Palliative Care Pada Pasien Skizofrenia: A Literatur Review

Mamnuah Mamnuah(1*), Noorwahyu Trihidayati(2),

(1) UNIVERSITAS AISYIYAH YOGYAKARTA
(2) 
(*) Corresponding Author
DOI: https://doi.org/10.23917/bik.v15i1.16362

Abstract

Abstrak:Perawatan paliatif sebagai pendekatan yang dapat meningkatkan kualitas hidup pasien dan keluarganya menghadapi masalah yang berhubungan dengan penyakit yang mengancam jiwa, melalui pencegahan dan pengurangan penderitaan melalui identifikasi dini dan penilaian menyeluruh dan pengobatan nyeri dan masalah lain, fisik, psikososial dan spiritual. Tujuan dari tinjauan pustaka ini adalah untuk memberikan gambaran dan pemahaman yang sistematis tentang perawatan paliatif pada pasien skizofrenia. Metode:Metode yang digunakan dalam literature review ini menggunakan analisis beberapa artikel yang berhubungan dengan judul melalui pencarian database seperti: PubMed, Google Scholar, dan Science Direct, kemudian disaring berdasarkan kata kunci, bahasa dan artikel terpilih berupa artikel yang dipublikasikan dalam 5 tahun terakhir menggunakan kata kunci Pemilihan artikel dilakukan dengan menggunakan kata kunci “Perawatan paliatif” [Mesh] DAN “Spektrum skizofrenia dan gangguan psikotik lainnya”[Mesh]. Artikel-artikel yang ditemukan dibaca dengan seksama untuk melihat apakah artikel tersebut memenuhi kriteria inklusi penulis yang akan digunakan sebagai literatur dalam penulisan tinjauan pustaka. Mata pencaharian terbatas dari tahun 2015 - 2021 yang diakses fulltext gratis dan menggunakan bahasa Inggris. Hasil: Hasil dari tinjauan pustaka ini, dari database PubMed, Google Scholar, dan Science Direct, ditemukan 3.340 artikel. Ada 8 artikel yang relevan dengan literature review. Kesimpulan: beberapa faktor yang menghambat keluarga dan individu dalam menggunakan layanan perawatan paliatif meliputi; faktor individu, faktor sosial, faktor pelayanan kesehatan dan faktor sistem kesehatan. Faktor individu terdiri dari efek gejala pada komunikasi, kepercayaan, Faktor sosial seperti stigma, dukungan sosial dan pengambilan keputusan, Faktor perawatan kesehatan, termasuk manfaat perawatan yang dirasakan, serta pendekatan multidisiplin dan faktor sistem kesehatan.

Kata kunci: Palliative Care, Schizofrenia spectrum, Other psychotic disorder

Keywords

Palliative Care, Schizofrenia spectrum, Other psychotic disorder

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References

Butler, H., & O’Brien, A. J. (2018). Access to specialist palliative care services by people with severe and persistent mental illness: A retrospective cohort study. International Journal of Mental Health Nursing, 27(2), 737–746. https://doi.org/10.1111/inm.12360

Carpiniello, B., Wasserman, D., & EPA Council of National Psychiatric Associations Working Group on Communication with Patients and Families*. (2020). European Psychiatric Association policy paper on ethical aspects in communication with patients and their families. European Psychiatry: The Journal of the Association of European Psychiatrists, 63(1), e36. https://doi.org/10.1192/j.eurpsy.2020.33

den Boer, K., de Veer, A. J. E., Schoonmade, L. J., Verhaegh, K. J., van Meijel, B., & Francke, A. L. (2019). A systematic review of palliative care tools and interventions for people with severe mental illness. BMC Psychiatry, 19(1), 106. https://doi.org/10.1186/s12888-019-2078-7

Elie, D., Marino, A., Torres-Platas, S. G., Noohi, S., Semeniuk, T., Segal, M., Looper, K. J., & Rej, S. (2018). End-of-Life Care Preferences in Patients with Severe and Persistent Mental Illness and Chronic Medical Conditions: A Comparative Cross-Sectional Study. The American Journal of Geriatric Psychiatry, 26(1), 89–97. https://doi.org/10.1016/j.jagp.2017.09.018

