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Relapse Prevention Plans of Schizophrenic Patients in Cut Nyak Dien Distric Hospital Meulaboh

Relapse Prevention Plans of Schizophrenic Patients in  Cut Nyak Dien Distric Hospital Meulaboh


Nurjannah, Dahlia, Suzanna Oktiva, Liza Salawati


Abstrak

Long history of conflicts and Tsunami disaster in 2004 caused great psychological impacts on Acehnese. One of them is schizophrenia which has a high prevalence and creates problems of relapse. This study aims to reduce the incident of relapses in patients with schizophrenia by developing relapse prevention plans involving patients, patients’ families, community, and health staff. It was a qualitative preliminary study which data obtained using depth interview from schizophrenia patients who have been discharged from hospital and focus group discussion (FGD) from family members, community mental health nurse (CMHN), General practitioner plus (GP+), head of village, and staff from social service. A total of 11 respondents were invited for the study. Data was analyzed to discover a plan to prevent relapse of schizophrenia. The results showed that there were many factors related to relapse such as lack of family support, drug withdrawal, the severity of schizophrenia, various stressor, mental health staff and environment. It also revealed that there is no inter-sector collaboration in district government to manage mental health problem. It seems that mental health problem is only the responsibility of health department. There were several suggestions on how to reduce relapse of schizophrenia for example help self group, mental health promotion, day care, capacity building of GP+ and CMHN, develop Desa Siaga Sehat Jiwa (DSSJ) that may suitable with community needs, culture and local wisdom. It can be concluded that relapse prevention plan can be developed and applied in Meulaboh by advocating to the district health office in order to reduce the relapse of schizophrenia.

Key words: Relapse prevention plan, schizophrenia, qualitative study

 



You are here: Home Abstract Relapse Prevention Plans of Schizophrenic Patients in Cut Nyak Dien Distric Hospital Meulaboh