RACHMANA, HAWA WINATI (2024) GAMBARAN COPING STRESS PADA FAMILY CAREGIVER PENDERITA SKIZOFRENIA TERHADAP STIGMA. S1 thesis, Universitas Mercu Buana Jakarta.
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Abstract
This research aims to provide an overview of stress coping mechanisms in family caregivers of individuals with schizophrenia, particularly in relation to stigma. Coping with stress is a process in which individuals attempt to manage the perceived gap between the demands of a stressful situation and their ability to meet those demands. Family caregivers may face significant challenges and experience stress if they are unable to cope effectively. This study employs a qualitative research method with a phenomenological approach. Data collection methods include semi-structured interviews, field notes, and input from one significant other closely related to the participant. The research involved four family caregivers who have family members diagnosed with schizophrenia. Data were analyzed using source triangulation. The results show that all four participants experienced stigma in the forms of labeling, stereotyping, separation, and discrimination. Three of the family caregivers exhibited physiological stress symptoms such as headaches, chest tightness, and cold sweats. Psychological reactions observed in all four caregivers included feelings of sadness, fear, and negative thoughts about themselves. To cope with these stressors, participants employed both problem-focused and emotionfocused coping strategies, although not all used the same coping mechanisms. However, all four subjects demonstrated similar coping behaviors, including selfcontrol, distancing, positive appraisal, and accepting responsibility, while avoiding avoidance strategies in caring for their family members. This is attributed to the sense of responsibility, obligation, and the close emotional bond between the caregivers and their family members with schizophrenia, along with their faith in God and their ability to derive positive lessons from caring for their loved ones. Keywords: Coping Stress, Family Caregiver, Stigma, Schizophrenia Penelitian bertujuan untuk mendapatkan gambaran coping stress pada family caregiver penderita skizofrenia terhadap stigma. Coping Stress adalah suatu proses di mana individu mencoba mengatur antara kesenjangan persepsi antara tuntutan situasi yang menekan dengan kemampuan mereka dalam memenuhi tuntutan tersebut. Family caregiver dapat mengalami kesulitan yang besar dan mengalami stres jika mereka tidak mampu mengatasi stres yang dialaminya. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan fenomenologi, metode pengumpulan data dalam penelitian ini adalah wawancara semi-terstruktur, catatan lapangan dan significant other sebanyak satu orang terdekat partisipan. Penelitian dilakukan pada empat family caregiver yang memiliki anggota keluarga pengidap skizofrenia. Data dianalisis menggunakan triangulasi sumber Hasil penelitian menunjukan bahwa keempat partisipan mengalami stigma baik labeling, stereotip, separation, dan diskriminasi. Ketiga partisipan family caregiver yang memiliki anggota keluarga pengidap skizofrenia memiliki stress fisiologis seperti rasa sakit di kepala, dada sesak, keringat dingin dan reaksi psikologis yang terjadi pada ke empat family caregiver yaitu merasa sedih, ketakutan dan memiliki pikiran negatef tentang dirinya. Untuk menghadapi stressor tersebut partisipan melakukan coping stress baik problem focused coping maupun emotion focused coping, namun tidak semuanya melakukan strategi koping yang sama, dan pada keempat subjek terlihat melakukan bentuk coping stress yang sama yaitu self control, distancing, positive appraisal dan accepting responsibility serta tidak menggunakan avoidance saat merawat anaknya. Ini terjadi karena adanya rasa tanggung jawab dan kewajiban dari seorang family caregiver serta ikatan emosional yang erat antara subjek dan anggota keluarganya yang mengidap skizofrenia, berserah diri kepada Tuhan serta mereka mampu mengambil pelajaran atau nilai positif dari merawat anggota keluarga mereka yang mengidap skizofrenia. Kata Kunci: Coping Stress, Family Caregiver, Stigma, Skizofrenia
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