Family Empowerment through “Trisna” Cultural Approach towards Improvement in Quality of Life and Decrease in Relapse Number in Patients with Schizophrenia

Abstract

Treating schizophrenic patients is done through holistic approach. Culture plays an important role in the treatment, that patients could share their problems in which it is expected to be able to solve their physical, psychological, social, spiritual, and quality of life problems of the patients (Adriani,2014) applies (temen) friend philosophy in treatment service will encourage feelings of nrima/acceptance that will encourage feelings of sabar /patience”, and through patience people are more rila/willing to do their job (Mertowardoyo, 2006). The description above gave an idea to the researchers to apply Javanese values of temen, nrima, sabar and rila (Trisna) in treating patients with mental illness in empowering families of patients with Schizophrenia in Mental Hospitals. This study is aimed to find out the effectiveness of family empowerment in treating Schizophrenic patients through trisna culture towards the improvement of patients’ quality of life and decrease in number of relapse of patients with Schizophrenia ce in Rumah Sakit Jiwa Daerah Surakarta (Local Mental Hospital of Surakarta) and Rumah Sakit Jiwa Grhasia, Sleman DI Jogjakarta (Grhasia Mental Hospital, Sleman, Special region of Jogjakarta). The method of this study is quasi experimental with pre-post test design with control group. Data is obtained before and after giving intervention of Trisna cultural approach to families of patients with Schizophrenia as intervention group. The number of samples which is 60 clients is divided into 2 groups with 30 respondents each in intervention group and control group. This study measures the patients’ quality of life and number of relapse of their illness. The research instruments are questionnaires on quality of life and reccurence. Data is analyzed using Paired t-test, independent t-test , independent t-test of double linear. The finding of the study proves that there is a difference in quality of life before and after the intervention of empowering family through Trisna cultural approach (p= 0,000), if done consistently within the families, it may improve the quality of life about 27.2%, influenced by another variable which is more dominant such as the period of the illness (b=0.804), this research also could decrease the relapse of the illness for about 0.7%, influenced by other variables which are more dominant such as gender (b=0.184), and job (b=0.117).It is suggested that Trisna culture is applied as the family intervention in treating patients with mental illness.

Keywords: Schizophrenia, Quality of Life and Recurrence number