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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

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 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

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.

Pojok kasih lansia: optimizing the quality of life for older adults in lumajang regency through the development of an elderly-friendly park Kumboyono, Kumboyono; Dewi, Elvira Sari; Dewi, NI Putu Wahyu Eastiya; Febriano, Luis Figo; Anwar, Mochamad Saiful; Syadilla, Iryne Putri; Setyaningsih, Diva Ayu; Nadhifah, Umi; Rahmat, Basuki; Mayasari, Linda; Fathoni, Jazimah Nur; Kristianingrum, Niko Dima; Swastirani, Astika; Fahanani, Agwin Fahmi
Caring: Jurnal Pengabdian Masyarakat Vol 5, No 1 (2025): CARING Jurnal Pengabdian Masyarakat (April 2025)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2025.005.01.3

The increasing elderly population in Lumajang Regency, especially in Yosowilangun District, indicates progress in life expectancy but also brings challenges related to elderly care and dependency. To address these issues, a women's empowerment program was conducted in 2023 through the mentoring of Elderly Care Mothers, focusing on promoting elderly independence and caregiver support. In 2024, the initiative continued with the development of a Senior-Friendly Park equipped with ergonomic seating, sensory therapy, and recreational facilities under the concept of the Elderly Care Corner. This program aimed to improve the quality of life of older adults, enhance community involvement, and support caregiving efforts. The activities included park construction, public engagement, capacity-building for elderly care cadres, and the development of educational materials for caregivers. The outcomes demonstrated active participation of 75 elderly individuals within the first two months, a 32 percent increase in knowledge among 20 trained elderly care cadres, and reduced workload reported by 68 percent of caregivers. Improvements were also recorded in quality of life scores, particularly in life satisfaction and daily activities. Qualitative findings highlighted increased social interaction, motivation, and caregiver confidence. This initiative has encouraged replication in other villages and is expected to contribute positively to the well-being of the elderly population in Lumajang Regency.

Peningkatan Efektivitas Urban Farming untuk Meningkatkan Nilai Ekonomi dan Kesehatan Lansia Kelompok Tani Kurnia Lestari Kota Malang Hayati, Yati Sri; Sitawati, Sitawati; Kartika, Annisa Wuri; Kristianingrum, Niko Dima; Soenarti, Sri; Lutfiana, Velinda Dewi; Rahmawati, Risma Dwi; Sari, Herdyana Lintang; Armannaena, Tria; Arfiati, Nurliza Prita
Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2025): Mei 2025
Publisher : Cipta Media Harmoni

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53624/kontribusi.v5i2.586

Latar Belakang: Peningkatan jumlah penduduk lansia dapat menimbulkan peningkatan angka ketergantungan penduduk. Lansia seringkali dianggap sebagai individu tidak produktif. Urban farming atau pertanian perkotaan merupakan salah satu solusi bagi lansia untuk beraktivitas di pekarangan rumah. Tujuan: Untuk melihat peningkatan efektivitas urban farming dalam ekonomi dan kesehatan kelompok lansia setelah diberikan intervensi pengetahuan dan pemberdayaan masyarakat. Metode: Kegiatan intervensi dilakukan dengan model pemberdayaan masyarakat yang mencakup kegiatan pendampingan pertanian, pendidikan kesehatan, kegiatan senam ergonomik dan pemeriksaan kesehatan. Hasil: Peningkatan produk pertanian dengan rata rata peningkatan 5 kg setiap kali panen dengan perubahan media tanam dan setting lahan. Kesimpulan: Kegiatan pengabdian masyarakat yang mencakup pendampingan pertanian dan kegiatan edukasi kesehatan dengan konsep urban farming dapat meningkatkan nilai ekonomi kelompok lansia di area perkotaan dengan peningkatan produk dan kualitas hasil panen serta peningkatan kualitas hidup lansia.

