Email this article Improving Emotional Control And Activities of Daily Living (ADL) of Patients with Schizophrenia Using Spiritual Mindfulness Through SI-DEPAPU Application
Abstract
Background: Schizophrenia is a major mental health problem in the world that requires more attention. Patients with schizophrenia are at higher risk of poor psychological well-being and violent behaviors as expression of anger and delusion. Mindfulness alone is considered less efficient so it needs to be developed with technology, as such further technological development regarding its application is needed.
Objective: This study aimed to determine the effects of spiritual mindfulness intervention through the SI-DEPAPU application on the ability to control anger and perform activities of daily living (ADL) among schizophrenic patients.
Methods: This study used a pretest-posttest quasi-experimental design with a control group. The samples were 60 schizophrenic patients randomly selected and divided into two groups. The intervention group was given four sessions of mindfulness in two weeks through the SI-DEPAPU application. This study used the anger management ability questionnaire developed by Sadipun et al. (2018) to measure the patient's ability to control anger and the North American Nursing Diagnosis Association (NANDA) questionnaire by Wilkinson (2016) to measure ADL. The instrument was tested for its validity among 20 schizophrenic patients with a risk of violent behaviors, and the results were valid and reliable in which the r-count > r-table (0.444), the control group was given standard hospital care.
Results: The results showed that the patient’s ability to control anger and perform ADL increased with p=0.000 and p=0.005, (p = 0,000 < 0,05) respectively. The intervention group had a higher mean score than the control group.
Conclusion: Mindfulness spiritual interventions through the SI-DEPAPU application could help schizophrenic patients control anger and increase their ADL.
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Agustriyani, F., Dwidiyanti, M., & Suerni, T. (2020). The effectiveness of mindfulness application "SI-SIWATA (Sistem Informasi Sehat Jiwa dengan Cinta) to increase the spirituality of schizophrenia patients: Experimental study. Jurnal Aisyah, 5(1). 59-66. https://doi.org/10.30604/jika.v5i1.243
Alkens, K. A., Astin, J., Pelletier, K. R., Levanovich, K., Baase, C. M., Park, Y. Y., et al. (2014). Mindfulness goes to Work: Impact of an Online Workplace Intervention. Journal of Occupational and Environmental Medicine, 56(7). 721-731. https://doi.org/10.1097/JOM.0000000000000209.
Cetin, 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
Chien, W. T., Cheng, H. Y., McMaster, T. W., Yip, A. K., & Wong, J. (2019). Effectiveness of a mindfulness-based psychoeducation group programme for early stage schizophrenia: An 18 Month Randomised Controlled Trial. Schizophrenia Research, 212. 140-149. https://doi.org/10.1016/j.schres.2019.07.053
Chittaro, L., & Vianello, A. (2016). Evaluation of a mobile mindfulness app distributed through on-line stores: A 4-week study. International Journal of Human Computer Studies, 86. 63-80 https://doi.org/10.1016/j.ijhcs.2015.09.004
Compare, A., Zarbo, C., Shonin, E., Van Gordon, W., & Marconi, C. (2014). Emotional regulation and depression: A potential mediator between heart and mind. Cardiovascular Psychiatry and Neurology, 2014, 1–10. https://doi.org/10.1155/2014/324374
Davis, M. C., & Zautra, A. J. (2013). An Online Mindfulness Intervention Targeting Socioemotional Regulation in Fibromyalgia: Result of a randomiized controlled trial. Annals of Behavioral Medicine, 46(3). 273-284. https://doi.org/10.1007/s12160-013-9513-7
Dwidiyanti, M., & Wiguna, R. I. (2018). Mindfulness for self care (H. E. Wahyu (ed.)). Undip Press.
Dwidiyanti, M., Fahmi, A. Y., Ningsih, H. E., Wiguna, R., & Munif, B. (2019). The Art of Mindfulness Spiritual Islam. Semarang: Undip Press.
