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Journal : Journal of Rural Community Nursing Practice

The Burden of Family Caregivers in the Care of Type 2 Diabetes Mellitus Patients: A Literature Review Setyoadi; Meiliana, Sindy Wahyuarista; Hakim, Faradinanta Oktavia; Hayati, Yati Sri; Kristianingrum, Niko Dima; Kartika, Annisa Wuri; Sandi, Prinovi Sapta
Journal of Rural Community Nursing Practice Vol. 2 No. 1 (2024): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v2i1.207

Abstract

Background: This literature review study is based on the increasing number of people with Type 2 Diabetes mellitus (DMT2) which has an impact on the burden of family caregivers. Chronic T2DM disease requires long-term treatment and has an impact on the physical, psychological, social, and economic family. The burden of family caregivers causes stress, burnout, helplessness, and depression. Purpose: This literature review is intended to analyze the burden of family caregivers experienced when helping to care for family members with T2DM. Methods: This study method uses a literature review design conducted on 10 articles obtained from 3 data bases, namely EBSCO, PubMed, and Science Direct. The keywords used in article searches are "family burden OR burnout" or "caregiver burden OR burnout", AND "type 2 diabetes mellitus" with "AND" and "OR" as Boolean operators. Results: The results of the literature review found that family caregivers who do not have enough knowledge and skills in caring for family members with DMT2 and get this unprecedented patient condition cause family caregivers stress and discomfort, bringing them to mental, physical, social, and economic burdens because the only thing that concerns them is how they will persist in the face of the current conditions they are experiencing as well as the future of the family. Conclusions: The importance of the role of family nurses in providing upport in unraveling the burden experienced by family caregivers.
The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.