The Effect of Cognitive Behavioral Intervention Based on Self-Management on the Ability to Control Hallucinations in People with Schizophrenia

Authors

  • Dewi Keumala Sari Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Jenny Marlindawani Purba Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Nur Asnah Sitohang Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.26630/jk.v15i2.4499

Keywords:

Behavior; Mental disorder; Non-pharmacological therapy.

Abstract

Hallucinations are a common symptoms found in individuals with schizophrenia. These hallucination cause people with schizophrenia (PWS) to experience difficulty in controlling themselves. This has an impact on suicidal behavior, harming other people, and destroying the surrounding environment. Therefore, a cognitive behavioral intervention based on self-management is needed as a non-pharmacological therapy to help PWS control hallucinations. This study aims to identify the effect of cognitive behavioral interventions based on self-management in people with schizophrenia. This study uses a quasy-experimental two groups pretest-posttest design. The sample consists 78 inpatient respondents with schizophrenia, divided into two groups, 39 in the intervention group and 39 in control group. Technique sample in this study using purposive sampling. Research data collection uses a questionnaire instrument for the ability to control hallucinations. The data explained used statistics, such as descriptive, dependent, and independent t-tests. The research results show that there are changes in the ability to control hallucinations in the intervention group and control group before and after self-management-based cognitive behavioral intervention (p-value=0.001). There was a difference in the ability to control hallucinations between the intervention group with the control group after cognitive behavioral intervention based on self-management (p-value= 0.013). The cognitive behavioral intervention based on self-management can be used as an effective cessation intervention to improve the ability of PWS to control hallucinations so that they can optimize their function in carrying out daily activities.

References

Behere, P. B., Rao, T. S. S., & Verma, K. (2021). Effect of marriage on pre-existing psychoses. Indian Journal of Psychiatry, 53(4), 287–288. https://doi.org/10.4103/0019-5545.91900

Charlson, F. J., Ferrari, A. J., Santomauro, D. F., Diminic, S., Stockings, E., Scott, J. G., ... & Whiteford, H. A. (2018). Global epidemiology and burden of schizophrenia: findings from the global burden of disease study 2016. Schizophrenia bulletin, 44(6), 1195-1203. https://doi.org/10.1093/schbul/sby058

Cohen, Jacob. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd Edition). Hillsdale, NJ: Lawrence Earlbaum Associates.

Dattani, S., & Roser, M. (2022). At what age do people experience depression for the first time?. Our World in Data. https://ourworldindata.org/depression-age-of-onset

Dewi, C., & Pasaribu, J. (2023). Strategi Koping Dan Kualitas Hidup Penderita Skizofrenia. Jurnal Keperawatan Cikini, 4(1), 69–75.

Djabba, R., & Ilmi, N. (2022). Penerapan Model Pembelajaran Kooperatif Tipe Jigsaw dalam Meningkatkan Hasil Belajar Siswa. Publikasi Pendidikan, 12(3), 264. https://doi.org/10.26858/publikan.v12i3.35491

Donsu, D. J. (2020). Metodologi Penelitian Keperawatan. Yogyakarta: Pustaka Baru Press.

Elsina, M. T. M. K. (2022). Pengaruh Tindakan Keperawatan Generalis, Terapi Kognitif, dan Psikoedukasi Keluarga terhadap Pemulihan Klien Skizofrenia dengan Halusinasi dan Defisit Perawatan Diri. [Thesis]. Depok: Faculty of Nursing, Universitas Indonesia.

Fan, H., Gao, X., Yao, X., Li, Z., Zou, H., Campbell-Grossman, C., Liu, S., Zhang, F., & Zhang, C. (2022). Identification of four patterns for self-management behaviors in clients with schizophrenia: A cross-sectional study. Archives of Psychiatric Nursing, 37(September 2020), 10–17. https://doi.org/10.1016/j.apnu.2021.12.006

Hastuti, R. Y., & Setianingsih. (2016). Pengaruh Cognitive Behaviour Therapy pada Klien dengan Masalah Keperawatan Perilaku Kekerasan dan Halusinasi di RSJD DR. RM Soedjarwadi Klaten. Jurnal Keperawatan Jiwa, 4(1), 7–12.

Hendarsyah, F. (2016). Diagnosis dan Tatalaksana Skizofrenia Paranoid dengan Gejala-Gejala Positif dan Negatif. Jurnal Medula Unila, 4(3), 57–62.

Hidayat, A. A. (2021). Cara Mudah Menghitung Besar Sampel (e-book Keperawatan). Surabaya: Health Book Publishing.

Jumaini, K. & Sutanto. (2009). Pengaruh Cognitive Behavior Social Skills Training (CBSST) Terhadap Kemampuan Bersosialisasi Klien Isolasi Sosial Di BLU RS Dr.H Marzoeki Mahdi Bogor. [Thesis]. Depok: Faculty of Nursing, Universitas Indonesia.

