Description the Importance of Developing a Self-Reliance Instrument for Schizophrenic Patients in the Hospital Setting

Authors

  • Hanik Endang Nihayati Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Rizki Fitriyasari Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0000-0002-7164-2997
  • Rr Dian Tristiana Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Yuli Anggraini Master in Nursing Study Program, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Iskandar Iskandar Master in Nursing Study Program, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Hidayat Arifin Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0002-5647-5721

DOI:

https://doi.org/10.3889/oamjms.2021.6206

Keywords:

Schizophrenia, Rehabilitation, Nursing, Instruments

Abstract

Abstract

Background: The level of independence among schizophrenia patients is still a problem that must be resolved. The development of appropriate relevant instruments is needed. This study aims to develop a nursing rehabilitation therapy instrument to increase the independence of schizophrenia patients in the hospital setting.

Methods: This study used a research and development study design. The study was conducted in a Psychiatric Hospital in Surabaya, Indonesia from August to December 2020. The total sample in this study consisted of 100 nurses determined by a simple random sampling technique. In addition, 50 medical records were observed. The inclusion criteria were nurses who cared for patients with schizophrenia with a minimum work experience of 1 year. Respondents were excluded from the study if they did not follow the study through to completion. The data collection process was done online by filling in a Google form. The data was analysed using descriptive statistics and a FGD followed with 10 nurses to discuss the new instrument.

Results: The data found that a rehabilitation therapy instrument is not currently available (53%). The FGD results show that it is necessary to develop the nurse’s knowledge and to provide adequate facilities and rooms, as well as to develop instruments to use as measuring tools in order to evaluate the rehabilitation therapy given.

Conclusion: Rehabilitation therapy instruments are important to develop for schizophrenia patients. It is hoped that the development of the instrument in this study will optimise the rehabilitation of schizophrenia patients.

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References

Moncrieff J, Crellin NE, Long MA, Cooper RE, Stockmann T. Definitions of relapse in trials comparing antipsychotic maintenance with discontinuation or reduction for schizophrenia spectrum disorders: A systematic review. Schizophr Res. 2020;225:47-54. https://doi.org/10.1016/j.schres.2019.08.035 PMid:31604607

Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th ed. Arlington: American Psychiatric Association; 2013. https://doi.org/10.1007/springerreference_179660

Fortgang RG, Hoff RA, Potenza MN. Schizophrenia symptom severity and motivations for gambling in individuals with schizophrenia or schizoaffective disorder. Psychiatry Res. 2020;291:113281. https://doi.org/10.1016/j.psychres.2020.113281 PMid:32763543

Shah D, Knott V, Baddeley A, Bowers H, Wright N, Labelle A, et al. Impairments of emotional face processing in schizophrenia patients: Evidence from P100, N170 and P300 ERP components in a sample of auditory hallucinators. Int J Psychophysiol. 2018;134:120-34. https://doi.org/10.1016/j. ijpsycho.2018.10.001 PMid:30291891

Chen J, Chen X, Leung SS, Tsang HW. Potential impacts, alleviating factors, and interventions for children of a parent with schizophrenia: A scoping review. Child Youth Serv Rev. 2021;120:105751. https://doi.org/10.1016/j.childyouth.2020.105751

Zhong Y, Xia L, Zhao TT, Zhang YL, Zhang YL, Li WZ, et al. The prevalence of suicide attempts and independent demographic and clinical correlates among chronic schizophrenia patients in agricultural areas of china. Psychiatr Q. 2019;90(4):683-91. https://doi.org/10.1007/s11126-019-09644-1 PMid:31102121

McGrath J, Saha S, Chant D, Welham J. Schizophrenia: A concise overview of incidence, prevalence, and mortality. Epidemiol Rev. 2008;30:67-76. https://doi.org/10.1093/epirev/mxn001 PMid:18480098

Ika I. Saat Ini Ada 21 Ribu Pasien Skizofrenia di Surabaya; 2019. Available from: https://www.jpnn.com/news/saat-ini-ada-21-ribu-pasien-skizofrenia-di-surabaya?page=1.

Abel KM, Drake R, Goldstein JM. Sex differences in schizophrenia. Int Rev Psychiatry. 2010;22(5):417-28. PMid:21047156

Wang J, Zhang Y, Yang Y, Liu Z, Xia L, Li W, et al. The prevalence and independent influencing factors of obesity and underweight in patients with schizophrenia: A multicentre cross-sectional study. Eat Weight Disord. 2021;26(5):1365-74. https://doi.org/10.1007/s40519-020-00920-9 PMid:32557379

Dickerson FB, Ringel N, Parente F. Predictors of residential independence among outpatients with schizophrenia. Psychiatr Serv. 1999;50(4):515-9. https://doi.org/10.1176/ps.50.4.515 PMid:10211733

Bornstein RF. The Dependent Patient: A Practitioner’s Guide. United States: American Psychological Association; 2005.

