H I A L E N L T I I N A METO N LI I T N A N. o e J i n ske a l i m n r F ek e u s n i P e n e a (%) P n k n F ek e u s n i r P e n e a (%)

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H T I W P I H S N O I T A L E R E C N E R E H D A N O I T A C I D E M RELAPSEI NPATIENTSWITHHALLUCINATIONSPOLYCLINIC N I MENTALHOSPITALProf . .D r SOEROJOMAGELANG a il i m h a F i s o R 1_,_S_u_w_a_r_n_o2_,_W_ti_r_i_y_a_n_i3 T C A R T S B A d n u o r g k c a B : Menta lheatlh i sone o fthe four major heatlh problem ni developed countires ,atlhough the m e l b o r p i snotconsidereda menta lheatlhdisordert hatcausesdeathdrieclty , tb u the disorder nc a leadt othe f o y ti li b a n i individualstobehave tt nha c a inhibtidevelopmentbecause ythe arenotproducitve (Hawair ,2009). : e s o p r u P eT h purpose ofthe study ot Know medicaiton adherencerelaitonship w tihrelapse inpaitent swtih s n o it a n i c u ll a h ni PolycilnicHosptialMentalProf . .rD .SoerojoMagelang. : d o h t e M The study wa sa descirpitve correlaiton study ,w tih cross design secitonalr.esearch itme held in 2 1 0 2 r e b m e v o N -Augus t2013 ,thepopulaitonint hi sstudywere 02 1 paitentshallucinaiton .ssampilngt echnique s f o n a e m y b disproporitonate tsraitifedrandom sampilngwtih 61 correspondent sinaccordance w tihinclusion ir e ti r c a. s tl u s e R : There was on signiifcant between medicaiton adherence relaitonship w tih relapse in paitent swtih s n o it a n i c u ll a h ,ascoreo f10.676 X2_c_o_u_n_t_._P_ir_c_e_X2_{w f}_ti_h_{d = 1 r}_f_o ₃_,₈₄₁_n_t_h_e _X2_c_o_u_n_t_i _s_g_r_e_a_t_e_r_n_t_h_a _t_h_e_X2 e l b a t (10.676>3.841 ) da P-n value = 0.001 i sles sthan the value ofalpha ( α = 0.05 )whichmean sthatthe e v it a n r e tl a hypothesis (Ha )i saccepted tt ha theremedicaitonadherencerelaitonshipw tihrelapsei npaitent swtih s n o it a n i c u ll a h . n o is u l c n o C : Therewas asigniifcan tbetweenmedicaitonadherence relaitonship w tihrelapseinpaitent swtih s n o it a n i c u ll a h .Goodmedicaitonadherencewouldr educet he irskofr elapseinpaitent swtihhallucinaitons. s d r o w y e K :Compilance ,Relapse ,Hallucinaitons _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____ 1_S_t_u_d_e_n_t_f_o _S_T_I_K_E_S_D_u_t_a_G_a_m_a_K_l_a_t_e_n 2_L_e_c_t_u_r_e_r_{I f}_o _S_T_I_K_E_S_D_u_t_a_G_a_m_a_K_l_a_t_e_n 3_L_e_c_t_u_r_e_r_I_I _o_f_S_T_I_K_E_S_D_u_t_a_G_a_m_a_K_l_a_t_e_n

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N A U L U H A D N E P u t a s h a l a s n a k a p u r e m a w ij n a t a h e s e K m e i r a d pa t masalah kesehatan utama d i Negara-negara maju , meskipun masalah i a g a b e s p a g g n a i d k a d it a w ij n a t a h e s e k n a it a m e k n a k b a b e y n e m g n a y n a u g g n a g t u b e s r e t n a u g g n a g n u m a n , g n u s g n a l a r a c e s n a u p m a m k a d it e k n a k l u b m i n e m t a p a d t a p a d g n a y u k a li r e p r e b m a l a d u d i v i d n i a k e r e m a n e r a k n a n u g n a b m e p t a b m a h g n e m 0 2 , ir a w a H ( fi t k u d o r p k a d it 0 9 .) n e il k % 0 9 i r a d h i b e l n a k a ri k r e p i D l a h i m a l a g n e m a i n e r f o z i k s n a g n e d usinasi . g n a y i s a n i s u l a h n u p i k s e M dialam i n e il k r a s e b n a i g a b e s n u m a n , i s a ir a v r e b i m a l a g n e m a w i J ti k a S h a m u R i d a i n e r f o z i k s i r a d l a s a r e b t a p a d a r a u S . r a g n e d i s a n i s u l a h u ti u d i v i d n i m a l a d sendri i atau dar i lua r ( l a n e k i d t a p a d a r a u S . u d u v i d n i famiilar ) u s a y n l a s i m aranenekyangt elahmeninggal . u a t a l a g g n u t t a p a d a r a u S mulitple .Is isuara n e il k a d a p u t a u s e s n a k h a t n ir e m e m t a p a d . ir i d n e s n e il k u k a li r e p a d a p a y n g n ir e s u a t a y a c r e p i ri d n e s n e il K a bahwa suara tiu n a h u T i r a d l a s a r e b , setan , sahabat , atau g n a d a K . h u s u m -kadang suarayang muncu l g n a y a r a u s n a k u b i y n u b m a c a m e s ) 7 0 0 2 , p e s o Y ( it r a g n u d n a g n e m