Schizophrenic Clients Research Articles

The Effectiveness of Islamic Psychotherapy with Zikr Asmaul Husna in Improving the Sleep Quality of Schizophrenic Clients in UPT Rehabilitasi Sosial Bina Laras Kediri

This study was conducted because there are many schizophrenia survivors, especially those who are undergoing the rehabilitation process at the UPT Rehabilitasi Sosial Bina Laras (RSBL) Kediri. Schizophrenia is a serious psychiatric disorder, in which the individual experiencing it loses self-control. This loss of self-control disrupts the sleep cycle which is a necessity in human life. Therefore, researchers tried to conduct experiments on schizophrenic clients at UPT Rehabilitasi Sosial Bina Laras Kediri to improve sleep quality by applying zikr asmaul husna as one of the methods in Islamic Psychotherapy. The purpose of this study was to determine the effect and effectiveness of remembrance of asmaul husna as a psychotherapeutic method in improving the sleep quality of schizophrenic clients in UPT Rehabilitasi Sosial Bina Laras Kediri. This research uses an experimental approach with a quantitative type of research. The research design used was One Group Pretest-Posttest Design. The study sample consisted of 10 schizophrenia clients. Data in this study were collected through questionnaires and observations. The results of the analysis using the Paired Samples Statistics test showed that the average value of the pretest was 8.90, while the post-test value was 9.00. There is a change in value between pretest and posttest. However, the test results using the Paired Samples T-Tests test showed that Sig (2-Tailed) > 0.05, which is 0.899 > 0.05. Thus, it can be concluded that there is no significant difference in the filling of the questionnaire. Although there was no significant difference in filling out the questionnaire, there were differences in scores before the application of the method (pretest) and after application (posttest). Calculations using linear regression show that the value of R Square is 0.370 or 37.0%. From this figure, it can be concluded that the effectiveness of remembrance asmaul husna as an Islamic Psychotherapy method in improving the sleep quality of schizophrenic clients in UPT Social Rehabilitation Bina Laras Kediri by 37.0%, while the remaining 63.0% is influenced by other factors that are not reviewed.

ANALYSIS OF NURSING CARE IN PATIENTS WITH SENSORY PERCEPTION DISORDERS THROUGH APPLICATION OF THERAPY THOUGHT STOPPING

Schizophrenia is a serious mental disorder that can affect individual thoughts, feelings and behavior. Schizophrenia is part of a psychotic disorder which is primarily characterized by loss of understanding of reality and loss of self-view. Thought stopping is one of a cognitive behavioral psychotherapy technique that can be used to help clients change their thought processes. Sources of data obtained using primary and secondary data, primary data obtained by means of interviews with respondents, while secondary data related to case studies obtained from medical records.The subjects of this case study were schizophrenic patients with sensory perception disorders at Prof Dr Soerojo Psychiatric Hospital, with the number of case study subjects 3 patients who experience sensory perception disorders. The instrument is a measuring tool to measure what will be measured. The instrument for this case study method uses the PYSRAT (Psychotic Symptom Rating Scale). The nursing actions applied to three schizophrenic clients with sensory perception disorders in this case study focused on the application of thought stopping. The intervention was carried out 3 times with a duration of 10-15 minutes at each visit. Based on the application that has been done on clients, it is known that thought stopping can help reduce signs and symptoms and control sensory perceptual disorders. The results of sensory perception getting better.
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PENGARUH TERAPI KELOMPOK SUPORTIF TERHADAP KEMAMPUAN MENGATASI HALUSINASI PADA KLIEN SKIZOFRENIA DI RSUD TOMBULILATO

Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.

Relationship between Family Support with Relapse in Schizophrenic Patients

According to Afconneri et al's research, (2020), factors that influence relapse in schizophrenic clients include educational status, work status, living with caregivers, level of anxiety, family support, caregiver burden and adherence to taking medication. The support provided by the family can improve the client's recovery or compliance in undergoing therapy at home. The purpose of this study was to analyze the relationship between family support and relapse in schizophrenia patients in the working area of ​​the Labanan and Teluk Bayur Health Centers, Berau District. Shows that the results of the hypothesis test obtained a p value of 0.001, so that there is a relationship between family support and recurrence of schizophrenia patients in the Work Area of ​​the Labanan and Teluk Bayur Health Centers, Berau District.

