthony H. Barnett

Thirty patients with insulin- dependent diabetes and their relatives participated in monthly evening group meetings for six months. Questionnaires assessed knowledge before and after the group meetings; and the percent of HbA 1 was used to assess diabetes control. Knowledge improved significantly from a mean score of 59.7%±9.6% to 69.1 % ±8.2 %, p<0. 0005, and HbA1 level from 12.4%±2.9% to 10.3%±2.5%, p<0.001. A . well-matched control group showed no improvement in HbA1 over the study period, while the improvement seen in the self- help group was sustained for the next 12 months. Although over 85 % of the diabetic group members felt their knowledge had improved, only 35% were aware of improvements in their control. These meetings proved an efficient means of improving patients' diabetes knowledge and control. They were easy and inexpensive to organize and may prove to be a useful aid in diabetes management.


Author(s):  
Yanti Nopita ◽  
Susmiati Susmiati ◽  
Emil Huraini

Hemodialysis is a kidney replacement therapy for clients with chronic renal failure. Hemodialysis therapy helps the client's survival, but on the other hand the client will experience various problems including psychosocial problems, which ultimately affect the client's quality of life. Self Help Group is a social support therapy and the Mobile Messaging Apps (WhatsApp) application can be used in Self Help Group. The purpose of this study was to determine the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with chronic kidney failure. The research design was quasy experiment with pre and post test design with control group, the sampling technique was simple random sampling. The research sample consisted of 42 people, consisting of 21 respondents in the control group and 21 in the intervention group. The test results showed the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with p value < 0.05. It is recommended that Self Help Group and the use of WhatsApp be implemented as part of nursing interventions in nursing care. Keywords: mobile messaging apps; quality of life; self help group ABSTRAK Hemodialisa merupakan salah satu terapi pengganti ginjal bagi klien gagal ginjal kronik. Terapi hemodialisa membantu kelangsungan hidup klien, namun di sisi lain klien akan mengalami berbagai masalah termasuk masalah psikososial, yang pada akhirnya mempengaruhi kualitas hidup klien. Self Help Group adalah salah satu terapi dukungan sosial dan aplikasi Mobile Messaging Apps (WhatsApp) aplikasi yang dapat digunakan dalam Self Help Group. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien gagal ginjal kronik. Desain penelitian yang digunakan yaitu quasy experiment dengan rancangan pre and post test with control group, teknik pengambilan sampel yaitu simple random sampling. Sampel penelitian berjumlah 42 orang terdiri dari 21 responden kelompok kontrol dan 21 kelompok intervensi. Hasil uji menunjukkan adanya pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien dengan p value < 0,05. Direkomendasikan Self Help Group dan penggunaan WhatsApp diterapkan sebagai bagian intervensi keperawatan dalam asuhan keperawatan. Kata kunci: mobile messaging apps; kualitas hidup; self help group


Author(s):  
Ni K. Kardiyudiani ◽  
Apri N. Wulandari ◽  
Brigitta A. D. Susanti

Background: The therapy of cancer treatment for patient affects the significant of physic, psychology, and information and social, so that it needs to support the adequate care. The supporting for adequate care is the way to improve the quality life of patients. One of the cares that given is self-help group therapy (SHG), it is a group treatment to share about the experiences of each other for cancer patient. This research is conducted to know the influences of self-help group therapy towards the quality of life of cancer patients that have a palliative care.Methods: The research uses a quantitative approach with quasi-experimental method with pre-test and post-test with control group design. The sample of this research is 14 respondents in control group and 14 respondents in intervention group.Results: There was significant difference value of quality of life pre-test rather than post-test in the intervention group, p=0.033, and there was no significant difference in the control group before and after intervention, p=0.190. The comparison between post-test intervention and post-test control group showed that there was significant difference of quality of life value. P value in intervention group was 0.002, while p value for the control group was 0.221.Conclusions: There was influence by giving self-help group (SHG) therapy towards the quality of life of cancer patients that have palliative treatment. The patient can expand the social networking, to accept the information, get the emotional supporting from their own group.


2020 ◽  
Author(s):  
Alina Bruhns ◽  
Thies Lüdtke ◽  
Steffen Moritz ◽  
Lara Bücker

BACKGROUND Depressive symptoms are one of the most common and ever increasing mental health problems among students worldwide. Conventional treatment options, particularly psychotherapy, do not reach all students in need for help. Internet- and mobile-based interventions are promising alternatives for narrowing the treatment gap. OBJECTIVE In the framework of a randomized controlled trial, we investigated the effectiveness, acceptance and side effects of a self-help smartphone app (MCT & More) based on techniques of cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy, and metacognitive training (MCT) in a sample of students with self-reported depressive symptoms. Furthermore, we were interested in examining the influence of treatment expectations and attitudes towards internet- and mobile-based interventions on treatment adherence and effectiveness. METHODS A total of 400 students were recruited via open access websites and randomized to either the intervention group (n = 200), who received access to the self-help smartphone app "MCT & More" for a period of four weeks, or to a wait list control group (n = 200). The PHQ-9 (depression) served as primary outcome parameter, the RSE (self-esteem) and the global item of the WHOQOL-BREF (quality of life) as secondary outcome parameters. The APOI was used to measure attitudes towards internet- and mobile-based interventions. Outcome expectations were assessed with the PATHEV and side effects with the INEP. RESULTS Per-protocol (PP), complete-case (CC) and intention-to-treat (ITT) analyses showed a significantly higher reduction in depressive symptoms (PP: F(1,222) = 3.98, P = .047, d = .26) and a significantly higher increase in self-esteem (PP: F(1,220) = 8.79, P = .003, d = .77) within the intervention group compared to the wait list control group. Most participants used the self-help smartphone app regularly (76 % at least once a week). The more positive the attitude towards internet- and mobile-based interventions (r = .260, P = .004) and the more positive the outcome expectation (r = .236, P = .009), the more frequently the self-help smartphone app was used. CONCLUSIONS The effectiveness of the self-help smartphone app "MCT & More" was demonstrated among students with depressive symptoms compared to a wait list control group. The app could be offered regularly as a low-threshold intervention to enhance students' health. CLINICALTRIAL German Clinical trials Register (DRKS00020941); https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00020941


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