Background. The management of Diabetes which is very complex needs full support from the family. The family has a vital role in management type 2 diabetes at home involving diabetes diet, diabetes medication management, exercise, and also visit health care services for checking blood glucose and diabetes discussion session. Unfortunately, the family is rarely Involved in the health education session. The research aimed to identify the effect of family empowerment models: Integrated self-care model by Orem and Family-Centered Nursing by Friedman in type 2 DM management in Sikumana Health Center of Kupang. Methods. The research design was pra-experimental design with "One Group Pretest - Posttest approach. The population of this study was 30 family members with type 2 DM. The data was collected by using questionnaires to measure the family members' ability to know type 2 DM, to make a proper decision, to take care of family members in term of diabetes diet management and to use health care services. Wilcoxon signed-Rank Test is used to figure out the effect of family empowerment model to conduct five family health function. Results. The study showed that the model improved the five health function performance by family members. While Wilcoxon signed-rank test also showed there was a significant effect of family empowerment model in terms of the family's ability to recognize type 2 DM (p =0.0001), to make a right decision to take care the patient (p = 0.0005). Moreover, the models have also improved the family ability to diabetes diet management (p=0,046), to motivate the patient to do regular exercise and to uses the health care facilities (p=0,014 and 0,025 respectively). Conclusions. The study recommended to actively involve the family members to take care of type 2 diabetes patient due to it affects the entire family. The family members should be well informed so that they can improve the quality of family health.
Tuberculosis is a chronic and infectious disease that is still a major public health problem. The spread of this disease is caused by contact with infected droplets. The strategy of the tuberculosis control program in Indonesia uses the directly observed treatment short-course (DOTS) strategy in which patients will be sought and treated until they are cured. Every patient also needs Drug Drink Supervisor (called PMO) who can be nurses, midwives, family members, and health cadres. The role of the TB Drugs Drink Supervisor that has been described in many studies can increase the cure rate by up to 80%. The purpose of this study was to identify the relationship between the role of PMO in the recovery of tuberculosis patients. This research was a cross-sectional research design. Purposive sampling was used to determine the 96 tuberculosis patients who had completed the treatment program. The chi-square was used to identify the relationship between the variables. The study found that there is a relationship between the role of TB drug supervisors (conducting home visits, accompaniment during anti-tuberculosis drug swallowing, providing health education, encouragement of sputum re-checking, and accompaniment during taking anti-tuberculosis drugs in public health centers) with patient recovery (p=0.000). When the TB Drug Drink Supervisor performed well in all roles, it will motivate the TB patients to follow the treatment recommendation and facilitate TB recovery.
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