Family caregivers' burden and coping strategies with clients living with schizophrenia in neuropsychiatry specialist hospital in Akure, Ondo state, Nigeria

Objective: Caring for schizophrenic clients has an enduring effect and leads to a substantial level of burden for the caregivers. This study assessed the caregivers' burden and coping strategies with patients living with schizophrenia.
 Methods: A descriptive cross-sectional research design was used to assess the family caregivers' burden and coping strategies with clients living with schizophrenia in Neuropsychiatry Specialist Hospital. The Zarit Burden Interview Scale was used to assess the participants' level of burden while the Brief CopeScale was utilized for the assessment of their coping strategies. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 23.
 Results: 63.5% of the family caregivers were married.53%had a mild to moderate burden, 38% had a moderate to a severe burden, 1% had severe, and only 8% had little or no burden. The family caregivers utilized a mix of coping strategies. The coping strategy most commonly used among the respondents was 'Religion' mean being 2.9270±0.86466 SD.
 Conclusion: A significant number of family caregivers experience a burden related to the care of their loved ones. Therefore, healthcare providers must offer psychological support to and teach family caregivers effective coping strategies necessary for reducing their burden of care.

Pengalaman Caregiver dalam Merawat Klien Skizofrenia di Kota Sungai Penuh

The clients with schizophrenia need continuous support from the caregivers. This condition causes the caregiver having various burden during taking care of clients with schizophrenia. The burden when they care for schizophrenic client such as physical, psychological and social burdens. This study aims to explore deeply the caregivers’ experience when caring for schizophrenic clients in Sungai Penuh. This research is qualitative study using phenomenology approach. The data are obtained from seven female participants by dig deep interviews. The results of the interviews were analyzed using Collaizi method. The research results showed five main themes, the problems, the perceived burden, the coping strategy used, the caregiver's perception towards their life quality, and the experience of the health service center. It is expected that the nurses are able to provide the best service, able to detect and find the solutions from problems that experienced by caregiver. Finally, they are able to reduce the burden felt by caregiver that the caregiver’ quality of life be in good category.

Predisposing and Precipitating Factors of Schizophrenic Clients with the Risk of Violent Behavior and Hallucination

The management of schizophrenia clients especially those who are at risk of violent behavior and hallucinations clients, its takes a long time. The management can be successful if it focuses on redisposing and precipitation factors. This study aimed to determine the predisposing and precipitation clients of risk factors for violent behavior and hallucinations. This research was descriptive analytic study. The sample was obtained with a total sampling of 48 respondents who met the inclusion criteria. Data were collected using a checklist of predisposing and precipitation factors and analyzed by frequency distribution. The predisposing factors found that caused schizophrenic clients to experience the risk of violent behavior and hallucinations were history of previous mental disorders (72.9%), unpleasant experiences and negative self-concept (100%) and the condition of clients who did not work (79.2%). Most of the precipitation factors found were drug withdrawal (50%), problem solving was 41.7%, and not working which reached 66.7%. Clients with schizophrenia who are at risk of violent behavior and hallucinations can be managed properly by considering the predisposition and precipitation that triggers the client to experience schizophrenia and relapse.

ASUHAN KEPERAWATAN PADA PASIEN SKIZOFRENIA DENGAN MASALAH KEPERAWATAN HARGA DIRI RENDAH KRONIS DI RUANG SENA RUMAH SAKIT JIWA DAERAH DR. ARIF ZAINUDIN SURAKARTA

AbstractLow self-esteem is one of the nursing problems in mental nursing that can leod to health disorders such as social interaction disorder. The purpos of this paper is to provide nursing care to schizophrenic clients with chronic low self-esteem problems, including assessment, data analysis, diagnosis, intervention, implementation, and evaluation of nursing.Nursing care was conducted in the sena room of Rumah Sakit Jiwa Daerah Dr. Arif Zainudin Surakarta for four days on 02 February to 05 February. The methode used in thiis scientific paper is the approach method of the nursing process.From the results of the study, it was found that the client experienced auditory hallucination. After the implementation of nursing using the implementationi strategy, on the 1st implementation strategy the client is able to choose the activities that can be done, the client chooses the activity of tidy up the bed, tappingthe plate, sweeping, and reading a short letter. On the 2 implementation strategy clients conduct training activities above Together with nurses and put it into the schedule of clients are able to do activities that are arranged and planned to include them i theschedule. Clients with chronically low self-esteem need a friend in interacting and nurses should use good communication. The role of nurses is very important in providing nursing care. This helps in the client's recovery process.