The Expectations Regarding Aging and Ageism Perspective between Nurses and Caregivers in Long-term Care Facilities Sari, Dianis Wulan; Ulfiana, Elida; Anggraini, Nourmayansa Vidya; Kristianingrum, Niko Dima; Aurizki, Gading Ekapuja; Noguchi-Watanabe, Maiko
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56949

Background: Ageism negatively impacts older adults’ health, especially in long-term care facilities (LTCFs), where healthcare workers often hold unfavorable views of them. Understanding these perspectives is vital for combating ageism and improving LTCF quality. Yet, comprehensive studies on healthcare workers’ attitudes toward ageism are lacking, hindering targeted interventions. Therefore, grasping their attitudes and behaviors is crucial for addressing ageism in LTCFs and enhancing care for older adults.Purpose: This study aimed to explore healthcare workers’ expectations regarding aging and their perspective on ageism towards older adults in LTCFs.Methods: This study was randomly conducted in sixteen LTCFs across Indonesia’s five largest islands using a cross-sectional study with a comparative descriptive design. Participants included 56 nurses and 173 non-licensed caregivers. Data on aging expectations and ageism perspectives during the COVID-19 pandemic were collected. An online and offline self-administered questionnaires (i.e., participant’s characteristics, the expectations regarding aging survey, ageism perspective in time of the COVID-19 pandemic) were conducted. Differences between nurses and caregivers were analyzed using chi-square and independent t-tests.Results: Altogether, 56 nurses and 173 caregivers (with an average age of 39.9 years) participated in the study. Significant differences were observed between nurses and non-licensed caregivers in their expectations regarding physical health, mental health, and overall expectations regarding aging (p-value = <0.001, <0.001, <0.001, respectively). Non-licensed caregivers had higher mean scores for each item compared to nurses. Whereas, the perspective nurse and non-licensed caregivers were significantly different about older adults being more accessible to being infected with SARS-CoV-2, vulnerable population, prone to severity, easier to expose virus, low income, must isolated (p-value = 0.029, 0.007, 0.010, 0.033, <0.001, <0.001, respectively). The mean score of each item of nurses was higher than non-licensed caregivers.Conclusion: The expectation regarding aging of caregivers was higher than nurses. In line, the nurses’ scores have a lower attitude toward ageism during time COVID-19 pandemic. Exposure to ageism behavior and ageing conditions needs to be done for healthcare workers.

Family Empowerment as Nursing Intervention for Families with Type 2 Diabetes Mellitus: A Literature Review Setyoadi; Seda, Lukas Fransiskus Saverius; Lestari, Puji; Irwando, Erdy; Nurani, Nunik; Hayati, Yati Sri; Kristianingrum, Niko Dima; Kartika, Annisa Wuri
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 3: December 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v3i3.203

Background: This literature review is motivated by the empirical phenomenon that illustrates the increasing number of Type 2 Diabetes mellitus (T2DM) patients, which has an impact on family caregivers. The chronic condition of T2DM requires long-term care and monitoring to maintain blood glucose levels within normal limits. Family caregivers play a crucial role in assisting family members with T2DM by enhancing their roles and functions through family empowerment. Purpose: This literature review aimed to theoretically analyze the importance of family empowerment as a nursing intervention in improving the health status of family members with T2DM. Methods: The research method used in this study is a literature review, which includes an analysis of 9 articles obtained from three databases: ProQuest, Science Direct, and Google Scholar. The search keywords used for article retrieval included "family empowerment or caregiver empowerment," "diabetes mellitus," and "nursing intervention," using "AND" and "OR" as Boolean operators. Results: The literature review results show that family empowerment interventions for individuals with T2DM can be carried out by increasing knowledge, providing skills training, and enhancing family support during the care process. The success indicators for family empowerment interventions include increased self-efficacy, self-concept, self-care, and self-control for individuals with T2DM. Conclusion: The findings of this literature review demonstrate that family empowerment as a nursing intervention can yield positive outcomes for patients. Therefore, it should be considered as a reference for primary healthcare nurses to provide intervention not only to the clients but also to their families or caregivers.

