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"Narapidana wanita merupakan kelompok berisiko mengalami gangguan jiwa. Kunjungan keluarga diduga berpengaruh positif mencegah gangguan jiwa pada narapidana wanita. Belum ada penelitian khusus mengenai hal ini di Indonesia. Tujuan penelitian adalah menemukan hubungan antara kunjungan keluarga dengan gangguan jiwa. Penelitian menggunakan desain potong lintang dengan instrumen kuesioner demografi dan MINI ICD X untuk diagnosis kejiwaan. Penelitian dilakukan bulan Agustus-Oktober 2015 di Rumah Tahanan Negara Kelas IIA Jakarta Timur. Hasil penelitian menunjukkan bahwa sebanyak 58,65% responden terdiagnosis gangguan jiwa. Kunjungan keluarga dialami oleh 86,5% responden, dengan frekuensi mayoritas kurang dari 4x/bulan (81,7%). Analisis menggunakan uji Chi Square menyatakan hubungan ada tidaknya kunjungan keluarga maupun frekuensi kunjungan keluarga dengan gangguan jiwa tidak bermakna secara statistik (p=0,297 dan 0,659). Walaupun didapatkan hubungan yang tidak bermakna antara kunjungan keluarga dengan gangguan jiwa, data prevalensi gangguan jiwa yang tinggi pada populasi ini perlu mendapat perhatian khusus dari pemerintah untuk penatalaksanaan yang komprehensif.

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Women prisoners are a group at risk for mental disorders. Family visits suspected to have positive effect on preventing mental disorders in women prisoners. There has been no specific research on this topic in Indonesia. The research objective is to find the relationship between family visits with mental disorder. We used cross sectional design with a demographic questionnaire and MINI ICD X for psychiatric diagnosis. The study was conducted in August-October 2015 in State Prison Class IIA East Jakarta. The results showed that 58.65% of respondents diagnosed with a mental disorder. Family visits experienced by 86.5% of respondents, and majority with frequency less than 4x / month (81.7%). Analysis using Chi Square test whether there is a relationship between family visits and its frequency with mental disorder was not statistically significant (p = 0.297 and 0.659, respectively). Although there is no significant relationship between family visits with mental disorder, the high prevalence of mental disorders in this population needs special attention from the government for a comprehensive management."

"Masalah kriminal masih menjadi masalah yang utama di Indonesia. Pelaku kriminalitas akan ditahan di lembaga pemasyarakatan (lapas) sebagai konsekuensi atas perbuatannya. Kondisi narapidana dan lapas dapat memicu timbulnya gangguan jiwa pada narapidana. Penelitian ini dilaksanakan atas dasar masih sedikitnya penelitian yang melihat gangguan jiwa pada narapidana wanita. Tujuan penelitian ini adalah mengetahui hubungan fasilitas sosialisasi rumah tahanan dengan timbulnya gangguan jiwa pada narapidana wanita di Rumah Tahanan Pondok Bambu tahun 2015.Metode yang digunakan adalah wawancara menggunakan kuesioner demografi dan MINI-ICD 10 untuk melihat gangguan jiwa yang dialami narapidana. Hasil yang didapatkan adalah sebanyak 58.6% responden mengalami gangguan jiwa. Dari aspek penggunaan fasilitas sosialisasi, 50% responden pernah menggunakan fasilitas sosialisasi dan mengalami gangguan jiwa sedangkan dari aspek kondisi fasilitas sosialisasi, 47% responden mengatakan kondisi fasilitas sudah baik dan mengalami gangguan jiwa.Setelah dianalisis menggunakan SPSS versi 23 dengan uji Chi Square, tidak ditemukan hubungan yang bermakna baik dari faktor penggunaan maupun kondisi fasilitas sosialisasi terhadap timbulnya gangguan jiwa pada narapidana wanita. Hal ini dapat disebabkan karena sudah baiknya fasilitas yang ada di Rumah Tahanan Pondok Bambu dan mungkin ada faktor lain yang lebih berperan dalam timbulnya gangguan jiwa pada narapidana wanita sepertu kesehatan fisik yang cenderung memiliki hubungan yang bermakna, sedangkan fasilitas sosialisasi hanya berperan sebagai faktor protektif agar narapidana tidak mengalami gangguan jiwa.

