Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa)

Relationship Disease Management and Parenting Stress on Families Ability to Care For Schizophrenia

Fri, 01 Mar 2024 00:00:00 +0000

Introduction: The inability of families to care for schizophrenia is caused by minimal knowledge and not having sufficient training or formal support. Families are frustrated and make it a burden to care for schizophrenia. The research aimed to determine the relationship between disease management and Parenting stress on the family's ability to care for schizophrenia.

Method: Quantitative design with a cross-sectional approach was used. The sample size was 135 families caring for schizophrenia using a purposive sampling technique. The independent variable was disease management and parenting stress, and the dependent variable was the family's ability to care for schizophrenia. The disease management questionnaire was based on the concept of family empowerment by Zhou and Budi Anna Keliat. The parenting stress management questionnaire was developed from the neurobiology of stress concept from Murison, and the family ability questionnaire to care for schizophrenia uses the parenting Tasks in Caring for an Adult with Mental Illness Scale (CTiCAMIS). Data analysis used the Chi-square test with a level of 95%.

Results: There was a relationship between disease management (p-value = 0.002 (<0.05)) and parenting stress (p-value = 0.000 (<0.05)) with the family's ability to care for schizophrenia patients.

Conclusions: Disease management ability and parenting stress are closely related to the family's ability to care for schizophrenia. Efforts from mental health workers to provide education, training, and assistance are needed through family empowerment programs development to increase the family ability.

Healthcare Professionals Perspectives on Discharge Planning for Patients with Mental Illness

Hasmila Sari, Budi Anna Keliat, Junaiti Sahar, Herni Susanti, Kasiyah Junus — Thu, 21 Mar 2024 00:00:00 +0000

Introduction: Discharge planning is transferring a patient to a different level of care to improve continuity of care by bridging the gap between hospital and community care. This study aimed to explore the perspectives of healthcare professionals involved in discharge planning for patients with mental illness.

Method: This research used qualitative methods with a phenomenological approach. Ten participants were selected using a purposive sampling method, with inclusion criteria healthcare professionals involved in the discharge planning process for patients in psychiatric hospitals, had worked in the service for at least 5 years, and provided direct or indirect services to patients. Data were collected through in-depth interviews using interview guides, recording devices, and field notes. Data were analyzed using thematic analysis.

Results: The study identified four themes related to discharge planning preparation for patients with mental illness perceptions of roles and experiences in discharge planning, internal and external barriers in discharge planning, internal and external support in discharge planning and expectations for the continuity of discharge planning.

Conclusions: The findings indicate that there are still significant disparities in the way that discharge planning for patients with mental illness is implemented in different mental health service settings. These study findings are intended to serve as a further source of information to develop a discharge planning system that integrates patients with mental illnesses from the hospital into the community.

The Relationship Between Body Dissatisfaction and Social Anxiety in Adolescents Using Instagram Face Filter

Vionita Apriliana, Dwi Suratmini — Mon, 04 Mar 2024 00:00:00 +0000

Introduction: Dissatisfaction with the body, especially the face, is often experienced by adolescents during their development. These feelings encourage adolescents, especially women, to try to disguise their dissatisfaction by using face filters on the Instagram application. The appearance gap between the real and virtual worlds can cause anxiety when socializing. This study aimed to determine the relationship between body dissatisfaction and social anxiety of adolescent girls who use face filters on the Instagram application.

Method: The type of research used is an observational analytic correlation with a cross-sectional approach with a total sample of 165 people taken through a purposive sampling technique. The level of body dissatisfaction was measured using the Multidimensional Body-Self Relations Questionnaire-Appearance Scale with a Cronbach Alpha reliability coefficient of 0.866. In contrast, the level of social anxiety was measured using the Social Anxiety Scale for Adolescents with a Cronbach Alpha reliability coefficient ranging from 0.76-0.91.

Results: The results of univariate analysis using frequency distribution analysis showed that the majority of respondents had moderate levels of body dissatisfaction (24.2%) and average levels of social anxiety (52.7%), while the results of bivariate analysis using Pearson Product Moment r=0.435** (p-value=0.001) showed that the higher the level of dissatisfaction with the body, the higher the value of adolescent social anxiety levels, and vice versa.

Conclusions: It can be concluded that there is a relationship between body dissatisfaction and the social anxiety of adolescent girls who use face filters on the Instagram application. Providing health education to teenage users of Instagram face filters can be given to reduce body dissatisfaction and anxiety in establishing social relationships.

