The Relationship Between Health Service Support at Community Health Centers and Family Caregiver Coping for Patients with Type 2 Diabetes Mellitus
Abstract
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.
References
Westman EC. Type 2 Diabetes Mellitus: A Pathophysiologic Perspective. Front Nutr. 2021;8(August):1–5. https://doi.org/10.3389/fnut.2021.707371
Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of type 2 diabetes mellitus. Int J Mol Sci. 2020;21(17):1–34. https://doi.org/10.3390/ijms21176275
Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLoS One. 2019;14(6):1–22. https://doi.org/10.1371/journal.pone.0217771
Einarson TR, Acs A, Ludwig C, Panton UH. Prevalence of cardiovascular disease in type 2 diabetes: A systematic literature review of scientific evidence from across the world in 2007-2017. Cardiovasc Diabetol 2018;17(1):1–19. https://doi.org/10.1186/s12933-018-0728-6
Wysham C, Shubrook J. Beta-cell failure in type 2 diabetes: mechanisms, markers, and clinical implications. Postgrad Med 2020;132(8):676–86. https://doi.org/10.1080/00325481.2020.1771047
Magliano DJ, Boyko EJ, Balkau B, Al E. IDF Diabetes Atlas IDF Diabetes Atlas,10th edition 2021. Available from: https://diabetesatlas.org/atlas/tenth-edition/
Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2021. Available from: Pusdatin.Kemenkes.go.id.
Dinkes Jatim. Profil Kesehatan JATIM 2022. Available from: https://dinkes.jatimprov.go.id/userfile/dokumen/.pdf
Dinkes. Profil Kesehatan Kota Malang Tahun 2022. Available from: https://dinkes.malangkota.go.id/wp-content/uploads/sites/104/2023/08/profilkes-kota-malang-2022.pdf
Ong C. Characteristic of Chronic Complications in Type 2 Diabetic Patient Based on Asian Perspective. Curr Intern Med Res Pract Surabaya J. 2022;3(1):13. https://doi.org/10.20473/cimrj.v3i1.31412
Letta S, Goshu AT, Sertsu A, Nigussie K, Negash A, Yadeta TA, et al. Diabetes knowledge and foot care practices among type 2 diabetes patients attending the chronic ambulatory care unit of a public health hospital in eastern Ethiopia : a cross- sectional study. BMJ Open 2023;1–10. https://doi.org/10.1136/bmjopen-2022-070023
Salsabila Z, Sjaaf AC. the Analysis of Diabetes Self-Management Implementation on Type 2 Diabetes Mellitus Patients: a Protocol for Systematic Review and Meta-Analysis. J Ekon Kesehat Indones. 2022;7(2):133. https://doi.org/10.7454/eki.v7i2.6100
Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, et al. Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2022;45(11):2753–86. https://doi.org/10.2337/dci22-0034
Rondhianto R, Nursalam N, Kusnanto K, Melaniani S. [The effect of family caregiver empowerment interventions on family caregiver capabilities in self-management of type 2 diabetes mellitus in Indonesia. Enferm Clin (English Ed. 2022;32(6):385–95. https://doi.org/10.1016/j.enfcle.2022.01.005
Setyoadi, Yusuf A, Kristianingrum ND, Hayati YS, Noviyanti LW, Syafiky NF. The correlation between family support and health status in patients om m er ci al us e on m er al. J Kesehat Komunitas Indones. 2023;11:1–6. https://doi.org/10.4081/hls.2023.11212
Yustisia N, Aprilatutini T, Utama TA, Masdar M. The Burden Experience of Family Caregiver of Older Adults with Chronic Illness. Res Community Public Heal Nurs. 2023;34(2):85–95. https://doi.org/10.12799/rcphn.2022.00304
Jane OA, Olatunji A, Bamiso MA, Kola OJ, Ayodele OJ, Ideraoluwa BO. Burden of Care and Psychological Distress in Primary Caregivers of Patients with Type -2 Diabetes Mellitus in A Tertiary Hospital in Nigeria. Ethiop J Health Sci. 2019;29(6):697.
Alsaedi YE, Almalki AA, Alqurashi RD, Altwairqi RS, Almalki DM, Alshehri KM, et al. Assessment of Type II Diabetes Patients’ Caregivers’ Burnout Level: A Cross-Sectional Study in Taif, Saudi Arabia. Diabetes, Metab Syndr Obes. 2022;15(March):1091–9. https://doi.org/10.2147/DMSO.S357340
Hapunda G. Coping strategies and their association with diabetes specific distress , depression and diabetes self ‑ care among people living with diabetes in Zambia. BMC Endocr Disord 2022;1–11. https://doi.org/10.1186/s12902-022-01131-2.
Owusu BA, Ofori-Boateng P, Doku DT. Coping and adaptation strategies among young persons living with type 1 diabetes and their caregivers: textual and photovoice analyses. BMC Public Health 2023;23(1):1–12. https://doi.org/10.1186/s12889-023-16573-z
Chan SL, Matsah NSB, Yusuf AAB, Khaidir ASBM, Hamdan NHB, Kamizi ZNB. A review on family caregiving challenges in Malaysia. ProGCouns J Prof Guid Couns. 2022;3(1):1–9. https://doi.org/10.21831/progcouns.v3i1.48386
Sousa FAMDR, Andrade M de LMS, de Oliveira CMGS. Transition from parents to caregivers of a child with type 1 Diabetes Mellitus: a scoping review. Rev Bras Enferm. 2023;76(1):1–15. https://doi.org/10.1590/0034-7167-2022-0201
Rondhianto R. Path analysis of the influence of nurses role on family caregiver diabetes self-management capabilities with empowerment as intervening variables in Indonesia. J Glob Pharma Technol. 2020;12(2):571–9.