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Criminal problem is still being the main problem in Indonesia. The criminal will be held at prison as consequency for what they have done. Prisoner and prison condition can trigger mental health disorder among the prisoner. This research was done on the basis of the lack of research on mental health disorder among women prisoner. The aim of this research was to find relation between socialization facilities with mental health disorder among women prisoner at Pondok Bambu Prison year 2015.

This research used interview as the method using demography and MINI-ICD 10 questionaire to find mental health disorder among the prisoner. The result showed that 58.6% respondents have mental health disorder. From the use of socialization facilities aspect, 50% respondents had use the socialization facilities and have mental health disorder while from condition of socialization facilities aspect, 47% respondents said the condition of the facilities were good and have mental health disorder.

After we analyed the datawith SPSS version 23 using Chi Square test, there was no significant relation between the use or condition of socialization facilities with mental health disorder among women prisoner. This result could be caused by the condition of facilities at Pondok Bambu Prison which is already good and maybe there is another main factor that caused mental health disorder among women prisoner like health condition of women prisoner. Socialization was just a protective factor for the prisoners so they will not have mental health disorder."

"Kejahatan marak terjadi di Indonesia. Hingga tahun 2015, jumlah narapidana di DKI Jakarta mencapai 9.347 narapidana. Gangguan jiwa terjadi karena ketidakseimbangan sistem pada manusia, baik karena ketidakseimbangan sistem pada tubuh manusia tersebut sendiri maupun interaksi dari sistem lain. Gangguan jiwa dapat terjadi karena bermacam-macam faktor. Faktor demografi merupakan salah satu faktor yang dapat memengaruhi terjadinya gangguan jiwa. Sampai saat ini belum terdapat data berisi gangguan jiwa yang terjadi di Jakarta. Penelitian ini bertujuan untuk mencari hubungan tingkat pendidikan, status pekerjaan, dan tingkat pendapatan dengan gangguan jiwa pada narapidana wanita. Penelitian ini dilaksanakan dengan menggunakan desain potong lintang dengan instrument pelaksanaan penelitian berupa kuesioner demografi dan kuesioner MINI ICD-10 yang mencakup 14 gangguan jiwa sebagai alat diagnosis. Penelitian dilakukan dari bulan Agustus ? Oktober tahun 2015 di Rumah Tahanan Negara Kelas IIA Pondok Bambu Jakarta Timur. Data yang didapatkan dianalisis dengan uji Chi-Square.Hasil penelitian menunjukkan bahwa sebanyak 61 dari 104 responden (58,7%) mengalami gangguan jiwa dengan hasil terbanyak gangguan Psikotik sebanyak 29 orang (47,54%). Kemudian hasil tingkat pendidikan menunjukkan bahwa terdapat 39 orang (60,0%) dengan pendidikan menengah keatas yang mengalami gangguan jiwa, 40 orang (57,1%) narapidana yang bekerja mengalami gangguan jiwa, serta 53 orang (61,6%) narapidana dengan pendapatan dibawah pendapatan perkapita yang mengalami gangguan jiwa. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan statistik yang bermakna antara tingkat pendidikan dengan gangguan jiwa, status pekerjaan dengan gangguan jiwa, maupun tingkat pendapatan dengan gangguan jiwa, namun terlihat kecenderungan bahwa narapidana dengan pendidikan tinggi, narapidana dengan tingkat pendapatan rendah, serta narapidana dengan status pekerjaan bekerja cenderung mengalami gangguan jiwa.

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Indonesia is a country with a high level of crime rates. Until 2015, the number of prisoner in DKI Jakarta reaches 9.437 prisoners. Mental disorder occurs due to imbalance of systems within human. Mental disorder can occur because of various factors. One of the contributing factor is demographic factor. This research aims to understand the relationship between education level, working status, and income level with mental disorder in women prisoner. This research was conducted by cross sectional method, with using instruments such as demographic questionnaire and MINI-ICD 10 as diagnostic tool, which consist of 14 classification of mental disorder. The research is is done in August-October 2015 in Rumah Tahanan Negara Kelas IIA Pondok bambu Jakarta Timur. The collected Data is then analyzed using Chi Square method.

