STRADA Jurnal Ilmiah Kesehatan ISSN: 2252-3847 (Print), 2614-350X (Online)

Vol. 8, No. 1, May 2019, pp: 41-50 Accredited rank 3 by DIKTI, Decree No: 21/E/KPT/2018
DOI: 10.30994/sjik.v8i1.208

The Influence of Psikoedukasi on Stress Management in

Improving Self Efficacy and Coping Mechanism of
Families in Caring for Caring for ODGJ Patient
(Schizophrenia) at Public Health Center of Balowerti
Kediri Regency
Eka Lutfiatus Sholehah1, Byba Melda Suhita2, Yuly Peristiowati2
1
Magister of Health Study Program, STIKes Surya Mitra Husada Kediri
2
Lecturer of STIKes Surya Mitra Husada Kediri
Email: ekasoleha2018@gmail.com

Received 21 February 2019; Accepted 21 February 2019; Published 22 May 2019

ABSTRACT
Families need to have the attitude of accepting patients, give a positive response, appreciate the
patient as family members and foster an attitude of responsibility to the patient, so the balance of life in
the family may occur. The existence of the soul in the family of disorders affecting the function of the
family. Families that work well will be able to provide care on a family member with good and vice
versa. Research objectives to analyzed the influence of psikoedukasi on stress management in
improving self efficacy and mechanism of ODGJ in caring for families koping (Schizophrenia). Design
research is to take the pretest-posttest alphabets experiment pre design. The research of the variable
Psikoedukasi as the independent variable and self efficacy and mechanism of the dependent variables
as koping. The population of the study were al of ODGJ patient Public Health Center of Balowerti
Kediri Regency by as much as 46 patients. Samples taken by random sampling technique as much as
41 respondents. Data collected by questionnaire instrument and processed by using coding, editing,
tabulating and scoring as well as tested with paired t test statistics. Paired t test test results showed a
psycho educational influence on self efficacy and mechanism of koping family in taking care of
patients with schizophrenia in Kediri Regency Balowerti Clinics, indicated by the value of the second
variable significance are 0.000 < 0.05 so that H1 is accepted means there is the influence of the psycho
education towards self efficacy and mechanism of koping in families with schizophrenia in Public
Health Center of Balowerti Kediri Regency. Granting psikoedukasi of stress management can assist
families in determining the right strategy koping to adapt to that form, where families can adapt well to
situations that occur when caring for schizophrenia patients.

Keywords: Psikoeducation, self efficacy, koping mechanism, family, skizofrenia

Copyright © 2019 STIKes Surya Mitra Husada

All right reserved.

This is an open-acces article distributed under the terms of the Creative Commons Attribution-
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INTRODUCTION

Mental health is still a serious problem in Indonesia and these problems are likely to continue
to increase, so that the necessary action and countermeasures of comprehensive and continuous.
Philosophy, mission and characteristics of mental health nursing Service refers to the paradigm of

