The Relationship Between The Family Support With Medication Adherence For Mental Disorder Patients In Sukamerang Primary Health Care Garut 2014

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1 The Relationship Between The Family Support With Medication Adherence For Mental Disorder Patients In Sukamerang Primary Health Care Garut 2014 Tanti Suryawantie 1*, Karnoto 1, Juni Setiawan 1 1 STIKes Karsa Husada GARUT Abstract Mental disorders can be caused due to the psychological pressure both from outside and from inside the individual. Based on data from Sukamerang Primary health care in 2012 as many as 119 person who suffering mental disorders in Kersamanah subdistrict, while in 2013 there was an increase to 130 person. Improved mental disorder patiens from 2012 through 2013 is likely due to the level of family support and adhrence of patients are poor. From 130 patiens, there was 73 patiens still have done therapy programme, and 26 person did not undertake therapy programme and 11 patiens did not have enough information. Based on a prelimenary study, some of families said that patient non-adherence to programme therapy caused family has many busyness, did not know the importance of taking medication regulary for patients mental disorders and the patients was bored to take medicine. The purpose of this study to understand the relatioship between the family support with medication adherence for mental disorder patients in Sukamerang Primary health care Garut This research used descriptive analityc with cross sectional approach. The population are 130 respondents and used purposive sampling for techinuque sample are 58 respondents. The result of research is a significant difference between the proportion of families with support medication (P-value = 0,001). So, there is significant relationship between family support with medication adherence of patients with mental disorders. Odd ratio of 23,8 means that families with no family support has a chance 23 times to get no adhrence program therapy compared with families who have a supportive family support. The conclusion for nurses and other health workers to provide health education about treatment for mental disorder patienst, so can to improve the quality of family support mental patients. Keyword : Family support, adherence of medication, mental disorder. 529

2 Backgroud Mental disorders is one problem of public health in Indonesia Mental disorders can be caused due to the psychological pressure both from outside and from inside the individual. The family as a important person for mental disoreder patient, should be know to the principles of five true in taking medication for mental disorder patient involve right drug, right dose, right method / route of administration, and the correct time of drug administration where compliance occurs when the rules of use in medicine prescription and administration in hospital followed correctly. This is very important especially in chronic diseases; including one of them is a mental illness. The supporting factors for the client, implication of family as a supervisor to take medication or therapy programme (Butar - Butar, 2012). Based on data from Sukamerang Primary health care in 2012 as many as 119 person who suffering mental disorders in Kersamanah subdistrict, while in 2013 there was an increase to 130 person. Improved mental disorder patiens from 2012 through 2013 is likely due to the level of family support and adhrence of patients are poor. From 130 patiens, there was 73 patiens still have done therapy programme, and 26 person did not undertake therapy programme and 11 patiens did not have enough information. Based on a prelimenary study, some of families said that patient non-adherence to programme therapy caused family has many busyness, did not know the importance of taking medication regulary for patients mental disorders and the patients was bored to take medicine. Purpose The purpose of this study to understand the relatioship between the family support with medication adherence for mental disorder patients in Sukamerang Primary health care Garut Methode This research used descriptive analityc with cross sectional approach. The population are 130 respondents and used purposive sampling for techinuque sample are 58 respondents. The inclusion of sample are family of mental disorder patient have experienced mental illness and relapse; can be read and write, willing to become respondents, stay at home with mental disorder patient and age of respondents is 17 years and older. Have tested the validity in the working area health centers DTP Cilawu to 15 families who have a family of mental disorders by giving each of 40 questions regarding family support and adherence of patients with mental disorders, the validity of the test results 530

3 obtained by the 10 questions on the support of family and 5 questions mium on medication adherence invalid because the value r results. The bivariate analysis used Chi-square test. The research was conducted in March and April 2014, while the location of the research in Sukamerang Primary health care Garut, West Java Indonesian. Result 1. Characteristics of Respondents a. Age of Respondents Tabel 1 Frequency Characteristics Age Distribution of Respondents In Sukamerang Primary health care 2014 Age (Year) Frequency Persentase (%) b. Gender of respondents Tabel 2 Frequency Characteristics Gender of respondents In Sukamerang Primary health care 2014 Sex Frequency Persentase (%) Men Women c. Relationships With Clients Tabel 3 Frequency Characteristics Relationships With Clients In Sukamerang Primary health care 2014 Relationships With Clients Frequency Persentase (%) Father Mother Elder Brother Younger Brother Husnad/Wife Child Other

4 d. Family Support Tabel 4 Frequency Characteristics Family Support In Sukamerang Primary health care 2014 Family Support Frequency Persentase (%) No Support Support e. Adherence of medication Tabel 5 Frequency Characteristics Adherence of medicationin Sukamerang Primary health care 2014 Adherence Of Medication Frequency Persentase (%) Adherence No Adherence f. The relationship between the family support with medication adherence Tabel 6 The relationship between the family support with medication adherence for mental disorder patient in Sukamerang Primary Health Care 2014 Family Support No Support Kepatuhan Minum Obat Total No Adherence Adherence P.value Or-Ci 95 % N % N % N % % % % Support % % % Total % % % ( ) Discussion Family support is an attitude, actions and acceptance of the family members. Family members view that people who are supportive always ready to give help and assistance if needed (Friedman, 1998 in Friedman, 2010). In essence families are expected to work to realize the development process of mutual love and affection among family members, between relatives, as well as between generations which is the basis for a harmonious family. Bonds of affection in the family is a happy home. Types of social support family Caplan (1964) in Friedman (2010) explains that the family has some kind of support are informational support, support assesmemt, instrumental support and 532

5 emosional support. Based on the reasearch that 55.2% of respondents have a supportive family support, 44.8% of respondents have no family support. Assume of reasearcher that the support of families that do not support due to lack of understanding of the importance of family support for the development of mental patients and adherence of medication. The result of research is a significant difference between the proportion of families with support medication (P-value = 0,001). So, there is significant relationship between family support with medication adherence of patients with mental disorders. Odd ratio of 23,8 means that families with no family support has a chance 23 times to get no adhrence program therapy compared with families who have a supportive family support. The conclusion for nurses and other health workers to provide health education about treatment for mental disorder patienst, so can to improve the quality of family support mental patients. Bibliography Ahsan, dkk Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi Di Poli Jantung Rssa Malang Ambari, Mayang Hubungan antara dukungan keluarga dengan keberfungsian social pada pasien skizofrenia pasca perawatan dirumah sakit Arikunto, Suharsimi Prosedur Penelitian Suatu Pendekantan Praktek. Jakarta: Rineka Cipta Andarmoyo, Sulistyo Keperawatan keluarga, konsep teori, proses dan praktik keperawatan. Yogyakarta : Graha Ilmu Bruner & Sudart Keperawatan medical bedah edisi 8. Jakarta : EGC Dharma Metode penelitian keperawatan : pedoman melaksanakan dan menerapkan hasil penelitian. Jakarta : Trans Info Media Dahlan Besar sampel dan Cara pengambilan sampel. Jakarta : Salemba Medika Dahlan Statistik untuk kedokteran dan kesehatan. Jakarta : Salemba Medika Friedman, Marlin M Buku ajar. Keperawatan keluarga. Jakarta : EGC Ismawanti, Indah Pengaruh terapi modeling partisipan terhadap kepatuhan minum obat pada klien penatalaksanaan regimen terapetik tidak efektif di 533

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