The result shows that there are 61 people out of 104 respondents (58,7%) who are diagnosed with mental disorder. The mental disorder with the highest prevalence is psychotic disorder with 29 people (47,54%). Then the data analysis shows that there are 39 people (60,0%) with education level middle-to-high that are diagnosed with mental disorders. There are also 40 people (57,1%) working prisoner that are diagnosed with mental disorders, and 53 people (61,6%) prisoner with incomes below GDP that are diagnosed with mental disorders The conclusion of the research is that there are no significant difference between education level, working status, and income level with mental disorders. However, there are tendency of prisoner with high level of education, lower income level, and ?working? working status with mental disorder."

"Kriminalitas merupakan hal yang banyak terjadi di Jakarta. Sehingga sangat banyak orang yang dihukum dalam sebuah rumah tahanan sebagai konsekuensi dari tindak kejahatannya. Banyak faktor yang diprediksi memiliki keterkaitan dengan gangguan jiwa. Sehingga, penelitian ini bertujuan untuk menemukan hubungan usia, status kesehatan fisik, dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa. Penelitian ini menggunakan desain potong lintang dengan menggunakan instrumen berupa kuesioner demografi dan kuesioner MINI ICD-10. Penelitian dilakukan dari bulan Agustus – Oktober 2015 di Rumah Tahanan Kelas IIA Jakarta Timur.Hasil penelitian menjelaskan dari 61 responden penelitian yang mengalami gangguan jiwa, didapatkan sebanyak 47 orang berusia 18-40 tahun (77 %), sejumlah 38 orang mengeluhkan sedang mengalami sakit fisik saat wawancara (62,2 %), dan terdapat 57 orang yang pernah menggunakan fasilitas pelayanan kesehatan (93,4 %). Berdasarkan uji hipotesis denganuji Chi-Square, didapatkan nilai p yang menggambarkan hubungan usia, status kesehatan fisik, dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa berturut-turut 0,971; 0,008, dan 0,933. Sehingga dapat disimpulkan bahwa status kesehatan fisik memiliki hubungan secara statistik dengan gangguan jiwa, namun hubungan faktor usia dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa tidak bermakna secara statistik.

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Criminality is a common event in Jakarta. So, there are many people who have been convicted with criminal charges and are arrested as a consequence. There are many factors that can predict the occurence of mental disorder. This research is aimed to find the correlation between factors such as age, physical health status, and accessibility of health services with mental disorder. This design of this study is cross-sectional; demographic questionnaires and MINI ICD-10 were used as instruments for this research. This study was conducted from August until October 2015 in Rumah Tahanan Kelas IIA Jakarta Timur. Result from this study showed from 61 respondents who had mental disorders, 47 respondents were between the ages of 18-40 (77 %), 38 respondents complained of physical illnes during the interview (62,2 %), and 57 respondents had used health care services before (93,4 %). The p-values, obtained using Chi-Square hypothesis test, for age, physical health status, and accessibility of health care services were 0,971; 0,008; and 0,933, respectively. Therefore, statistically, we can conclude that physical health status is the only factor that has a correlation with the occurence of mental disorder; however, age and accessibility of health care services have no correlation with the occurence of mental disorder."