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

nursing about phenomenal Central the man, the environment, health and nursing for mental health
nursing can provide a holistic, comprehensive and continuous improvement. Mental health is part of
overall health, not just free from the distractions of the soul, but the fulfillment of needs a feeling of
happy, healthy, and able to handle life's challenges. Medically, mental health was translated as a
condition that allows the development of physical, intellectual, and emotional are optimal from a
person. The development goes in harmony with the circumstances of others (Febriani, 2008 within the
Son, 2015).
Disorder of schizophrenia is a chronic mental disorder where the sufferer often have relapse ‟
or "relaps. According to what (2000), sufferers have ideas that are illogical, erroneous perceptions, a
chaotic motor activity, emotions that are not reasonable or blunt, withdrew from the interpersonalnya
relation, as well as having his own so sufferers lose contact with reality and his life is not in
accordance with the demands of real life in the community. Signs of such behaviour is often referred
to by the layman as "crazy ‟ or people are not sane ‟. The stigma that keeps the majority of the
community think that the sufferer "dangerous ‟ and may threaten the safety of the people around
them, so it appears the treatment-discrimination to them, such as exclusion, not given the role at
home, given the violence, etc. (Wijaya, 2014).
Discriminatory treatment given to sufferers of the disease also affects the sufferer's recovery
process. The recovery process in Indonesia apat schizophrenic is said to be still worse. The handling
process take a long time and is long, ranging from care at hospitals, dispensing, to social support from
family and society (Taufik, 2013). Handling is multifaktor, meaning that any handling of the
intertwined and can not walk respectively. For example, a patient who already get the medication
properly, get a good treatment process in hospital, but if you don't get support from your family and
the environment then the patient could be back relaps. Therefore, for the recovery of the patient's
condition is not only necessary but also drugs needed support from family or the environment
(Originally,2014).
According to the World Health Organization (WHO) (2016), Indonesia was ranked the 4th
largest population in the world. And sufferers of the disorder in Iondonesia which is about 26 million
people, ranging from mild to severe psychiatric. Sufferers of the disorder in Java increase drastically
in the year 2016. Ironically, most sufferers are those who are productive. Based on data from Dinsos
Jatim, sufferers of the disorder in East Java in the year 2016 reached 2,369 people. That number rose
by 750 people than in 2015 and then that only 1,619 people sufferers. Preliminary results of a study
conducted in the region of clinics Balowerti Kediri against 6 ODGJ with the patient's family obtained
the data 4 families feel burdened and embarrassed in the care of family members who have
experienced psychiatric, while 2 families receive their natural circumstances of the moment and let go
with what happened. In the implementation of educational programs of patient care ODGJ still not
there are families who receive education with good enough about ODGJ care.
Keliat (2011) identified the cause of the recurrence factor is knowledge, attitudes, and actions
of the family in caring for psychiatric patients. Families need to have the attitude of accepting
patients, give a positive response, appreciate the patient as family members and foster an attitude of
responsibility to the patient, so the balance of life in the family may occur. The existence of the soul
in the family of disorders affecting the function of the family. Families that work well will be able to
provide care on a family member with good and vice versa. Besides the confidence families (Self
Efficay) will make the family capable of performing maintenance on paisen ODGJ well. Self efficacy
is a strong predictor for change as well as to maintain behavior, if self efficacy are good, then the
family had the ability to take care of anyway. Common constraints faced by the families of
schizophrenic is the difficulty of access to mental care, medical costs are expensive, and the lack of
dissemination of basic information (Taufik, 2013). The cost of the care and treatment that is costly
already trying the Government attempted with the giving of the treatment free of charge. However,
the constraints of the lack of basic information about a mental disorder itself still haven't gotten
serious attention when in fact this information is very important to help families understand the
sufferer of schizophrenia disorder suffered by asien. The granting of such basic information is called
psikoedukasi (the Wijaya, 2014).
Undeniable family crisis and will also be undergoing pressure when noticed that one member
of his family suffer from disorders of the soul. This pressure will be a source of stress for the
paraanggota in the family. Meanwhile, for families who are vulnerable to stress, surely it will interfere

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

with their role as system support that resulted in the more stable disorders sufferers not a soul in the
healing process (Kristyanti & Rosalina, 2009). To cope with stress, then the family has a specific way
to lose stressor and regulate the situation in addressing the stressor is known by the term mechanism
koping (son, 2015). One effort that can be done to reduce the stress experienced by families in the
care of patients with disorders of the soul among others with family stress management psikoedukasi
therapy in patients with disorders of the soul.
Psikoedukasi family is the giving of information or knowledge on the family about the
disease suffered by family members with the aim to reduce the tendency to relapse and reduce the
influence of the ailment in the Member the other family (Townsend,2009). In the application
psikoedukasi much given to patients with psychiatric disorders including family members and the
interested parties to take care of these patients (Lukens & Mcfarlane, 2004). Based on the evidance-
based psikoedukasi family practice is a therapy that is used to provide information on the family to
improve their skills in taking care of their family members who have experienced psychiatric, so
expect the family will have a positive koping against stress and load hers. Other opinion explains that
the psikoedukasi family is the grant education to someone that supports treatment and rehabilitation
(Goldenberg, 2004).
Based on the explanation on the background above, researchers interested in conducting
research with the title the influence of psikoedukasi on stress management in improving self efficacy
and mechanism of ODGJ in caring for families koping (Schizophrenia).