Culturally Adapted Psychoeducation among Family Caregivers of Schizophrenic Clients: A Scoping Review


 Background: As psychoeducation was originally developed from Western, this intervention should be integrated with a culture to obtain effective outcomes. However, how culturally adapted psychoeducation on family caregivers of schizophrenic client developed in previous studies has not been systematically documented. The purpose of this review was to map culturally adapted psychoeducation in previous studies. 
 
 
 Methods: This scoping review followed Arksey & O'Malley approach. Inclusion criteria including family caregiver, culture, psychoeducation, schizophrenia. Non-primary and non-experiment studies, non-English language and non-free articles were excluded. Advanced search technique used keywords family caregiver, culture, psychoeducation, schizophrenia on CINAHL, PubMed, and PsycInfo databases. Screening was done by checking duplication, title, and abstract. Full text of relevant articles was read in detail to select eligible articles. Selection results were described in the PRISMA flow chart. Data were analyzed after these were extracted and resumed on the table. 
 
 
 Result: A total of 8 studies were included in this review. More than half of articles used randomized control trial (RCT) but these studies did not conduct follow up. Most of studies were in Asia (6) and it conducted in the outpatient department (6). Almost all studies modified multifamily group psychoeducation with culture theories. The longest duration of intervention was 12 months. Multidiscipline health professional delivered the intervention and most of the were psychiatrist. Coping was the most family caregiver outcomes in reviewed studies. 
 
 
 Conclusion: In conclusion, limited studies were obtained in various ethnics and ways. Further studies need to measure effectiveness of the intervention in long term effect. 

Faktor Resiliensi Keluarga yang Merawat Anggota Keluarga dengan Skizofrenia

This study aims to determine the resilience factors of families who care for family members with schizophrenia. The research method used a cross-sectional design with a total sample of 114 families of clients with schizophrenia. The data were analyzed using the chi-square test statistic and logistic regression using the stepwise method. The results showed that 51.8% of families had high resilience. The p-value obtained for emotion regulation, impulse control and self-efficacy is 0.0001, while optimism is 0.021. As for the causal analysis, the p-value = 0.851, empathy is 0.574 and achievement is 0.851. In conclusion, self-efficacy is the most dominant predictor associated with the family resilience of schizophrenic clients.
 Keywords: Family, Resilience, Schizophrenia

Pengalaman Perawat yang Mengalami Tindak Kekerasan oleh Klien Skizofrenia

This study aims to determine how the experience of nurses who experience acts of violence by schizophrenic clients. The type of research used in this research is qualitative, which intends to explain and provide understanding and interpretation of various behaviors and experiences of humans (individuals) in multiple forms. The study results produced several themes, namely the form of violence, the condition of the patient, preventive measures, the state of the nurse when receiving violence, the health condition of the nurse, and the time the patient was angry. In conclusion, the violence experienced by nurses was being hit, pulled, thrown using a food holder, and spat on. The patient's condition who commits acts of violence is that the patient's hallucinations are occurring, the patient is unstable, and the medicine is not taken.
 
 Keywords: Nurse Experience, Schizophrenia, Violence

Effect of Cognitive Behavioural Therapy on the Quality of Life of People with Schizophrenia in South-West Nigeria

The quality of life (QoL) of patients with schizophrenia is impaired compared to the general population. This study aimed to evaluate the effect of Cognitive Behavioural Therapy (CBT) on the quality of life of people with schizophrenia in selected Neuropsychiatric Hospitals in South-West Nigeria. A quasi-experimental research design was adopted in the study, 60 participants with schizophrenia were selected purposely, 30 participants to the intervention group and another 30 participants to the control group. Eight sessions of CBT were given to each participant in the intervention group. Data were collected with the use of the WHO Quality of life Bref questionnaire. Data collected were summarized using frequency, percentages, mean score, and standard deviation to answer research questions. The hypotheses were tested using the Mann-Whitney U Test and Wilcoxon Test at 0.05 level of significance. The outcome revealed that there was an overall post-intervention improvement in the Quality of life among the participants in the intervention group with a mean value of 3.63 ± 0.89, Z-value 3.72, p-value <0.001, unlike the control group with a mean value of 2.90 ± 0.85, Z-value= 1.77, p-value=0.08. CBT intervention with pharmacological management was effective in improving the quality of life in schizophrenic patients. CBT should be integrated into routine care given to schizophrenic clients in nursing interventions.

