KUALITAS HIDUP PASIEN SKIZOFRENIA DIPERSEPSIKAN MELALUI STIGMA DIRI

Ice Yulia Wardhani, Fajar Apriliana Dewi


DOI: http://dx.doi.org/10.7454/jki.v21i1.485


Abstract


Skizofrenia merupakan sekumpulan gejala atau sindrom yang dapat menyebabkan masalah kejiwaan yang sangat serius. Stigma diri muncul akibat efek negatif penilaian orang lain terhadap pasien Skizofrenia sehingga mengakibatkan penurunan kemampuan kerja, fungsi sosial, harga diri dan harapan. Kualitas hidup pasien Skizofrenia erat kaitannya dengan disabilitas yang dialaminya berupa perubahan kognitif dan persepsi dalam menjalani kehidupan. Penelitian ini bertujuan untuk mengidentifikasi kualitas hidup pasien skizofrenia melalui stigma diri. Desain penelitian ini adalah descriptive corelative dengan pendekatan cross sectional, sampel 92 responden yang dipilih menggunakan teknik consecutive sampling. Analisis uji statistik menggunakan correlation test. Hasil dari penelitian adalah ada hubungan antara stigma diri dengan kualitas hidup pasien Skizofrenia dengan korelasi negatif (r= -0,568, p = 0,00). Level stigma diri termasuk kedalam klasifikasi stigma tinggi dan klasifikasi kualitas hidup yang rendah. Penelitian ini merekomendasikan pelaksanaan intervensi keperawatan yang berorientasi pada pasien berupa pencegahan stigma negatif dan peningkatan kualitas hidup.


Keywords


kualitas hidup; Skizofrenia; stigma diri

References


Adelufosi, A.O., Ogumwale, A., Abayomi, O., Mosanya, J.T. (2013). Sociodemographic and clinial correlates of subjective quality of life among Nigerian outpatients with schizophrenia. Psychiatry Research. http://dx.doi.org/10.1016/j.psychres.2012.12.027.

Andriyani, S. (2012). Hubungan Karakteristik Klien Skizofrenia dengan Tingkat kemampuan Perawatan Diri di Ruang Rawat Inap Wanita Rumah Sakit Marzuki Mahdi Bogor. Fakultas Ilmu Keperawatan. Skripsi. Depok: Universitas Indonesia

Da silva, T. F. C., Mason, V., Abelha, L., Lovisi, G. M., Cavalcanti, M. T. (2011). Quality of Life Assesment of Patients with Spectrum Disorder from Psychosocial Care Centers. Rio de Janeiro. doi 10.1590/S0047-208522011000200004

Eizenberg, M.M., Ohayon, I.H., Yanos, P.T., Lysaker, P.H., Roe, D. (2013). Internalized Stigma quality of life among persons with severe mental illness: the mediating roles of self esteem and hope. Psychiatric Research. http://dx.doi.org/10.1016/j.psychres.2013.03.013

Gomes, E., Bastos, T., Probst, M., Riberio, J., S., Sila G., Corredeira, R.(2014). Effect of a group physical activity program on physical fittness and quality of life in individuals with schizophrenia. Mental Health and Physical Activity. Elsevier. http;//dx.doi.org/10.1016/j.mhpa.2014.07002

Gigantesco, A. & Giuliani, M. (2011). Quality of Life in Mental Health Services with a Focus on Psychiatric Rehabilitation Practice. Vol 47, No 4. Hal. 363-372. DOI 10.4415/ANN_11_04_07.

Hamilton, V. (2012). An Exploration of Implicit Associatoins Regarding Mental Illness, Selft Reported Internalized Stigma and Their Links to Help Seeking Symptom Thresholds Amongst Individuals Experiencing Depressive Symptoms. Thesis. University of East Anglia

Hayrust, K.P., Drake, R.J., Massie, J.A., Dunn G., Barnes, T.R.E., Jones, P.B., & Lewis, S.W. (2014). Improved quality of life over one year is associated with improved aherence in patients with schizophrenia. Europian Psychiatry. http:dx.doi.100.1016/j.eurpsy.2013.03.002

Hill, K. & Startup, M. (2012). The Relationship between Internalized Stigma, Negative Symtoms and Social Functioning in Schizophrenia: The mediating role of Self Efficacy. Elsivier Ireland Ltd. http://dx.doi.org/10.1016/j.psychres.2012.09.056

Kopelowicz, Alex. Liberman, R.P. Wallace, Charles J. (2003). Psychiatric Rehabilitation for Schizophrenia. Vol. 3. University of California, LA, USA: International Journal of Psychology and Psychological Therapy. Hal 238-298.

