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THE EFFECT OF DIABETES SELF-MANAGEMENT EDUCATION ON LIFESTYLE PATTERNS AMONG ELDERLY PATIENTS WITH DIABETES MELLITUS Nurjannah; Desy Marta
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.01 Januari 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i01.953

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic disease that significantly affects the elderly, often leading to complications and reduced quality of life. Lifestyle management plays a crucial role in controlling DM, and palliative care education can enhance self-care and well-being among elderly patients. Purpose: This study aimed to examine the effect of palliative care teaching methods on the lifestyle patterns of elderly patients with diabetes mellitus at Lima Ilir Community Health Center in 2025. Methods: A quantitative quasi-experimental study with a one-group pretest-posttest design was conducted. Thirty-one elderly patients with DM were selected using purposive sampling. The intervention involved palliative care teaching using brochures as educational media. Lifestyle patterns were measured before and after the intervention using the Health-Promoting Lifestyle Profile II (HPLP II) questionnaire. Data were analyzed using paired sample t-test with SPSS. Results: The results showed a significant improvement in lifestyle patterns after the intervention. Before the intervention, 54.8% of participants had poor lifestyle habits, while 22.6% and 22.6% were categorized as moderate and good, respectively. After the intervention, no participants remained in the poor category; 25.8% were moderate, 54.8% good, and 19.4% very good. Statistical analysis revealed a significant difference in lifestyle scores before and after the intervention (p = 0.000, p < 0.05). Conclusion: The palliative care teaching method effectively improves lifestyle patterns among elderly patients with diabetes mellitus. Providing structured education and guidance enhances patients’ understanding of self-management, including diet, physical activity, stress management, and adherence to medication, thereby promoting better quality of life.
RELATIONSHIP BETWEEN FAMILY SUPPORT AND FUNCTIONAL INDEPENDENCE IN POST-STROKE ELDERLY PATIENTS Nurjannah; Urista Wulandari
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.01 Januari 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i01.954

Abstract

Background: Stroke is one of the leading causes of disability in the elderly, often resulting in limitations in performing activities of daily living (ADL). Family support plays a crucial role in the recovery process of post-stroke patients. Purpose: This study aimed to determine the relationship between family support and the ability to perform activities of daily living among elderly post-stroke patients at Siti Fatimah General Hospital Palembang in 2025. Methods: This research employed a quantitative correlational analytic design with a cross-sectional approach. The study population consisted of 85 elderly post-stroke patients in the physiotherapy unit, with a sample of 33 respondents selected based on inclusion and exclusion criteria. Data collection instruments included the Caregiver Reaction Assessment (CRA) to measure family support and the Barthel Index to assess ADL ability. Data were analyzed using the Chi-Square test with SPSS version 26. Results: The findings showed that most respondents had a high level of family support (25 respondents, 75.7%) and moderate support (8 respondents, 24.3%). Regarding ADL, the majority of respondents were in the moderate dependency category (15 respondents, 45.5%). The Chi-Square test revealed a p-value = 0.002 (p < 0.05), indicating a significant relationship between family support and ADL ability among elderly post-stroke patients. Conclusion: There is a significant relationship between family support and the ability to perform activities of daily living in elderly post-stroke patients. Higher family support plays a key role in enhancing patients’ independence in meeting their ADL needs.