Predisposing and Precipitating Factors of Schizophrenic Clients with the Risk of Violent Behavior and Hallucination

Eka Budiarto(1*), Rita Rahayu(2), Nurlaila Fitriani(3),

(1) Universitas Muhammadiyah Pekajangan Pekalongan
(2) Diploma of Nursing Program, Sekolah Tinggi Ilmu Kesehatan Sukabumi, West Java
(3) Bachelor of Nursing Program, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta
(*) Corresponding Author
DOI: https://doi.org/10.23917/bik.v15i2.17726

Abstract

The management of schizophrenia clients especially those who are at risk of violent behavior and hallucinations clients, its takes a long time. The management can be successful if it focuses on  redisposing and precipitation factors. This study aimed to determine the predisposing and precipitation clients of risk factors for violent behavior and hallucinations. This research was descriptive analytic study. The sample was obtained with a total sampling of 48 respondents who met the inclusion criteria. Data were collected using a checklist of predisposing and precipitation factors and analyzed by frequency distribution. The predisposing factors found that caused schizophrenic clients to experience the risk of violent behavior and hallucinations were history of previous mental disorders (72.9%), unpleasant experiences and negative self-concept (100%) and the condition of clients who did not work (79.2%). Most of the precipitation factors found were drug withdrawal (50%), problem solving was 41.7%, and not working which reached 66.7%. Clients with schizophrenia who are at risk of violent behavior and hallucinations can be managed properly by considering the predisposition and precipitation that triggers the client to experience schizophrenia and relapse.


Keywords

Hallucinations; Recurrence; Risk of Violent Behavior Schizophrenia predisposition; Schizophrenic Precipitation

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References

Elvira, S. D. & Hadisukanto, G. (2014). Textbook of Psychiatry (Buku Ajar Psikiatri). Edisi ke-2. Jakarta: Badan Penerbit FKUI

Emsley, R., Chiliza, B., Asmal, L. et al. (2013). The nature of relapse in schizophrenia. BMC Psychiatry 13, 50 (2013). https://doi.org/10.1186/1471-244X-13-50

Erlina, Soewadi, Pramono.D. (2010). Determinants of the incidence of schizophrenia in outpatients at the Prof. HB Saanin Mental Hospital, Padang, West Sumatra (Determinan terhadap timbulnya skizofrenia pada pasien rawat jalan di Rumah Sakit Jiwa Prof. HB Saanin Padang Sumatera Barat). Berita Kedokteran Masyarakat. 2010; 26: 2.

Li, X.-j., Wu, J.-h. & Liu, J.-b., (2015). The influence of marital status on the social dysfunction of schizophrenia patients in community. International Journal of Nursing Sciences, pp. 149-152. https://doi.org/10.1016/j.ijnss.2015.04.015

Maramis. (2009). Psychiatric Records (Catatan Ilmu Kedokteran Jiwa). Edisi 2. Surabaya: Airlangga.

Olson, M.H. & Hergenhahn, B.R. (2013). Introduction to Personality Theories (Pengantar Teori-teori Kepribadian). Yogyakarta: Pustaka Pelajar.

O’Brian, G.P, Kennedy, Z.W dan Ballard, A.K. (2014). Psychiatric Mental Health Nursing (Keperawatan Kesehatan Jiwa Psikiatrik). Jakarta : EGC.

Pardede, J.A., Keliat, B.A. and Yulia, I., (2015). The Compliance and Commitment of Schizophrenic Clients Increases After Being Given Acceptance And Commitment Therapy and Health Education on Drug Compliance (Kepatuhan dan Komitmen Klien Skizofrenia Meningkat Setelah Diberikan Acceptance And Commitment Therapy dan Pendidikan Kesehatan Kepatuhan Minum Obat). Jurnal Keperawatan Indonesia, 18(3), pp.157-166. 10.7454/jki.v18i3.419

Rhoads, J. (2011). Clinical Consult for Psychiatric Mental Health Care. New York : Springer Publishing Company.

Sari, SP., & Wijayanti DY., (2014). Spirituality Nursing in Schizophrenic Patients (Keperawatan Spiritualitas Pada Pasien Skizofrenia). Vol 9 No 1 April 2014.indd - e-journal unair. with schizophrenia. Psychiatric Services, 63(1), pp.87-90. https://www.researchgate.net/publication/327302413_KEPERAWATAN_SPIRITUALITAS_PADA_PASIEN_SKIZOFRENIA_Spirituality_Nursing_among_Patients_with_Schizophrenia

Schultz, J.M. and Videbeck, S.L., (2013). Enfermería psiquiátrica: planes de cuidados. Editorial El Manual Moderno.

Shives, L.R. (2012). Basic concepts of psychiatric-mental health nursing (8th Ed.). Florida: Wolters Kluwer, Lippincott Williams & Wilkins

Stuart, G. W., Keliat, B. A., & Pasaribu, J. (2016). Stuart mental health nursing principles and practice (Prinsip dan praktik keperawatan kesehatan jiwa stuart). Edisi Indonesia. Singapore: Elsevier

Takeuchi H, Suzuki T, Uchida H, Watanabe K, Mimura M. (2012). Antipsychotic treatment for schizophrenia in the maintenance phase: a systematic review of the guidelines and algorithms. Schizophr Res. 2012;134(2-3):219-225. doi:10.1016/j.schres.2011.11.021.

Townsend, Mary C. (2014). Essentials of Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice . 6th ed. Philadelphia: F.A. Davis Co. Print.

Varcarolis, Elizabet M dan Helter, Margaret J. (2010). Foundations Of Psychiatric Mental Health Nursing : A Clinical Approach. 6th Edition,. Elsevier Inc- New York.

Yasamy, M., Cross, A., McDaniell, E. and Saxena, S., (2014). Time to Act. P. Garety. Psychological Interventions in Schizophrenia. World Mental Health Day. USA: World Federation for Mental Health.

Zahnia, S & Sumekar, DW (2016). Epidemiological Studies of Schizophrenia (Kajian Epidemiologis Skizofrenia). Medical Journal Of Lampung University, vol.5, no.4, hlm. 160-166. http://juke.kedokteran.unila.ac.id/ index.php/majority/article/view/904/812

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