Hubungan Stigma Keluarga dengan Beban Caregiver dalam Merawat Pasien Gangguan Jiwa di Poliklinik Rumah Sakit Jiwa Provinsi Jambi
DOI:
https://doi.org/10.36565/jab.v14i2.856Keywords:
burden caregiver, family stigma, people with mental disordersAbstract
Problems with mental disorders can occur from childhood, adolescence, adulthood and old age, if not handled or treated will cause severe mental disorders that cause decreased productivity and burden the family. Mental disorder is a chronic disease that requires a long process of healing. The process of recovery and healing in people with mental disorders requires family support to determine the success of the recovery. There is a negative stigma against ODGJ (People with Mental Disorders) and their families causing ODGJ and their families to be isolated. For the family, stigma will cause a heavy psychological burden so that it has an impact on the inadequate support provided by the family in the ODGJ recovery process. The purpose of this study was to determine the relationship between family stigma and caregiver burden in caring for patients with mental disorders at the mental hospital polyclinic in Jambi province. This research is a quantitative study with a correlation design using a cross sectional approach. This research was conducted at the Jambi Province RSJD Polyclinic in September 2022-August 2023. The population was 597 people and the sample was 60 people. The samples in this study were families of mental patients accompanying outpatients at the Mental Hospital in Jambi Province. The research sample was taken using a purposive technique. sampling, and data collection was carried out using instruments (Internalized Stigma Mental Illnes) and Zarit Burden Interview (ZBI). Data analysis with univariate and bivariate analysis with statistical tests using chi square. The results of the study were obtained from 60 patient families, 32 patient families (53.3%) with high stigma and 30 patient families (50.0%) with mild to moderate family burden. Chi square value (sig) 0.003 <α 0.05. So it can be concluded that there is a relationship between family stigma and caregiver burden in the Inpatient Room of the Rumah Sakit Jiwa Provinsi Jambi.
References
Afriyeni, N., & Sartana. (2016). Gambaran tekanan dan beban uang dialami oleh keluarga sebagai caregiver penderita psikotik di RSJ Prof. HB Saanin Padang. Jurnal Ecopsy, 3.
Baharudin. (2020). Skizofrenia: Asuhan lanjutan untuk keluarga. Yogyakarta: Alfabetha Publishing.
Bahari, K., Sunarno, I., & Mudayatiningsih, S. (2017). Beban keluarga dalam merawat anggota keluarga dengan gangguan jiwa berat. Jurnal Informasi Kesehatan Indonesia (JIKI), 3(1), 43. https://doi.org/10.31290/jiki.v3i1.2017.page:43-53
Benhard, R. (2017). Skizofrenia dan diagnosis banding. Jakarta: FKUI.
Corrigan, P. W. (2012). A toolkit for evaluating programs meant to erase the stigma of mental illness (pp. 1–69). National Consortium on Stigma and Empowerment. http://www.scattergoodfoundation.org/sites/default/files/Evaluation%20Toolkit__Corrigan.pdf
Daulima, N. H. (2014). Proses pengambilan keputusan tindakan pasung oleh keluarga terhadap pasien gangguan jiwa (Disertasi). Fakultas Ilmu Keperawatan, Universitas Indonesia.
Fontaine, K. L. (2009). Mental health nursing (6th ed.). New Jersey: Pearson Publisher, Inc.
Friedman, M. (2010). Buku ajar keperawatan keluarga (Edisi 5). Jakarta: EGC.
Friedman, M. (2017). Riset teori dan praktik keperawatan keluarga. Jakarta: EGC.
Hawari, D., & Dadang. (2019). Pendekatan holistik pada gangguan jiwa skizofrenia. Jakarta: FKUI.
Hidayat, A. A. (2017). Metodologi penelitian keperawatan dan kesehatan (A. Suslia & T. Utami, Eds.). Jakarta: Salemba Medika.
Keliat, B. A. (2019). Proses keperawatan kesehatan jiwa. Jakarta: EGC.
Keliat, B. A., & Akemat. (2013). Keperawatan jiwa: Terapi aktivitas kelompok (Ed. 2). Jakarta: EGC.
Kementerian Kesehatan Republik Indonesia. (2019). Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kemenkes RI.