"[Kriminalitas adalah perbuatan yang melanggar peraturan. Saat ini terdapat banyak kasus kriminalitas di Jakarta. Pelaku tindak kriminal akan diadili dan dibina di lembaga pemasyarakatan (Lapas). Namun, kenyataanya, narapidana di lapas lebih rentan terkena gangguan jiwa, khususnya wanita yang memiliki sisa vonis yang masih banyak. Oleh sebab belum adanya data mengenai hubungan lama masa menjalani hukuman dengan gangguan jiwa, maka diadakan penelitian potong lintang dengan menggunakan instrumen MINI ICD 10 dan kuisioner umum pada 104 narapidana wanita yang memiliki vonis minimal 3 tahun di Rutan Kelas IIa Jakarta Timur dari bulan Agustus hingga September 2015. Data diolah dengan menggunakan software SPSS ver.23.0 for windows. Didapatkan 96 responden yang memenuhi kriteria inklusi dan ekslusi dengan prevalensi gangguan jiwa 57,29% dan jenis terbanyak ialah gangguan psikotik. Setelah diuji dengan chi squre, tidak ditemukan hubungan bermakna antara lama masa menjalani hukuman dengan gangguan jiwa (p=0,420). Akan tetapi, ditemukan kecenderungan responden dengan sisa vonis lebih sedikit lebih banyak memiliki gangguan jiwa yang bertolak belakang dengan hasil penelitian di Amerika. Nilai p di penelitian ini lebih kecil dibandingkan studi systematic review Fazel S dan Seewald K tahun 2012. Disarankan untuk melanjutkan penelitian ini di rutan-rutan yang berbeda karena belum ada penelitian yang serupa di Indonesia.

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Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.;Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.;Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails., Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.]"

"Kriminalitas merupakan masalah sosial yang jumlahnya meningkat setiap tahunnya di Indonesia. Konsekuensi akibat melakukan tindak pidana adalah dimasukkan ke dalam lembaga pemasyarakatan. Lingkungan lembaga pemasyarakatan berpotensi menimbulkan gangguan kejiwaan dan berpengaruh terhadap kualitas hidup narapidana, terutama narapidana wanita. Penelitian ini bertujuan untuk mengetahui gangguan jiwa pada narapidana wanita dan hubungannya dengan masing-masing domain kualitas hidup. Penelitian ini menggunakan desain cross-sectional dengan memanfaatkan kuesioner MINI ICD-10 untuk mendiagnosis gangguan jiwa serta kuesioner WHOQOL-BREF untuk skoring kualitas hidup. Dilakukan dari Agustus-Oktober 2015 di Rumah Tahanan Wanita Kelas IIA Jakarta Timur. Data dianalisis dengan menggunakan Pearson Chi-square. Dari 104 responden, 61 diantaranya memiliki gangguan jiwa dengan gangguan jiwa terbanyak adalah episode psikotik berulang. Dari 61 responden dengan gangguan jiwa, 39 orang memiliki kualitas hidup buruk pada domain kesehatan fisik (p=0,90). Pada domain psikologis, 30 dari 61 responden memiliki kualitas hidup buruk(p=0,50). Pada domain hubungan sosial, 43 dari 61 responden memiliki kualitas hidup buruk serta pada domain lingkungan(p=0,47), 43 dari 61 responden memiliki kualitas hidup buruk (p=0,56). Berdasarkan uji hipotesis tidak ditemukan hubungan yang bermakna antara gangguan jiwa dengan kualitas hidup pada narapidana wanita. Ketiadaan makna tersebut dapat disebabkan oleh adanya ketidaksadaran responden terhadap gangguan jiwa yang diderita, ketersediaan fasilitas, dan perbedaan respon adaptasi. Walaupun demikian, sebagian besar narapidana wanita memiliki kualitas hidup yang buruk.

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Criminality is a social problem, which keep increasing after years in Indonesia. The consequence for committing a criminal action is imprisoned. Being held in prison can be a burden for offenders especially the female offenders, thus it led to mental illness. Mental illness can affect many aspects in life, in other words, individual's quality of life. Based on those facts, this research aim to get the relationship between mental illness and four domains of quality of life. This research has cross-sectional design which all the data was collected using two main questionnaires, MINI ICD-10 to diagnose the mental illness and WHOQOL-BREF for quality of life scoring. This study was conducted from August 2015-October 2015 in Rumah Tahanan Wanita Kelas IIA East Jakarta. Data were analyzed using Pearson Chi-square. The result showed that from 61 from 104 respondents have mental illnesses. In related with quality of life, 39 from 61 respondents with mental illnesses have poor quality of life in physical domain (p=0,90); 30 from 61 respondents with mental illnesses have poor quality of life in psychological domain (p=0,50); 43 from 61 respondents with mental illnesses have poor quality of life (p=0,47) in social relationship domain; 43 from 61 respondents with mental illnesses have poor quality of life (p=0,56) in environment domain. Based on hypothetical testing, it is found that there?s no association between mental illness and quality of life among women prisoners. This result could be affected by awareness about their mental illness, jail's facility, and adaptation response. Despite of that, most of respondents have poor quality of life."