MATERIALS AND METHODS

Design research is to take the pretest-posttest alphabets experiment pre design. The research of
the variable Psikoedukasi as the independent variable and self efficacy and mechanism of the
dependent variables as koping. The population of the study were al of ODGJ patient Public Health
Center of Balowerti Kediri Regency by as much as 46 patients. Samples taken by random sampling
technique as much as 41 respondents. Data collected by questionnaire instrument and processed by
using coding, editing, tabulating and scoring as well as tested with paired t test statistics.

Data analysis in this research are as follows:

1) Self Efficay Value

Measurement of self efficacy using with alternative answers using the Likert scale. As for the
assessment are given as follows:

Favorabel Unfavorable
Very Sure :4 Very Sure :1
Sure :3 Sure :2
Enough Sure :2 Enough Sure :3
Not Sure :1 Not Sure :4

2) Penilaian Mekanisme Koping

The measurement mechanism koping using assessment as follows:

Favorabel Unfavorable
Very Agree :4 Very Agree :1
Agree :3 Agree :2
Disagree :2 Disagree :3
Very Disagree :1 Very Disagree :4

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

RESULTS

1. Analisis Data With Paired T Test

Table 4.1 The results of the analysis of the Paired T test the influence of Psycho Education
towards Self Efficacy and mechanism of koping family with skizofrenia patient in Public Health
Center of Balowerti Kediri Regency in October 2018 (n = 41)

CI 95%
Group Mean SD Ρ value
Lower Upper
Efikasi Pre dan Postest 0,488 0,506 0,000 0,648 0,328
Coping mechanism pre dan
0,512 0,506 0,000 0,672 0,352
postest
Based on the results in table 4.1 shows that paired t test test results showed a psycho
educational influence on self efficacy and mechanism of koping family in taking care of patients with
schizophrenia in the Kediri Regency Balowerti Clinics indicated by the value of the second variable
significance 0.05 i.e. 0.000 < so that H1 is accepted means there is the influence of the psycho
education towards Self Efficacy and mechanism of koping family with skizofrenia patient in Public
Health Center of Balowerti Kediri Regency.

2. Multivariat Analysis

1) Partially Analysis

Tabel 4.2 Logistic Regretion by partially analysis of influence Psycho Education towards Self
Efficacy and mechanism of koping family in Public Health Center of Balowerti Kediri Regency
in October 2018 (n = 41)

Group B S.E Wald df Sig EXp (B)

Efikasi 1.892 .566 11.154 1 .001 6.630
Mekanisme Koping 2.105 .580 13.186 1 .000 8.209

Based on the results in table 4.2 shows that psycho education affect both partially variable of
self efficacy and mechanism of koping where indicated by the value of the wald on self efficacy of
11,154 with 0.001 and significance on the mechanism koping value wald of 13,186 with significance
of 0.000. The results of this research show that partially or alone – own psikoedukasi can affect each
variable because the value significance < 0.05.

2) Simultaneously Analysis

Tabel 4.3 Logistic Regretion by simultaneously analysis of influence Psycho Education towards
Self Efficacy and mechanism of koping family in Public Health Center of Balowerti Kediri
Regency in October 2018 (n = 41)

Classification Table
Kelompok
Percentage Correct
Pretest Postest
Pretest 36 5 87.8
Kelompok
Postest 14 27 65.9
Overall Percentage 76.8

Based on the results in table 4.3 indicates that psycho education affects simultaneously both
the variable self efficacy and mechanism of koping where indicated by the value of the overall

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

percentage of 76.8 meaning that psikoedukasi can affect the second variable of 76.8%. The results of
this research show that simultaneously or simulta psikoedukasi can affect both variables self efficacy
and mechanism of koping.