n a k a ri k r e p i d a w ij n a u g g n a g a ti r e d n e P , a m a tr e p n u h a t a d a p % 0 5 h u b m a k n a k a n a d a u d e k n u h a t a d a p % 0 7 100% pada h a m u r i r a d g n a l u p h a l e t e s a m il e k n u h a t . ) 8 9 9 1 , t a il e K ( ti k a s n a k b a b e y n e m g n a y r o t k a f u t a s h a l a S k a d it g n a y a g r a u l e k h a l a d a n a h u b m a k e k i d n e il k u k a li r e p i n a g n a n e m a r a c u h a t . ) 9 0 0 2 p e s o Y m a l a d , r e g n il l u S ( h a m u r n a h u b m a k e k i h u r a g n e p m e m g n a y r o t k a F u k a li r e p n a g n e d a w ij n a u g g n a g n e il k , ir i d n e s n e il k i r a d n i a l a r a t n a n a s a r e k e k b a w a j g n u g g n a n e p , ) p e s e r i r e b m e p ( r e t k o d ( n e il k case manager) , dan keluarga .) 2 9 9 1 ,t a il e K ( g n a y n a u l u h a d n e p i d u t S dilakukan s il u n e p pada tangga l 10 Januar i 2013 d i j t a w a r g n a u r alan RSJ .Prof .Dr .Soerojo n a i g a b i d a d a g n a y a t a d t u r u n e m , g n a l e g a M a w h a b , 2 1 0 2 n u h a t a d a p k i d e m m a k e r r a s e b e s n a l a j t a w a r i n a l a j n e m g n a y n e i s a p 3.496 pasien halusians i dan dar i 3.496 t u b e s r e t n e i s a p sebanyak 977 (28,3% ) 2 n a k g n a d e s u r a b s u s a k n a k a p u r e m .518 . a m a l s u s a k n a g n e d n e i s a p h a l a d a ) % 7 , 2 7 ( o j o r e o S . r D . f o r P t i k a S h a m u R s i n k e T n a a n a s k a l e p t i n U h a l a d a g n a l e g a M g n a y n a t a h e s e k n a ir t n e m e K n a g n u k g n i L i d b a w a j g n u g g n a tr e b n a d h a w a b i d a d a r e b a y a p U a n i B l a r d n e J r u t k e ri D a d a p e k a t a h e s e K n a ir t n e m e K n a t a h e s e K n .Rumah n a k u j u R t a s u P “ n a k a p u r e m i n i t i k a s . ” a w i J n a t a h e s e k “ g n a d i b i d ” l a n o i s a N n a l u b a d a p k i d e m m a k e r a t a d i r a d t a h il i D , 2 1 0 2 r e b m e s e D sebanyak 487( 26,3% )dar i 2.518 pasien halusinas i yang menjalan i a w i J t i k a S h a m u R k i n il k il o P i d n a l a j t a w a r . r D . f o r P Soerojo Magelang sudah pernah

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m a k e r a t a D ( n a h u b m a k e k i m a l a g n e m ) 2 1 0 2 , k i d e m a k a m , s a t a i d n a i a r u n a k r a s a d r e B n a it il e n e p n a k u k a l e m k u t n u k ir a tr e t it il e n e p t a b o m u n i m n a h u t a p e k n a g n u b u h g n a t n e t i d i s a n i s u l a h a ti r e d n e p n a h u b m a k e k n a g n e d ti k a S h a m u R k i n il k il o P Jiwa Prof . Dr . . g n a l e g a M o j o r e o S N A I T I L E N E P E D O T E M n a it il e n e p h a l a d a i n i n a it il e n e P i ti l e n e p u ti a y i s a l e r o k f it p ir k s e d m u n i m n a h u t a p e k n a g n u b u h a s il a n a g n e m a ti r e d n e p n a h u b m a k e k n a g n e d t a b o a w i J t i k a S h a m u R k i n il k il o p i d i s a n i s u l a h l e g a M o j o r e o S . r D . f o r P ang dengan n a k a n u g g n e m cros s secitonal i r a j a l e p m e m i ti l e n e P . ) 0 1 0 2 , o j d o m t a o t o N ( u ti a y s a b e b l e b a ir a v a r a t n a n a g n u b u h l e b a ir a v n a g n e d t a b o m u n i m n a h u t a p e k t a k i r e t yatiu kekambuhan dengan a r a c e s n a k u k a li d a t a d n a l u p m u g n e p a m a s r e b -samaataus ekailgu .s a l u p o P s i pada peneilitan in i adalah f o r P J S R k i n il k il o p i d n a l a j t a w a r n e i s a p o r e o S . r D jo Magelang .Menuru tdata RS J i s a n i s u l a h n e i s a p h a l m u j o j o r e o S . r D f o r P 3 a y n h u r u l e s .496 pasien selama setahun i n a l a j n e m g n a y i s a n i s u l a h n e i s a p n a k g n a d e s k a y n a b e s n a l a j t a w a r 210 pasien selama 1 n a it il e n e p a d a p i s a l u p o p a g g n i h e S . n a l u b a r a c e s l e p m a s n a li b m a g n e P . n e i s a p 0 1 2 i n i m o d n a r d e if it a r t s e t a n o it r o p o r p s i d g n il p m a s dengan menentukan k ire ira g n a y i s u l k n i bejrumlah 61 responden .Ala t a t a d n a li b m a g n e p k u t n u n a k a n u g i d g n a y a d a lah berupa kuesioner . Data dianailsi s i j u n a k a n u g g n e m n a g n e d Chis quare. N A I T I L E N E P L I S A H . a Karate irsitk responden berdasarkan j eni s n i m a l e k 1 l e b a T . KarakteirsitkResponden n i m a l e K s i n e J n a k r a s a d r e B . o N Jeni sKelamin Frekuensi Pro_(%)sentase . 