Dziwota, E., Stepulak, M. Z., Włoszczak-Szubzda, A., & Olajossy, M. (2018). Social functioning and the quality of life of patients diagnosed with schizophrenia. Annals of Agricultural and Environmental Medicine, 25(1), 50–55. https://doi.org/10.5604/12321966.1233566
Eisenstadt, M., Liverpool, S., Infanti, E., Ciuvat, R. M., & Carlsson, C. (2021). Mobile Apps That Promote Emotion Regulation, Positive Mental Health, and Well-being in the General Population: Systematic Review and Meta-analysis. JMIR Mental Health, 8(11), 1-18. https://doi.org/10.2196/31170
Facorroa, B. C., & al, e. (2021). The burden of disease in early schizophrenia a systematic literature reveiw. Current Medical Research and Opinion, 37(1). 109-121. https://doi.org/10.1080/03007995.2020.1841618
Gross, J. J. (2014). Emotion regulation: Conceptual and empirical foundations. In J. J. Gross, Handbook of emotion regulation (pp. 3-20). Washington DC: The Guilford Press.
Kemenkes RI. (2019). Situasi Kesehatan Jiwa di Indonesia. Jakarta: Kemenkes RI.
Kurniasari, C. I., Sari, S. P., Dwidiyanti, M., & Locsin, R. C. (2020). Mindfulness based mobile applications for social interaction in people with schizophrenia. Kontakt, 22(3).172-177. https://doi.org/10.32725/kont.2020.026
Locsin, R. (2015). Technological Competency as Caring in Nursinf: Knowing as Process and technological knowing as practice. New York: F.A Davis. https://doi.org/10.20467/1091-5710-19.2.50
Lopez-Navarro, E., & Al-Halabi, S. (2022). Mindfulness on Daily Life Coping in People Experiencing Psychosis: A Randomized Controlled Trial. International Journal of Clinical and Health Psychology, 22(2), 1–10. https://doi.org/10.1016/j.ijchp.2022.100298
Muhith, A. (2015). Pendidikan Keperawatan Jiwa: Teori dan Aplikasi. Yogyakarta: CV Andi Offset.
Munif, B., Poeranto, S., & Utami, Y. W. (2019). Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students. Nurse Media Journal of Nursing, 9(1), 69. https://doi.org/10.14710/nmjn.v9i1.22253
Nurhalimah. (2016). Keperawatan Jiwa. Jakarta: Kemenkes RI.
Sadipun, D. K., Dwidiyanti, M., & Andriany, M. (2018). Effect of Spiritual Based Mindfulness Intervention on Emotional Control in Adult Patients with Pulmonary Tuberculosis. Belitunf Nursing Journal, 4(2). 226-231. https://doi.org/10.33546/bnj.357
Subu, M., Holmes, D., & Elliot, J. (2016). Stigmatisasi dan Perilaku Kekerasan pada Orang Dengan Gangguan Jiwa (ODGJ) di Indonesia. Jurnal Keperawatan Indonesia, 19(3). 191-199. https://doi.org/10.7454/jki.v19i3.481
Visser, K. F., Esfahlani, F. Z., Sayama, H., & Strauss, G. P. (2018). An ecological momentary assessment evaluation of emotion regulation abnormalities in schizophrenia. Psychological Medicine, 48(14), 2337–2345. https://doi.org/10.1017/S0033291717003865
WHO. (2022, January 10). Schizophrenia. Retrieved September 28, 2022, from https://www.who.int/news-room/fact-sheets/detail/schizophreniab
Wilianto, Y. R., & Yulistiani. (2019). Side Effect of Antipsychotics on Schizophrenia Patients: A Literature Review. Pharmaceutical Journal of Indonesia, 4(2). 35-44.
Yilmaz, E., & Okanli, A. (2017). Test of Mindfulness-Based Psychosocial Skills Training to İmprove Insight and Functional Recovery in Schizophrenia. Western Journal of Nursing Research, 40(9), 1357–1373. https://doi.org/10.1177/0193945917697222
Yuksel, A., & Yilmaz, E. B. (2021). The Effect of Mindfulness-Based Psychosocial Skills Training on Functioning and Insight Level in Patients with Schizophrenia. Community Mental Health Journal, 57(2), 365–371. https://doi.org/10.1007/s10597-020-00658-9
Yusuf, A., Fitrysari, R., Nihayati, & Endang, H. (2015). Buku Ajar Keperawatan Jiwa. Jakarta: Salemba Medika.
Zhang, D., Lee, E. K. P., Mak, E. C. W., & Ho, C. Y. (2021). Mindfulness-based interventions : an overall review. British Medical Bulletin, 138(1), 1–17. https://doi.org/10.1093/bmb/ldab005
DOI: https://doi.org/10.18196/ijnp.v7i1.18261
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