Family Support Synergy for Optimizing Medication Adherence in ODGJ Patients at the Johan Pahlawan Community Health Center in West Aceh Regency
Keywords:
Support, family, compliance, medication, ODGJAbstract
People with Mental Disorders (ODGJ) are individuals who experience disorders in cognitive, affective, and behavioral functions, characterized by significant behavioral changes and the emergence of certain symptoms. Data from the Indonesian Ministry of Health in 2021 shows that mental health problems in Indonesia are still at a fairly high level, with approximately one in five residents or ±20% of the population at risk of mental disorders. Locally, in 2024, the Johan Pahlawan Community Health Center in West Aceh Regency reported 148 diagnosed cases of mental disorders. Adherence to treatment among ODGJ patients remains a critical issue in mental health services. In this context, the role of the family has a strategic contribution in improving the success of therapy through continuous support. This study aims to analyze the relationship between family support synergy and medication adherence among ODGJ patients at the Johan Pahlawan Community Health Center, West Aceh Regency. This study applied a quantitative approach with a cross-sectional design. Sampling was determined using purposive sampling techniques, involving 60 patients with mental disorders (ODGJ) who were registered and undergoing treatment at the Johan Pahlawan Community Health Center. Data collection was conducted using a structured questionnaire that had been tested for validity and reliability, supplemented by in-depth interviews with patients' family members. Data analysis was then performed using Spearman's rank correlation test to determine the strength and direction of the relationship between family support synergy and medication adherence. The results of the bivariate analysis showed a correlation coefficient of r = 0.508 with a p-value = 0.000 (p < 0.001), which is below the significance threshold of α = 0.05. These findings indicate that the null hypothesis is rejected and the alternative hypothesis is accepted, so it can be concluded that there is a statistically significant relationship between family support synergy and medication adherence in patients with mental disorders (ODGJ). The correlation coefficient value obtained reflects a moderate strength and positive direction relationship, indicating that the better the family support synergy, the higher the level of medication adherence among ODGJ patients at the Johan Pahlawan Community Health Center.
References
People with Mental Disorders (ODGJ) are individuals who experience disorders in cognitive, affective, and behavioral functions, characterized by significant behavioral changes and the emergence of certain symptoms. Data from the Indonesian Ministry of Health in 2021 shows that mental health problems in Indonesia are still at a fairly high level, with approximately one in five residents or ±20% of the population at risk of mental disorders. Locally, in 2024, the Johan Pahlawan Community Health Center in West Aceh Regency reported 148 diagnosed cases of mental disorders. Adherence to treatment among ODGJ patients remains a critical issue in mental health services. In this context, the role of the family has a strategic contribution in improving the success of therapy through continuous support. This study aims to analyze the relationship between family support synergy and medication adherence among ODGJ patients at the Johan Pahlawan Community Health Center, West Aceh Regency. This study applied a quantitative approach with a cross-sectional design. Sampling was determined using purposive sampling techniques, involving 60 patients with mental disorders (ODGJ) who were registered and undergoing treatment at the Johan Pahlawan Community Health Center. Data collection was conducted using a structured questionnaire that had been tested for validity and reliability, supplemented by in-depth interviews with patients' family members. Data analysis was then performed using Spearman's rank correlation test to determine the strength and direction of the relationship between family support synergy and medication adherence. The results of the bivariate analysis showed a correlation coefficient of r = 0.508 with a p-value = 0.000 (p < 0.001), which is below the significance threshold of α = 0.05. These findings indicate that the null hypothesis is rejected and the alternative hypothesis is accepted, so it can be concluded that there is a statistically significant relationship between family support synergy and medication adherence in patients with mental disorders (ODGJ). The correlation coefficient value obtained reflects a moderate strength and positive direction relationship, indicating that the better the family support synergy, the higher the level of medication adherence among ODGJ patients at the Johan Pahlawan Community Health Center.
