IMPROVING THE QUALITY OF LIFE OF PEOPLE WITH SCHIZOPHRENIA THROUGH COMMUNITY BASED REHABILITATION IN YOGYAKARTA PROVINCE, INDONESIA: A QUASI EXPERIMENTAL STUDY
Date
2019-04Author
PUSPITOSARI, WARIH ANDAN
WARDANINGSIH, SHANTI
NANWANI, SANDEEP
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Show full item recordAbstract
Objective: The persistent disability and low Quality of Life (QoL) are the impacts of schizophrenia. Community-
Based Rehabilitation (CBR) is recommended for people with schizophrenia. The objective of this study is to
analyze the effectiveness of CBR to improve the quality of life of people with schizophrenia.
Methods: It was a quasi-experimental study, conducted in February-December 2017, in Yogyakarta, Indonesia.
Subjectwere people with schizophrenia, 18–56 years old, with their caregiver. CBRintervention using psychoeducation
module and social skill module during 12 weeks. It was conducted by local health workers, sub
district social welfare workers, community health workers (called Kader in Indonesia) and supervised by a
psychiatrist. The QoL was assessed using a validated measuring instrument at the baseline and at the week 16.
Hypothesis test using Wilcoxon test
Results: There were 100 people with schizophrenia involved in the study. They were divided into intervention
group and control group. Every group consists of 50 subjects. Both groups had similar characteristics at the
baseline. The intervention group received CBR, whereas the control group didn’t. Thirty-four people (68%) of
intervention group increased their QoL, whereas in the control group there were twenty-three people (46%)
increased their QoL. The QoL decrease occurred in one subject (4%) from the control group. Other subjects had
constant QoL. Improvement of QoL in the intervention group is higher than the control group (p < 0.05).
Conclusions: CBR is effective for improving the QoL of people with schizophrenia in the community. CBR is
conducted by the health worker and sub-district social welfare worker.