"Penelitian tentang stres dan akibat yang ditimbulkannya lebih sering berfokus pada perawat pada umumnya, dan sedikit perhatian diberikan kepada perawat yang bekerja di Unit psikiatri/Rumah Sakit Jiwa. Penelitian ini bertujuan untuk mengetahui pengaruh tingkat stresor kerja dan faktor risiko lainnya dengan timbulnya kecenderungan gangguan mental emosional pada perawat di rumah sakit jiwa. Penelitian ini mengunakan kuesioner Survey Diagnostik Stres, Symptom Check List (SCL-90), dan Skala Holmes Rahe pada 79 perawat yang terlibat langsung dengan penderita gangguan jiwa. Hasil penelitian mendapatkan prevalensi kecenderungan gangguan mental emosional sebesar 26,6%. Status belum menikah meningkatkan risiko untuk mendapatkan kecenderungan gangguan mental emosional yaitu sebesar 12,92 kali.( p=0,003, OR suaian = 12,92 , 95% IK =2,40-69,50 ). Bagian tempat kerja bangsal akut, kerja gilir dan stresor ketaksaan peran dengan tingkat stres sedang-berat juga memiliki hubungan yang bermakna dengan timbulnya kecenderungan gangguan mental emosional. Dapat disimpulkan bahwa status belum menikah adalah stresor yang paling dominan terhadap timbulnya kecenderungan gangguan mental emosional sementara faktor di luar pekerjaan tidak berhubungan dengan timbulnya kecenderungan gangguan mental emosional. Rumah sakit disarankan untuk mengadakan pusat konseling khusus bagi perawat yang belum menikah, kegiatan kegiatan bulanan khusus bagi karyawan yang belum menikah, kegiatan penyuluhan, team building, rotasi kerja gilir perawat, dan penetapan job description yang jelas agar didapatkan perawat yang sehat secara fisik dan mental.

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Research on stress and its consequences  often focused on nurses in general, little attention is given to nurses who work in a psychiatric ward/mental hospital. This research aimed to find  association between job stressors and other risk factors to the onset of mental emotional disorders tendency to nurse in a mental hospital. The research was conducted by using, Survey Diagnostic Stres, Symptom Check List (SCL-90), and Holmes Rahe Scale questionaire to 79 nurses directly involved with mental disorders patients. Results showed the prevalence of mental emotional disorders tendency of 26.6%. Unmarried marital status have a significant association with the onset of mental emotional disorders tendency in the amount of 12.92 times. ( p=0,003, OR adjusted = 12,92, 95% IK =2,40-69,50). Acute ward, shift work and role ambiguity with moderate-severe stress levels also had a significant association with the onset of mental emotional disorders  tendency. It can be concluded that  unmarried marital status is the most dominant stressors on the incidence of mental emotional disorders tendency while factors outside the job does not have a significant association with the onset of mental emotional disorders tendency. Hospital are advised to conduct a counseling center specifically for nurses who are unmarried, held a special monthly events, team building, job rotation, and setting a clear job description in order to  avoid any mental emotional disorders among unmarried nurses."

