Claim Missing Document
Check
Articles

Family Caregivers Challenges for Stroke Survivors in the Community: A Literature Review Israfil, Israfil; Wulandari, Sarah Kartika; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.843

Abstract

Stroke is a chronic condition that significantly reduces the patient's quality of life and increases the need for support from family caregivers. This situation places the family as a crucial element in patient care, yet often presents significant challenges for family caregivers. This study aims to identify and describe the various challenges faced by families caring for stroke patients in the community. A literature review design was employed. Relevant articles published between 2020 and 2025 were retrieved from international databases including PubMed and ScienceDirect, using the keywords "family challenges" OR "family burden" AND "stroke" OR "stroke survivor." The inclusion criteria were determined using the PEO framework. A total of 346 articles were identified, and fifteen articles met the inclusion criteria for the review. The findings indicate that family caregivers of stroke patients face various challenges due to the complex demands of care, ranging from emotional stress at the time of diagnosis to physical and social challenges during home care. Challenges are further exacerbated when the patient experiences dysphagia, severe disability, or psychological problems such as depression and anxiety. Factors contributing to these challenges include the family caregiver's employment status, educational level, kinship relationship, social support, knowledge of stroke rehabilitation, the transition process from hospital to home, limited access to healthcare, and limited social activities. Caring for stroke patients presents significant challenges for families, who serve as the primary caregiver system and play a central role in community care. Interventions that support family caregivers through education, psychosocial support, and access to adequate health and rehabilitation services are crucial for community nurses to reduce caregiver burden and improve the quality of life for both family caregivers and stroke patients in the community.
Occupational Exposure and Risk Factors for Musculoskeletal Symptoms Among Workers: A Literature Review Indrayani, Ni Luh Dwi; Israfil, Israfil; Suyasa, I Gede Putu Darma; Pimsen, Apiradee
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.846

Abstract

Early musculoskeletal (MSK) symptoms across occupations often present as strain or fatigue, which may progress into long-term disorders and contribute to global burden disease. This reviewed literature examined occupational exposures and their association with musculoskeletal (MSK) symptoms related to work using MeSH term and Emtree in structuring a framework of population, context, and concept. The population (P) included workers, the concept (C) focused on prevalence and exposure, and the context (C) addressed musculoskeletal pain, discomfort, or symptoms. Eligible studies reporting self-reported prevalence or occupational risk factors were systematically extracted and summarized. Findings among 9 articles indicated majority prevalence of MSK symptoms higher than 60% measured mostly by Nordic Musculoskeletal Questionnaire (NMQ). The highest body part major in low back and upper limbs including wrists for pink-collar, while in blue-collar workers fairly distributed in upper and lower limbs. The physical exposure mainly due to injury body weight, meanwhile psychosocial occupational exposures such as mental stress, job tenure contribute significantly to musculoskeletal symptoms (p<0.001) rather than physical exposure, with prevalence and distribution varying across body regions and occupational groups. These results emphasize the need for baseline data to guide future research based on job demands and inform targeted preventive strategies and workplace interventions.
Understanding the Multifaceted Roles of Families in Caring for Palliative Patients in the Community: A Systematic Literature Review Israfil, Israfil; Buntari Agustini, Ni Luh Putu Inca; Suyasa, I Gede Putu Darma; Vitug, Portia Zoleta-
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2383