Upaya Meningkatkan Pengetahuan Tentang Kesehatan Reproduksi dan Anemia Melalui Metode BELANJA (Blended Learning Kesehatan Reproduksi Remaja) Choiriyah, Muladefi; Merdikawati, Ayut; Kartika, Annisa Wuri; Kristianingrum, Niko Dima
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.1906

The Covid-19 pandemic has made adolescents access the internet for education and other information, including harmful content. Public Vocational High School 2 Malang is one of the largest schools, totaling 1869 students. In this school, educational health is given once at the beginning of the orientation period and still does not cover adolescent reproductive health. Therefore, there is a need for assistance through blended learning methods to improve adolescent reproductive health. This activity aims to increase students' knowledge about sexual reproductive health. The targets were 92 Public Vocational High School 2 Malang students, a nursing assistant program, and tenth-grade students. An education session was conducted in September 2022 for 3 weeks with blended learning. The SHARING AJA (Awareness of the adolescent's reproductive health) website was used to educate students, and the next week team members conducted offline education and focus group discussion (FGD). The data collection used pretest and posttest questionnaires. The results showed an increase in the average knowledge of female and male adolescents before and after programs (47.79 ± 3.21; 81.14 ± 10.25) and (92.10 ± 4.93; 83.42 ± 7.09), respectively. In conclusion, health education with blended learning increases knowledge retention related to adolescent sexual reproduction.

Pelatihan Caregiver untuk Meningkatkan Kesiapan Perawatan Lansia Sakit Kronis di Rumah Kartika, Annisa; Kumboyono, Kumboyono; Kristianingrum, Niko Dima; Hayati, Yati Sri
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 7 No 2 (2023): Volume 7 Nomor 2 Tahun 2023
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v7i2.19236

Chronic pain in older adults causes them to experience disability which causes dependence in fulfilling daily needs (ADL). The family as a caregiver for the elderly is the main support system in the care process at home. An increase in knowledge and skills is needed by caregivers to improve their coping and reduce the burden of care. Community service activities are carried out by providing material such as the concept of chronic pain, training in care skills and accompanying home visits. Participants were families who cared for chronically ill elderly with 36 respondents. Assessment was carried out using pre-test and post-test knowledge and family readiness in caring for the elderly. The results of the assessment of family readiness to care for the elderly found that families who cared for the elderly with chronic pain had readiness in caring for the elderly (mean value = 3.91 ± 0.28), but there was data that families were not prepared to face emergency situations (mean value = 1 .63 ± 0.83). The results of caregiver training activities showed an increase in knowledge with a mean post test = 8.48 ± 1.21, an increase from the mean pre-test = 5.21 ± 1.73 and a difference in value of 3.27. The next suggestion is that there will be training that contains material on elderly care and stress management in the family so that it is able to improve the quality of care provided to the elderly.

The Relationship Between Health Service Support at Community Health Centers and Family Caregiver Coping for Patients with Type 2 Diabetes Mellitus Setyoadi; Annisa wuri Kartika; Nunik Nurani; Yati Srihayati; Niko Dima Kristianingrum; Dina Dewi Sartika Lestari Ismail; Haliza Hasan; Mohd Khairul Zul Hasymi Bin Firdaus
Window of Health : Jurnal Kesehatan Vol 7 No 4 (October 2024)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v7i4.1350

