Effects of Spiritual Mindfulness on Spiritual Self Reliance and Medication Adherence in Patients with Schizophrenia
Keywords:medication adherence, schizophrenia, spiritual mindfulness, spiritual self-reliance
AbstractMental health problems have been a concern in all countries throughout the world. Patients with schizophrenia tend to have low spiritual self-reliance and medication adherence, resulting in an increasing number of hospitalizations. Spiritual interventions, for example, spiritual mindfulness, are evident to improve patients’ spiritual self-reliance and self-awareness to adhere to medication. This study aimed to determine the effects of Spiritual Mindfulness on spiritual self-reliance and medication adherence in patients with schizophrenia. The present study used a pre-posttest quasi-experimental design without a control group. The samples were 45 patients with schizophrenia at a psychiatric hospital in Semarang, Indonesia. Spiritual Mindfulness was given to the patients for six meetings. The data were collected using the questionnaires of DAI (Drug Attitude Inventory) and NAMA (Nursing Assessment of Medication Acceptance) and analyzed using a t-test or mean/median difference test or delta analysis. The results showed that Spiritual Mindfulness affected the spiritual self-reliance of schizophrenic patients with a p-value of 0.001. Spiritual Mindfulness also affected drug-taking behaviors (p=0.027) and drug-taking acceptance (p=0.000). Spiritual Mindfulness gave effects on the level of self-efficacy of spiritual self-reliance and medication adherence in patients with schizophrenia.
Alvarez, J. S., Goldraich, L. A., Nunes, A. H., Zandavalli, M. C. B., Zandavalli, R. B., Belli, K. C., da Rocha, N. S., de Almeida Fleck, M. P., & Clausell, N. (2016). Association between spirituality and adherence to management in outpatients with heart failure. Arquivos Brasileiros de Cardiologia, 106(6), 491–501. https://doi.org/10.5935/abc.20160076
Budi Ana Keliat, Helena N. Akemat, H. Nurhaeni. (2011). Keperawatan Kesehatan Jiwa Komunitas: CMHN (Basic Course),Jakarta: ECG.
Boxer, J. (2005). Promoting mental health. The Handbook of Community Mental Health Nursing, 149–163. https://doi.org/10.5840/ncbq201616462
Çetin, N., & Aylaz, R. (2018). The effect of mindfulness-based psychoeducation on insight and medication adherence of schizophrenia patients. Archives of Psychiatric Nursing, 32(5), 737–744. https://doi.org/10.1016/j.apnu.2018.04.011
Czekalla J., Wagner T., Schacht A., Kluge M., Kinon B. (2007). Effectiveness and medication acceptance of olanzapine disintegrating tablets compared to standard olanzapine tablets in acutely treated psychiatric patients. Patient Prefer Adherence 1: 19–27.
Heru Ginanjar Triyono, Meidiana Dwidiyanti,. (2018). Perbedaan Tingkat Caregiver Burden Yang Merawat Lansia Demensia Di Panti Wreda. Holistic Nursing and Health Science. 2(1).
Hori H., Ueda N., Yoshimura R., Yamamoto H., Wani K., Etoh Y., et al. (2009). Olanzapine orally disintegrating tablets (Zyprexa Zidis) rapidly improve excitement components in the acute phase of first-episode schizophrenic patients: an open-label prospective study. World J Biol Psychiatry 10: 741–745.
Kinon B., Hill A., Liu H., Kollack-Walker S. (2003). Olanzapine orally disintegrating tablets in the treatment of acutely ill non-compliant patients with schizophrenia. Int J Neuropsychopharmacol 6: 97–102.
Lanfredi, M., Candini, V., Buizza, C., Ferrari, C., Boero, M. E., Giobbio, G. M., Goldschmidt, N., Greppo, S., Iozzino, L., Maggi, P., Melegari, A., Pasqualetti, P., Rossi, G., De Girolamo, G., Andreose, S., Basso, P., Beneduce, R., Bongiorno, F., Braida, V., … Zorzella, L. (2014). The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia. Psychiatry Research, 216(2), 185–191.https://doi.org/10.1016/j.psychres.2014.01.045
Meidiana Dwidiyanti, Reza Indra Wiguna, Khasanah Eka Wahyu Ningsih. (2018). Mindfulness untuk Self-Care. Semarang : UNDIP Press
Meidiana Dwidiyanti, Akhmad Yanuar Fahmi Pamungkas, Khasanah Eka Wahyu Ningsih. (2018). Mindfulness Caring pada Stress. Semarang : UNDIP Press.
Prita Adisty Handayani, Meidiana Dwidiyanti, Muhammad Mu'in. (2018). Pengaruh Mindfulness terhadap Tingkat Stres pada Ibu yang Bekerja sebagai Perawat Critical Care. Semarang : UNDIP.
Reza Indra Wiguna, Meidiana Dwidiyanti, Sri Padma Sari. (2018). Pengaruh Paket Intervensi SIMBA terhadap Ansietas Mahasiswa Keperawatan Tingkat Akhir. Semarang : Universitas Diponegoro.
Şahin Altun, Ö., Asi Karakaş, S., Olçun, Z., & Polat, H. (2018). An investigation of the relationship between schizophrenic patients’ strength of religious faith and adherence to treatment. Archives of Psychiatric Nursing, 32(1), 62–65. https://doi.org/10.1016/j.apnu.2017.09.015
Sari, S. P., & Dwidiyanti, M. (2014). Mindfullnes dengan pendekatan spiritual pada pasien skizoprenia dengn resiko perilku kekerasan. In Jurnaal Kesehatan: Vol. XI (Issue 1, pp. 290–295).
The Basic Health Research. (2015). Mental Health Report. Jakarta:Kementerian kesehatan RI.
Walker, M., & Mann, R. A. (2016). Exploration of mindfulness in relation to compassion, empathy and reflection within nursing education. Nurse Education Today, 40, 188–190. https://doi.org/10.1016/j.nedt.2016.03.005
World Federation for Mental Health (WFMH). (2016). Mental Health Chronic Physical Illness. WFMH.
Zagożdżon, P., & Wrotkowska, M. (2017). Religious beliefs and their relevance for treatment adherence in mental illness: A review. Religions, 8(8). https://doi.org/10.3390/rel8080150.
How to Cite
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.