1 L -l iaki a k 2 7 4 0 4,3 . 2 Perempuan 3 4 5 0 5,7 l a t o T 6 1 100,00 3 1 0 2 r e m ir p a t a d : r e b m u S s a t a i d 1 . 4 l e b a t n a k r a s a d r e B n e d n o p s e r i d a j n e m g n a y n e i s a p a g r a u l e k i n i n a it il e n e p m a l a d sebanyak 61 n i m a l e k s i n e j n a g n e d , n e d n o p s e r n e d n o p s e r 4 3 k a y n a b e s n a u p m e r e p ) % 7 , 5 5 ( . . b Karakteirsitk Responden Berdasarkan n a k i d i d n e P t a k g n i T l e b a T 2. KarakteirsitkResponden t a k g n i T n a k r a s a d r e B n a k i d i d n e P o N Pendidikan Frekuensi Pro_(%)sentase . 1 . 2 . 3 . 4 . 5 h a l o k e s k a d i T D S P M S A M S i g g n i T n a u r u g r e P 0 0 2 2 1 2 2 7 0 0 , 0 8 , 2 3 7 , 9 1 1 . 6 3 , 1 1 5 l a t o T 6 1 100,0 3 1 0 2 r e m ir p a t a d : r e b m u S

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i d 2 . 4 l e b a t n a k r a s a d r e B ata s n a k i d i d n e p a w h a b n a k k u j n u n e m A M S h a l a d a k a y n a b r e t n e d n o p s e r , ) % 1 , 6 3 ( n e d n o p s e r 2 2 k a y n a b e s n a u r u g r e P h a l a d a l i c e k r e t n a k g n a d e s .) % 5 , 1 1 ( n e d n o p s e r 7 k a y n a b e s i g g n it . c Karakteirsitk Responden Berdasarkan n e i s a p n a g n e d n a g n u b u h l e b a T 3. KarakteirsitkResponden n a g n e d n a g n u b u H n a k r a s a d r e B n e i s a P . o N _dH_gu_nb_Pu_ang_isa_e_nn Frekuensi Pro_(%)sentase . 1 . 2 . 3 . 4 . 5 . 6 . 7 h a y A u b I k a n A i m a u S ir t s I k a k a K k i d A 3 1 1 3 6 1 1 5 4 3 , 1 2 0 8 , 0 5 0 8 , 9 0 , 1 60 6 , 1 0 2 , 8 0 6 , 6 0 l a t o T 6 1 100,00 3 1 0 2 r e m ir p a t a d : r e b m u S i d 4 . 4 l e b a t n a k r a s a d r e B ata s n a g n u b u h a w h a b n a k k u j n u n e m k a y n a b r e t n e il k n a g n e d n e d n o p s e r n e d n o p s e r 1 3 k a y n a b e s u b I h a l a d a k g n a d e s , ) % 8 , 0 5 ( an terkeci l adalah s i n a d i m a u s tr i masing-masing 1 e r sponden( 1,6%.) . d Karakteirsitk Responden i d g n a y t i k a s a y n a m a l n a k p a k g n u g n e m n e i s a p a ti r e d l e b a T 4. KarakteirsitkResponden n a k r a s a d r e B LamaSaki tKilen . o N LamaSakti Frekuensi Pro_(%)sentase . 1 . 2 . 3 n u h a t 1 < n u h a t 5 d / s 1 n u h a t 0 1 d / s 6 7 2 7 1 7 3 , 4 4 0 9 , 7 2 0 5 , 1 1 0 . 4 >10t ah un 1 0 1 0 6,4 l a t o T 6 1 100,00 3 1 0 2 r e m ir p a t a d : r e b m u S s a t a i d 4 . 4 l e b a t n a k r a s a d r e B n e i s a p t i k a s a m a l a w h a b n a k k u j n u n e m n e il k 7 2 n u h a t 1 < h a l a d a k a y n a b r e t d / s 6 h a l a d a l i c e k r e t n a k g n a d e s , ) % 3 , 4 4 ( .) % 5 , 1 1 ( n e il k 7 n u h a t 0 1 . 1 aK rakteirsitk Responden Berdasarkan t a b O m u n i M n a h u t a p e K l e b a T 5. Karakteirsitkr esponden n a h u t a p e K n a k r a s a d r e B t a b O m u n i M . o N Kepatuhan Frekuensi Pro_(%)sentase . 1 Patuh 1 3 2 0 1,3 . 2 Tidakpatuh 4 8 7 0 8,7 h a l m u J ₆₁ ₁₀₀_,₀₀ 3 1 0 2 r e m ir p a t a d : r e b m u S r e B dasarkan tabe l 4.5 d i ata s n a h u t a p e k t a k g n it n a k k u j n u n e m 3 1 k a y n a b e s h u t a p , n e i s a p kilen h a l a d a h u t a p k a d it a tr e s ) % 3 , 1 2 ( 3 , 1 2 ( n e il k 8 4 k a y n a b e s % .) . 2 Karakteirsitk Responden Berdasarkan i s a n i s u l a H a ti r e d n e p n a h u b m a k e K l e b a T 6. KarakteirsitkResponden e B rdasarkanKekambuhan i s a n i s u l a H a ti r e d n e P . o N Kekambuhan Frekuensi Pros_%entase . 1 Kambuh 5 1 8 0 3,6 . 2 Tidak h u b m a K 1 0 1 0 6,4 h a l m u J ₆₁ ₁₀₀_,₀₀ 3 1 0 2 r e m ir p a t a d : r e b m u S

