MEDICATION ADHERENCE AND MENTAL HEALTH AMONG PATIENTS WITH SCHIZOPHRENIA AT LOA BAKUNG PRIMARY HEALTH CENTER, SAMARINDA

Najdah; Rusni Masnina; Ni Wayan Wiwin Asthiningsih; La Debi Atthoba

doi:10.60050/pwh.v7i1.116

Penulis

Najdah Bachelor of Nursing Program, Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
Rusni Masnina Bachelor of Nursing Program, Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
Ni Wayan Wiwin Asthiningsih Bachelor of Nursing Program, Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
La Debi Atthoba Loa Bakung Primary Health Center, Samarinda, Indonesia

DOI:

https://doi.org/10.60050/pwh.v7i1.116

Kata Kunci:

Schizophrenia, Medication Adherence, Mental Health, Outpatients, Primary Health Care

Abstrak

Background: Schizophrenia is a chronic severe mental disorder associated with impaired functioning and high relapse rates. Medication nonadherence remains a major challenge in maintaining mental health stability, particularly in primary health care settings where resources are limited.

Objectives: To examine the association between medication adherence and mental health status among outpatients with schizophrenia at Puskesmas Loa Bakung Samarinda.

Methods: A cross-sectional analytic study was conducted from October to November 2024 involving 40 outpatients with schizophrenia selected through total sampling. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8), while mental health status was measured using the General Health Questionnaire-12 (GHQ-12). Data were analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05.

Results: Most participants had low medication adherence (57.5%) and experienced mild psychological distress (47.5%). Bivariate analysis showed a statistically significant association between medication adherence and mental health status (p < 0.001), with patients who had moderate to high adherence showing a lower likelihood of psychological distress (OR = 0.032; 95% CI: 0.003–0.295).

Conclusion: Medication adherence was significantly associated with mental health status among outpatients with schizophrenia in a primary health care setting. These findings indicate an important relationship between adherence and psychological condition, although causal conclusions cannot be drawn due to the cross-sectional design.

Referensi

Antika Larasati, D., Apriliyani, I., & Rahmawati, A. N. (2023). Hubungan Dukungan Keluarga Dengan Tingkat Kepatuhan Minum Obat Pada Pasien Skizofrenia Di Wilayah Kerja Puskesmas Kembaran II. Profesional Health Journal, 4(2), 295–302.

Aryani, F., & Sari, O. (2016). Skizofrenia Di Ruang Rawat Inap Rumah Sakit Jiwa The Description Of Antipsychotics Usage On Schizophrenic Patients At Psychiatric Hospital. Jurnal Manajemen Dan Pelayanan Farmasi, 6(1), 35–40. https://doi.org/https://doi.org/10.22146/JMPF.236

Darsana, I. W., & Putu Suariyani, N. luh. (2020). Trend Karakteristik Demografi Pasien Skizofrenia di Rumah Sakit Jiwa Provinsi Bali (2013-2018). Arc.Com. Health, 7(1), 41–51. https://doi.org/https://doi.org/10.24843/ach.2020.v07.i01.p05

Dewi, R., Mitra, A. D., & Adinda, R. (2024). RASIONALITAS PENGGUNAAN ANTIPSIKOTIK PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT JIWA DAERAH PROVINSI JAMBI PERIODE APRIL – MEI 2022. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan-Fakultas Kedokteran Universitas Islam Sumatera Utara ISSN, 23(2).

Fakhriyani, D. V. (2021). Peran Resiliensi Terhadap Kesehatan Mental: Penyesuaian Psikologis Selama Pandemi Covid-19 (The Role of Psychological Resilience in Mental Health: Psychological Adjustment During the Covid-19 Pandemic). Proceedings of the 5th International Conference on Islamic Studies (ICONIS), 19, 465–476.

Guo, J., Lv, X., Liu, Y., Kong, L., Qu, H., & Yue, W. (2023). Influencing factors of medication adherence in schizophrenic patients : a meta-analysis. Published in Partnership with the Schizophrenia International Research Society, 23–25. https://doi.org/10.1038/s41537-023-00356-x

Higashi, K., Medic, G., Littlewood, K. J., Diez, T., Granström, O., & Hert, M. De. (2013). Medication adherence in schizophrenia : factors influencing adherence and consequences of nonadherence , a systematic literature review. Therapeutic Advances in Psychopharmacology. https://doi.org/10.1177/2045125312474019

Idaiani, S., & Suhardi. (2006). Validitas dan Realibitas General Health Questionnaire untuk Skrining Distress dan Disfungsi Sosial di Masyarakat. Puslitbang Biomedis Dan Farmasi, Badan Litbangkes, 14(4), 161–173.

Kemenkes, B. (2023). Survei Kesehatan Indonesia (SKI).

M. Ichsan Attafani Fillah, L. K. (2022). Karakteristik Dan Faktor-Faktor Yang Mempengaruhi Kepatuhan Minum Obat Pada Pasien Skizofrenia. Jurnal Riset Rumpun Ilmu Kedokteran, 1(2), 01–11. https://doi.org/10.55606/jurrike.v1i2.367

Morisky, D. E., Ang, A., Krousel-wood, M., Ward, H. J., & Jacq, L. (2008). Predictive Validity of a Medication Adherence Measure in an Outpatient Setting. LE JACQ, 10(5).

Putra, F. A., & Widiyono, W. S. (2021). Hubungan Kepatuhan Minum Obat Dengan Tingkat Kekambuhan pada Pasien Skizofrenia. Jurnal Ilmu Keperawatan, 14(1), 42–48.

Siagian, I. O., Siboro, E. N. P., Siagian, I. O., & Siboro, E. N. P. (2022). Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Skizofrenia. Jurnal Kesehatan, 11(2), 166–173. https://doi.org/https://doi.org/10.46815/jk.v11i2.102

World Health Organization. (2023). Mental Health Conditions in the WHO South-East Asia Region. In Mental Health Foundation of New Zealand.

Yusrani, K. G. (2023). Tinjauan Kebijakan Kesehatan Mental di Indonesia : Menuju Pencapaian Sustainable Development Goals dan Universal Health Coverage. Jurnal Medika Nusantara, 1(2).