243 1403 1 PB
243 1403 1 PB
243 1403 1 PB
Volume 5, Issue 1
1, June 2020, pp. 59 – 66
ISSN 2502-4825
4825 (print), ISSN 2502
2502-9495 (online)
Introduction
Schizophrenia is a persistent brain disease that results in smartphones are Android-basedbased and the Indonesian people
psychotic behavior, concrete thinking, and difficulties in include the nurses spend approximately
oximately 5 hours in front of
processing information, interpersonal relationships and their cellphones. This is because cellphones can be carried
difficulty in solving problems. Schizophrenia patients anywhere and anywhere. Several Android applications on
experience positive symptoms and negative symptoms. mindfulness-based
based nursing interventions have been
Positive symptoms include hallucinations, delusions, speech developed in Indonesia such as the SI-BESUTA SI (Sistem
and irregular behaviour. Then, the negative symptom was Informasii Belajar Sukses dengan Cinta) android application
flat affect, apathy and social withdrawal (Sudeen & Sudart, to measure the stress adjustment level of nursing students
2007). (Ningsih H, 2018) and the SI-DESIS DESIS application (Sistem
Individuals suffering from schizophrenia often Informasi Deteksi Interaksi Sosial) to measure the social
experience negative views (stigma) from their family and interaction of schizophrenic patients
ents (Kurniasari, CI, 2019).
environment (Dadang hawari, 2014). The impact of This study aims to determine the mindfulness effect on
stigmatization can cause schizophrenia patients to spirituality level in schizophrenic patients through the
experience social isolation, lack of life opportunities
ies such as android application. SI-SIWATA
SIWATA (Sistem Informasi Sehat Jiwa
work and also social discrimination, which results can dengan Cinta) is an Android-based based spiritual mindfulness
decrease the life quality of schizophrenia patients application design. SI-SIWATA
SIWATA application has several
(Koutsouleris N et al, 2009). People with schizophrenia show features such as patient identity, pre-testtest feature wherein
more maladaptive coping changes that react emotionally. this feature there is a DSES questionnaire so that nurses can
The use of maladaptive coping would have an impact on measure the patient spirituality level before mindfulness
spiritual dissatisfaction and religious passivity (Ariyani S & intervention. There arere steps in implementing mindfulness
Mamnu'ah, 2014). to patients and there is a daily spiritual patient where nurses
Negative religious couping have a higher risk of suicide can monitor the patients' daily spiritual activities. The post-
post
attempts because a person was only able to surrender for the test feature is the same as the pre-test test where the nurse
situation experienced which ich can increase despair. Suicides measures the patient spirituality level evel using the DSES
also occur in 9% to 13% of clients with schizophrenia (Mohr S questionnaire after the patient has performed a mindfulness
et al, 2006). In this case, the nurses have the responsibility of intervention and documentation features as a progress note
carrying out nursing care related to the provision of the each time the patient is mindfulness intervened and
intervention to the patients. Interventions
ventions performed in monitored for the ability to worship so, the patient's
schizophrenic patients consist of pharmacological and non non- condition is expected to be better and accelerate
pharmacological treatment. In non-pharmacological
pharmacological maintenance process
treatment usually done cognitive behavior, family support
support,
environmental modification therapy, PACT (Program for
Method
Assertive Community Treatment)) (William H &, Simmons LA
TP, 2015). Mindfulness therapy was a holistic therapy which This research is a quasi-experimental
experimental research with
useful in providing calmness, comfort, increasing the focus of pretest-posttest
posttest with control group design. The sample of
awareness and helping in achieving the independence target this study was schizophrenia patients in the inpatient room
(Dwidiyanti, M. 2018). of Dr. Aminogondo Hutomo Psychiatric Hospital as many as
The research
arch showed that spiritual mindfulness 46 respondents were selected using a purposive sampling
interventions can improve medication adherence in patients technique. Previous respondents had received an
mental disorders. Mindfulness therapy can be a deliberate explanation regarding voluntary participation and signed
awareness therapy with full acceptance without judgment, informed consent.. This research lasted for one month with
awareness brings unexpected feelings and sensations
nsations with the help of ten enumerators, where the enumerators in this
the aim of recognizing the experiences experienced and study were
ere inpatient nurses who had previously been given
receiving them with spaciousness (Sari, Sri Padma & spiritual mindfulness training.
Dwidiyanti M. 2014)
Mindfulness therapy development was currently not
only done directly to patients but has begun to be developed Participant
in the
he form of an android application (Ningsih H, 2018). The
selection of Android as a system that helps in this Respondents in this study were divided into two groups:
intervention is due to the fact that almost 80% of Indonesian 23 patients in the intervention group and 23 patients in the
Procedure
Peningkatan spiritualitas pasien skizofrenia dengan mindfulness melalui aplikasi SI-SIWATA (Sistem Informasi Sehat Jiwa dengan Cinta)
Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1), June 2020, – 62
Feri Agus Triyani; Meidiana Dwidiyanti; Titik Suerni
Jurnal Aisyah: Jurnal Ilmu Kesehatan ISSN 2502-4825 (print), ISSN 2502-9495 (online)
Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1), June 2020, – 63
Feri Agus Triyani; Meidiana Dwidiyanti; Titik Suerni
Table 1
Research respondents characteristics
Group
Variable Intervention (n(%)) Control (n(%))
p
(Mean±SD) (Mean±SD)
Age 31,57±10,03 27,26±7,75 0,307
Gender
Male 15 (65,2) 16 (69,6) 0,753
Female 8 (34,8) 7 (30,4)
Last Education
Elementary 13 (56,5) 11 (47,8)
0,808
Middle School 8 (34,8) 9 (39,1)
High School 2 (8,7) 3 (13,0)
Profession
Work 11 (47,8) 9 (39,1) 0,552
Does Not Work 12 (52,2) 14 (60,9)
Closeness to Allah
As close as possible 1 (4,3) 0
0,197
Very close 6(26,1) 17(73,9)
A little close 16 (69,6) 6(26,1)
In table 1 it was concluded that the age variants differences in respondent characteristics between the
variables are significantly homogeneous (p = 0.307> 0.05), intervention and control groups.
