Factors Influencing Relapse People with Mental Health Disorders in Indonesia

A cross – sectional study was conducted to study the effects of demographic characteristics, stigma, home visit and stress of caregiver on relapse people with mental disorders in West Sumatera Province, Indonesia. Using a structured questionnaire, data were derived from 313 of caregivers from Mey until July 2013. Descriptive statistic was used to describe demographic characteristic, stigma, home visit and stress of caregivers on the relapse of people with mental disorders while the effect between these factors and relapse was determined by binary logistic regression. This study found there was no significant relationship between age and occupational of caregivers and relapse people with mental disorders. While when those factors entered in binary logistic the entire variable had statistically significant effect to relapse people with mental disorders. The strongest predictor of relapse people with mental disorders was stress of caregiver, recording an odd ratio 8.06. This indicated that caregiver whose stress were over 8 times more likely to increase relapse people with mental disorders than those with less stress. The lowest predictor were age of caregivers an odd ratio of 2.07. It is important for mental health nurse to strengthen their therapeutic relationship with patients and their caregivers. Stress of caregivers can appear because of lack of support from environment and might be because of lack of knowledge and coping skill of caregivers. Furthermore, the home visiting program needs to be improved because of the increased knowledge of nurses in caring for people with mental disorders can reduce relapse. Besides that it is a form of participation and support from social networks.