DISCUSSION

A. Identify self efficacy in treating family ODGJ (Schizophrenia) in Public Health Center of
Balowerti Kediri Regency

Based on the results of research on self efficacy suggests that before the given psikoedukasi
on schizophrenic family mostly have low self efficacy in treating sufferers as much as 29 respondents
(70.7%) and after given the majority of psikoedukasi have high self efficacy as much as 32
respondents (78%). The results of this research show that the awarding of the psikoedukasi family in
taking care of patients of schizophrenia affects self efficacy families become better than prior to the
given psikoedukasi.
Results of Lyanovitasari research (2017) supportive group therapy influence the title against
load and koping mechanism of the family in caring for patients data research results obtained by
schizophrenia there is a difference between the load and the mechanism before the koping supportive
therapy and after treatment (p value = 0.000). There is a difference between the control group load
before and after health education (p value = 0,010), but there is no difference between the koping
mechanisms before and after health education (p value = 0,225). There is a significant difference on
the load (p value = 0.002) and koping mechanism (p value = 0.001) between the intervention and
control groups after the given supportive therapy. The PROVINCIAL HOSPITAL Dr. Rehatta is
expected to facilitate the establishment of the existence of a peer support group in the family at the
poli family mental health so that the soul can be achieved.
Physiological State and Emotional Arousal (a State of physiological and psychological),
namely the emotional condition of stressful situations. Emotional turmoil, a profound unease, and a
weak physiological circumstances experienced by individuals will be perceived as a cue will occur
unwanted events. Anxiety and stress that occurs in a person while performing a task is often
interpreted as a failure. In General, a person will tend to expect success in conditions that are not
colored by tension and not feel any complaints or other somatic disorders. Therefore, self efficacy are
usually characterized by low levels of stress and anxiety. In contrast, low self efficacy was marked by
anxiety and stress level higher (Bandura, in Yayan, 2013).
The results showed that before the given psycho education many families who experience low
self efficacy because the family felt burdened in caring for their family members who experience
schizophrenia disorder or disturbance of jiawa. The existence of a less family-owned knowledge in
treating patients with schizophrenia cause families to feel heavy and uncomfortable in the perawtan
menjalanakan, let alone supported the existence of the stigma of the society towards patients with
disorders of the soul becomes a burden for the family. Besides it also needs care and daily necessities
that may sometimes be difficult to be filled due to the process of care of patients with disorders of the
soul takes time which is not for a bit.
Based on the table regarding the relationship between self efficacy before given psycho
therapy stress management education regarding the characteristics of respondents obtained data from
26 respondents aged 36-45 years mostly have low self efficacy as many as 17 respondents (65.4%)
and on respondents aged 26-35 years half of it has low self efficacy and half of them also have high
self efficacy. Based on table 4.6 describes the relationship between self efficacy after the therapy
given psycho education regarding stress management with characteristics of respondents obtained
data from 26 respondents aged 36-45 years mostly have a self high efficacy as much as 21
respondents (80.8%) and on 2 respondents aged 26-35 years entirely to have a high self efficacy.
According to research Yayan (2013) States one of the factors that influence self efficacy is age. Self
efficacy is formed through a process of social learning that can take place during their life. Older
individuals tend to have a span of time and more experience in overcoming a thing that happened
when compared to younger individuals, who may still have little experience and the events in his life.
Older individuals will be better able to overcome the obstacles in his life compared to younger
individuals, it also deals with the experience of individuals have throughout the span of his life.Hasil

