THE CORRELATION OF FAMILY SUPPORT WITH THE ADHERENCE

WITH TAKING MEDICATION IN SCHIZOPHRENIA PATIENTS WITH

AUDITORY HALLUCINATIONS AT NORTH CIMAHI PUBLIC HEALTH
CENTER

SKRIPSI

SUSILO TEGUH FIRMANTO

NPM. 213217016

NURSING SCIENCE STUDY PROGRAM

SCHOOL OF HEALTH SCIENCE JENDERAL ACHMAD YANI CIMAHI
CIMAHI 2019
 CHAPTER I
PRELIMINARY

Background
 Schizophrenia is a public health problem that is a concern because the impact of
schizophrenia is not only felt by sufferers and families but also the community and
the government. The financial burden caused by schizophrenia, can affect
individuals who suffer from schizophrenia, family and society, because there are
still often negative views (stigma).
 Auditory hallucination, which is experienced by 70% of schizophrenia patients
worldwide.
 Hallucinatory conditions are potentially dangerous, because hallucinatory
commands cause a person to carry out dangerous actions, such as cutting off
body parts or attacking someone. Fear caused by hallucinations can cause fear to
jump out the window, until suicide
 Non-compliance with therapy is a major problem with almost all psychotic drugs.
Family support will help achieve the success of treatment. Families must know the
type and type of drug, the dose, the time of administration or use of the drug, and
the consequences of stopping the drug
Problem Formulation
 Problem formulation in this research is : “is there a correlation of family
support and medication adherence in schizophrenic patients with
auditory hallucinations in the North Cimahi Health Center?”

Research General Purpose :

 To determine the correlation of family support and medication adherence
in schizophrenic patients with auditory hallucinations in the North Cimahi
Health Center.

Research Specific Purposes :

 To know the overview of family support in schizophrenic patients with
auditory hallucinations in the North Cimahi Health Center.
 To know the overview of medication adherence in schizophrenic patients
with auditory hallucinations in the North Cimahi Health Center.
 To determine the correlation of family support and medication adherence
in schizophrenic patients with auditory hallucinations in the North Cimahi
Health Center.
 CHAPTER II
LITERATURE REVIEW
Concepts discussed in this research are:
 Concept of Schizophrenia
 Concept of Hallucination
 Concept of Adherence
 Concept of Family Support
 CHAPTER III
RESEARCH METHODOLOGY

Research Design
 Research design used in this research is analytic with the type of research design is
cross sectional.

Research Conceptual Framework

Independent Variable Dependent Variable

Family Support Medical Adherence

Picture 3.1 Research Conceptual Framework

Hipotesis penelitian
 H0 ( Null Hypothesis)
There is no correlation of family support and medication
adherence in schizophrenic patients with auditory hallucinations in
the North Cimahi Health Center.
 Ha (Alternative Hypothesis)
There is a correlation of family support and medication adherence
in schizophrenic patients with auditory hallucinations in the North
Cimahi Health Center.

Research Variable
 Dependent variable in this research is family support
 Independent variable in this research is medical adherence
 Operational Definition
Conceptual Operational
Variable Instruments Result Scale
Definition Definition
Adherence An action of a patient Compliance with Questionnaire 0. Not Ordinal
using drugs as schizophrenia patients of Medical compliant if
prescribed by health in consuming drugs at Adherence the total
workers (Cahyono, home. Rating Scale score is ≤ 10
2008). (MARS) 1. Comply if
total score =
10
Family A process of the Support of family Questionnaire 0. Does not Ordinal
Support relationship between members for support if the
family and the social schizophrenia patients total score is
environment so as to with auditory < median
make families able to hallucinations in the (71.5)
function with various form of reminding them 1. Supports if
intelligence and to consume drugs, the total
reason, so that it will giving encouragement score is ≥
improve their health to the benefits of median
and adaptation in life taking drugs, and (71.5)
(Harnilawati, 2013) delivering visits to
health facilities and
ensuring that drugs are
always available.
Population and Sample
 Population
Population in this research are average of
schizophrenia patients in North Cimahi Health Center
on 2018 as many as 109 patients.