Evenblij, K., Widdershoven, G. A. M., Onwuteaka-Philipsen, B. D., de Kam, H., & Pasman, H. R. W. (2016). Palliative care in mental health facilities from the perspective of nurses: A mixed-methods study. Journal of Psychiatric and Mental Health Nursing, 23(6–7), 409–418. https://doi.org/10.1111/jpm.12320

Fond, G., Salas, S., Pauly, V., Baumstarck, K., Bernard, C., Orleans, V., Llorca, P.-M., Lancon, C., Auquier, P., & Boyer, L. (2019). End-of-life care among patients with schizophrenia and cancer: A population-based cohort study from the French national hospital database. The Lancet Public Health, 4(11), e583–e591. https://doi.org/10.1016/S2468-2667(19)30187-2

Grassi, L., & Riba, M. (2020). Cancer and severe mental illness: Bi-directional problems and potential solutions. Psycho-Oncology, 29(10), 1445–1451. https://doi.org/10.1002/pon.5534

Hanan, D. M., & Lyons, K. S. (2020). Hospice Use Among Individuals With Severe Persistent Mental Illness. Journal of the American Psychiatric Nurses Association, 1078390320910482. https://doi.org/10.1177/1078390320910482

Jordan, R. I., Allsop, M. J., ElMokhallalati, Y., Jackson, C. E., Edwards, H. L., Chapman, E. J., Deliens, L., & Bennett, M. I. (2020). Duration of palliative care before death in international routine practice: A systematic review and meta-analysis. BMC Medicine, 18(1), 368. https://doi.org/10.1186/s12916-020-01829-x

Lindblad, A., Helgesson, G., & Sjöstrand, M. (2019). Towards a palliative care approach in psychiatry: Do we need a new definition? Journal of Medical Ethics, 45(1), 26–30. https://doi.org/10.1136/medethics-2018-104944

McNamara, B., Same, A., Rosenwax, L., & Kelly, B. (2018). Palliative care for people with schizophrenia: A qualitative study of an under-serviced group in need. BMC Palliative Care, 17(1), 53. https://doi.org/10.1186/s12904-018-0309-1

Morgan, B. D. (2016). “No Right Place to Die”: Nursing Attitudes and Needs in Caring for People With Serious Mental Illness at End-of-Life. Journal of the American Psychiatric Nurses Association, 22(1), 31–42. https://doi.org/10.1177/1078390316629960

Picot, S. A., Glaetzer, K. M., & Myhill, K. J. (2015). Coordinating end of life care for individuals with a mental illness—A nurse practitioner collaboration. Collegian, 22(1), 143–149. https://doi.org/10.1016/j.colegn.2013.12.007

Relyea, E., MacDonald, B., Cattaruzza, C., & Marshall, D. (2019). On the Margins of Death: A Scoping Review on Palliative Care and Schizophrenia. Journal of Palliative Care, 34(1), 62–69. https://doi.org/10.1177/0825859718804108

Shalev, D., Brewster, K., Arbuckle, M. R., & Levenson, J. A. (2017). A staggered edge: End-of-life care in patients with severe mental illness. General Hospital Psychiatry, 44, 1–3. https://doi.org/10.1016/j.genhosppsych.2016.10.004

Spilsbury, K., Rosenwax, L., Brameld, K., Kelly, B., & Arendts, G. (2018). Morbidity burden and community-based palliative care are associated with rates of hospital use by people with schizophrenia in the last year of life: A population-based matched cohort study. PloS One, 13(11), e0208220. https://doi.org/10.1371/journal.pone.0208220

Strand, M., Sjöstrand, M., & Lindblad, A. (2020). A palliative care approach in psychiatry: Clinical implications. BMC Medical Ethics, 21(1), 29. https://doi.org/10.1186/s12910-020-00472-8

Trachsel, M., Irwin, S. A., Biller-Andorno, N., Hoff, P., & Riese, F. (2016). Palliative psychiatry for severe persistent mental illness as a new approach to psychiatry? Definition, scope, benefits, and risks. BMC Psychiatry, 16, 260. https://doi.org/10.1186/s12888-016-0970

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