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

penelitian in menunjukkan bahwasaanya usia responden termasuk usia dewasa akhir dimana dengan
usia tersebut responden akan lebih mudah untuk memahami informasi yang diterima terutama tetna
pendidikan kesehatan yang diberikan oleh petugas tentang perawatan pada pasien skizofrenia dan
bagaimana memanajemen stress yang dihadapi oleh care giver sehingga banyak care giver yang
sebelum memiliki self efficacy rendah sebelum diberikan psiko edukasi menjadi self efficacy tinggi.
Based on educational care giver before the given psikoedukasi obtained the data from the 3
respondent that a graduate SCHOOL, most have low efficacy sefl 2 respondents. On the respondents
mostly SLTA graduates also have low self efficacy as much as 21 respondents (70%). On respondents
that most college graduates had low self efficacy as 6 respondents (75%). Educational care giver
based on having rendered psikoedukasi data obtained from 3 of the respondents who are graduates of
the JSS entirely has high efficacy sefl. On the respondents mostly SLTA graduates also have high self
efficacy as much as 24 respondents (80%). On respondents that most college graduates have high self
efficacy as much as 5 respondents (52.5%).
BANDURA describes a person with high self efficacy they were able to approach the difficult
task as a challenge that must be mastered rather than as a threat that a person with high self efficacy
believe they are able to do something for changing the surrounding events, whereas a person with low
self efficacy considers itself essentially incapable of working on something that exists around them. In
the difficult situation of the people with low self efficacy tend to be easy to give up. While a person
with high self efficacy would try harder to overcome challenges that exist. In general people will act
to achieve the goal, the result of this research showed respondents educational background is
secondary education so that they are reasonably able to understand and explain how to create a stress
faced when doing treatments on patients of schizophrenia so many respondents who had a high after
being given effcicy self psikoedukasi about stress management in caring for sufferers of skixofrenia
(Shohifatul, 2012).

B. Identify the mechanisms ODGJ in caring for families koping (Schizophrenia) in Public
Health Center of Balowerti Kediri Regency

Based on the results of research on the mechanism of koping pointed out that before the given
psikoedukasi family on schizophrenic the majority has the mechanism of Adaptive Mall koping in
treating sufferers as much as 28 respondents (68.3%) and After most of the psikoedukasi have given
the mechanism of Adaptive koping by as much as 34 respondents (82.9%). The results of this research
show that the awarding of the psikoedukasi family in taking care of patients of schizophrenia affecting
mechanism koping families become better than prior to the given psikoedukasi.
Koping mechanism is carried out by individuals in menyelesaiakan the problem, adjusting to
changes, response to situations that threaten. The efforts of these individuals can be cognitive,
behavior change and environmental change that aims to resolve the stress encountered. The ability of
humans to afford necessary koping survive in its environment-changing swiftly. Koping is problem
solving in which someone uses it to manage stress conditions. With the causes of stress/stressor then
people will consciously and unconsciously to react to fix the issue. Nursing concepts in koping very
necessary because all patients experiencing stress, so very necessary ability to cope and the ability of
the koping for adaptation to the stress which is the most important determining factor in the welfare of
human (Keliat, 2011).
Koping mechanism that occurs in families who care for family members with schizophrenia
still shows the koping adaptive mechanisms of which respondents feel uncomfortable in doing
treatments as well as respondents felt shame with neighbors around the House because of the stigma
of being delivered by neighbors, so that sometimes make the family feel worried and depressed with
their current circumstances. The existence of knowledge still lacking family owned in treating patients
with schizophrenia caused the families feel intimidated with the stigma and waffle citizens around the
House, besides the existence of the family fears if patients get out of the House and ngamuk
endangers those around him. Because that's what families need psycho education so that families can
reduce anxiety is experienced and can carry out its work in caring for their family members with
schizophrenia.
Based on the gender of the respondent before the given psikoedukasi didapakan of the 19
respondents who-sex male majority has as much maladaptif koping mechanism 14 respondents

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 The Influence of Psikoedukasi on Stress Management in Improving Self Efficacy…..

(73.7%) and in the female sex part great to have as many as 14 maladaptif koping mechanisms
respondents (63.6%). After being given psikoedukasi obtained data from the 19 respondents who are
male-sex mostly have adaptive mechanisms koping by as much as 17 respondents (89.5%) and on the
gender of the majority of women have the mechanism of koping Adaptive as much as 17 respondents
(77.3%).
According to Siswanto (2012) one of the factors which affect the mechanisms of koping is
factor from within IE age where the higher age koping individuals getting better, health and energy,
belief system including kepercayan ekstensial (faith, religious belief, commitment) or life goals, past
experience, knowledge or education level the higher the individual it is easy to search for information,
sex women are more sensitive than men, the feeling of someone like self-esteem, control and
proficiency, skill, problem solving.
The results of this research show that most respondents are men. On the male respondents
were more mengedapankan how to find solutions to the problems faced by not using perasaaan to
address permaslaahan so that gender men were more able to determine the strategy that should be
koping used to overcome or create stress encountered in treating patients of schizophrenia lectures
with the awarding of the psikoedukasi received so as to make the respondent had sufficient insight
and respondents more capable in determining the right and koping mechanism suitable for them in
create a stress that occurs at the time of patient care of schizophrenia.