Keliat, et., al. (2022). Promosi Kesehatan Jiwa: Terapi Kelompok Terapeutik. Jilid 2. Jakarta: EGC.

Kumar, P., Sharma, N., Ghai, S., & Grover, S. (2019). Perception about marriage among caregivers of patients with schizophrenia and bipolar disorder. Indian Journal of Psychological Medicine, 41(5), 440–447. https://doi.org/10.4103/IJPSYM.IJPSYM_18_19

Lean, M., Fornells-Ambrojo, M., Milton, A., Lloyd-Evans, B., Harrison-Stewart, B., Yesufu-Udechuku, A., Kendall, T., & Johnson, S. (2021). Self-management interventions for people with severe mental illness: Systematic review and meta-analysis. British Journal of Psychiatry, 214(5), 260–268. https://doi.org/10.1192/bjp.2019.54

Lee, U. D., Jacob, H., Zhang, Y. Y. Y. Y., Y., Ma, Z. F., Zhang, G. X., Sanabria, C., Martínez, D., Zhang, W. T., Gao, S. S., Alemán, A., Granja, A., Páramo, C., Borges, M., Izquierdo, G., Zhan, J., S., S., Xie, L., Wen, Y., Fu, J., …, & GRAHAM, J. B. (2020). Survey and analysis of knowledge, attitude and practice among otolaryngologists in a state in eastern India in relation to the coronavirus disease 2019 pandemic. Company Data Report, 17(2), 1–4. http://dx.doi.org/10.1017/S0022215120001644.

Ministry of Health RI. (2018). Laporan Riset Kesehatan Dasar (Riskesdas). Health Research and Development Department: Ministry of Health of the Republic of Indonesia.

Nam, S. H., Nam, J. H., & Kwon, C. Y. (2021). Comparison of the mental health impact of COVID-19 on vulnerable and non-vulnerable groups: a systematic review and meta-analysis of observational studies. International Journal of Environmental Research and Public Health, 18(20), 10830. https://doi.org/10.3390/ijerph182010830

Niken. (2021). Terapi Kognitif Perilaku Dan Terapi Psikoedukasi Keluarga Untuk Remaja. Riau: Penerbit NEM.

Psychiatric hospital Prof. Dr. M. Ildrem Medan. (2022). Medical record the Psychiatric hospital Prof. Dr. M. Ildrem. Medan.

Rahayu, P. P., Mustikasari, M., & Putri, Y. S. E. (2022). Manajemen kasus spesialis Keperawatan Jiwa pada klien dengan isolasi sosial. Jurnal Kesehatan Samodra Ilmu, 13(1), 17–23. https://doi.org/10.55426/jksi.v13i1.188

Ricky, D. P., Keliat, B. A., & Daulima, N. H. C. (2014). Efek Terapi Perilaku, Terapi Kognitif Perilaku dan Psikoedukasi Keluarga pada Klien Halusinasi Menggunakan Pendekatan Teori Berubah Kurt Lewin. Jurnal Keperawatan Jiwa, 2(2), 149–165.

Sari, S. P., Suttharangsee, W., Chanchong, W., & Turale, S. (2014). Self-Management Family Participation Program for Medication Adherence among Indonesian People with Schizophrenia: A Randomised Controlled Trial Study. Pacific Rim International Journal of Nursing Research, 18(4), 274-289. https://pureportal.coventry.ac.uk/en/publications/self-management-family-participation-program-for-medication-adher

Sefrina, F. (2019). Hubungan Dukungan Keluarga dan Keberfungsian Sosial. Jurnal Ilmiah Psikologi Terapan, 04(02), 1–21.

Sudiatmika I.K. (2011). Efektifitas cognitive behavior therapy dan rational emotive behavior therapy terhadap klien dengan perilaku kekerasan dan halusinasi di RS dr H Marzoeki Mahdi Bogor. [Thesis]. Depok: Facuty of Nursing, Universitas Indonesia.

Sunarsih, S., Manurung, I., & Holidy, H. (2017). Pengaruh Terapi Token terhadap Kemampuan Mengontrol Perilaku Kekerasan pada Pasien Gangguan Jiwa. Jurnal Ilmiah Keperawatan Sai Betik, 13(2), 234-238. https://doi.org/10.26630/jkep.v13i2.937

Suyatno. (2018). Pengaruh latihan keterampilan sosial terhadap fungsi kognitif, motivasi dan fungsi sosial pada klien dengan isolasi sosial. [Thesis]. Depok: Faculty of Nursing, Universitas Indonesia.

Townsend, M. C. (2013). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.

Wahyuni, S. E., Keliat, B. A., Yusron, Y., & Susanti, H. (2011). Penurunan Halusinasi Pada Klien Jiwa Melalui Cognitive Behavior Theraphy. Jurnal Keperawatan Indonesia, 14(3), 185–192. https://doi.org/10.7454/jki.v14i3.66.

Downloads

Published

26-08-2024