 Sample
Sampling in this research is using purposive
sampling. The amount of samples in this research are
schizophrenia patients in North Cimahi Health Center
on 2018 as many as 86 respondents.
Data Collection
 Data Type: Primary Data
 Research Instruments:
 Family social support : Questionnaire
 Medical adherence : Questionnaire of Psychosis
Medication Adherence Rating Scale (MARS)
 Test of the Validity and Reliability of Research
Instruments
Validity and reliability tests has been carried out in
Cigugur Tengah Community Health Center of Cimahi
City for 20 respondents.
 Research Procedure

Preparation Implementati
Phase on Phase Final Phase

Data Processing

Entry
Editing Scoring Coding Cleaning
data
Data Analysis

Univariate analysis is performed to get an

overview of the distribution and frequency
UNIVARIATE of dependent and independent variables.
ANALYSIS Data is presented in tabular form and
interpreted

Bivariate analysis is used to prove the

correlation and to examine the
BIVARIATE
hypothesis between independent and
ANALYSIS dependent variable using Chi-Square
test
Research Ethics
 Respect for human dignity
 Respect for privacy and confidentiality
 Respect for justice and inclusiveness
 Balancing harms and benefits
Research Time and Location
 This research has been conducted in
North Cimahi Health Center on July 8
to 22, 2019.
 CHAPTER IV
RESEARCH RESULT AND DISCUSSION
Frequency Distribution of Family Support in Schizophrenia with Auditory
Hallucination Patients at North Cimahi Health Center

Frequency Percentage
Family Support
(F) (%)

Not Supporting 43 50

Supporting 43 50

Total 86 100

The results of the analysis in table 4.1 above can be seen that from a total of 86
respondents, some respondents as many as 43 people (50%) get family support in
schizophrenic patients with auditory hallucinations in Cimahi Utara Public Health
Center
Distribution of Medical Adherence on Schizophrenia with Auditory
Hallucination Patients at North Cimahi Health Center

Frequency Percentage
Medical Adherence
(F) (%)
Not Comply 56 65,1

Comply 30 34,9

Total 86 100
The results of the analysis in table 4.2 above can be seen that from a total of
86 respondents, the majority of respondents, as many as 45 people (65.1%)
were not compliant to take medication in schizophrenia patients with
auditory hallucinations in North Cimahi Health Center.
Correlation of Family Support with Medical Adherence in Schizophrenia
with Auditory Halucination Patients at North Cimahi Health Center

Medical Adherence
Total
Family Not Comply Comply
P-Value
Support
F % F % N %
Not
33 58,9 10 33,3 43 50
Supporting
0,042
Supporting 23 41,1 20 66,7 43 50
Total 56 100 30 100 86 100

The results of the analysis in table 4.2 above can be seen that from a total of
86 respondents, the majority of respondents, as many as 45 people (65.1%)
were not compliant to take medication in schizophrenia patients with
auditory hallucinations in North Cimahi Health Center.
 CHAPTER V
CONCLUSION AND SUGGESTION
Conclusion:
1. Half of schizophrenia patients with auditory
hallucinations (50%) get family support.
2. Most of schizophrenia patients with auditory
hallucinations (65.1%) do not comply with
medication.
3. There is a relationship of family support with
medical adherence in schizophrenia patients
with auditory hallucinations in North Cimahi
Health Center with p-value = 0.042.
Suggestion
1. For Puskesmas
Puskesmas is expected to be able to provide health education by
providing outreach and counseling to the families of schizophrenic
patients with auditory hallucinations and their families to be
compliant in taking medication.
2. For Nurses
The results of this study are expected to be a supplementary
information and consideration for nurses in carrying out nursing
care for schizophrenic patients with auditory hallucinations, by
providing education to the patient's family to supervise patients in
taking medication according to the doctor's prescription.
3. For the Community
The results of this study are expected to increase public
knowledge and understanding of schizophrenia by hearing
hallucinations so that it can eliminate the stigma against patients
and provide social support for patients.
Thank you