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All Journal DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN
Surya, Berlyan
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Health Professions Immunology & microbiology Neuroscience Nursing Public Health

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Caregiver Burden and Family Autonomy in Long-Term Elderly Care: A Correlational Study Adiratna, Brillian Yunita; Melizza, Nur; Budiarti, Nadin; Yossi, Suyesti; Surya, Berlyan; Hermanto, Roby Putra
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 13 No 3 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v13i3.930

Abstract

The increasing number of elderly people in Indonesia poses a major challenge in the provision of long-term care services. The elderly tend to experience a decline in physical and mental function so that they depend on the family as the main caregiver. However, the role as a caregiver can cause psychological, physical, economic, and social burdens known as caregiver burden.The purpose of this study was to analyze the relationship between caregiver burden and family independence in long-term care of the elderly.This study used a quantitative approach with a cross-sectional design, conducted from September 2024 to May 2025 in Malang City. A total of 59 family members who care for the elderly were selected through accidental sampling technique. The instruments used were the Zarit Burden Interview and the Family Independence Level questionnaire. Data analysis was performed with the Spearman Rank test using SPSS version 25.0.  The majority of respondents came from large families (71%) and were female (90%). Most families showed high independence (KM 4), while caregiver burden was classified as mild to moderate. Statistical analysis showed no significant relationship between caregiver burden and family independence (p = 0.741; r = -0.044). Although some caregivers experienced burden, families were still able to care for the elderly independently. Caregiver burden is not the only factor that influences family independence and quality in providing services and long-term care for the elderly. Emotional support, family togetherness, and cultural values are thought to play a role in maintaining family independence.
The The Role of Self-Esteem in Predicting Family Independence in Long-Term Elderly Care Budiarti, Nadin; Melizza, Nur; Adiratna, Brillian Yunita; Yossi, Suyesti; Surya, Berlyan; Hermanto, Roby Putra
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 13 No 3 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v13i3.931

Abstract

As the number of elderly people in Indonesia increases, so does the need for long-term care. In this case, the family acts as the main caregiver who not only provides physical, but also emotional and social support. Family independence is key to successful care, while family members' self-esteem is believed to influence their readiness to carry out this role. The purpose of this study was to determine the relationship between the level of self-esteem of family members and family independence in caring for the elderly. This quantitative study with a cross-sectional design involved 59 respondents in Malang City who were actively involved in caring for the elderly at home who were selected by accidental sampling. Data were collected through the Rosenberg Self-Esteem Scale (RSES) and family independence questionnaire, then analyzed with the Spearman Rank test. The majority of respondents demonstrated high self-esteem (35.6%) and high family independence (KM 4). However, the Spearman Rank test revealed no significant correlation between self-esteem and family independence (p = 0.342; r = -0.126). Other factors such as age, family structure, occupation, and cultural values are thought to be more influential. Self-esteem contributes psychologically, but improving family self-reliance requires a comprehensive approach that includes social, economic, and cultural aspects. Psychosocial and culture-based approaches are important in building an independent, sustainable, and empathetic elder care system.
Co-Authors Adiratna, Brillian Yunita Budiarti, Nadin Hermanto, Roby Putra Nur Melizza Yossi, Suyesti