ABSTRAKPendahuluan: Keputusasaan merupakan penilaian negatif terhadap hasil yang akan dicapai dan ketidakberdayaan terhadap suatu harapan. Keputusasaan dapat terjadi pada stroke survivor karena adanya disabilitas akibat defi sit neurologisnya serta waktu yang lama dalam penyembuhannya. Kondisi ini dapat berlanjut pada gangguan mental emosional maupun tindakan suicide. Oleh karena itu gambaran pengalaman keputusasaan stroke survivor dibahas dalam penelitian ini. Metode: Penelitian ini merupakan penelitian kualitatif deskriptif fenomenologi terhadap 6 partisipan. Hasil: Hasil penelitian didapatkan tujuh tema utama yaitu (1) Perubahan fi sik sebagai akibat respons keputusasaan, (2) Respons kehilangan sebagai stressor keputusasaan, (3) Disfungsi proses keluarga, (4) Kehilangan makna hidup, (5) Dukungan dan motivasi diri sebagai sumber koping menghadapi keputusasaan, (6) Hikmah spiritual dibalik keputusasaan stroke survivor, dan (7) dapat menjalani kehidupan dengan lebih baik. Diskusi: Penelitian ini menyarankan dikembangkannya standar asuhan keperawatan keputusasaan dan pemberian dukungan keluarga serta psikoedukasi keluarga bagi stroke survivor.
Background. The relapse of severe mental disorders is still quite high due to the lack of family knowledge in treating schizophrenic patients. The family treats and prevents the relapse of severe mental disorder by taking the sufferer to spiritual treatment, a shaman, being shackled (pasung) because of the assumption that the cause is evil from ghosts, magic, curses, and unbelief. Objective. The purpose of this study is to explore the experience of families preventing the relapse of severe mental disorders. Materials and Methods. This study is qualitative research with a phenomenological approach. The sampling was conducted by purposive sampling with 9 participants. Data were collected using semi-structured in-depth interviews with audio-recorded, transcribed verbatim, validated, and analyzed based on Colaizzi’s method of data analysis. Results. Four themes were generated, including: i) the perception of severe mental illness; ii) the causes of relapse; iii) family prevention for severe mental disorders relapse; iv) relapse becomes helplessness and a burden on the family. Conclusions. Lack of family knowledge of severe mental disorders, prevention of relapse, and lack of social support causes helplessness and a burden on the family. Increased knowledge, coping skills, and support for families with Schizophrenia are very important to help relapse prevention and the burden that arises.
Introduction: Hopelessness was a negative feelings about goal achievement and powerlessness feeling against an expectation. Hopelessness in stroke survivors can occur due to prolonged disability and neurologic defi cit. This condition can lead to emotional and mental disorders even a suicide action. Therefore, it was a need to explore hopelessness experience in stroke survivors.Methods: This study was a qualitative descriptive phenomenology with 6 participants.Results: 7 themes were revealed in this study, (1) Physical changes as a response on hopelessness, (2) Loss response as a hopelessness stressor, (3) Dysfunction of the family process, (4) Loss of meaning of life, (5) Self support and motivation as a coping resource against hopelessness, (6) The spiritual meaning behind hopelessness, (7) Can go through a better life.Conclusion: This study suggests to develop a nursing care standards in hopelessness, encourage a family support and family psychoeducation for stroke survivors.
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