The Ability to Interact with Schizophrenic Patients through Socialization Group Activity Therapy

Social isolation is a disorder of interpersonal relationships that occurs due to an inflexible personality, whichcauses maladaptive behavior and interferes with one’s function in relationships. One of the nursing actionsfor schizophrenic patients with social isolation is Socialization Group Activity Therapy. Socialization GroupActivity Therapy is an effort to facilitate socialization skills in schizophrenia patients with social relationshipproblems. The purpose of this study was to determine the effect of socialization group activity therapy onthe ability to interact with schizophrenic clients. The research design used one group pre-post test design,the sampling technique used was purposive sampling and the total sample was 21 respondents. The abilityto interact socially was measured using a questionnaire sheet before and after therapy using a paired sampletest. The analysis showed that there was a significant effect with p = 0.014 (p <0.05). The conclusion is thatSocialization Group Activity Therapy is one of the effective therapies to improve the interaction ability ofschizophrenic patients.

Pengaruh Penerapan Strategi Pelaksanaan Perilaku Kekerasan terhadap Tanda Gejala Klien Skizofrenia di Rumah Sakit Jiwa Daerah Provinsi Jambi

The prevalence of violent behavior committed by people with schizophrenia is 19.1%. One of the nurse's independent actions is the provision of implementation Strategy on the client's violent behavior. The study aimed to determine the influence of applying the strategy of implementing violence behavior toward signs symptoms of schizofrenia clients at psychiatric hospital Jambi province. This study was conducted from 01st to 22nd January 2020. It used preexperimental with one group pre and post test design. The populations were all of schizophrenic clients with violent behavior who were hospitalized with sample as many as 30 people. The collecting of data was conducted by using purposive sampling technique. The findings were obtained that mean value of signs symptom pre-test 17.0 and after the implementing of SP is determined to occur a decrease in the mean value of post-test symptoms of 7.93. Bivariate analysis with the t test obtained p value of 0,000 (<0.05) so that there is an influence of the implementation of the PK implementation strategy on the decrease in symptoms

Kolaborasi Psikoterapi Sufistik dengan Suwuk Tradisional Bobok Jowo sebagai Terapi Pengobatan Skizofrenia

<p class="06IsiAbstrak"><span lang="EN-GB">The purpose of this paper is to find out how the collaboration of Sufistic Psychotherapy with the traditional sleepy suwuk jowo in the process of treating schizophrenia. Weak faith is the main factor causing schizophrenia for religious people in dealing with life's problems. The distance from the Creator will be brought closer again through the teachings of Sufism in the form of soul processing with all forms of worship rituals. Traditional medicine in this paper is to drink herbal medicine made of selected spices as an intermediary for treatment. In addition to the Sufistic psychotherapy that is used is bathing repentance, prayer, dzikir, reading the al-Qur'an, praying, and belief in God who gives healing physically and spiritually. This study is a qualitative field with the object of research at the Darul Kailani Adhiya 'Ullami' Islamic Boarding School Tawangharjo Grobogan. Data generated from therapist interviews, observations, and supported by related reference books. The findings show that the collaboration of Sufistic psychotherapy with Jowo traditional suwuk sleep can be an alternative treatment for schizophrenic clients.</span></p>

Psycheducation Affecting Family Psychomotor in Treatment of the Scizofrenia Client

Psychosis, including schizophrenia, is the most common serious mental illness affecting 1% of the population worldwide. Family support is the most important part of the schizophrenia patient care process. Family support and motivation is very useful in care and treatment. Psychoeducation is a way of providing information and education through therapeutic communication. The purpose of this study was to determine the effect of psychoeducation on improving family psychomotor and schizophrenic clients in Mamuju district. This research is a pre-experimental study with a pre-post test design without a control group design, where one-group pretest-posttest design is designed. The population in this study were caregivers who have family members with mental disorders in the working area of Puskesmas Tampa Padang, West Sulawesi. The sample was obtained by purposive sampling totaling 23 families. The data were collected in two periods where pre-test and post-test were carried out before the intervention after the implementation of family psychoeducation, five sessions of 45 minutes each. The data were analyzed using paired t-test to determine the cognitive abilities of the family before and after psychoeducation. The results showed that there was an increase in family psychomotor abilities after being given psychoeducation with a value of p = 0.000. The conclusion is that psychoeducation in families improves family psychomotor in caring for schizophrenic clients.