Type 2 Diabetes Mellitus (T2DM) is a chronic disease that requires long-term treatment and often necessitates the assistance of family caregivers. One of the challenges faced by family caregivers in caring for T2DM patients is the psychological pressure that can affect their ability to cope with the situation. Psychological stress demands external support, particularly from Community Health Center (Puskesmas) services, which becomes crucial. This study aims to explore the relationship between Community Health Center support services and the coping mechanisms of family caregivers for T2DM patients in Malang, Indonesia. This research employs an observational design with a cross-sectional approach involving 324 family caregivers selected through cluster random sampling technique from an average of 1,787 monthly visits, using the Lamesow sample size formula from 1997. Data collection was conducted using the Health Service Support Questionnaire (HSSQ) and the Family Coping Index (FCI). Data analysis utilized the Spearman Rank test. The data analysis indicated a p-value (0.000) < α (0.05), which shows a significant relationship between health service support (Puskesmas) and the coping mechanisms of family caregivers. In conclusion, there is an important relationship between primary health service support and the coping strategies of families caring for T2DM patients. The findings of this study recommend the implementation of special programs for family caregivers of T2DM patients, aiming to improve the skills and effectiveness of home care assistance.

PEMBERDAYAAN PEREMPUAN DESA MELALUI PEMBENTUKAN BUNDA LANSIA DAN PELATIHAN CAREGIVER LANSIA Kumboyono, Kumboyono; Kristianingrum, Niko Dima; Dewi, Elvira Sari; Dara, Yuliezar Perwira; Soenarti, Sri; Heriansyah, Teuku; Amanda, Febrina; Arifah, Medisa Roro Putri Nur; Jannah, Riska Raudhatul; Indriyani, Damayanti; Machfud, Savinka Salsabiela Iriana; Nursuhaida, Haffa Syafana; Marfuah, Marfuah; Nurhayati, Septi; Riswandha, Sofyan
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.27225

Abstrak: Peningkatan jumlah lanjut usia (lansia) dapat memicu beragam masalah kesehatan yang membutuhkan perhatian khusus dari masyarakat. Salah satu upaya yang dapat dilakukan adalah pemberdayaan masyarakat, khususnya perempuan desa, dalam perawatan lansia. Kegiatan ini bertujuan untuk membentuk Bunda Lansia serta meningkatkan pengetahuan dan keterampilan perempuan desa dalam merawat lansia. Metode kegiatan mencakup pembentukan Bunda Lansia, penyuluhan, dan pelatihan perawatan lansia, bekerja sama dengan Dinas Kesehatan, Pengendalian Penduduk, dan Keluarga Berencana Kabupaten Lumajang. Kegiatan ini melibatkan 75 perempuan dari Desa Kraton, Desa Yosowilangun Lor, dan Desa Yosowilangun Kidul. Evaluasi dilakukan melalui pre-test dan post-test, observasi praktik, skala penilaian keterampilan, umpan balik peserta, serta tindak lanjut untuk menilai penerapan keterampilan dalam kehidupan sehari-hari. Hasil kegiatan menunjukkan bahwa 75 Bunda Lansia telah dilantik, dengan peningkatan pengetahuan dari rata-rata 77,5 menjadi 92 (18,7%), serta peningkatan keterampilan dalam perawatan lansia dari rata-rata 72,5 menjadi 85 (17,2%). Kesimpulannya, kegiatan ini efektif dalam meningkatkan pengetahuan dan keterampilan perempuan desa dalam perawatan lansia.Abstract: The increasing number of elderly individuals can lead to various health issues that require special attention from the community. One possible approach to address this is through community empowerment, particularly of rural women, in elderly giver. This initiative aims to establish “Bunda Lansia” (Elderly Care Mothers) and to enhance the knowledge and skills of rural women in elderly care. The methods include the formation of Bunda Lansia, education sessions, and elderly care training, in collaboration with the Department of Health, Population Control, and Family Planning of Lumajang Regency. This activity involved 75 women from Kraton Village, Yosowilangun Lor Village, and Yosowilangun Kidul Village. The evaluation was conducted through pre-tests and post-tests, practice observations, skill rating scales, participant feedback, and follow-up assessments to evaluate the application of skills in daily life. The results indicate that 75 Bunda Lansia were inaugurated, with an increase in knowledge from an average of 77.5 to 92 (18.7%) and an improvement in elderly care skills from an average of 72.5 to 85 (17.2%). In conclusion, this initiative effectively enhances the knowledge and skills of rural women in elderly care.

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