Krupchanka, D., Winkler, P., Khvatan, V., Chang, C., & Sartorius, N. (2018). Experience of stigma and discrimination in families of persons with schizophrenia in the Czech Republic. Social Science & Medicine, 212(2), 129–135. https://doi.org/10.1016/j.socscimed.2018.07.015
Kusumawati, F., & Hartono, Y. (2020). Buku ajar keperawatan jiwa. Jakarta: Salemba Medika.
Lestari, P., Choiriyyah, Z., & Mathafi. (2014). Kecenderungan atau sikap keluarga penderita gangguan jiwa terhadap tindakan pasung (studi kasus di RSJ Amino Gondho Hutomo Semarang). Jurnal Keperawatan Jiwa, 2, 14–23.
Maramis, W. F. (2019). Catatan ilmu kedokteran jiwa. Surabaya: Airlangga University Press.
Maulidya. (2022). Gambaran beban caregiver keluarga orang dengan gangguan jiwa (ODGJ) (Skripsi). Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro.
Nasir, A. (2021). Dasar-dasar keperawatan jiwa: Pengantar dan teori. Jakarta: Salemba Medika.
Nasriati, R. (2017). Stigma dan dukungan keluarga dalam merawat orang dengan gangguan jiwa (ODGJ). Tidak diterbitkan.
Napolion, K. (2010). Studi fenomenologi: Pengalaman keluarga merawat anak dengan tunagrahita di Kecamatan Bogor Barat (Tesis). Fakultas Ilmu Keperawatan, Universitas Indonesia.
Notoatmodjo, S. (2012). Metode penelitian kesehatan. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2014). Ilmu perilaku kesehatan. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2014). Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta.
Prabowo. (2014). Konsep dan aplikasi keperawatan jiwa. Jakarta: Nuha Medika.
Priyoto. (2015). Perubahan dalam perilaku kesehatan: Konsep dan aplikasi. Yogyakarta: Graha Ilmu.
Putri, D. P., Konginan, A., & Mardiana, N. (2014). Korelasi social support dengan caregiver burden pada istri pasien penyakit ginjal kronis yang menjalani hemodialisis di RSUD Dr. Soetomo Surabaya. Jurnal Psikiatri Surabaya, 3(1), 59–69.
Rinawati, F., & Sucipto. (2017). Pengaruh beban terhadap stres yang dialami keluarga dalam merawat pasien gangguan jiwa. Jurnal Ilmu Kesehatan, 2579–7301.
Shamsae, P., et al. (2015). Depression of family caregivers of patients hospitalized with schizophrenia disorder. Archives of Pharmacy Practice.
Siegert, R. J., Jackson, D. M., Tennant, A., & Turner-Stokes, L. (2010). Factor analysis and Rasch analysis of the Zarit Burden Interview for acquired brain injury carer research. Journal of Rehabilitation Medicine, 42(4), 302–309.
Stuart, G. W. (2013). Buku saku keperawatan jiwa. Jakarta: EGC.
Stuart, G. W., & Sundeen. (2016). Principles and practice of psychiatric nursing (1st ed.). Singapore: Elsevier.
Sukmarini, N. (2009). Optimalisasi peran caregiver dalam penatalaksanaan skizofrenia. Majalah Psikiatri, XLII(1), 58–61.
Suryawati, Santoso, B., & Asmadi. (2017). Teknik prosedural keperawatan jiwa: Konsep dan aplikasi kebutuhan dasar klien. Jakarta: Salemba Medika.
Tornatore, J. B., & Grant, L. A. (2002). Burden among family caregivers of persons with Alzheimer’s disease in nursing homes. The Gerontologist, 42(4), 497–506.
Ulfa, M. (2021). Faktor-faktor yang berperan terhadap timbulnya skizofrenia pada pasien rawat jalan di RS Jiwa Prof. HB Saanin Padang Sumatera Barat (Skripsi). Universitas Sumatera Utara.
Undang-Undang No. 18 Tahun 2014. Kesehatan Jiwa. Jakarta: Kemenkes RI.
Videbeck, S. L. (2012). Buku ajar keperawatan jiwa. Jakarta: EGC.
World Health Organization. (2020). The world health report 2020 – Mental health: New understanding, new hope. Geneva: WHO.
Yin, H., et al. (2014). Experiences of stigma and discrimination among caregivers of persons with schizophrenia in China: A field survey. PLOS ONE, 9.
Yosep, I. (2016). Buku ajar keperawatan jiwa (Cet. VII). Bandung: Refika Aditama.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Jurnal Akademika Baiturrahim Jambi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
