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Family support in the elderly with type 2 diabetes mellitus: A literature review Indra Frana Jaya KK; Amelia Putri; Brahma Putra Wijaya; Ahmad Zulkarnaen
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.41

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with an increasing prevalence among the elderly and requires long-term management to prevent complications. Effective diabetes management depends not only on medical treatment but also on consistent self-care behaviors and medication adherence, in which family support plays an essential role. Objective: This study aimed to examine the role of family support in the management of Type 2 Diabetes Mellitus among elderly patients through a literature review. Methods: A literature review was conducted by analyzing relevant articles published in international peer-reviewed journals focusing on family support and diabetes management in elderly populations. Articles were selected based on predefined inclusion criteria related to study population, family support dimensions, and diabetes management outcomes. The selected literature was systematically reviewed and synthesized to identify patterns and key findings regarding the role of family support. Results: The findings demonstrated that family support, including emotional, informational, and instrumental support, was associated with improved glycemic control, better medication adherence, enhanced self-care behaviors, and improved quality of life among elderly patients with T2DM. However, several barriers were identified, such as limited family knowledge about diabetes management and restricted access to healthcare services, which may reduce the effectiveness of family support. Conclusion: Family support plays a critical role in the effective management of Type 2 Diabetes Mellitus in the elderly. Strengthening family-centered health education and integrating family involvement into long-term diabetes care models are recommended to optimize clinical outcomes and improve the overall quality of life of elderly patients with T2DM.
The utilization of robotic technology as a support for rehabilitative nursing care in stroke patients with impaired physical mobility: A scoping review Indra Frana Jaya KK; Aris Citra Wisuda; M Agung Akbar; Afrida Pratiwi; Agusdiman Saputra; Ahmad Zulfikri; Arif Billah Pangestu Idil Adha; Ayu Andira; Ayu Safitriyana
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.883

Abstract

Background: Stroke frequently causes persistent mobility impairment and dependence. Robotic rehabilitation offers intensive, repetitive, and measurable practice, but its integration with rehabilitative nursing care remains insufficiently mapped. Objective: To map robotic technologies used for adult stroke survivors with impaired physical mobility, summarize functional outcomes, and identify implications and evidence gaps for rehabilitative nursing care. Methods: A scoping review guided by PRISMA-ScR was conducted. PubMed, Scopus, ScienceDirect, ProQuest, CINAHL, Google Scholar, and Wiley Online Library were searched for peer-reviewed primary studies published in English from January 2019 to May 2026. Eligible studies involved adult stroke survivors, evaluated a robotic rehabilitation technology, and reported mobility- or function-related outcomes. Data were charted and synthesized descriptively. Results: Twenty-seven studies were charted. Technologies included robot-assisted gait-training systems, lower-limb exoskeletons, end-effector devices, upper-limb robotic systems, robotic hand devices, soft robotic gloves, and socially assistive robots. Reported benefits primarily concerned gait, balance, limb motor function, coordination, activities of daily living, and independence. Findings were heterogeneous, and robotic interventions were not consistently superior to intensive conventional rehabilitation. Nursing relevance centered on readiness and mobility assessment, fall-risk management, monitoring of physiological and activity tolerance, education, motivation, and evaluation of nursing-sensitive functional outcomes. Few studies explicitly evaluated nurses' roles or integration with the nursing process. Conclusion: Robotic technology is a promising adjunct to interdisciplinary stroke rehabilitation but should not replace conventional therapy or therapeutic human interaction. Nursing-led implementation research is needed to establish safety protocols, competency requirements, workflow models, patient-selection criteria, and nursing-sensitive outcomes.
Nurse-led education for adults receiving maintenance hemodialysis: A scoping review Fermata Sari; Elsa Sylvia; Neny Nursahaza; Ayu Prasweti Priambodo; Anastasia Anna; Indra Frana Jaya KK
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.905

