Terapi Mindfulness Spiritual Sebagai Upaya Peningkatan Kepatuhan Pengobatan Pada Pasien Skizofrenia

Abstract

Schizophrenia is a disorder of several mental modalities, including perceptual thinking (hallucinations), self-experience under the control of external forces, cognition, volition (loss of motivation) and behavior. According to WHO 2021, people with schizophrenia disorder have been found to be around 24 million people worldwide. Adherence is based on drug instructions describing the drug terms, including using and following applicable food restrictions in a timely manner. However, many schizophrenia patients are not compliant in treatment. Medication non-adherence is a major challenge in the treatment of schizophrenia patients globally because the treatment of schizophrenia patients does require a long time.  One of the therapies that can improve patient compliance in their treatment is mindfulness therapy. The therapy is carried out with a spirituality approach which is an important part of holistic nursing so that the needs of the client's bio-psycho-socio-cultural and spiritual aspects can be achieved. The purpose of this study was to determine the effect of spiritual mindfulness therapy on the level of treatment compliance in schizophrenia patients in the intervention group and control group in the Batujajar health center work area, West Bandung Regency. This study used a quantitative method with a quasi-experimental design, using an intervention group and a control group involved in the study. Sampling in this study used cluster random sampling and purposive sampling techniques with a total of 32 respondents. Data collection on treatment compliance using the MMAS-8 questionnaire and analyzed using marginal homogeneity. The statistical test results obtained a ρ-value = 0.000 in the pre and post test of the intervention group, p = 0.096 for the pre and post test in the control group and the pre and post test obtained p = 0.029. It can be concluded that there is an effect of spiritual mindfulness therapy on medication adherence in schizophrenia patients in the Batujajar health center working area, West Bandung Regency. Spiritual mindfulness therapy has a positive effect on improving treatment adherence of schizophrenia patients. It is recommended that spiritual mindfulness therapy can be used in schizophrenia patients to improve medication adherence.

Keywords: Spiritual Mindfulness; Medication Adherence; Schizophrenia