Application Of Therapeutic Communication Based On Peplau's Theory On Medication Adherence Of Mentally Ill Patients At Soeprapto Hospital, Bengkulu Province In 2025
DOI:
https://doi.org/10.70963/jkmp.v2i2.498Keywords:
Therapeutic Communication, Peplau’s Theory, Medication Adherence, Mental DisordersAbstract
Mental disorders are conditions characterized by changes in thoughts, emotions, and behaviors that interfere with a person’s ability to function in daily life. One of the main issues commonly found in patients with mental disorders is non-adherence to medication, which can lead to relapse and decreased quality of life. This study aims to determine the effect of therapeutic communication based on Peplau’s theory on medication adherence among patients with mental disorders.This research used a case study method with a qualitative approach involving two patients at Soeprapto Mental Hospital, Bengkulu Province. Data were collected through interviews and observations of the implementation of therapeutic communication performed by nurses over a two-day intervention period. The results of the study showed that both patients experienced improved understanding and increased medication adherence after the therapeutic communication intervention.It can be concluded that the application of therapeutic communication based on Peplau’s theory is effective in improving medication adherence among mental disorder patients through interpersonal relationships, education, and emotional support provided by nurses.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Hidayat, A. A. (2020). Pengantar kebutuhan dasar manusia. EGC.
Kemenkes RI. (2018). Hasil utama Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.
Mulyadi, A. (2021). Komunikasi terapeutik perawat dalam meningkatkan kepatuhan minum obat pada pasien skizofrenia. Jurnal Keperawatan Jiwa, 9(1), 1-8.
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
Nurhayati, R. (2021). Penerapan model praktik keperawatan profesional (MPKP) jiwa. EGC.
Peplau, H. E. (1952). Interpersonal relations in nursing. Putnam.
Pusat Data dan Informasi Kemenkes RI. (2020). Infodatin: Gangguan jiwa. Kementerian Kesehatan Republik Indonesia.
Reny, M. A. (2021). Peningkatan kepatuhan minum obat pada pasien skizofrenia dengan intervensi psikoedukasi keluarga. EGC.
Stuart, G. W. (2013). Principles and practice of psychiatric nursing. Mosby.
Sudirman, A. (2021). Hubungan komunikasi terapeutik perawat dengan kepatuhan minum obat pasien skizofrenia. Jurnal Kesehatan dan Keperawatan, 13(2), 112-119.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
WHO. (2022). Mental health. World Health Organization.
Wulandari, P., & Lestari, W. (2020). Faktor-faktor yang berhubungan dengan kepatuhan minum obat pada pasien skizofrenia di poliklinik rawat jalan RSJ. Jurnal Ilmu Keperawatan, 8(2), 121-128.
Maslim, R. (2001). Diagnosis Gangguan Jiwa, Rujukan Ringkas dari PPDGJ-III. Jakarta: Bagian Ilmu Kedokteran Jiwa FK-Unika Atma Jaya.
Stuart, G. W. (2018). Principles and Practice of Psychiatric Nursing. Mosby.
Yosep, I. (2011). Keperawatan Jiwa. Bandung: PT Refika Aditama.
Videbeck, S. L. (2018). Buku Ajar Keperawatan Jiwa. Jakarta: EGC.
Hawari, D. (2018). Manajemen Stres Cemas Dan Depresi. Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia.
Correll, C. U., et al. (2022). Pharmacological and Non-Pharmacological Strategies to Improve Adherence in Patients with Schizophrenia. Journal of Clinical Psychiatry, 83(2), 21nr14032.
Friedman, M. M., Bowden, V. R., & Jones, E. G. (2020). Family Nursing: Research, Theory, & Practice (8th ed.). Pearson.
Kane, J. M., & Correll, C. U. (2021). The Importance of Adherence to Antipsychotic Medication in Schizophrenia. Dialogues in Clinical Neuroscience, 23(1), 1-10.
Kissling, W. (2022). Adherence to Antipsychotic Treatment and Its Impact on Outcome. In Schizophrenia: Current Understanding and Treatment (pp. 147-160). Springer.
Miller, W. R., & Rollnick, S. (2023). Motivational Interviewing: Helping People Change (4th ed.). Guilford Press.
National Institute for Health and Care Excellence (NICE). (2021). Psychosis and schizophrenia in adults: prevention and management. NICE Guideline [NG215].
Robinson, D. G., et al. (2020). Predictors of Relapse in First-Episode Psychosis: A 10-Year Follow-Up Study. Schizophrenia Bulletin, 46(2), 345-353.
Stuart, G. W. (2021). Principles and Practice of Psychiatric Nursing (11th ed.). Elsevier.
Vrijens, B., et al. (2021). A Consensus Adherence Taxonomy (CAT) for Reporting and Comparing Adherence Studies. Journal of Clinical Epidemiology, 137, 1-10.
World Health Organization (WHO). (2023). Adherence to long-term therapies: Evidence for action. WHO Press.
Asmadi. (2008). Teknik Prosedural Keperawatan: Konsep dan Aplikasi Kebutuhan Dasar Klien. Jakarta: Salemba Medika.
Forchuk, C., et al. (2020). Hildegard Peplau's Theory of Interpersonal Relations: A Framework for Psychiatric Nursing Practice. Journal of Psychiatric and Mental Health Nursing, 27(1), 1-8. (Meskipun mendukung teori, artikel ini juga sering membahas tantangan implementasi.)
Hagerty, T. A., & Patusky, K. L. (2020). Hildegard Peplau's Theory of Interpersonal Relations: A Theoretical Framework for Psychiatric Nursing. In C. M. Beck, S. F. Rawlins, & M. L. Williams (Eds.), Mental Health Nursing: A Holistic Approach (6th ed., pp. 53-68). Jones & Bartlett Learning. (Buku teks ini seringkali mengulas kekuatan dan keterbatasan teori.)
McEwen, M., & Wills, E. M. (2024). Theoretical Basis for Nursing (6th ed.). Wolters Kluwer. (Buku teks teori keperawatan komprehensif
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Fredy Putra Klana, Ravika Ramlis
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
