Retrospektif studi: Peranan kader kesehatan jiwa terkait kunjungan follow-up pasien gangguan jiwa ke Puskesmas

Abstract

A retrospective evaluation: Follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersBackground : The default of regular treatment can cause a recurrence of patients with mental disorders. As an effort to increase participation in medicine, one of them is increasing the role of mental health cadres. Based on the results of a pre-survey study conducted in the work area of Way Mili Health Center in December 2018 - January 2019, found it out that 39 patients who actively took part in mental health programs were only 38.46%. And out of 5 mental health cadres, only 1 cadre has an ideal role and the remaining role is less ideal due to individual busyness and cadre incentives that are not under the responsibilities given.Purpose: Knowing the relationship between follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersMethod: This type of research is a retrospective evaluation, quantitative, analytic survey with a cross sectional approach. The population in this study was caregiver of patient with mental disorders. The questionnaire to determine the role of mental health cadres contains 15 questions and looking at medical records / treatment cards to find the consistency of follow up of patients at the public health centre. Data were analyzed by univariate and bivariate (chi square).Results : It is knowing that all cadres totaling 30 have a mean age of 35.33 years with a standard deviation of ± 3.05 with an age range of 30-40 years and are mostly educated in junior high school (70%) and work as housewives (60%). respondents where the role of cadres was in the low category and 66.7% with follow-up of patients in the irregular category (63.3%). The results of statistical tests on the education variable of the cadres p-value = 0.01; work p-value = 0.002 and patient visits p-value = 0.009 which means