"Di Provinsi DKI Jakarta gangguan mental emosional khususnya pada lansia menjadi masalah seiring dengan bertambahnya jumlah lansia. Tujuan penelitian adalah mengetahui prevalensi, distribusi dan perbedaan proporsi faktor-faktor risiko yang berhubungan dengan gangguan mental emosional pada lansia .Metode penelitian ini adalah cross sectional dengan menggunakan data Riskesdas tahun 2007. Hasil Penelitian prevalensi sebesar 21,1%, Berdasarkan umur proporsi gangguan mental emosional pada lansia lebih besar pada umur ≥ 70 tahun (21,0%), lebih besar pada jenis kelamin perempuan (26,0%), lebih besar pada tingkat pendidikan rendah (26,8%), lebih besar pada yang tidak bekerja (24,2%), lebih besar pada status ekonomi tinggi (24,1%), lebih besar pada anggota keluarga (25,3%), lebih besar pada yang cerai (30,6%), lebih besar pada yang menderita DM (31,6%), lebih besar pada yang menderita hipertensi (29,9%), lebih besar pada menderita gangguan sendi (26,2%) lebih besar pada yang kurus (27,4%) lebih besar pada yang tidak mandiri (46,5%).

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In Jakarta Provincial mental disorders in the elderly in particular emotional an issue as the number of elderly. The research objective was to determine the prevalence, distribution and differences in the proportion of risk factors related with emotional mental disorder in the elderly. This method is a cross sectional study using data Riskesdas 2007. Research a prevalence of 21.1%, Based on the emotional life of the proportion of mental disorders in the elderly greater at age ≥ 70 years (21.0%), greater in the female sex (26.0%), greater in the low education level (26.8%), greater in that it does not work (24.2%), greater in the high economic status (24.1%), greater in family members (25.3%), greater in the divorce (30.6%), which suffer greater in DM (31.6%), greater in hypertensive (29.9%), greater in suffering from joint disorders (26.2%) greater in the lean (27.4%) was greater in the dependent (46.5%)."

"Gangguan jiwa merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat, baik didunia maupun di Indonesia. Jumlah gangguan jiwa di Kabupaten Kendal meningkat sehingga meningkatnya stres pada keluarga. Penelitian bertujuan untuk mengidentifikasi pengaruh relaksasi otot progresif terhadap tingkat stres keluarga dalam merawat klien gangguan jiwa berat di Poli Jiwa RSUD Dr. H. Soewondo Kendal. Desain penilitian quasi eksperiment prepost test with control group dengan 96 sampel secara purposive sampling, 48 yang mandapat terapi dan 48 kelompok yang tidak mendapat terapi. Hasil penelitian ada perbedaan yang bermakna antara tingkat stres responden pada kelompok yang mendapat dan yang tidak mendapat terapi relaksasi otot progresif (P Value= 0,001). Rekomendasi penelitian ini bahwa terapi relaksasi otot progresif sebaiknya diberikan pada keluarga klien gangguan jiwa yang merupakan care giver utama sebagai upaya mengatasi tingkat stres keluarga dalam merawat klien gangguan jiwa.

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Mental disorders are not contagious disease that is public health problem, both in the world and in Indonesia. In kendal the number of mental disorders increase so increasing the level of family stress. The purpose of this study to identify the effect of progressive muscle relaxation on the level of family stress in caring for clients of mental disorders in Poli Jiwa RSUD Dr. H. Soewondo Kendal. Quasi experiments research design pre-post test with control group with 96 sampels by purposive sampling ,48 groups received therapy and 48 groups did not receive therapy.

The results showed that a progressive muscle relaxation exercise significant difference between the stress levels in the group who received and did not receive therapy (P Value= 0.001). Recommendations of this research that progressive muscle relaxation therapy should be given to families who are clients of mental disorders as a primary care giver stress levels of families cope with caring for clients in mental disorders."