Niño-de-Guzman Quispe E, Bracchiglione J, Ballester M, Groene O, Heijmans M, Martínez García L, et al. Patients’ and informal caregivers’ perspectives on self-management interventions for type 2 diabetes mellitus outcomes: a mixed-methods overview of 14 years of reviews. Arch Public Heal. 2023;81(1):1–21. https://doi.org/10.1186/s13690-023-01153-9
Freeman-Hildreth Y, Aron D, Cola PA, Wang Y. Coping with diabetes: Provider attributes that influence type 2 diabetes adherence. PLoS One 2019;14(4):1–21. http://dx.doi.org/10.1371/journal.pone.0214713
Cejalvo E, Martí-Vilar M, Merino-Soto C, Aguirre-Morales MT. Caregiving role and psychosocial and individual factors: A systematic review. Healthc. 2021;9(12):1–33. https://doi.org/10.3390/healthcare9121690
Ramkisson S, Pillay BJ, Sibanda W. Social support and coping in adults with type 2 diabetes. African J Prim Heal Care Fam Med. 2017;9(1):1–8. https://doi.org/10.4102/phcfm.v9i1.1405
Wallace DD, Gonzalez Rodriguez H, Walker E, Dethlefs H, Dowd RA, Filipi L, et al. Types and sources of social support among adults living with type 2 diabetes in rural communities in the Dominican Republic. Glob Public Health. 2019;14(1):135–46. https://doi.org/10.1080/17441692.2018.1444782
Nakayama G, Masumoto S, Haruta J, Maeno T. Association between family caregivers’ primary care experience when they report as patients and their stress related to caregiving: A pilot cross-sectional study. J Gen Fam Med. 2023;24(4):231–9. https://doi.org/10.1002/jgf2.631
Gani A, Budiharsana MP. The Consolidated Report on Indonesia Health Sector Review 2018. Minist Natl Dev Plan Repub Indones. 2019. https://www.unicef.org/indonesia/id/laporan/consolidated-report-indonesia-health-sector-review-2018-bahasa-version-page
Arsyad DS, Hamsyah EF, Qalby N, Qanitha A, Westerink J, Cramer MJ, et al. The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia. BMC Health Serv Res 2022;22(1):1–12. https://doi.org/10.1186/s12913-022-08499-w
Khoe LC, Wangge G, Soewondo P, Tahapary DL, Widyahening IS. The implementation of community-based diabetes and hypertension management care program in Indonesia. PLoS One 2020;15(1):1–9. http://dx.doi.org/10.1371/journal.pone.0227806
Ernawati U, Wihastuti TA, Utami YW. Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review. J Public health Res. 2021;10(2):404–8. https://doi.org/10.4081/jphr.2021.2240
Wulandari I, Kusnanto K, Wibisono S, Haryani A. Family Support in Caring for Diabetes Mellitus Patient : Patient ’ s Perspective. 2021;9:199–205. https://doi.org/10.3889/oamjms.2021.5778
Arifin B, van Asselt ADI, Setiawan D, Atthobari J, Postma MJ, Cao Q. Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care. BMC Health Serv Res. 2019;19(1):773. https://doi.org/10.1186/s12913-019-4515-1
Luthfa I, Ardian I. Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus. Nurse Media J Nurs. 2019;9(1):58–68. https://doi.org/10.14710/nmjn.v9i1.22501
Dubois SK, Lehrer HM, Whyne EZ, Mary A. A Resilience Intervention for Adults with Type 2 Diabetes: Proof-of-Concept in Community Health Centers. Int J Behav Med. 2022;27(5):565–75. https://doi.org/10.1007/s12529-020-09894-5
Eshete A, Mohammed S, Deresse T, Kifleyohans T, Assefa Y. Association of stress management behavior and diabetic self-care practice among diabetes type II patients in North Shoa Zone: a cross-sectional study. BMC Health Serv Res. 2023;23(1):1–7. https://doi.org/10.1186/s12913-023-09752-6
Almubark RA, Althumairi NA, Alhamdan AA, Alnujaidi HY, Alzayer R, Almubark SA, et al. Socioeconomic and Behavioral Disparities Among Diabetics in Saudi Arabia: A Nation-Wide Descriptive Study. Diabetes, Metab Syndr Obes. 2022;15(July):2693–703. https://doi.org/10.2147/DMSO.S352769
Rondhianto R, Nursalam N, Kusnanto K, Melaniani S, Ahsan A. Analysis of the Sociodemographic and Psychological Factors of the Family Caregivers’ Self-Management Capabilities for Type 2 Diabetes Mellitus. J Ners. 2020;14(2):215. https://doi.org/10.20473/jn.v14i2.16592
Baig AA, Benitez A, Quinn MT, Burnet DL. Family interventions to improve diabetes outcomes for adults. Ann N Y Acad Sci. 2015;1353(1):89–112. https://doi.org/10.1111/nyas.12844
Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A systematic review: Family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behav Sci (Basel). 2017;7(3):1–17. https://doi.org/10.3390/bs7030062
Setyoadi S, Efendi F, Haryanto J, Rosyidawati F, Kristianingrum ND. Family Coping Strategies and Quality of Life of Patients with Type-2 Diabetes Mellitus in Primary Health Care in Indonesia. Nurse Media J Nurs. 2023;13(December):274–85. https://doi.org/10.14710/nmjn.v13i3.56700
Newson L, Brown JE, Dugdale S. Being the supporter: an interpretative phenomenological analysis of the role of caregivers in the self-management of type 2 diabetes. Psychol Heal 2023;0(0):1–17. https://doi.org/10.1080/08870446.2023.2231004
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