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Enhancing Non-Communicable Disease Management in Elderly Families: A Community Outreach Initiative Muflih; Suwarsi; Fajarina Lathu Asmarani; Rizky Erwanto; Thomas Aquino Erinyuare Amigo
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.v2i1.257

Abstract

Non-communicable diseases (NCDs) are a significant public health concern, particularly among elderly families. Limited access to healthcare resources and inadequate disease management exacerbation the impact of NCDs on this vulnerable population. This study aimed to implement a community outreach initiative focused on enhancing non-communicable disease management in elderly families. A comprehensive intervention was designed, including health education workshops, individualized health assessments, and the establishment of support networks. Pre- and post-intervention assessments were conducted to measure changes in knowledge levels, health status, health management practices, health behaviors, and family resilience among elderly families. Following the intervention, there was a substantial improvement in knowledge regarding NCDs and their management. Additionally, participants exhibited enhanced health status and more effective health management practices. Positive changes in health behaviors, such as regular exercise and balanced nutrition, were also observed. Moreover, family resilience significantly increased, strengthening their ability to cope with health challenges. The community outreach initiative demonstrated significant positive outcomes in non-communicable disease management among elderly families. Targeted interventions can play a role in empowering this demographic, improve their health and well-being, and encouraging community-based health services.
Perubahan Distres Psikologis dan Burnout setelah Intervensi Yoga pada Caregiver Informal Pasien Kanker Sherly Marliana; Deden Iwan Setiawan; Suwarsi Suwarsi
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 4 (2026): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i4.2757

Abstract

Informal caregivers of patients with cancer, typically spouses, children, or siblings, provide daily care without training or pay and are therefore vulnerable to psychological distress and burnout. Brief interventions suited to their limited time remain scarcely tested in Indonesia. This study aimed to analyse changes in psychological distress and burnout after a single yoga session and to compare the magnitude of the two changes. A quasi-experimental one-group pretest-posttest design was used, involving 30 informal caregivers selected through purposive sampling at a regional public hospital in Yogyakarta. A certified instructor led one 60-minute yoga session consisting of warm-up, basic postures, breathing regulation, and relaxation. Psychological distress was measured with the total score of the DASS-21, and burnout was measured with a 12-item questionnaire adapted from the Zarit Burden Interview (ZBI). Both instruments showed very high reliability (Cronbach’s α = 0.904 for the DASS-21 and 0.944 for the burnout questionnaire). Data were analysed using the paired t-test and the Wilcoxon signed-rank test. Mean distress scores decreased from 35.00 to 27.57 (p < 0.001; dz = 1.25), while mean burnout scores decreased from 24.70 to 18.13 (p < 0.001; dz = 0.89). Distress decreased in 25 respondents with a relatively even distribution, whereas almost half of the total burnout reduction came from five respondents. A single yoga session is better positioned as a means of relieving acute distress than as a treatment for burnout, which also requires a reduction in care demands. Controlled trials with further follow-up are needed to confirm whether these changes persist.