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"ABSTRAKKeluarga sebagai caregiver anggota keluarga dengan skizofrenia memiliki stressor yangtinggi. Stressor dapat semakin bertambah oleh adanya banjir rob. Respon keluarga yangtidak tepat dapat semakin meningkatkan stressor, mempengaruhi spiritual well being, selfefficacy, dan resiliensi. Penelitian ini bertujuan untuk mengetahui pengaruh terapipsikoedukasi keluarga terhadap spiritual well being, self efficacy dan resiliensi caregiveranggota keluarga skizofrenia yang terdampak banjir rob. Metode yang digunakan adalahquasi experimental pre-post test with control group dengan total populasi. Jumlah sampel81 responden. Kriteria inklusi penelitian ini adalah anggota keluarga inti yang berusia > 18tahun, merawat langsung anggota keluarga lain dengan skizofrenia minimal relaps 1 kali,tinggal dalam satu rumah dengan anggota keluarga dengan skizofrenia, mengalamimasalah keperawatan ketidakberdayaan, dan mampu baca tulis dan dapat berkomunikasidengan baik. Alat ukur menggunakan kuesioner skrining tanda dan gejalaketidakberdayaan, karakteristik dan data demografi responden, kuesioner spiritual wellbeing dengan the functional assessment of chronic illness therapy-spiritual well-being,kuesioner self efficacy, dan kuesioner Family Resilience Assessment Scale. Analisis datamenggunakan uji Independent t-test. Hasil menunjukkan terdapat pengaruh terapipsikoedukasi keluarga terhadap spiritual well being, self efficacy dan resiliensi caregiveranggota keluarga skizofrenia yang terdampak banjir rob (p value 0,000). Rekomendasiberdasarkan hasil penelitian tersebut yaitu pemberian terapi psikoedukasi keluarga padacaregiver sebaiknya dapat dilakukan dua kali pertemuan setiap sesi dengan durasi waktuminimal 45 setiap sesi dan dapat melibatkan kader serta kolaborasi dengan tokoh agamauntuk penguatan koping spiritual, penelitian lanjut pemberian terapi psikoedukasi keluargadengan menambahkan konten serta frekuensi dan durasi sesi terapi psikoedukasi keluarga.

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ABSTRACTFamilies as caregivers of family members with schizophrenia have high stressors.Stressors can be increased by the presence of tidal flood. Improper family responses canfurther increase stressors, affect spiritual well being, self efficacy, and resilience. Thisstudy aimed to determine the effect of family psychoeducation therapy on spiritual wellbeing, self efficacy and resilience of family members of schizophrenia caregivers affectedby tidal flooding. The method used quasi experimental pre-post test with control groupwith a total population. The number of samples were 81 respondents. The inclusioncriteria of this study were are family members aged > 18 years, directly caring for otherfamily members with schizophrenia who at least relapsed once, stayed in one house withfamily members with schizophrenia, experienced helplessness nursing problems, and wereable to read and communicate well . Measuring instruments used screening questionnairesfor signs and symptoms of helplessness, characteristics and demographic data ofrespondents, spiritual well being questionnaires with t the functional assessment of chronicillness therapy-spiritual well-being, self-efficacy questionnaire, and family resilienceassessment scale questionnaire. Data analysis using the Independent t-test. The resultsshowed that there was an effect of family psychoeducation on spiritual well being, selfefficacy and resilience of family members of schizophrenia caregivers affected by tidalflooding (p value 0,000). Recommendations based on the results of these studies are givingfamily psychoeducation therapy to caregivers should be able to do two meetings eachsession with a minimum duration 45 minutes and can involve the cadres and collaboratewith religious leaders for strengthening spiritual coping, further research is giving familypsychoeducation therapy is needed by adding content and the frequency and duration offamily psychoeducation therapy sessions."

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Skizofrenia merupakan kondisi gangguan mental yang ditandai dengan gejala positif dan negatif. Diantara tanda positif tersebut adalah risiko perilaku kekerasan dan halusinasi. Karya akhir spesialis ini bertujuan untuk mengetahui pengaruh pemberian acceptance and commitment therapy dan family psychoeducation therapy secara online terhadap penampilan personal dan sosial serta kepatuhan berobat pada klien skiozfrenia dengan risiko perilaku kekerasan dan halusinasi. Penulisan karya ilmiah akhir spesialis ini menggunakan desain penelitian operational research. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah pasien sebanyak 48. Analisis data menggunakan uji wilcoxon dan uji friedman.  Hasil karya ilmiah akhir spesialis ini menunjukkan ada pengaruh tindakan keperawatan ners, acceptance and commitment therapy, dan family psychoeducation therapy terhadap penampilan personal dan sosial serta kepatuhan berobat pada klien risiko perilaku kekerasan dan halusinasi dengan p value < 0,05. Oleh karena itu, pelaksanaan asuhan keperawatan klien skizofrenia dengan risiko perilaku kekerasan dan halusinasi dapat diberikan sesuai standar asuhan keperawatan dengan tindakan keperawatan ners generalis dan ditambahkan dengan tindakan keperawatan ners spesialis acceptance and commitment therapy dan family psychoeducation therapy.