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s a t a i d 6 . 4 l e b a t n a k r a s a d r e B a ti r e d n e p n a h u b m a k e k n a k k u j n u n e m k a y n a b e s i s a n i s u l a h 51 k ilen (83,6% ) 8 k a y n a b e s h a l a d a h u b m a k k a d it a tr e s ) % 4 , 6 1 ( n e il k . 3 Hubungan kepatuhan Minum Oba t a ti r e d n e p n a h u b m a k e K n a g n e d i s a n i s u l a H l e b a T 7. HubungankepatuhanMinum n a h u b m a k e K n a g n e d t a b O i s a n i s u l a H a ti r e d n e p n a h u b m a k e K l a t o T k a d i T h u b m a k Kambuh n a h u t a p e K PTaidtuahk 6 7 1 3 h u t a p 4 4 4 4 8 l a t o T 1 0 5 1 6 1 r e B dasarkan tabe l 4.7 di ata s h i r a d asi l uj i chisquare dengan = α u a t a % 5 9 n a a y a c r e p e k t a k g n it X i a li n n a k t a p a d i d 5 0 , 0 2 _h_ti_u_n_g X a g r a H . 6 7 6 , 0 1 r a s e b e s 2_d_e_n_g_a_n_d _f₌ a k a m 1 4 8 , 3 r a s e b e s 1 X2htiung l ebih X i r a d r a s e b 2 _t_a_b_e_l₍₁₀_,₆₇₆ _> ₃_,₈₄₁ ₎ P i a li n n a d -value = 0,001 lebih keci l i tr a r e b g n a y ) 5 0 , 0 = α ( a h p l a i a li n i r a d a m ir e ti d ) a H ( e v it a n r e tl a s i s e t o p i h n a h u t a p e k n a g n u b u h a d a a g g n i h e s n a h u b m a k e k n a g n e d t a b o m u n i m .i s a n i s u l a h a ti r e d n e p PEMBAHASAN . 1 Kepatuhanminumoba t a ti r e d n e p t a b o m u n i m n a h u t a p e K l e b a t a d a p n a it il e n e p m a l a d i s n a i s u l a h k a y n a b e s h u t a p k a d it r a s e b n a i g a b e s 5 . 4 m u n i m n a h u t a p e K . ) % 7 , 8 7 ( a ti r e d n e p 8 4 a ti r e d n e p u k a li r e p n a d p a k i s h a l a d a t a b o ti a k r e t n a k k u j n u ti d g n a y i s a n i s u l a h , i n a l a ji d g n a y n a t a b o g n e p n a g n e d t a p a d i n i t a b o m u n i m n a h u t a p e k n a u h a t e g n e p t a k g n it h e l o i h u r a g n e p i d a g r a u l e k u a t a i s a n i s u l a h a ti r e d n e p t a b o g n i p m a s k e f e n a d t a a f n a m g n a t n e t a y n k a d it u a t a k i a b a tr e s m u n i m i d g n a y a g r a u l e k n a k ir e b i d g n a y n a g n u k u d p p a d a h r e t endertia halusinasi. Dar ihasi l r a s e b e s n e d n o p s e r k it s ir e t k a r a k a t a d a g r a u l e k n a k i d i d n e p t a k g n it % 5 , 2 5 i g g n it n i k a m e s a y n l a e d I . g n a r u k k i a b n i k a m e s n a k a g n a r o e s e s n a k i d i d n e p n a k i d i d n e p t a k g n i T . a y n n a u h a t e g n e p n a it il e n e p n e d n o p s e r i r a d h a d n e r g n a y n a k a i n i mempengaruh icaraberifki rdan i r a d a m ir e ti d g n a y i s a m r o f n i h a l o g n e m n a k u k a l e m k u t n u n a t a h e s e k s a g u t e p . h a m u ri d i s a n i s u l a h a ti r e d n e p n a t a w a r e p t a p a d n e p n a g n e d i a u s e s i n i l a H g n a t n e t n a m a h a m e p a w h a b ) 2 0 0 2 ( n e v i N t a p a d m u n i m i d g n a y t a b o i s k u rt s n i n a k u t n e n e m bahwas eseorangakandapa t h a l a s i d a jr e t n a k a k a d it n a d i h u t a m e m n a k ir e b i d g n a y i s k u rt s n i g n a t n e t m a h a p i tr e g n e m n a h a l a s e k a n e r a k , a y n a d a p t a p a d m u n i m i d g n a y t a b o g n a t n e t

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l a n o i s e f o r p n a l a g a g e k h e l o n a k b a b e s i d n a a n u g g n e p , p a k g n e l g n a y n a t a h e s e k h a li t s i - tis liah medi s dan membeirkan h e l o t a g n ii d s u r a h g n a y i s k u rt s n i k a y n a b . n e i s a p n a t a b o g n e p m a l a d n a h u t a p k a d it e K a y n s u s u h k , r a s e b h a l a s a m n a k a p u r e m g n a y a w ij n a u g g n a g a ti r e d n e p a d a p g n a j n a p a k g n a j n a t a b o g n e p n a k u lr e m e m t a g n a s t a b o m u n i m n a h u t a p e k n a d i h u r a g n e p i d oleh adanya dukungan ( a g r a u l e k famliysuppo tr)( Salleh ,1996) . t a p a d t a b o m u n i m n a h u t a p e K . a g r a u l e k n a g n u