ORIGINAL ARTICLE

Increasing the Quality of Life of Post Shackling Patients Through Multilevel Health Promotion of Shackling Prevention

Arif Widodo , Yayi Suryo Prabandari, Aris Sudiyanto, Ibrahim Rahmat

Arif Widodo
Student in Doctoral program Faculty of Medicine Public Health and Nursing – Universitas Gadjah Mada– Yogyakarta – Indonesia Lecturer in Nursing Study Program – Health Science Faculty - Universitas Muhammadiyah Surakarta, Indonesia. Email: arif.widodofik@gmail.com

Yayi Suryo Prabandari
Lecturer in Magister Public Health Program – Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada – Yogyakarta – Indonesia

Aris Sudiyanto
Lecturer in Medicine Faculty – Universitas Sebelas Maret Surakarta - Indonesia

Ibrahim Rahmat
Lecturer in School of Nursing, Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada – Yogyakarta – Indonesia.
Online First: August 01, 2019 | Cite this Article
Widodo, A., Prabandari, Y., Sudiyanto, A., Rahmat, I. 2019. Increasing the Quality of Life of Post Shackling Patients Through Multilevel Health Promotion of Shackling Prevention. Bali Medical Journal 8(2). DOI:10.15562/bmj.v8i2.1470


Introduction:  Shackling still poses a significant obstacle to rehabilitate patient with mental disorder and often resorted by family or community. Shackling could have a negative impact toward patient’s mental health and often resorted due to lack of information. Therefore, this study aimed to evaluate the effect of multilevel health promotion to shackling prevention (MHPSP) toward the behavioral component of family/caregivers, neighbors, cadres, and health workers (stakeholders) and also evaluating its effect toward patient’s quality of life.

Method:  This study uses a quasi exeperimental method with pre-test and post-test model with repetead measures design. The research subjects were 32 post-shackling patients lived in Sukoharjo Regency and 31 from Klaten Regency as well as. MHPSP was given to 32 caregivers and stakeholders who come from Sukoharjo Regency as a treatment group and psychoeducation only to 31 caregivers of control group from Klaten Regency. Quality of life measurments were carried out before treatment and four months after giving MHPSP.

Result : The result showed that MHPSP significantly enhance the behavioral component of the family/caregivers as well as neighbors, cadres and health workers (p<0.05). Furthermore, patient quality of life was significantly improved in the treatment group (MHPSP) compared to the control.

Conclusion: It can be concluded that MHPSP could significantly enhance the behavioral aspects of the families, neighbors, and health workers toward post-shackled PMD patients and significantly improved their quality of life. Therefore, MHPSP is needed to be implemented not only to the patient but also to the people that directly interact with them.

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