 

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Schizophrenia is a condition of mental disorder that is characterized by positive and negative symptoms. Among these positive symptoms is the risk of violent behavior and hallucinations. This final scientific work aims to determine the effect of online acceptance and commitment therapy and family psychoeducation therapy on personal and social performance and treatment compliance for schizophrenia clients with the risk of violent behavior and hallucinations. This final scientific work implemented an operational research design. The sampling technique used was purposive sampling with 48 patients. The data analysis used the Wilcoxon test and the Friedman test. The results of this final scientific work indicated that there is an influence of nursing practice, acceptance and commitment therapy, and family psychoeducation therapy on personal and social performance and treatment compliance for clients with the risk of violent behavior and hallucinations with p-value < 0,05. Therefore, the implementation of schizophrenia client nursing practice with the risk of violent behavior and hallucinations can be provided according to the standard of nursing care with generalist nursing practice and added to the acceptance and commitment therapy and family psychoeducation therapy.

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"Pelaku rawat keluarga Skizofrenia di wilayah banjir rob harus melaksanakan tugas merawat pasien Skizofrenia, mengelola dampak banjir rob terhadap pasien, dan dampak banjir rob terhadap pelaku rawat keluarga itu sendiri. Pelaku rawat keluarga dituntut beradaptasi terhadap perubahan yang dialaminya sehingga memiliki self-efficacy dan resiliensi yang baik. Tujuan penelitian adalah mengidentifikasi efektifitas model adaptasi psikososial keperawatan jiwa bagi pelaku rawat keluarga terhadap self-efficacy dan resiliensi dalam merawat pasien Skizofrenia. Metode penelitian menggunakan operational research dengan pendekatan Sequential Exploratory Design melalui tiga tahap penelitian. Tahap 1 mengidentifikasi faktor yang berkontribusi dalam pengembangan model adaptasi psikososial keperawatan jiwa dengan desain cross-sectional study. Tahap 2 mengembangkan model adaptasi psikososial keperawatan jiwa. Tahap 3 menguji model adaptasi psikososial keperawatan jiwa dengan desain quasi experiment with control group. Hasil analisis diperoleh variabel yang berkontribusi terhadap adaptasi psikososial diantaranya adalah stimulus residual, efektor, dan coping need. Pengembangan model diperoleh komponen model adaptasi psikososial keperawatan jiwa terdiri atas stimulus fokal, stimulus kontekstual, stimulus residual, efektor, dan coping need. Model adaptasi psikososial keperawatan jiwa bagi pelaku rawat keluarga Skizofrenia efektif meningkatkan self-efficacy dan resiliensi. Peneliti menyarankan model ini dapat diaplikasikan oleh pemerintah, badan nasional penanggulangan bencana, puskesmas, dan penelitian lanjutan dengan memasukan unsur budaya dan situasi bencana lainnya.

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Schizophrenic family caregivers in tidal flood areas should carry out the task of caring for schizophrenia patients, managing the impact of tidal floods on patients, and the impact of tidal floods on the family caregivers themselves. Family caregivers are required to be able to adapt of the changes they experience so that they have good self-efficacy and resilience. The purpose was to identify the effectiveness of psychosocial adaptation model in psychiatric nursing for family caregivers on self-efficacy and resilience in caring for schizophrenia patients. The research method used operational research with a Sequential Exploratory Design approach through three stages of research. Stage 1 identified contributing factors in the development of psychosocial adaptation model of psychiatric nursing with a cross-sectional study design. Stage 2 developed a psychosocial adaptation model of psychiatric nursing. Stage 3 tested the psychosocial adaptation model of psychiatric nursing with a quasi-experiment with control group design. The results of the analysis obtained variables that contribute to psychosocial adaptation including residual stimulus, effectors, and coping needs. Model development obtained components of the psychosocial adaptation model of psychiatric nursing consisting of focal stimulus, contextual stimulus, residual stimulus, effector, and coping need. Psychosocial adaptation model in psychiatric nursing for family caregivers effective increased to self-efficacy and resilience schizophrenia family caregivers. Researchers suggest this model can be applied by the government, national disaster management agency, puskesmas, and follow-up research by including cultural elements and other disaster situations."