Geurtzen N, Keijsers GPJ, Karremans JC, Hutschemaekers GJ. Patients’ care dependency in mental health care: Development of a self-report questionnaire and preliminary correlates. J Clin Psychol. 2018;74(7):1189-206. https://doi.org/10.1002/jclp.22574 PMid:29319187

Desalegn D, Girma S, Abdeta T. Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: A hospital-based cross-sectional study. PLoS One. 2020;15(2):e0229514. https://doi.org/10.1371/journal.pone.0229514 PMid:32092123

Cernovsky Z. Quality of life in persons with schizophrenia. Ment Illn. 2017;9(1):7052. PMid:28435648

Durgoji S, Muliyala KP, Jayarajan D, Chaturvedi SK. Quality of life in schizophrenia: What is important for persons with schizophrenia in India? Indian J Psychol Med. 2019;41(5):420-7. https://doi.org/10.4103/ijpsym.ijpsym_71_19 PMid:31548764

Maryatun S. Peningkatan kemandirian perawatan diri pasien skizofrenia melalui rehabilitasi terapi gerak (Increasing patient self-care independence schizophrenia through motion therapy rehabilitation). J Keperawatan Sriwij. 2015;2(2):108-14.

Rosmini R, Sutria E, Wahdaniah W. Intervention of nurse deficit self care in the skizofrenia patient: Systematic review. J Nurs Pract. 2020;3(2):244-52. https://doi.org/10.30994/jnp.v3i2.94

Glynn SM. The challenge of psychiatric rehabilitation in schizophrenia. Curr Psychiatry Rep. 2001;3(5):401-6. PMid:11559477

Morin L, Franck N. Rehabilitation interventions to promote recovery from schizophrenia: A systematic review. Front Psychiatry. 2017;8:100. https://doi.org/10.3389/fpsyt.2017.00100 PMid:28659832

Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. New York: Jogn Wiley and Sons; 1991. https://doi.org/10.1002/bimj.4710330419

Jones CA, Roop SC, Pohar SL, Albrecht L, Scott SD. Translating knowledge in rehabilitation: Systematic review. Phys Ther. 2015;95(4):663-77. https://doi.org/10.2522/ptj.20130512 PMid:24903114

Kamo T, Momosaki R, Suzuki K, Asahi R, Azami M, Ogihara H, et al. Effectiveness of intensive rehabilitation therapy on functional outcomes after stroke: A propensity score analysis based on japan rehabilitation database. J Stroke Cerebrovasc Dis. 2019;28(9):2537-42. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.007 PMid:31235378

Velligan DI, Gonzalez JM. Rehabilitation and recovery in schizophrenia. Psychiatr Clin North Am. 2007;30(3):535-48. PMid:17720035

Gaigl G, Täumer E, Merz K, Zöscher S, Wagner S, Kösters M, et al. Multifactorial barriers in the implementation of schizophrenia and psychosocial therapies guidelines: A quantitative study across different professions. Schizophr Res. 2021;228:425-34. https://doi.org/10.1016/j.schres.2021.01.010 PMid:33561620

Moore JL, Mbalilaki JA, Graham ID. Knowledge translation in physical medicine and rehabilitation: A citation analysis of the knowledge-to-action literature. Arch Phys Med Rehabil. 2021:S0003-9993(21)00144-1. https://doi.org/10.1016/j.apmr.2020.12.031

RajeswaranJ, Taksal A, Jain S. Reha bilitation in schizophrenia: A brain-behavior and psychosocial perspective. Indian J Psychol Med. 2017;39(6):797-9. https://doi.org/10.4103/0253-7176.219648 PMid:29284815

Loh SY. Interdisciplinary Rehabilitation to Facilitate Recovery of People Living with Long-Term Schizophrenia in Developing Countries. Psychotic Disorders. London: InTech; 2018. https://doi.org/10.5772/intechopen.75548

Wan FJ, Chien WC, Chung CH, Yang YJ, Tzeng NS. Association between traumatic spinal cord injury and affective and other psychiatric disorders-a nationwide cohort study and effects of rehabilitation therapies. J Affect Disord. 2020;265:381-8. https://doi.org/10.1016/j.jad.2020.01.063 PMid:32090763

Rodriguez-Villa E, Camacho E, Torous J. Psychiatric rehabilitation through teaching smartphone skills to improve functional outcomes in serious mental illness. Internet Interv. 2021;23:100366. https://doi.org/10.1016/j.invent.2021.100366 PMid:33532245

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Published

2021-06-26

How to Cite

1.
Nihayati HE, Fitriyasari R, Tristiana RD, Anggraini Y, Iskandar I, Arifin H. Description the Importance of Developing a Self-Reliance Instrument for Schizophrenic Patients in the Hospital Setting. Open Access Maced J Med Sci [Internet]. 2021 Jun. 26 [cited 2021 Sep. 20];9(G):14-8. Available from: https://oamjms.eu/index.php/mjms/article/view/6206

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Nursing in Internal Medicine

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