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Sri Karyati
Program Studi S1Keperawatan, Universitas Muhammadiyah Kudus

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Self Efficacy and Family Support in Elderly Hypertension Anxiety: Self Efficacy dan Dukungan Keluarga pada Kecemasan Lansia Hipertensi Dela Istiqomah; Edy Soesanto; Sri Karyati
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13298

Abstract

Abstract General Background: Hypertension in older adults is frequently accompanied by anxiety that may interfere with daily functioning and chronic disease management. Specific Background: Elderly patients with hypertension often experience psychological distress related to long-term treatment and risk of complications, while self efficacy and family support are considered important psychosocial factors in coping with illness. Knowledge Gap: Previous findings regarding the association between self efficacy and anxiety are inconsistent, and limited studies analyze self efficacy and family support simultaneously in primary health care settings. Aims: This study examined the relationship between self efficacy and family support with anxiety levels among elderly hypertensive patients in the Kragan II Community Health Center area. Results: Using a cross sectional correlational design with 98 respondents and Spearman Rank analysis, significant negative correlations were found between self efficacy and anxiety (p < 0.001; r = -0.580) and between family support and anxiety (p < 0.001; r = -0.370). Novelty: This study integrates two psychosocial variables within one analytical framework in a primary care context. Implications: The findings provide a basis for family-based nursing strategies, including hypertension self management education and structured family involvement to address anxiety among elderly patients. Highlights • Majority of participants experienced moderate anxiety despite high perceived personal capability.• Insufficient household assistance was reported by nearly half of respondents.• Significant inverse correlation identified through Spearman Rank statistical testing. Keywords Self Efficacy; Family Support; Anxiety Level; Elderly Hypertension; Primary Health Care
Family Acceptance of Social Stigma and Caregiving Burden in Schizophrenia: Hubungan Penerimaan Keluarga Terhadap Stigma Masyarakat Dan Beban Perawatan Skizofrenia Rina Dwi Rahman; Edy Soesanto; Sri Karyati
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13302

Abstract

General Background Schizophrenia is a severe mental disorder that imposes considerable psychological and social demands on patients and their families within community-based care. Specific Background Families caring for individuals with schizophrenia often experience social stigma, which may affect family acceptance and contribute to caregiving burden. Knowledge Gap Evidence examining the relationship between family acceptance of social stigma and caregiving burden in primary health care settings remains limited. Aims This study aimed to analyze the relationship between family acceptance of social stigma and family caregiving burden among schizophrenia caregivers in the working area of Kragan II Community Health Center, Rembang Regency. Results A descriptive correlational study with a cross-sectional design involving 80 family caregivers showed a significant association between family acceptance of social stigma and caregiving burden (p = 0.027), indicating that higher acceptance was associated with lower perceived burden. Novelty This study offers context-specific evidence from a primary health care setting by emphasizing family experiences of social stigma in schizophrenia caregiving. Implications The findings highlight the importance of integrating family-centered mental health services, including education and caregiver support, within primary health care to address stigma-related challenges and reduce family caregiving burden. Highlights: Family acceptance of social stigma is significantly associated with caregiving burden Lower perceived burden is observed among families with better stigma acceptance Primary health care settings play a key role in supporting schizophrenia caregivers Keywords: Family Acceptance; Social Stigma; Family Burden; Schizophrenia; Primary Health Care Published date: 2026-02-10