k u d i h u r a g n e p i d a g r a u l e k n a g n u k u d a y n g n a li H t r o p p u s a y n a d a k a d it k u t n e b n a k a p u r e m a ti r e d n e p p a d a h r e t a g r a u l e k m e t s i s n a g n u k u d a y n g n a li H . i s a n i s u l a h e k luarga merupakan itdak adanya t a w a r e m m a l a d a g r a u l e k n a g n u k u d n a g n a li h e K . a w ij n a u g g n a g a ti r e d n e p t a p a d i n i a g r a u l e k i r a d l a i s o s n a g n u k u d a w ij n a u g g n a g a ti r e d n e p n a k b a b e y n e m p a d a h r e t p a k i s n a n u r u n e p i m a l a g n e m n a k it n e h g n e m n a k a a g g n i h e s n a t a b o g n e p a b o m u n i m t (Stotle , 2004) . i s a n i s u l a h a ti r e d n e p n a h u t a p k a d it e K n a g n e d n a k k u j n u ti d t a b o m u n i m m a l a d i s a n i s u l a h a ti r e d n e p n a p a k g n u a p a r e b e b s u r a h t a b o m u n i m n a k a t a g n e m g n a y t a b o m u n i m h a l e t e s , n a k t a g n ii d m u n i m n a p a g n a r e b , h a m e l n a k a t a g n e m a j a s ti k a s a k it e k a y n a h t a b o . . 2 KekambuhanpendertiaHalusinasi e n e p l i s a H liitan menunjukkan a ti r e d n e p r a s e b n a i g a b e s a w h a b i n i n a it il e n e p m a l a d i s a n i s u l a h 1 5 k a y n a b e s n a h u b m a k e k i m a l a g n e m h a l a d a n a h u b m a k e K . ) % 6 , 3 8 ( a ti r e d n e p a d n a t n a d a l a j e g i l a b m e k a y n l u c n u m e i s a p n u p i k s e m n a u g g n a g n tetap i n i l a h , n a t a b o g n e p i n a l a j n e m r o t k a f a y n a d a a n e r a k n a k b a b e s i d -fakto r r o s s e rt s , k i s if t i k a s i tr e p e s n i a l a r a c e s t a b o n a a n u g g n e p u a t a , l a i s o s o k i s p i g n a r u g n e m t a p a d i d g n a y n a a m a s r e b , tr a h i N n a d d y o B ( t u b e s r e t t a b o i r a d k e f e .) 8 9 9 1 k g n ir e s n a h u b m a k e K al idialam i k a y n a b , a w ij n a u g g n a g a ti r e d n e p h e l o n a u g g n a g a ti r e d n e p n a k b a b e y n e m g n a y . n a h u b m a k e k i m a l a g n e m i n i a w ij a ti r e d n e p n a h u b m a k e k o k i s e r a y n i g g n i T j n a u g g n a g iwa in i sesua i dengan t a p a d n e p Keila t(1998 )bahwa pendertia n a k a n a k a ri k r e p i d a w ij n a u g g n a g % 0 7 , a m a tr e p n u h a t a d a p % 0 5 h u b m a k n u h a t a d a p % 0 0 1 n a d a u d e k n u h a t a d a p t i k a s h a m u r i r a d g n a l u p h a l e t e s a m il e k (Keilat ,1998) . n a k t u b e s i d k it s ir e t k a r a k a t a d i r a D h e l o a ti r e d i d g n a y i k a s a y n a m a l ti r e d n e p a < 1 tahun s/d 5 tahun u j n u n e m kkan sebesa r 54 pendertia ) % 2 7 ( . Ha l in i diperkua t oleh teor i a i n e r f o z i k s n e i s a p h u b m a k n e d i s n I n a k r o p a l e m a g u j n o s n i b o R i g g n it h a l a d a

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n e i s a p a d a p ) % 4 7 ( a m a s g n a y a k g n a 4 7 i r a D . t a b o m u n i m r u t a r e t k a d it g n a y % 1 7 , h u b m a k g n a y a i n e r f o z i k s n e i s a p % o h e r n a k u lr e m e m a y n a r a t n a i d sptiailsas i , n o s n i b o R ( 2008.) n a h u b m a k e K yang te jrad i dar i u c i m e p a p a r e b e b salah satuny a n a h u t a p k a d it e k a n e r a k n a k b a b e s i d n e i s a p a g g n i h e s t a b o m u n i m n e i s a p t a b o s u t u p yang mengakibatkan pasi en i d t a w a ri d n a d n a h u b m a k e k i m a l a g n e m a p e K . il a b m e k t i k a s h a m u r tuhan i s n e m i d it l u m a n e m o n e f n a k a p u r e m yang 7 h e l o n a k u t n e ti d dimens iy tia u fakto r r o t k a f , n a t a h e s e k m e t s i s r o t k a f , i p a r e t lingkungan , usia , dukungan keluarga , e g n e p tahuan dan fakto rsosia lekonomi . a t a i D s semua fakto r tiu , dipelrukan n e m ti m o k yang kua t dan koordinas i yang era t dar i seluruh pihak dalam u m n a t a k e d n e p n a k g n a b m e g n e m l it e m k u t n u n il p i s i d nyelesaikan i n i n e i s a p n a h u t a p k a d it e k n a h a l a s a m r e p R ( iyad i & Purwanto , 2009) . Ha l in i a w h a b n a it il e n e p l i s a h n a g n e d i a u s e s r a d n o m g n ir e s n e il k -mandri , itdak mau minum obat , bicara kacau dan su il t u a t a a r a c i b u a m k a d it , it r e g n e m i d , g n u g g n i s r e t h a d u m , u s i b m e m n a d n i a l g n a r o l u k u m e m n a d k u m a g n e m .i ri d n e s a r a c i b n a d a w a tr e t g n a d a k . 