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OPTIMIZATION ON THE USE OF MEDICATION RECORD CARD BY CAREGIVERS TO ACHIEVE MEDICATION ADHERENCE IN SCHIZOPHRENIC PATIENTS

Author : Mukhadiono ( (1) , DyahWahyuningsih(2) Widyo Subagyo 3) RutiWiyati 4)

Abstract

Schizophrenia is a mental disorder which is common to find in Indonesia. Some issues that occur on handling schizophrenia are relapse. Relapse in schizophrenia occurs in 60-70% of clients who do not receive medication therapy. Strategies to improve compliance in clients with mental disorders including schizophrenia are relied on factors that cause non-compliance, thus giving memory aid (bell or card) might help. This research aims to determine the effect of using medication record card by caregiversto achieve medication compliance in schizophrenic patients. The research design used"Quasy experimental pre posttest with control group". The research population was all caregivers of schizophrenic patients in the community who were on medication. The research subjects were taken by total sampling technique, 42 respondents divided into 21 respondents in intervention group and 21 respondents in control group. The intervention group was treated by the medication record card. Data analysis using pair t test. The research result shows a significant difference in medication adherence scores for mental disorders patients before and after treatment in the intervention group (p value 0.02). The difference is the increase in adherence score from 97.14 to 99.52. On the other hand, a significant decreaseoccurs in medication adherence scores for mental disorders patients before and after in the control group (p value 0.02). The adherence score for the control group decreases from 98.57 to 92.38. A recommendation for this research ofmedication record cardis to apply this strategy as a medium to remind patientsto take medicines for mental health patients in community.

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