Abstract

Background: Adults receiving maintenance hemodialysis manage complex treatment schedules, medicines, vascular access, and dietary and fluid restrictions. Nurse-led education may support these tasks, but intervention formats and reported outcomes are heterogeneous. Objective: To map the characteristics, delivery methods, educational components, and reported outcomes of nurse-led education for adults receiving maintenance hemodialysis. Methods: Original quantitative, qualitative, or mixed-methods studies published in English from 2020 through 2026 were eligible when adults receiving maintenance hemodialysis were included and nurses led or coordinated the educational intervention. PubMed, ScienceDirect, CINAHL, and ProQuest were searched. The source records did not preserve a defensible database-specific last-search date. Study characteristics, intervention content and delivery, outcomes, and authors’ reported findings were charted and synthesized descriptively. The number of independent reviewers and pilot-testing of the charting form were not documented in the source records. Results: Of 245 records identified, 45 duplicates were removed, 200 records were screened, 40 full-text reports were assessed, and 9 studies were included. Interventions used individualized education, teach-back with booklets, theory-informed education, the 5A model, telephone or SMS follow-up, counseling, and hierarchical nurse-led management. Studies most often reported knowledge, self-management, treatment adherence, dietary or fluid management, quality of life, and hospitalization. Most studies reported improvement in at least one outcome, although designs, intervention intensity, measures, and follow-up varied. Conclusion: Nurse-led education for hemodialysis was delivered through diverse, often individualized and longitudinal approaches. The mapped evidence suggests potentially useful strategies for routine nursing practice, but this scoping review does not establish comparative effectiveness. Future research should report intervention components and outcomes consistently and use robust controlled designs with longer follow-up.
Co-Authors AA Sudharmawan, AA Abdul, Zabidah Afrida Pratiwi Agus Priadi Agusdiman Saputra Agusdiman Saputra Ahmad Zulfikri Ahmad Zulkarnaen Akbar, M. Agung Alex Atmasubrata ALKHUSARI Amelia Putri Anastasia Anna Andre Utama Saputra Angel Putri Anggraini Dwika Damayanti Ardiansyah, Berlian Arif Billah Pangestu Idil Adha Aris Citra Wisuda Ayu Andira Ayu Andira Ayu Prasweti Priambodo Ayu Prawesti Priambodo Ayu Safitriyana Ayunani, Sabrina Brahma Putra Wijaya Budi Santoso Cahya, Febriani Citra Suraya Dani Prasetyo Dedek Puspasari Dewi Putri Ayu Dewi Putri Ayu Diana Diana Eka Rora Suci Wisudawati Elfira Husna Elsa Sylvia Epin Epin Erian Fatria Evi Susanti Fajri Kurniawan Fauzi Ashara Febrian Rahmat Suwandi SN Fermata Sari Fifi Yunianti FITRI AFDHAL Frisa Anesia Amalah Hajati, Septami Putri Harto, Toto Helmika, Inda Herawati, Densi Hili Auliana Iman Apriyadi Inayah Kamilah Inayah Kamilah Indah Noer Jannah Indradewa, Rhian Indri Kurniasari Intan Intan Irfannuddin Irfannuddin Jamal Jamal Jamal Jamal Kastina Kastina Larasati Larasati Legiran Legiran Legiran Legiran M. Agung Akbar Maria Regina Masayu Cindey Kartikasari Masayu Cindey Kartikasari Masito Masito Maya Susanti Minata, Fika Mira Susanti Muhammad Romadhon Mustakim Mustakim Nadia Putri Neny Nursahaza NILA ALFA FAUZIAH Ningsih, Deasy Kurnia Novi Yanti S Nurul Fitriah Nurul Fitriah Oktasari, Indriyani Patimah Patimah Penti Meka Pratiwi Pitri Hasana Pratiwi, Afrida Putri Puji Asrini Raden Ayu Dhiyaa Adelia Rahmania Ambarika RANIDA ARSI Ratna WardanI Regina Regina Ria Wulandari Ria Wulandari Rizka Violita Rizka Violita Rizma Wirza Sriko Santi Herliza Saputra, Amin Sasono Mardiono Septami Putri Hajati Septami Putri Hajati Serli Marlina Serli Wulan Safitri Siti Hardiyanti Pratiwi Suci Wisudawati, Eka Rora Sunarti Sunarti Syamsiar, Syamsiar Titi Hidayati Vera Kurnia Winarti Winarti Yazika Rimbawati Yuna Septia Yuna Septia Yuri Mariza Zulfikri, Ahmad