C. Identify the influence of psikoedukasi on stress management in improving self efficacy in

treating family ODGJ (Schizophrenia) Public Health Center of Balowerti Kediri Regency

Based on the results of research on the influence of psikoedukasi against self efficacy data
obtained before the given psikoedukasi on schizophrenic family mostly have low self efficacy in
treating sufferers as much as 29 respondents (70.7%) and after given a psikoedukasi majority have
high self efficacy as much as 32 respondents (78%). Based on the results in table 4.9 shows that
paired t test test results showed a psycho educational influence on self efficacy in treating patients
with schizophrenia in Kediri Regency Balowerti Clinics, indicated by the value of the the significance
of these two variables i.e. 0.05 0.000 < so that H1 is accepted means there is the influence of the
psycho education towards self efficacy in families with schizophrenia in Kediri Regency Balowerti
Clinics.
Research results Domínguez (2017) with the title of family education program for families
(FTF) emotions and subjective knowledge about mental illness obtained results before (pretest) and
after (posttest) FTF program. FTF causing a decrease in negative emotional attitudes and increase the
understanding of the disorder, regardless of gender or age relative.
Schizophrenia is a psychotic disorder that is chronic or relapsing marked with examples of
split (schism) between thoughts, emotions and behaviour of affected patients. The split in patients
described by the presence of symptoms of the fundamental (or primary) specific, i.e. disorders
characterized by impaired mind associations, particularly the looseness of the Association. Symptoms
of other fundamental affective disorder, autism, and ambivalence. While the secondary symptoms are
waham and hallucinations (Stuart, 2013). On the family caring for family members with the disorder
the soul sometimes make families feel stressed and stress that it can affect their self efficacy. self
efficacy are positive indicators of the self evaluation to conduct self-evaluation is useful to understand
the self. Self efficacy is one aspect of knowledge about self or self kwoledge of the most influential in
people's lives everyday due to self efficacy which belonged to influence individuals in determining
the actions that will be undertaken to achieve a goal, including an estimate of the challenges facing
(Bandura in research Yayan, 2013).
Psikoedukasi aims to help people with physical or mental health conditions certain to obtain
the appropriate and accurate information about the condition. Psikoedukasi is not limited to
individuals who suffer from illness or mental disorders but also can be given to another party such as
a family with the goal of providing information that is important, explains the behavior that supports
handling medical (drug consumption are appropriate dosage, regular checkups,) and provide support
on the family by giving hope that problems experienced by one of its members can be tackled together
(Anderson, in Walsh, 2010).

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The results showed that by administering the psycho education family capable of delivering
on the change of beliefs that is owned by a family which before was given psikoedukasi about stress
management many families which have self efficacy in merawata a family member with
schizophrenia but after given appropriate psikoedukasi stages the many families who have high self
efficacy. This is shown with a family feel calm in taking care of family members who suffered from
schizophrenia and the family does not feel worried and anxious in doing treatments on the
schizophrenic.

D. Identify the influence of psikoedukasi on stress management in improving the

mechanism of ODGJ in caring for families koping (Schizophrenia) Public Health Center of
Balowerti Kediri Regency

