Open AccessPengaruh Pemberian Token Ekonomi terhadap Kepatuhan Minum Obat pada Klien Skizofrenia di Ruang Kunti Rumah Sakit Jiwa Provinsi Bali
Author(s) -
Julianti Tandilolo,
Ni Komang Matalia Gandasari,
Desak Putu Risna Dewi
Publication year - 2020
Publication title -
jurnal keperawatan terapan
Language(s) - English
Resource type - Journals
ISSN - 2442-6873
DOI - 10.31290/jkt.v6i01.1453
Subject(s) - wilcoxon signed rank test , medication adherence , token economy , schizophrenia (object oriented programming) , nonprobability sampling , medicine , security token , patient compliance , psychology , reinforcement , psychiatry , family medicine , mann–whitney u test , social psychology , computer science , environmental health , computer security , population
Treatment for schizophrenia clients requires a long period of time so that it causes saturation of taking medication and the client's level of compliance taking the drug decreases. One therapeutic technique to improve compliance behavior is to provide positive reinforcement through economic tokens. This study aims to determine the effect of economic tokens on adherence to taking medication in schizophrenic clients. This type of research is quasi experiment using One-group pre-post test design. The sample in this study were schizophrenic patients who were not compliant to take medication as many as 28 people using purposive sampling technique. Data collection uses observation sheets. The results showed the majority of pre-test medication adherence were 19 people (67.9%) in the low category. Compliance with taking the post-test medication showed that most were 16 people (57.1%) in the high category. Wilcoxon Sign Rank Test results obtained z count = 4.882> from z table = 1.96 and p = 0.001 <? 0.05, the results of this analysis indicate there is an effect of giving economic tokens on adherence to taking medication in schizophrenia patients. The study concluded that economic tokens had a significant effect on adherence to taking medication in schizophrenia patients. It is recommended to apply SPO economic token therapy, provide economic token therapy on an ongoing basis and develop further research by increasing the number of meetings in each therapy session.