EXTRAPYRAMIDAL SYMPTOMS AND ADHERENCE OF SCHIZOPHRENIA PATIENTS IN TAMPAN MENTAL HOSPITAL RIAU PROVINCE: A CROSS-SECTIONAL STUDY

Abstract

Schizophrenia is a condition in the form of a collection of clinical symptoms that are varied, highly disturbing, psychopathology involving cognitive, emotional perception and other aspects of behavior. The management of schizophrenia therapy uses antipsychotics. The use of antipsychotics has extrapyramidal side effects that can affect patient medication compliance. This study aims to analyze the effect of extrapyramidal side effects on adherence to taking medication for patients with schizophrenia by comparing the incidence of extrapyramidal side effects and types of extrapyramidal side effects on adherence to taking patient medicines. This study is an analytic descriptive observational
study with a cross-sectional approach. The study sample was schizophrenia patients who were hospitalized at Tampan Mental Hospital as many as 55 people who were taken by cluster sampling method. The results of data analysis showed that 48% of patients experienced extrapyramidal side effects with the types of extrapyramidal symptoms were pseudoparkinson 41.38%, akathisia 31.03%, acute dystonia 27.59% and dyskinesia tardif 0%. Meanwhile, patients with a high level of compliance amounted to 58.33% and low compliance amounted to 41.67%. Based on the incidence of extrapyramidal side effects on the compliance score, the value of p=0.105 (p>0.05) and the type of extrapyramidal side effects on the compliance score, the value of p=0.326 (p>0.05). Based on the results of the study, it is known that the incidence of extrapyramidal side effects and the type of extrapyramidal side effects do not affect the medication adherence score of schizophrenia patients at Tampan Mental Hospital, Riau Province.