"Latar Belakang: Jumlah orang berusia 60 tahun atau lebih sebanyak 962 juta orang, setara dengan 13% populasi dunia dan sekitar 15% dari jumlah tersebut menderita gangguan jiwa. Pada tahun 2050, Indonesia diproyeksikan akan memiliki 72 juta orang berusia diatas 60 tahun. Salah satu cara pemerintah dalam memenuhi kebutuhan adalah dengan mengadakan kegiatan Panti Sosial Tresna Werdha (PSTW) yang dikhususkan untuk lansia. Dibutuhkan adanya penelitian mengenai apakah kebutuhan lansia gangguan jiwa yang berada di PSTW sudah terpenuhi dan bagaimanakah hubungannya dengan kualitas hidup mereka. Dengan banyaknya kebutuhan yang tersebar dalam berbagai area, maka akan dilakukan adaptasi instrumen Camberwell Assessment of Need for the Elderly (CANE) terlebih dahulu.Metode: Sebanyak 104 dataset didapatkan dari lansia gangguan jiwa, pengasuh dan staf yang merawat. Pengambilan sampel ditetapkan secara consecutive sampling. Uji yang dilakukan yaitu uji kesahihan isi, uji keandalan konsistensi internal dan uji keandalan interrater. Instrumen yang sahih dan andal digunakan untuk mengukur kebutuhan 50 lansia gangguan jiwa di PSTW dan dihubungkan dengan kualitas hidup dengan menggunakan metode analitik kuantitatif potong lintang. Pengambilan sampel ditetapkan secara consecutive sampling. Pengukuran kualitas hidup menggunakan WHOQoL-BREF Bahasa Indonesia. Hasil: Content validity index for scales (S-CVI) sebesar 1,0. Uji keandalan konsistensi internal koefisien Cronbach's Alpha memperoleh hasil 0,86. Uji keandalan interrater menghasilkan nilai koefisien kappa sebesar 0,98 (p < 0,001). Terdapat hubungan antara kebutuhan perawatan diri dengan kualitas kesehatan fisik, terdapat hubungan antara kebutuhan merawat rumah/perawatan diri/daya ingat/distres psikologis/uang atau anggaran dengan kualitas psikologis, terdapat hubungan antara kebutuhan makanan/perawatan diri dengan kualitas hubungan sosial dan terdapat hubungan antara kebutuhan terkait gejala psikotik/informasi/uang atau anggaran dengan kualitas lingkungan (p ≤ 0,05). Terdapat hubungan yang bermakna secara statistik antara jumlah kebutuhan dengan kualitas hidup domain psikologis (p ≤ 0,05). Kesimpulan: CANE bahasa Indonesia adalah instrumen yang sahih dan andal. Terdapat hubungan antara kebutuhan lansia dengan gangguan jiwa dengan kualitas hidup sehingga dibutuhkan evaluasi kebutuhan secara rutin di PSTW.

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Background: The number of people aged 60 years or more is 962 million people, equivalent to 13% of the world's population and around 15% of that number suffer from mental disorders. Indonesia will have 72 million people aged over 60 years by 2050. Government fulfills elderly needs (including mentally disorder elderly) by holding the Tresna Werdha Residential Home. Research to evaluate the mentally disorder elderly's needs and how it relates to their quality of life is needed.

Methods: Firstly, an adaptation of the Camberwell Assessment of Need for the Elderly (CANE) conducted using consecutive sampling. Interviews resulted in 104 datasets obtained from elderly with mental disorders, carers, and staff. The validity used a content validity test. The reliability process used an internal consistency reliability test and an interrater reliability test. The needs of 50 mentally disorder elderly in Tresna Werdha Residential Home were evaluated by the valid and reliable CANE. Correlation between the mentally disorder elderly's needs and quality of life analyzed using the cross-sectional quantitative analytical method. Quality of life's measurements used the Indonesian WHOQoL-BREF.

Result: Content validity index for scales (S-CVI) is 1.0. The internal consistency of the Cronbach's Alpha coefficient is 0.86. The interrater reliability test resulted in a kappa coefficient of 0.98 (p <0.001). This research also found there is a correlation between self-care and the physical health-domain (p ≤ 0.05). Looking after the home/self-care/memory/psychological distress/money correlating to the psychological-domain (p ≤ 0.05). Food/self-care correlating to the social relationships-domain (p ≤ 0.05). The needs related to psychotic symptoms/information/money or budgeting correlating to the environmental-domain (p ≤ 0.05). There is a statistically significant correlation between the number of needs and the quality of life in the psychological-domain (p ≤ 0.05).

Conclusion: Indonesian CANE is a valid and reliable instrument. There is a correlation between the mentally disorder elderly's needs and the quality of life. Therefore a routine needs evaluation is needed at Tresna Werdha Residential Home."