Mekanisme Koping "Burnout" Caregiver terhadap Pasien Paliatif di Kota Medan

Abstract

Palliative patients face limitations due to their illness need a caregiver to help with the activities or needs of palliative patients in daily life daily life to the needs of the treatment or healing process of the disease. Caregiver of palliative patient experience burnout in the low to high categories when dealing with palliative patients who have diverse traits and behaviors. Some cases of burnout found in Medan city on several caregivers of palliative patients, one of which is a study conducted at Hospital Santa Elisabeth Medan, it found that 34% of nurses who were in the inpatient room experienced burnout syndrome with a high category. Therefore, this study has (1) To identify how burnout is experienced by caregivers of palliative patients; (2) To know and analyze the coping mechanisms mechanisms used by caregivers in overcoming burnout when facing palliative patients. This study found that each palliative patient caregiver informant experienced burnout characterized by mental and physical fatigue, cynicism, and cynicism, physical exhaustion, having an attitude of cynicism towards oneself and others, and ineffectiveness in managing time, ineffectiveness in managing time, emotions, and interpersonal relationships. Coping mechanisms owned by caregivers in this study are dominant to emotion-focused coping and one of them has two coping mechanisms, namely emotion-focused coping and problem- focused coping. The role of social workers is very important in the process of caring for palliative patients.This study provides recommendations to caregivers of palliative patients, Independent Social Workers of Indonesia (IPSPI) DPD of North Sumatera, and provide recommendations to hospitals in Medan City regarding the importance of training to caregivers of palliative patient related to burnout and how to manage positive coping mechanisms, then recommendations to the Independent Social Workers of Indonesia (IPSPI) DPD North Sumatera and hospitals in Medan City.