Lysaker, P.H., Davis, L.W., Warman, D.M., Strasburger, A. & Beattie N. (2007). Stigma, social function and symptoms in Schizophrenia and Schizoaffective disorder: Associations across 6 months. Elsevier Ireland Ltd. Doi:10.1016/j.psychres.2006.03.007

Margariti, M., Plumpidis, D., Economou, M., Christodoulou, G.N., Papadimitriou, G.N. (2015). Quality of life in schizophrenia spectrum disorder: assoiations with insight and psychopathology. Psychiatry Research. http:dx.doi.org/10.1016/j.psychres.2014.11.016

Montemagni, C., Castagna, F., Crivelli, B., De Marzi, G., & Rocca, P. (2014). Relative contributions of negative symptoms, insight, and coping strategies to quality of life in stable schizophrenia. Psychiatry Research. Elsivier. http:dx.doi.org/10.1016/j.psychres.2014.07.019.

Park, S.G, Bennet, M.E., Couture, S.M. & Blanchard, J.J. (2013). Internalized stigma in schizophrenia: Relations with dysfunctional attitudes, symptoms and quality of life. Elsivier Ireland Ltd. http://dx.doi.org/101016/j.psychres.2012.08.040

Rekam Medis RSJ dr. Soeharto Heerdjan Jakarta Tahun 2015. Tidak dipublikasikan.

Ritsher, J.B., Otilingam,P . G. & Grajales, M. (2003). Internalized Stigma of Mental Illnessof A New Measures. ESchcolarship University of Calofornia.

Sharaf, A.Y., Ossman, L.H., & Lahine, O.A. (2012). A coss-sectional study of the relationships between illness insight, internalized stigma, and sucide risk in indiiduals with Schizophrenia. International Journal of Nursing Studies. Elsivier. http://dx.doi.org/10.1016/j.ijnurstu.2012.08.006

Shives, Louise, R. (2012). Basic Concepts of Psychiatric-Mental Health Nursing. (8th Ed). Florida: Wolter Kluwer, Lippincott Williams & Wilkins.

Sigaoudo, M., Crivelli, B. Castagna, F., & Rocca, P. (2014). Quality of life in stable schizophrenia: the relative contributions of disorganization and cognitive dysfunction. Schizophrenia Research. http:dx.doi.org/10.1016/j.schres.2014.01.013

Sibitz, et al. (2011). The impact of social network, stigma and empowerment on the quality of life in patients with schizophrenia. European Psychiatry 26 halaman 28-33. Elsivier Masson SAS. Doi:10.1016/j.eurpsy.2010.08.010

Staring, A.B.P, Vander Gaag, M., Vander Berge, M., Duivenvoorden, H.J, & Murder, C.L. (2009). Stigma moderatesthe associations of insight with depressed mood, low self esteem, and low quality of life in patients with schizophrenia. Schizophrenia Research. Elsevier. Doi: 10.1016/j.schres.2009.06.015

Stuart, G.W. (2013). Principles and Practice Psychiatric Nursing. 10th edittion

Townsend, Mary J. (2011). Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence Based Practice. (5th Ed.). Philadelphia: F.A. Davis Company.

Ucok, A., Karadayi, G., Emiroglu, B. & Sartorius, N. (2013). Anticipated discrimination is related to symptom severity, functionality and quality of life schizofrenia. Elsivier Ireland Ltd. http://dx.doi.org/10.1016/j.psychres.2013.02.022.

Videbeck, Sheila L. (2011). Psychiatric Mental Health Nursing. (5th Ed). Philadelphia: Lippincott Williams & Walkins.

Viertio, Satu. (2011). Functional Limitations and Quality of Life in Schizophrenia and Other Psychotic Disorder. Finland: National Institute for Health and Welfare.

World Health Organization. (2011). Mental Heatlh Atlas. Italy: WHO Press

Yilmaz, E. & Okanli, A. (2015). The effect of internalized stigma on adherence to treatment in patients with schizofrenia. Archives of Psychiatric Nursing. Elsivier. http://dx.doi.org/10.1016/j.apnu.2015.05.006

Ying, Wolf, A., Wang, X. (2013). Experience stigma and self stigma in Chinese patients with Schizophrenia. General Hospital Psychiatry 35 page 83-88. Elsevier Inc. http://dx.doi.org/j.genhosppsych.2012.07.007


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