Abstract

Enhancing family support in community-based palliative care is a growing global priority given the family's role as the primary caregiver for long-term palliative care patients in the community. This is a systematic literature review that aimed to synthesize recent evidence on the roles and contributions of families in caring for palliative patients in the community. A literature search was conducted through PubMed and ScienceDirect databases using the keywords “family role” OR “family support” AND “palliative” OR “palliative care.” The PEO framework guided the selection process, focusing on Population: families of palliative patients; Exposure: family caregiving roles; and Outcome: fulfillment of palliative care needs. Nine articles published between 2020 and 2025 met the inclusion criteria. The review identified diverse and interrelated family roles, including providing emotional and social support, delivering direct care, coordinating with healthcare professionals, engaging in decision-making and communication, and facilitating health education. Families also carried significant social and cultural responsibilities while adopting protective and adaptive coping strategies. The findings highlight that families are not merely companions but act as care managers, communicators, and educators who critically influence the quality of home-based palliative care. A unique insight from this review is the emphasis on the transitional phase from hospital to home as a crucial period requiring enhanced family capacity, structured coordination, and psychosocial support. Strengthening family education, telemedicine-based coordination, and community linkages emerges as a vital strategy to ensure holistic and sustainable palliative care delivery within community settings. Community nurses need to involve and meet the needs of families as clients in a nursing care plan that does not only focus on the needs of palliative patients
Co-Authors Abdul Haris Abdurrahman, Firman Ah Yusuf, Ah Amin, Nur Syariful Arba Arba Arnaya, I Gede Putu Suka Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Bai, Marieta Kristina Sulastiawati Banhae, Yulianti Kristiani Beni, Hakiki Handar Buntari, Ni Luh Putu Inca Agustini Cahyadi, Herry Suwaja Cintariasih, Putu Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Drs. I Wayan Darsana,M.Ed . Duygulu, Sergul Edi Sanjana, I Wayan Fauzia, Erlina Ferry Efendi Haeratun, Haeratun Hamu, Antonia Handi Partiwi, Putu I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gusti Agung Tresna Wicaksana I Gusti Ngurah , Aryana I Kadek, Miki Indra Bela I Ketut Swarjana I Nengah Agus Mega Aryawan I Putu Gede Darmayasa Ida Ayu Ketut Adi Setiawati Ilya Krisnana, Ilya Imaniar, Mahrati INA DEBORA RATU LUDJI Indah, Sulistia Indrayani, Ni Luh Dwi Irfan Irfan Irfan Irfan Irmansah, Irmansah Kamaryati, Ni Luh Putu khusnul khotimah Kusmadi, I Kadek Doni Lesomar, Ulifa Making, Maria Agustina Maria Agustina Making Mindo Sinaga, Mindo MMSI Irfan ,S. Kom Muchlis Muchlis Muh. Fitrah, Muh. Musakir Salat Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Leni Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Dwi Indrayani Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Tutik Hermi Wahyuni Ni Made Candra Citra Sari Ni Made Wirantini Ni Made, Ratih Comala Dewi Nooiad, Ganyanee Norma Tiku Kambuno Nugroho, Febtian C. Nurhayati Nurhayati Nurhijriah, Nurhijriah Nurrahmania, Nurrahmania Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Pimsen, Apiradee Portia, Vitug Prasetyanto, Yohanes Ari Purnama Sari, Putu Mariany Putra, Komang Ardidhana Nugraha Rittiruang, Amonwan Sagita, Ni Wayan Riska Sanjaya, Febry Sari, Aninda Rahma Sastrawati, Desak Kadek Selasa, Pius Sri Dewi Megayanti Sri Rahayu, Dewa Ayu Erna Sriasih, Ni Kadek Sriwahyuningsih, LG Nita Strisanti, Ida Ayu Suptika Suantari, Luh Ari Surayya, Ita Suryani, Ni Wayan Susanti, Ni Putu Aries Tammubua, Milcha Handayani Tanuparbrungson, Supawan Trifonia Sri Nurwela, Trifonia Sri Tripayana, I Nyoman Trivonia Sri Nurwela Untung Sujianto Vitug, Portia Zoleta- Wahyu Mulyadi Wahyu, I Made Yudi Wahyuni, Ni Komang Sri Wardana, Dewa Gede Wisnu Wilianarti, Pipit Festi Wulandari, Sarah Kartika Yogi RS, I Gusti Agung Yudi Apriani, Ni Luh Putu Yuni S. Arief Yusniawati, Yustina Ni Putu