Pengaruh Dukungan Keluarga terhadap Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta

Abstract

Background: Schizophrenia is a psychiatric disorder that can relapse. One of the most important things that cannot be ignored in improving the health status of patients is family support. This study was aimed to know the influence of family support on relapse of patients with schizophrenia in the Surakarta Mental Hospital.

Methods: This study was observational and analytical approach of case-control studies in the Outpatient Clinic Surakarta Mental Hospital. Samples were chosen by purposive sampling based on inclusion criterias: (1) the patients family who take or wait for patients with schizophrenia in RSJD Surakarta, (2) live at the same home with patients, (3) patients are 20-60 years old, (4) complete an informed consent. Samples cannot be chosen if there was violence in the family in one last year. Sample answered (1) informed consent sheets and identities, (2) family support questionnaire. The datas were taken from 60 samples then were sorted by the scores of family support, then taken as much as 30% upper and lower ranking, so the final sample number were 36 peoples. The data was analyzed using (1) Chi Square test, (2) Odds Ratio, (3) Spearman test with SPSS 17.0 for Windows.

Results: (1) There was an influence of family support on relapse of patients with schizophrenia in RSJD Surakarta (p = 0.040 CI 95%), (2) low family support increased the patient's risk for recurrence (OR = 4.375), (3 ) If family support was low, the recurrence will be high, and if family support was high, then the recurrence will be low (Spearman's rho = -0.506; CI = 99%).

Conclusions: There was an influence of family support toward relapse of patients with schizophrenia in the Surakarta Mental Hospital.

Keywords: family support, relapse of patients with schizophrenia.