3 Hubungan kepatuhan minum oba t n a h u b m a k e k n a g n e d a d a i s il a n a l i s a h n a k r a s a d r e B t n a n a g n u b u h ara kepatuhan minum oba t n a u g g n a g a ti r e d n e p n a h u b m a k e k n a g n e d i s a k if i n g i s n a g n e d a w ij C -hisquareyang 1 0 0 , 0 = e u l a v p r a s e b e s n a k li s a h i d a d a n a k k u j n u n e m i n I . ) 5 0 , 0 < p ( t a b o m u n i m n s h u t a p e k a r a t n a n a g n u b u h . i s a n i s u l a h a ti r e d n e p n a u b m a k e k n a g n e d u n i m n a h u t a p e K m oba tyangpatuh akan i g a b n a h u b m a k e k o k i s e r n a k n u r u n e m i s a n i s u l a h a ti r e d n e P . i s a n i s u l a h a ti r e d n e p r u t a r e t a r a c e s t a b o m u n i m e m l a g a g g n a y k u t n u n a g n u r e d n e c e k i a y n u p m e m r a k u s i s a n i s u l a h a ti r e d n e p n a d h u b m a k a n e r a k t a b o m u n i m n a r u t a i t u k i g n e m a u g g n a g a y n a d a n realtia s dan . n a s u t u p e k l i b m a g n e m n a u p m a m k a d it e k u a t a t a b o m u n i m n a h u t a p k a d it e K a p n a t t a b o m u n i m n a k it n e h g n e m n a k a r e t k o d n a u h a t e g n e p e s a y n i d a jr e t o k i s e r n a k a t a k g n i n e m a ti r e d n e p a d a p ) e s p a l e r ( n a h u b m a k e k ) 6 0 0 2 ,. l a t a i u H ( a w ij n a u g g n a g . i m n a h u t a p k a d it e K num oba t t a p a d g n a y r o t k a f u t a s h a l a s n a k a p u r e m i s a n i s u l a h a ti r e d n e p n a k b a b e y n e m t a p a d i n i l a H . n a h u b m a k e k i m a l a g n e m i j u a s il a n a l i s a h a d a p t a h il i d ch isquare ” h u t a p k a d it “ n a h u t a p e k k u t n u a w h a b k a y n a b e s h u b m a k n a h u b m a k e k n a g n e d d e s i s a n i s u l a h a ti r e d n e p 4 4 angkan untuk n a h u b m a k e k n a g n e d ” h u t a p “ n a h u t a p e k a ti r e d n e p 7 k a y n a b e s ” h u b m a k k a d it “ ) 2 0 0 2 ( g n o y a b m a T t u r u n e M . i s a n i s u l a h

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m a l a d n a h u t a p k a d it e k r o t k a f 5 t a p a d r e t a y n m a h a p g n a r u k u ti a y n a t a b o g n e p n a t a b o g n e p n a u j u t g n a t n e t n e i s a p t a y n it r e g n e m k a d it , t u b e s r e t entang g n e m a y g n it n e p ikut iaturan pengobatan i d g n a y tetapkan sehubungan dengan , a y n s i s o n g o r p sukarnya memperoleh a g r a h a y n l a h a m , ti k a s h a m u r r a u li d t a b o n a d n a it a h r e p a y n g n a r u k n a d , t a b o n i k g n u m g n a y a g r u l e k n a il u d e p e k u a t a n a il e b m e p s a t a b a w a j g n u g g n a tr e b . n e i s a p a d a p e k u ti t a b o n a ir e b m e p u c i m e m t a p a d g n a y l a H n a d a w ij t i k a y n e p n a h u b m a k e k n a t a w a r e p s e s o r p g n a j n a p r e p m e m , n e i s a p h e l o i m a l a i d g n a y a w ij n a u g g n a g t a b o m u n i m k a d it a ti r e d n e p n i a l a r a t n a t n o k k a d it n a d ro l ke dokte r secara e s n a k it n e h g n e m , r u t a r e t ndri iobatt anpa a y n g n a r u k , r e t k o d i r a d n a u j u t e s r e p , t a k a r a y s a m n a d a g r a u l e k i r a d n a g n u k u d g n a y n a p u d i h e k h a l a s a m a y n a d a a tr e s a g g n i h e s s s e rt s t a u b m e m g n a y t a r e b i d t a w a ri d u lr e p n a d h u b m a k a ti r e d n e p a p a r e b e b n a k u m e ti D . ti k a s h a m u r a y n e il k a w h a b i s a m r o f n i ng kambuh t a b o m u n i m h u t a p k a d it n a d t a w a ri d t a b o a y n a d a i u l a l e m i u h a t e k i d t a p a d n a d , h a m u r r a ti k e s i d n a k u m e ti d g n a y n e il k u j a b u k a s i d t a b o n a k u m e ti d .) 