Spiritual Care Intervention on Emotional Regulation in Caregivers with Schizophrenic : A Systematic Review

Schizophrenic client caregivers are faced with various problems caused by the abnormal behavior of schizophrenic clients that can trigger stress. To determine the effectiveness of spiritual care in improving the emotional regulation of caregiver clients with schizophrenia. The sources of the articles used were obtained from searches through the Scopus database Google Scholar, Science Direct, and Proquest. The search for articles is limited from 2015 to 2020. The keywords used are "spiritual care", "Emotional Regulation" "Caregiver". This systematic review uses 15 articles that fit the inclusion criteria. The spiritual care intervention from the reviewed research is very significant in increasing the emotional regulation of the caregiver in schizophrenic clients. Spiritual care strategy can increase emotional regulation and calm attitude so that it will have a good impact on the recovery process for schizophrenic clients. 
 
 Keywords: spiritual care; emotion regulation; caregiver

SAILING FREE TO THE OCEAN TOWARDS RECOVERY: FACILITATING THE CARE OF A PATIENT WITH SCHIZOPHRENIA THROUGH THE TIDAL MODEL

During the critical events in life’s voyage, the person may experience storms. At sometimes the ship may begin to take in the waves and the person may face the danger of drowning or shipwreck. The study aimed to explore the story towards recovery of a patient diagnosed with Schizophrenia. Utilizing the Tidal Model including its philosophical assumptions, the proponent sought to determine how this mental recovery model can be used in helping individuals resolved what needs to be acted now, to help answer present hitches in life, and to continue living an ordinary and meaningful life. It is also the goal of the study to ascertain what else can be done before for a patient with Schizophrenia in order to have a timely recovery and less frequent recurrence of the condition. Case study approach was used in order to answer the how and why inquiries concentrating more on the phenomenon that takes place in a real-life perspective. The Ten Tidal Commitments and Twenty Tidal competencies were integrated throughout the study taking into account the story narrated by the patient in regard to her needs towards recovery. The findings of this study showed that Tidal Model is indeed a valuable person-centered and collaborative approach in helping a schizophrenic client achieve its gradual and mental health recovery.

Nursing Care in Schizophrenic Clients (Delusion) in Hospital Service Management: A Case Study

Introduction: care for mental patients needs to be continuous and collaboration between health workers and the client's family is needed. This collaboration can be done by carrying out one of the complementary training activities to extend the recurrence time and prepare the client to return to the community. Objective: to find out schizophrenia nursing care in a hospital. Method: The process of writing this scientific article uses a case study approach with a descriptive method drawn from the life and personal experience of the author. To collect data in the form of articles, the author uses several databases, namely Science Direct and Google Search. The author also uses several search keywords such as "Psychiatric Disorder", "Perception Disorder", "Delusion", "Therapy Complementer", using the boolean "AND". In addition to using keywords, the author also uses inclusion and exclusion criteria starting from articles published 2010-2020, using Indonesian and English as well as fulltext articles with reliable sources. From the search above, thousands of articles were obtained and the authors analyzed and raised the title "Nursing Care for Schizophrenic Clients (Delusions) in Hospital Service Management: Case Studies". Results and Discussion: Clients in cases showing chronic schizophrenia with prominent symptoms are delusions. Clients with delusions can be done training or complementary therapy for the process of preparation for returning home and returning to the community. Conclusions and Recommendations: The nursing process in psychiatric patients especially chronic schizophrenia must be continuous and continuous. This severe mental disorder is chronic and there will be a recurrence so there is a need for cooperation between the nurse and the client's family for the implementation of therapy. Therapies such as music therapy, aromatherapy, massage, reflexology, animal therapy, cinema therapy, yoga and social skill training. Further research is needed related to the effects of complementary therapy associated with schizophrenia. Keywords: Nursing Care, Schizophrenia, service management, delusions

A Descriptive Study to assess Positive and Negative Symptoms among Diagnosed Schizophrenic Clients with a view to Develop Leaflet on Home Management of Schizophrenic Clients for their Family Members in a Selected Hospital at Raipur (C.G.).

A Descriptive Study to assess Positive and Negative Symptoms among Diagnosed Schizophrenic Clients with a view to Develop Leaflet on Home Management of Schizophrenic Clients for their Family Members in a Selected Hospital at Raipur (C.G.).