Penatalaksanaan Gangguan Afektif Bipolar Episode Kini Depresif Berat tanpa Gejala Psikotik melalui Pendekatan Kedokteran Keluarga
DOI:
https://doi.org/10.55123/abdikan.v3i1.3085Keywords:
Family Medicine Services, Holistic Management, Bipolar Affective DisorderAbstract
Bipolar disorder is a group of affective or mood disorders characterized by depressive and manic or hypomanic periods. The prevalence of bipolar disorder is estimated to be around 10-15 per 100,000 individuals annually in the human population, with higher rates in women, which can reach up to 30 per 100,000. Comprehensive management with a family medicine approach is necessary to improve the quality of life of patients. Service activities are conducted using counseling/support for patients with bipolar affective disorder experiencing severe depressive episodes without psychotic symptoms, reviewed through self-report, collateral history, mental status examination, home visits, and secondary data obtained from patient medical records with the application of a holistic and comprehensive family medicine approach. The goal of counseling/support for patients is to increase disease awareness and improve the patient's quality of life. The results of service activities show better understanding of the disease by patients and medication adherence levels that impact therapy success. Holistic management with a family medicine approach is necessary to identify problems in various aspects and support therapy success as well as improve patient quality of life.
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References
Ankit Jain and Mitra, P. (2023) ‘Bipolar Disorder’, StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing [Preprint]. Available at: https://www.ncbi.nlm.nih.gov/books/NBK558998/?report=reader.
Atsira, O.P. et al. (2020) ‘Relationship between spirituality and acceptance of illness level in bipolar patients’, Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 15(3), pp. 142–146. doi:10.21109/KESMAS.V15I3.3432.
Dou, W. et al. (2022) ‘Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation’, Frontiers in Psychology, 12(January). doi:10.3389/fpsyg.2021.807546.
Isnaniar, Wiwik, N. and Maratus, S. (2022) ‘Persepsi Keluarga Tentang Cara Merawat Orang Dengan Gangguan Jiwa Tampan Provinsi Riau’, Jurnal Kesehatan As Shiha, 2(1), pp. 1–20.
Maramis, M.M. et al. (2017) ‘Screening of Bipolar Disorders and Characteristics of Symptoms in Various Populations in Surabaya, Indonesia’, Anima Indonesian Psychological Journal, 32(2), pp. 90–98. doi:10.24123/aipj.v32i2.587.
Martha Furi, L. (2014) ‘Bipolar Affective Disorder and Manic Episode with Psychotic Symptoms in a 39 years old man’, J Agromed Unila, 1(3), pp. 212–215.
Maslim, R. (2013) Buku Saku Diagnosis Gangguan Jiwa, PPDGJ III. Diagnosis Gangguan Jiwa Rujukan PPDGJ III Dan DSM IV. Jakarta.
NIMH (2012) Buku Petunjuk Bipolar Disorder Institut Nasional Kesehatan Mental Amerika Serikat. New York.
Özdel, K., Kart, A. and Türkçapar, M.H. (2021) ‘Cognitive behavioral therapy in treatment of bipolar disorder’, Noropsikiyatri Arsivi, 58(Supplement 1), pp. S66–S76. doi:10.29399/npa.27419.
Purnama, G., Yani, D.I. and Sutini, T. (2016) ‘Gambaran stigma masyarakat terhadap klien gangguan jiwa di RW 09 Desa Cileles Sumedang’, Jurnal Pendidikan Keperawatan Indonesia, 2(1), pp. 29–37. Available at: https://ejournal.upi.edu/index.php/JPKI/article/view/2850.
Shah, N., Grover, S. and Rao, G. (2017) ‘Clinical Practice Guidelines for Management of Bipolar Disorder’, Indian Journal of Psychiatry, 59(5), pp. S51–S66. doi:10.4103/0019-5545.196974.
Steardo, L. et al. (2020) ‘Efficacy of the interpersonal and social rhythm therapy (IPSRT) in patients with bipolar disorder: Results from a real-world, controlled trial’, Annals of General Psychiatry, 19(1), pp. 1–7. doi:10.1186/s12991-020-00266-7.
Titik Sumiatin, Wahyu Tri Ningsih, Roudlotul Jannah, Su’udi, Moch Bahrudin, Tanty Wulan Dari, S. and Maimuna, S. (2022) ‘Empowerment Of Family In Treating Odgj (Persons With Mental Disorders) At Home Through Psycoeducation And Assistance As An Effort Relapse Prevention’, Jurnal Pengabdian Masyarakat Kesehatan, 8(3), pp. 204–213. doi:10.33023/jpm.v8i3.1236.
Widianti, E. et al. (2021) ‘Intervensi pada Remaja dengan Gangguan Bipolar: Kajian Literatur’, Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia, 9(1), pp. 79–94. Available at: https://jurnal.unimus.ac.id/index.php/JKJ/article/view/6726.
Williams, N., O’Connel, P., McCaskie, A. (2018) Bailey & Love’s Short Practice of Surgery (27th ed.). London: Taylor & Francis Group.
Zannah, U., Puspitasari, I.M. and Sinuraya, R.K. (2018) ‘Review: Farmakoterapi Gangguan Bipolar’, Farmaka, 16, pp. 263–277.
Zhao, D. (2022) The Theory and Efficacy of Cognitive Behaviour Therapy in Bipolar Disorder. Atlantis Press SARL. doi:10.2991/978-2-494069-31-2_437.
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