Psikoedukasi Menurunkan Beban Keluarga yang Mengalami Stigma sebagai Klien Tuberkulosis dan Riwayat Putus Obat
Abstract
This study aims to analyze the implementation of family psychoeducation in reducing the burden on families who experience stigma as tuberculosis clients and have a history of drug withdrawal. The research method used was a case report on one family with one caregiver who experienced the burden and anxiety of tuberculosis clients with a history of drug withdrawal. Interviews and observations used the Hamilton Rating Scale (HARS) instrument on caregivers and the Zarit Burden Interview (ZBI) instrument. The results showed that family psychoeducation with six sessions at four meetings could reduce anxiety and burden on caregivers with an initial HARS score of 29 to 16 (mild anxiety) and a ZBI score of 44 to 34 (light-moderate perceived burden). In conclusion, family psychoeducation affects client adherence to treatment; in family psychoeducational interventions, health workers coordinate with caregivers to reduce anxiety and increase caregiver knowledge about the client's illness. Family psychoeducation also plays a role in overcoming social and self-stigma in clients and families.
Keywords: Family Psychoeducation, Drug Dropout, Stigma, Pulmonary Tuberculosis
References
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Zani, R. S., Auliana, S., & Awaina, S. (2021). Evaluasi Tingkat Kepatuhan Pasien pada Penggunaan Obat Tuberkulosis di Wilayah Kerja Puskesmas Batee Kabupaten Pidie. Jurnal Ilmu Keperawatan, 7(2), 1–7. http://36.94.73.186:8080/jurnal/index.php/JIK/article/view/64/29
Ayse, S., & Duman, Z. C. (2022). Effects of The Family Support and Psychoeducation Program Based on The Calgary Family Intervention Model on The Coping, Psychological Distress and Psychological Resilience Level of The Family Caregivers of Chronic Psychiatric Patients. Archives of Psychiatric Nursing, 41, 1–10. https://doi.org/10.1016/j.apnu.2022.07.014
Chewe, W., Liusha, N., Chansa, A., & Mwaba, P. (2023). Tuberculosis Mortalities Among In Patients at a Tertiary Hospital in Zambia Between 2018 and 2019-The Spectrum of Clinical Presentations. MedRXiV. https://doi.org/10.1101/2023.01.04.23284196
Elsina, M. T. M., & Keliat, B. A. (2022). Pengaruh Tindakan Keperawatn Generalis, Terapi Kognitif, dan Psikoedukasi Keluarga terhadap Pemulihan Klien Skizofrenia dengan Halusinasi dan Perawatan Diri. Universitas Indonesia. https://lib.ui.ac.id/detail?id=20520731&lokasi=lokal
Fana, T. E., & Sotana, L. (2021). Exploring The Experiences of Family Caregivers with People with Drug-Resistant Tuberculosis. Cogant Social Sciences, 7, 1–17. https://doi.org/10.1080/23311886.2021.1906494
Gusdiansyah, E., Keliat, B. A., & Erwina, I. (2020). Psikoedukasi Keluarga terhadap Kemampuan Keluarga dalam Merawat Anggota Keluarga dengan Perilaku Kekerasan di Rumah. Jurnal Ilmu Kesehatan, 4(2), 106–115. http://dx.doi.org/10.33757/jik.v4i2.296
Hutagalung, A., Efendy, I., & Harahap, J. (2022). Pengetahuan dan stigma Sosial Mempengaruhi Perilaku Pencarian Pengobatan Tuberkulosis. Jurnal Keperawatan Priority, 5(2), 77–84. https://doi.org/10.34012/jukep.v5i2.2657
Kementerian Kesehatan RI. (2020). Strategi Komunikasi TOSS TBC. Kementrian Kesehatan Republik Indonesia. tbindonesia.or.id
Liu, S., Bi, Y., & Liu, Y. (2020). Modelling and Dynamic Analysis of Tuberculosis in Mainland China from 1998 to 2017: The Effect of DOTS Strategy and Further Control. Theoritical Biology and Medical Modelling, 1–10. https://doi.org/10.1186/s12976-020-00124-9
