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Original Research



Early detection of family mental health based on community mental health nursing toward a healthy life alert village in Indonesia

Sunanita, Suhartono.




Abstract

Background: Mental disorders become a serious mental health problem in Indonesia. Based on basic health research, in 2013, the prevalence of national severe mental disorders was 1.7%. Improper handling by a part of the community is that the number of people with mental disorders is still high. Early detection of family mental health is an effort carried out by mental health cadres to find out the mental health condition of the family, as an increase in communitybased mental health services through the formation of a healthy mental alert village.

Objectives: The purpose of this study was to identify the family mental health classification and the formation of a healthy mental alert village.

Materials and Methods: This research method is quantitative and qualitative, using quantitative survey with a cross-sectional approach that is descriptive. Qualitatively, the process of forming a healthy mental alert village with the Community Mental Health Nursing approach. This study involved 336 families consisting of 1297 household members who came from all ages as respondents, obtained when determining the village of Tahulu as a village of healthy mental alertness. The sampling technique used is clusters sampling. Early detection is carried out by cadres who have been trained for the previous 2 days.

Results: The results of this study showed that most families in the village of Tahulu, Merakurak District, Tuban Regency, were healthy families (70.83%), a small percentage 25% of families were at risk, and 3.27% were disturbed. Most of the inhabitants of Tahulu village were classified as healthy as 1085 people, or around 89.45% of the total population studied, 9.48% at risk of psychosocial problems, and 1.07% at risk. Most nursing diagnoses that arise are anxiety, based on information obtained anxiety that arises due to thinking about the illness, family economic problems, and social relations.

Conclusion: The conclusion of this study is that most families in the village of Tahulu are healthy souls and a small number of families have people with mental disorders who need further and special actions. Some recommendations are for the village government to allocate funds for the sustainability of the village to be healthy. To open the Psychology of the Soul at the community health center to facilitate mental health services. For the Tuban District Health Office to facilitate the referral process, and for the East Java Provincial Health Office to direct guidance to mental health cadres in the village of Tahulu. Mapping of family mental health will provide appropriate health services according to community needs as a form of secondary prevention.

Key words: Community; Nursing; Mental Health; Village






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