Analysis of Smartphone Addiction With Anxiety in School-Aged Children

Firnanda Erindia, Ah Yusuf, RR Dian Tristiana, Umdatus Soleha — Mon, 04 Mar 2024 00:00:00 +0000

Introduction: Increasing smartphone overuse among children is an addictive behavior that not only creates physical difficulties, but also affects their mental health in ways such as mood changes, withdrawal, emotional discomfort, fear and worry regarding certain social situation. The study aimed at determining the analysis correlation between smartphone addiction with anxiety in Pawyatan Daha elementary school, Kediri, East Java.

Methods: This study use a cross-sectional design. The sampling method was simple random sampling and 154 students from Pawyatan Daha elementary school, Kediri, East Java comprised the sample. Data collection was carried out in November to December 2022. In this study, the independent variable was smartphone addiction as measured by the smartphone addiction risk children questionnaire (SARCQ), and the dependent variable was anxiety as measured by the revised child anxiety and depression scale (RCADS). Data analysis was using the spearman rho test with α=0.05.

Result: The study showed the majority 77.3% of respondents are addicted smartphone in the high category, anxiety majority 52.6% of respondents are general anxiety disorders category and statistical test result show a significant correlation with a p-value of 0.001 (p<0.005) and r = 0.330.

Conclusions: Smartphone addiction has a correlation with anxiety in school-aged children, parents must supervise their children's smartphone use in order to help them develop character and avoid addicted behavior and nurse can act as counselors by providing regular counseling service visits to elementary school to reduce smartphone addiction.

Factors Related to Suicide Idea in the Rural Area of Indonesia

Fri, 01 Mar 2024 00:00:00 +0000

Background: People in rural areas in Indonesia have many challenges and problems that lead to psychosocial. The lack of mental health facilities and services result in severe mental issue like depression

which can lead to suicide. Thus, Suicide can be prevented if the Suicide idea is detected. Unfortunately, there are few studies regarding factors related to suicide idea in rural areas especially in Indonesia, even though suicide rates in rural areas are often greater than in urban areas. This study wanted to look at the factors influencing Suicide ideas in rural Indonesia in Manggarai Regency.

Method: This research is quantitative research using the cross-sectional approach. Respondents in the study were 150 people with inclusive criteria of 17 years and over and were willing to fill out questionnaires distributed online through Google Forms. Data collection was conducted using the Beck Suicide Idea Questionary, Beck Depression Scale, the Rosenberg Self-Esteem Scale, and Social Support Questionary Questionnaires tested for validity and reliability. Data analysis was carried out by logistic regression.

Results: The results showed that the factors that influence Suicide ideas in rural areas of Indonesia are age (P-value: 0.04, OR: 0.18), depression (P value: 0.000, OR: 3.41), self-esteem (P value: 0.001 OR: 0.19), and social support (P-value: 0.002 OR: 0.2). The results of the multivariant analysis showed that the most variable influencing Suicide idea was depression (P-value: 0.000 and OR: 4.9) which means people with major depression have 4.9 times stronger Suicide idea.

Conclusion: In providing prevention education to clients with suicide, health professionals including nurses can emphasize the importance of family and environmental support, especially in adolescents.

Adverse Childhood Experiences and Trends of Deliberate Self-Harm in Indonesian Adolescents

Sun, 01 Oct 2023 00:00:00 +0000

Introduction: Deliberate self-harm (DSH) refers to a purposeful and intentional act of self-injury that individuals engage in as a means to regulate their emotions. This phenomenon is frequently observed throughout the period of adolescence, characterized by the onset of both physical and psychological transformations. There are multiple factors that contribute to the emergence of deliberate self-harm (DSH), with Adverse Childhood Experiences (ACEs) being one of them.

Method: The primary objective of this study was to examine the correlation between adverse childhood experiences (ACEs) and the inclination towards deliberate self-harm (DSH) among adolescents in Indonesia.

Results: The study employed a correlational quantitative methodology, and a accidental sampling was used to recruit 397 adolescent participants from Indonesia. The instruments employed in this study included the Indonesian version of the Adverse Childhood Experience Questionnaire (ACE.Q) with a Cronbach Alpha coefficient of 0.817, and the Deliberate Self-Harm Inventory (DSHI) with a Cronbach Alpha coefficient of 0.769. The data was analyzed to analysis using descriptive statistics and the Chi Square correlation test. The results of the study revealed a statistically significant association between Adverse Childhood Experiences (ACEs) and deliberate self-harm (DSH), with a p-value of 0.001. Conclusions: Further investigation aims to reveal additional variables that lead to the initiation of deliberate self-harm (DSH) and other adverse childhood experiences (ACE)-related problems. Parents, educational institutions, government entities, child protection organizations, and medical professionals are obligated to consistently comply with child safety legislation and guidelines.