gender (p = 0.753), education (p = 0.808), profession (p =
0.552) and closeness to Allah (p = 0.197), there were no
Table 2
The spirituality level of schizophrenia patients on pre-test and post-test carried out Spiritual Mindfulness Intervention through
the SI-SIWATA android application
Pre-test Post-test
Mean Difference p
Mean±SD Mean±SD
Intervention 20,83 51,83±10,21 72,65±9,67 0,001
control 1,61 49,09±10,32 50,70±11,96 0,310
Based on table 2 using paired sample t-test was obtained intervention group before and after being given mindfulness
the different levels result of patient spirituality towards the intervention (p= 0,000 < 0,05), while the control group can
Peningkatan spiritualitas pasien skizofrenia dengan mindfulness melalui aplikasi SI-SIWATA (Sistem Informasi Sehat Jiwa dengan Cinta)
Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1), June 2020, – 64
Feri Agus Triyani; Meidiana Dwidiyanti; Titik Suerni
be concluded there was no change in the spirituality level (p healthy targets in spiritual worship activities (Dwidiyanti M,
= 0.310> 0.05). 2019).
This showed that spiritual mindfulness intervention The focus in improving spirituality was the introspection
through the SI-SIWATA android application significantly stages and the independent healthy target in worship.
influences spirituality in schizophrenia patients in the According to the research (Dwidiyanti, M. 2018) which
intervention group. The spirituality level in schizophrenia showed that 6 respondents (54%) of 11 respondents
patients has increased, seen from an increase in the average undertook spiritual activities independently after 7 days of
of spirituality level at before and after the mindfulness undergoing spiritual mindfulness therapy with p-value =
intervention was 20.83. 0.024 (α <0.05) where the respondent means that there was
Research (Weinstein et al, 2009) on mindfulness online an influence of spiritual mindfulness therapy on spiritual
interventions prove a positive impact on stress, anxiety, independence and significantly increases medication
depression and well-being. Mindfulness training through adherence in schizophrenic patients with a value (p = 0.023).
digital can have the same impact as training with direct The next important stage was the independent healthy
assistance. This was supported by research (Emerik APP Van, target which is a step to train patients being able to create
2017) stating that mindfulness training provided through independent targets in improving spirituality. The
smartphone applications can improve life quality (p = 0.003), spirituality independence in schizophrenic patients was very
well-being (p = 0.002), independent mindfulness ability (p = important in fostering confidence when undergoing the
0,000), reduce depressive symptoms (p = 0.001). Mindfulness recovery process, controlling anger and awareness in
training through SI-BESUTA android application in reducing forgiving past incidents (Sari, Sri Padma & Dwidiyanti M,
stress (p = 0,000) (Ningsih H, 2018). 2014).
Mindfulness therapy is able to provide a relaxing effect
on the body, calm, comfortable, make individuals closer to Conclusions and Recommendations
Allah, realize mistakes that have been made, interpret the
Mindfulness intervention using the SI-SIWATA android
pain that is being experienced, make individuals believe that
application which is carried out for six times can help
Allah will provide healing. Then being able to make healthy
patients in improving spirituality by growing faith in Allah
targets independently in improving spirituality such as
SWT when undergoing the treatment process. The
increasing worship, praying, dhikr, being patient and
technology role can help nurses to care more about patients
forgiving according to the spiritual mindfulness concept that
and make it easier to document nursing care result. SI-
is in the SI-SIWATA application. Spiritual mindfulness
SIWATA application is used by nurses in hospitals and this
interventions in improving the spirituality of schizophrenic
application must be connected to the internet when it will be
patients consist of five stages of Tazkiyatun Nafs; 1)
used. This research needs to be developed by conducting
Intentions and Muraqabah, relax, faith in Allah SWT 2)
research on patients diagnosed with schizophrenia by
muhasabah / self-introspection of mistakes that have been
sampling using a randomized control trial and factors that
made, 3) repentance with asking for forgiveness from Allah
affect the spirituality level of patients such as age and
SWT, 4) body scan with feeling the heart response, 5) prayer
parenting need to be added.
with confidence to Allah SWT and make independent
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Proceeding Konferensi Nasional XI Keperawatan
Jurnal Aisyah: Jurnal Ilmu Kesehatan ISSN 2502-4825 (print), ISSN 2502-9495 (online)
Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1), June 2020, – 65
Feri Agus Triyani; Meidiana Dwidiyanti; Titik Suerni
Peningkatan spiritualitas pasien skizofrenia dengan mindfulness melalui aplikasi SI-SIWATA (Sistem Informasi Sehat Jiwa dengan Cinta)
Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1), June 2020, – 66
Feri Agus Triyani; Meidiana Dwidiyanti; Titik Suerni
Jurnal Aisyah: Jurnal Ilmu Kesehatan ISSN 2502-4825 (print), ISSN 2502-9495 (online)