Muhrodji, P., Wicaksono, H. D. A., Satiti, S., Trisnantoro, L., Setyopranoto, I., & Vidyanti, A. N. (2022). Roles and Problems of Stroke Caregivers: A Qualitative Study in Yogyakarta, Indonesia (Version2; Peer Review: 2 Approved). F1000Research, 10, 1–24. https://doi.org/10.12688/f1000research.52135.2
Nasution, Z., & Tambunan, S. J. L. (2020). Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Penderita TB Paru di Puskesmas Padang Bulan Medan. Darma Agung Husada, 7(2),64–70. https://jurnal.darmaagung.ac.id/index.php/darmaagunghusada/article/view/719
Niman, S., Hamid, A. Y. S., & W, I. Y. (2020). The Effect of Familiy Psychoeducation on Social Support Among Congestive Heart Failure Patients. Jurnal Keperawatan dan Kesehatan, 8(1), 9–16. https://doi.org/10.20527/dk.v8il.7679
Redwood, L., Mitchell, E. M. ., Nguyen, T. A., Viney, K., Duong, L., Pham, H. T., Nguyen, B. H., Nguyen, V. N., & Fox, G. J. (2022). Adaptation and Validation of the Van Rie Tuberculosis Stigma Scale in Vietnam. International Journal of Infectious Disease, 114, 97–104. https://doi.org/10.1016/j.ijid.2021.10.040
Rohaeti, E., Yuliza, E., & Shifa, N. A. (2022). Gambaran Dukungan Keluarga tentang Kepatuhan Minum Obat Klien TB Paru. Open Access Journal of Health Sciences (OAJJHS), 01, 1–5. https://doi.org/10.53801/oajjhs.v1i6.47
Sajodin, S., Ekasari, V. D., & Syabariyah, S. (2022). Persepsi Berhubungan dengan Stigma Masyarakat pada Penderita Tuberkulosis Paru. Jurnal Keperawatan, 14(4), 1–8. https://doi.org/10.32583/keperawatan.v14i4.157
Saputri, C., Sibuea, S., & Oktarlina, R. Z. (2020). Penatalaksanaan Tuberkulosis Paru Putus Obat Melalui Pendekatan Kedokteran Keluarga di Wolayah Kerja Puskesmas Sukaraja. Medula, 10(3), 1–9. https://www.journalofmedula.com/index.php/medula/article/download/98/78/165
Septiana, T. (2022). Identifikasi Perlakuan Stigma pada Pasien dengan Tuberkulosis Paru: Studi Literatur. Universitas Muhammadiyah Malang. https://eprints.umm.ac.id/93524/1.pdf
Silva, M. I. P., Aratijo, B. R., & Amado, J. M. C. (2022). Adaptation and Validation of The Tuberculosis Related Stigma Scale in Portuguese. Aquichan, 22(1), 1–18. https://doi.org/10.5294/aqui.2022.22.2.6
Susila, W. D. C., Susanti, H., Wardani, I. Y., & Budiarta, E. (2020). Manfaat Psikoedukasi Keluarga terhadap Beban Subjektif Keluarga Pada Kasus Klien Tuberkulosis Paru. Jurnal Kesehatan Mesenceplhalon, 6(2), 1–6. https://doi.org/10.36053/mesencephalon.v6i2.206
Tresya, E., Safitri, A., Herliana, I., & Koto, Y. (2022). Pemberian Paket Terapi Psikoedukasi Keluarga dan Terapi Guided Imagery dalam Menurunkan Tingkat Ansietas. Jurnal Pengabdian Masyarakat Saga Komunitas, 1(4). https://doi.org/10.53801/jpmsk.v1i4.54
Yasume, N., Sato, S., Yamguchi, S., Matsuaga, A., Shiozawa, T., Tachimori, H., Watanabe, K., Imamura, K., Nishi, D., Fujii, C., & Kawakami, N. (2020). Effects of Brief Family Psycoeducation for Caregivers og People with Schizofrenia in Japan Provided by Visiting nurses: Protocol for a Cluster Randomised Controlled Trial. BMJ, 1–8. https://doi.org/10.1136/bumjopen-2019-034425
Zani, R. S., Auliana, S., & Awaina, S. (2021). Evaluasi Tingkat Kepatuhan Pasien pada Penggunaan Obat Tuberkulosis di Wilayah Kerja Puskesmas Batee Kabupaten Pidie. Jurnal Ilmu Keperawatan, 7(2), 1–7. http://36.94.73.186:8080/jurnal/index.php/JIK/article/view/64/29
