BackgroundThe aging process has functional consequences for older persons, such as degenerative processes of the pancreas resulting in diabetes mellitus. The increasing age of the population will eventually lead to increasing health problems of older persons, including diabetes mellitus. Diabetes mellitus is a chronic disease that requires long-term care through self-management. Diabetes self-management in older persons is influenced by family support as the main support system. This study aimed to explore perceived family support by older persons in diabetes mellitus self-management.MethodsThis study applied descriptive phenomenology method. The data were collected through in-depth interviews. There were nine older persons with diabetes mellitus as participants. Data consisted of in-depth interview recordings and field notes. Data were transcribed and analyzed using Colaizzi’s method.ResultsThe results identified that family support as perceived by older persons included daily activity assistance, assistance with obtaining health services, food preparation, financial support, attention, guidance, and problem solving. The response to family support was pleasure as expressed by the older persons.ConclusionsPhysical and economic limitations were a significant hindrance to self-management of diabetes mellitus in older persons; therefore, they require family support to optimize their independence. The results of this study highlight the importance of family support in diabetes mellitus self-management in older persons.
BACKGROUND: The coronavirus disease (COVID)-19 outbreaks and its rapid rise in prevalence has been a major concern internationally. We conducted a short survey to understand the knowledge, attitude, and practices regarding COVID-19 and estimated barriers to disease transmission perceived by public health nurses (PHN) in Indonesia. AIM: The study aimed to identify the association of sociodemographic characteristic with knowledge, attitude, and practices regarding COVID-19 among PHNs in Indonesia and highlight barriers to the control of infection perceived by PHNs. METHODS: A national, online, and cross-sectional survey was conducted from May 28 to June 9, 2020, with a total of 368 participants. A questionnaire was used to assess knowledge, attitude, and practice. An independent t-test was used to compare attitude differences of PHNs in gender and place of work. One-way analysis of variance was used to compare differences in attitude of PHNs by age, work experience, educational level, and source of information. The Pearson’s correlation test was used to measure the correlation between knowledge, attitude, and practices. RESULTS: The majority of participants had good knowledge of COVID-19 (77.4%), had mean scores of attitude toward COVID-19 of 33.0 ± 2.7, and had good practices regarding COVID-19 (84.2%). Factors associated with knowledge were sources of information (p = 0.013). Factors associated with attitude were gender (p = 0.003), work experience (p = 0.010), and sources of information (p = 0.035). Factors associated with practices were gender (p = 0.011) and sources of information (p = 0.029). There were significant, positive linear correlations between knowledge and attitude (r = 0.435, p = 0.000), knowledge and practices (r = 0.314, p = 0.000), and attitude and practices (r = 0.362, p = 0.000). Most participants strongly agreed that limitations on infection control materials (50.8%) and patients hiding their travel history, resulting in screening inaccuracies (59.8%), were barriers. CONCLUSIONS: A significant association between sources of information and knowledge, attitude, and practices, with the addition of other related factors. There were also significant positive linear correlations between knowledge, attitude, and practices. Nevertheless, the majority of the PHN perceived that limitations on infection control materials and patients hiding their travel history, resulting in screening inaccuracy, were major barriers.
Ketidakpatuhan terhadap pengobatan merupakan masalah yang banyak dialami oleh klien skizofrenia. Keluarga sebagai caregiver di rumah dituntut untuk mampu mengatasi masalah ini. Penelitian ini bertujuan untuk mendapatkan pemahaman mendalamtentang makna pengalaman menghadapi ketidakpatuhan anggota keluarga dengan skizofrenia dalam mengikuti regimen terapeutik:pengobatan. Penelitian ini menggunakan desain fenomenologi deskriptif. Partisipan adalah caregiver yang didapatkan dengancara purposive sampling. Metode pengumpulan data adalah indepth interview. Hasil wawancara dianalisis menggunakan teknikCollaizi. Hasil penelitian ini menggambarkan pengalaman keluarga dalam merawat anggota keluarga yang tidak patuh terhadappengobatan, meliputi dukungan yang diberikan, beban yang dirasakan, dan bagaimana keluarga mengatasi beban yang dirasakan.Temuan penelitian ini dapat digunakan sebagai acuan oleh praktisi keperawatan untuk mengembangkan cara penangananketidakpatuhan klien skizofrenia.
Lanjut usia mengalami proses penuaan yang mempengaruhi fungsi fisik dan psikososial. Penelitian ini bertujuan mendapatkan gambaran pengalaman lanjut usia terhadap dukungan keluarga di panti wredha AB. Penelitian ini merupakan pendekatan kualitatif fenomenologi deskriptif menggunakan wawancara mendalam dan catatan lapangan. Alasan lansia di panti digambarkan dengan tema keinginan personal dan kelemahan struktur kekuatan keluarga. Masalah yang dialami lansia digambarkan dengan tema masalah fisik dan masalah psikososial. Dukungan yang diterima digambarkan dengan tema sumber dukungan dan jenis dukungan. Makna dukungan digambarkan dengan tema kesenangan batin. Harapan lansia digambarkan dengan tema mempertahankan hubungan. Hasil penelitian ini diharapkan menjadi dasar program promosi dan preventif bagi lanjut usia.
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