0 1 0 2 , o t n a w r u P ( n a it il e n e p n a g n e d n a l a j e s i n i l a H r o t k a F l u d u j n a g n e d ) 2 1 0 2 ( n a a h a i S -g n e p m e M g n a Y r o t k a F aruh i n e i s a P t a b O m u n i M n a h u t a p k a d it e K R i m a l a g n e M g n a Y a i n e r f o z i k S elap sd i i s n i v o r P a w i J t i k a S h a m u R Medan yang a k g n a a y n i g g n it n a k k u j n u n e m n e i s a p t a b o m u n i m n a h u t a p k a d it e k n a k b a b e y n e m n a k a a i n e r f o z i k s ( n a h u b m a k e k relaps ) dan perawatan n e i s a p a d a p i l a b m e k . Kejadian i m a l a g n e m n a h u b m a k e k peningkatan g n a t n e t n a u h a t e g n e p i k il i m e m k a d it a k ij m u n i m m a l a d h u t a p k a d it , a i n e r f o z i k s n a g n u k u d t a p a d n e m k a d it n a d t a b o a g r a u l e k . n a it il e n e P yang dliakukan oleh t n a h ir P i(2010 ) hubungan itngka t n a h u t a p e k kon rto l dengan itngka t n e i s a p n a h u b m a k e k gangguan ijwa d i t i k a S h a m u R k i n il k il o P Jiwa Daerah n e m a tr a k a r u S yimpulkan ada hubungan n a g n e d l o rt n o k n a h u t a p e k t a k g n it a r a t n a n a u g g n a g n e i s a p n a h u b m a k e k t a k g n it . a w ij N A L U P M I S E K g n a y n a it il e n e p l i s a h n a k r a s a d r e B n a k a n a s k a li d h a l e t d i Poilkilnik Rumah a d a p g n a l e g a M o j o r e o S . r D . f o r P a w i J ti k a S i l u J n a l u b - Agustu s2013 ,dapa t dtia irk :t u k ir e b i a g a b e s n a l u p m i s e k t a b o m u n i m n a h u t a p e k n a g n u b u h a d A i d i s a n i s u l a h a ti r e d n e p n a h u b m a k e k n a g n e d . g n a l e g a M o j o r e o S . r D . f o r P J S R k i n il k il o P t a p e k uhan minum oba tdapa tmengurang i

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a ti r e d n e p a d a p n a h u b m a k e k o k i s e r i s a n i s u l a h . . 1 Kepatuhan minum oba t pendertia t i k a S h a m u R k i n il k il o P i d i s a n i s u l a h g n a l e g a M o j o r e o S . r D . f o r P a w i J % 7 , 8 7 u ti a y , h u t a p k a d it r a s e b n a i g a b e s k g n a d e s , i s a n i s u l a h a ti r e d n e p 8 4 u a t a an . h u t a p 3 1 u a t a % 3 , 1 2 . 2 Kekambuhan pendertia halusinas i d i . r D . f o r P a w i J t i k a S h a m u R k i n il k il o P 1 5 u a t a % 6 , 3 8 u ti a y , g n a l e g a M o j o r e o S 0 1 n a k g n a d e S , i s a n i s u l a h a ti r e d n e p % 4 , 6 1 u a t a i s a n i s u l a h a ti r e d n e p . h u b m a k k a d it g n a t n e r i a y n u p m e m N A R A S k a l o t k it it r e B dar i kesimpulan yang a k a m s a t a i d n a k g n a b m e k i d h a d u s : a d a p e k n a k i s a d n e m o k e ri d . 1 PihakRumahSaktiJ iwa l i s a h n a d n a it il e n e p l i s a h i r a d b a w a j n e M i d n a k u k a li d h a l e t g n a y n a s a h a b m e p n a k i d i d n e p n a k ir e b m e m , ti k a s h a m u r r o t k a f g n a t n e t n a t a h e s e k -fakto r yang e p e m e m ngaruh ikepatuhan minum oba t . i s a n i s u l a h a ti r e d n e p n a h u b m a k e k n a d t a p a d n i k g n u m k i n il k il o P i d s a g u t e P n a k i d i d n e p m a r g o r p n u s u y n e m n a d n it u r n a h u l u y n e p u a t a n a t a h e s e k t a b o r e b t a a s a d a p a g r a u l e k i g a b t a k g n i s n a k t a p a d n e m u l a l e s a g r a u l e k a g g n i h e s r e t i s a m r o f n i baru yang bermanfaa tbag i n a ir e b m e P . n e i s a p n a h u b m e y n e p s e s o r p n a k a p r a h i d n e i s a p a g r a u l e k i g a b t e lf a e l g n it a d a g r a u l e k p a it e s n a k u k a li d t a p a d u l a l e s a k e r e m a g g n i h e s t a b o r e b a n a m a i a g a b g n a t n e t t a g n i g n e m . h a m u r i d i s a n i s u l a h n e i s a p n a t a w a r e p . 