Based on the results of research on the influence of psikoedukasi against self efficacy data
obtained before the given psikoedukasi family on schizophrenic the majority has the mechanism of
Adaptive Mall koping in treating sufferers as much as 28 respondents (68.3%) and after given a
psikoedukasi majority have adaptive mechanisms koping by as much as 34 respondents (82.9%). The
results of this research show that the awarding of the psikoedukasi family in taking care of patients of
schizophrenia affecting mechanism koping families become better than prior to the given
psikoedukasi. Based on the results in table 4.9 shows that paired t test test results indicate the presence
of the influence of the psycho education family in koping mechanism on treating patients with
schizophrenia in Kediri Regency Balowerti Clinics, indicated by the value of the the significance of
these two variables i.e. 0.05 0.000 < so that H1 is accepted means there is the influence of the psycho
education family in koping mechanism against with schizophrenia in Kediri Regency Balowerti
Clinics.
The results of this study in accordance with research of Tareq Abed Al Fattah Eteamah (2016)
shows psychoedukasi in patients with mental disorders obtained the results of Executing the psycho
educational program for families of patients with schizophrenia who often play an important role as a
caregiver, promote recovery, and maintaining mental health care services, as well as implement a
programme of psycho-education families at people in mental health treatment settings affect the
treatment outcome mental in many dimensions.
According to the dictionary of psychology is the koping (behavior or action countermeasures)
any deed, in which the individual performs the interaction with the surrounding environment. With
the goal of completing something (Chaplin, 2009). Koping mechanism is every effort on the go for
treatment of stress, including solving problems directly and the ego defence mechanisms in use to
protect themselves (Gail. W. Stuart, 2013). Factors that determine which strategies are most numerous
or frequently used really depends on the personality of the sesesorang, and the extent to which the
level of stress from a condition or problem that had befallen him. An example of someone using the
appropriate problem – solving focused coping in the face of the problems which he can be controlled.
Such as, issues related to school or work. Otherwise would tend to use emotion focused coping
strategies when faced with difficult problems which he controlled. The koping behavior focuses on
the question of the function changes the relationship between the individual and the environment is in
trouble by doing a direct action on the environment or the individual concerned (Nasir, 2011).
The results of this study indicate that by administering psikoedukasi about stress management
can assist families in determining the right strategy koping to adapt to the form that is currently
experienced, where families usually feel worry and anxiety so they can not adapt well, but after given
psikoedukasi about family stress management is able to control the anxiety experienced so they can be
more calm in doing treatments on family members who experience schizophrenia.

CONCLUSION

1. The families of schizophrenic in Kediri Regency Balowerti Clinics mostly have low self
efficacy in treating sufferers as much as 29 respondents (70.7%) before the given psycho education
and after given psikoedukasi most have high self efficacy as much as 32 respondents (78%).

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2. The families of schizophrenic the majority have adaptive mechanisms koping Mall in treating
sufferers as much as 28 respondents (68.3%) before psikoedukasi and after psikoedukasi has largely
given the mechanism of koping Adaptive as much as 34 respondents (82.9%).
3. There is a psycho educational influence on self efficacy in treating patients with
schizophrenia in Kediri Regency Balowerti Clinics, indicated by the value of the significance of Test
results at the 0.05 < paired t test.
4. There is the influence of the psycho education family in koping mechanism on treating
patients with schizophrenia in Kediri Regency Balowerti Clinics, indicated by the value of the
significance of paired t test test results < 0.05.
5. Psikoedukasi partially affect both variables self efficacy and mechanism of koping where
indicated by the value of the wald on self efficacy of 11,154 with 0.001 and significance in koping
mechanism of 13,186 wald with value the significance of 0.000.
6. Psikoedukasi simultaneous affect both variables self efficacy and mechanism of koping where
indicated by the value of the overall percentage of 76.8 which means psikoedukasi can affect both
variables of 76.8%.

Suggestion

1. For Public health center of Balowerti

Health officer of Public health center of Balowerti need to provide training, coaching and
seminars to the poly soul so it can do the job with more appropriate in addition focused on patients but
also can be focused on families such as the granting of therapeutic psikoedukasi so the care of patients
with schizophrenia have become more precise. Additionally, on the health officer may perform
nursing care of mainly the use of the communication strategy proper care in accordance with diganosa
of nursing experienced by patients on either the family or the patient himself. Additionally, on the
health officer may conduct surveillance of drug consumption in patients of schizophrenia patients so
that more regular in taking medication and can help the healing process patients more effectively.

2. For families

Should the family more inmprovement information and knowledge about the care of
schizophrenia patients by means of asking the officer or read a book about patient care of the soul so
that it can enhance family knowledge and can be menignkatakn confidence and can reduce stress.

3. For the next Researcher

Further research should be done by direct observation or observation of self efficacy or

mechanisms of koping family so that research results can be more optimally.

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