2 Profes ikeperawatan n a u h a t e g n e p n a k t a k g n i n e m t a w a r e p i g a B n a g n e d l a m r o f n o n n u p u a m l a m r o f k i a b u l a l e s a y n k a d n e h i n i n a it il e n e p l i s a h g n a y n a u h a t e g n e p h a b m a n e m m u n i m n a h u t a p e k n a g n e d n a g n u b u h r e b p a d a h r e t a y n h u r a g n e p n a d t a b o t a p a d a g g n i h e s , n a h u b m a k e k k i d i d n e p n a k ir e b m e m an kesehatan pada .t a p e t n a g n e d a g r a u l e k n a d n e i s a p . 3 Bag i Sekolah Tinggi lImu Kesehatan e t a l K a m a G a t u D n a s i b i n i n a it il e n e p l i s a h n a k p a r a h i D t a p a d a g g n i h e s , a k a t s u p n a ij a k n a k i d a ji d i a n e g n e m g n a y u r a b i s n e r f e r h a b m a n e m n a g n e d t a b o m u n i m n a h u t a p e k a h u b m a k e k n pendertia halusinas i d i . r D . f o r P a w i J t i k a S h a m u R k i n il k il o p g n a l e g a M o j o r e o S . 4 Keluargapendertiahalusinasi u p m a m n a k p a r a h i d , a g r a u l e k i g a B k i a b n e i s a p i g a b n a g n u k u d n a k ir e b m e m , l a u ti ri p s , ir e t a m , li r o m n a g n u k u d m a l a d n e i s a p a g g n i h e s l a i s o s n a g n u k u d n a d m a l a d h u t a p h i b e l k u t n u i s a v it o m r e t .t a b o m u n i m . 5 Peneilits elanjutnya t a p a d a y n t u j n a l a s n a it il e n e p n a k p a r a h i D g n a y u c n a r e p l e b a ir a v n a k il a d n e g n e m n e i s a p a d a p n a h u b m a k e k i h u r a g n e p m e m

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n a h u t a p k a d it e k n i a l e s n i a l e s i s a n i s u l a h .t a b o m u n i m A K A T S U P R A T F A D , d y o B M.A & Nihatr , M.A. , (1998) . y r a r o p m e t n o c g n i s r u n c i r t a i h c y s P 9 ( e c it c a r p th₎_,_P_h _li_a_d_e_l_h_i_a _:_L_i_p_p_i_n_c_o_t_t . y n a p m o C n e v a R . 9 0 0 2 , . D ir a w a H Manajemen Srte sCema s a u d e K i si d E . i s e r p e D n a d . I U K F , a tr a k a J , i c u S , . M . B , g n o b o K , . A . B , t a il e K i g A , . A . E , g n u l a g a t u H ,. S . E ananda ,F. , , o t n a y i g u S , h a y s n a m r I , . F , h a i s u a F . ) 6 0 0 2 ( , . S , n a w a n u G n a d , . R . P g n a r o p a d a h r e t i t a p m e i t n a n e M a w ij n a u g g n a g n a g n e d .(cetakan I) . & a n a c n e B n a ij a K t a s u P : a tr a k a J n e m e tr a p e D n a s a r e k e k k a d n i T I U K F i rt a i k i s P -RSCM. . ) 2 0 0 2 ( , . N , n e v i N P iskolog i kesehatan & t a w a r e p k u t n u r a t n a g n e p n i a l n a t a h e s e k l a n o i s e f o r p ) n a h a m e j r e t( . Edis i Kedua . Jakatra : C G E n a r e t k o d e K u k u B . 0 1 0 2 . S , o j d o m t a o t o N Metodolog i n a t a h e s e K n a it il e n e P .J aka tra :RinekaCipta . ) 9 0 0 2 ( . T , o t n a w r u P & , . S , i d a y i R Asuhan a w ij n a t a w a r e p e k .Yogyakatra :Graha u m lI .) 8 0 0 2 ( . D , n o s n i b o R Predicto rof frelapse t s r if e h t m o r f n o p s e r g n i w o ll o f r o a i n e r h p o z i h c s f o e d o s i p e t n e m t r a p e d , r e d r o si d e v it c e ff a o z i h c s y rt a i h c y s P f o ,HillsideHosptial ,Long . d n a l s i . ) 6 9 9 1 ( ,. R . M , h e ll a S Treatmen tcompilance a i n e r h p o z i h c s e s p a l e r n i . 4 2 : ) 1 ( . n e i c S . d e M .J .l a M - 92 . ) 2 1 0 2 ( , n a a h a i S Faktor-Fakto r Yang n a h u t a p k a d it e K i h u r a g n e p m e M g n a Y a i n e r f o z i k S n e i s a P t a b O m u n i M t i k a S h a m u R i d s p a l e R i m a l a g n e M n a d e M u s v o r P a w i J . Diperoleh 15 i r a d 3 1 0 2 s u t s u g A / d i. c a . u s u . y r o ti s o p e r/ /: p tt h a rt s b A / 6 / 2 3 4 7 2 / 9 8 7 6 5 4 3 2 1 / m a e rt s ti b f d p .t c , g n o y a b m a T J an. 2002. Farmakologi k u t n U Keperawatan. Jakatra: a k i d e M a y d i W t i b r e n e P , 7 0 0 2 , I , f e s o Y Keperawatan Jiwa ,Edis i R : a tr a k a J ,i s i v e R eifkaAdtiama