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Abstract

Family motivation is an important factor influencing independence in elderly care, especially among those with non-communicable diseases (NCDs). This study aimed to analyze the relationship between family motivation and independence in caring for elderly NCD patients. A cross-sectional study was conducted in March 2025 at the Tolangohula Health Center, Gorontalo Regency, Indonesia. A total of 89 families caring for elderly NCD patients were recruited using total sampling. Data were collected through structured questionnaires covering demographics, family motivation, and family independence. Validity and reliability tests confirmed that all instruments demonstrated strong internal consistency and were suitable for use in the study. Data were analyzed using the Chi-Square test with a significance level of p < 0.05. The results showed that most families had strong motivation (60.7%) and high independence (Level IV, 60.7%). Families with strong motivation predominantly achieved Level IV independence (85.1%), while those with moderate motivation tended to fall within Levels III and II. The Chi-Square analysis revealed a significant relationship between family motivation and family independence (p < 0.001). These findings indicate that stronger family motivation is significantly associated with higher independence in elderly NCD care. Strengthening family education and empowerment programs within community nursing services is recommended to enhance caregiving capacity and improve health outcomes among elderly individuals with chronic diseases.

Keywords

family motivation family independence elderly non-communicable diseases

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References

  1. Alkatheeri A, Alseddeeqi E. Euglycemic diabetic ketoacidosis induced by sodium-glucose cotransporter 2 inhibitor in the setting of prolonged fasting: a case report. J Med Case Rep [Internet]. 2022 Dec 29;16(1):138. Available from: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-022-03347-1
  2. Berkel C, Mauricio AM, Rudo-Stern J, Dishion TJ, Smith JD. Motivational Interviewing and Caregiver Engagement in the Family Check-Up 4 Health. Prev Sci [Internet]. 2021 Aug 3;22(6):737–46. Available from: https://link.springer.com/10.1007/s11121-020-01112-8
  3. Brunozi NA, Souza SS, Sampaio CR, Oliveira Maier SR de, Silva LCVG, Sudré GA. Therapeutic group in mental health: intervention in the family health strategy. Rev Gaúcha Enferm [Internet]. 2019;40:e20190008. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472019000100447&tlng=en
  4. Choi JY, Lee SH, Yu S. Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities. Healthcare [Internet]. 2024 May 13;12(10):1002. Available from: https://www.mdpi.com/2227-9032/12/10/1002
  5. Dinas Kesehatan Provinsi Gorontalo. Capaian Deteksi Dini DM Gorontalo Tertinggi di Indonesia [Internet]. 2024. Available from: https://dinkes.gorontaloprov.go.id/capaian-deteksi-dini-dm-gorontalo-tertinggi-di-indonesia-pemerintah-swedia-tertarik-beri-dukungan/
  6. Duran‐Kiraç G, Uysal‐Bozkir Ö, Uittenbroek R, van Hout H, Broese van Groenou MI. Informal caregiver and nurse perceptions of access to culturally appropriate health care for ethnic minority persons with dementia: A qualitative study. J Adv Nurs [Internet]. 2023 Aug 27;79(8):3002–14. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jan.15687
  7. Fukuda S, Lal S, Katauke T, Khan MSR, Kadoya Y. Impact of Changing Socioeconomic Conditions on Family Caregiving Norms: Evidence from Japan. Behav Sci (Basel) [Internet]. 2022 Nov 23;12(12):471. Available from: https://www.mdpi.com/2076-328X/12/12/471
  8. Keykha A, Ramezani M, Amini S, Moonaghi HK, Saki A. Educational challenges of family caregivers of vegetative state patients for home care preparedness. J Educ Health Promot [Internet]. 2022 Jan;11(1):345. Available from: https://journals.lww.com/10.4103/jehp.jehp_1647_21
  9. Kementerian Kesehatan Republik Indonesia. Laporan Nasional Riskesdas 2018 [Internet]. Lembaga Penerbit Balitbangkes. 2018. 152–163 p. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
  10. Madyaningrum E. Chronic Diseases and Inpatient Care among the Middle-Aged and Elderly People in Indonesia. J Heal Res [Internet]. 2023 Jun 6;37(6):380–9. Available from: https://digital.car.chula.ac.th/jhr/vol37/iss6/2
  11. Nasresabetghadam S, Jahanshahi M, Fotokian Z, Nasiri M, Hajiahmadi M. The effects of Orem’s self-care theory on self-care behaviors among older women with hypertension: A randomized controlled trial. Nurs Midwifery Stud [Internet]. 2021;10(2):100. Available from: http://www.nmsjournal.com/text.asp?2021/10/2/100/314162
  12. Nawata K. Risk factors for heart, cerebrovascular, and kidney diseases: evaluation of potential side effects of medications to control hypertension, hyperglycemia, and hypercholesterolemia. Front Cardiovasc Med [Internet]. 2023 Jun 2;10(June):1–14. Available from: https://www.frontiersin.org/articles/10.3389/fcvm.2023.1103250/full
  13. Patel S, Sharma A, Tiwari R. Prevalence of Non-communicable Diseases among Elderly Women. Natl J Community Med [Internet]. 2022 Feb 12;13(1):7–12. Available from: https://www.njcmindia.com/index.php/file/article/view/45
  14. Pomalingo AY, Talibo SD, Hadi NS. Increased knowledge related to hypertension and diabetes mellitus as well as demonstration of balanced nutrition in the elderly in tabumela village. Jpkm J Pengabdi Kesehat Masy [Internet]. 2023 Feb 27;4(1):20–31. Available from: https://ejurnal.ung.ac.id/index.php/jpkm/article/view/18506
  15. Rona Febriyona, Juliana Mayulu. Penerapan Model Kemandirian Keluarga Dalam Merawat Lansia Dengan Hipertensi Melalui Pendekatan Teori Orem (Self-Care) Di Desa Mongolato Kecamatan Telaga. Termom J Ilm Ilmu Kesehat dan Kedokt [Internet]. 2023 Jun 18;1(3):98–107. Available from: https://ejurnal.politeknikpratama.ac.id/index.php/Termometer/article/view/1934
  16. Rostaminasab S, Nematollahi M, Jahani Y, Mehdipour-Rabori R. The effect of family-centered empowerment model on burden of care in parents and blood glucose level of children with type I diabetes family empowerment on burden of care and HbA1C. BMC Nurs [Internet]. 2023 Jun 20;22(1):214. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-023-01375-w
  17. Wahyudi CT, Aprilianawati N. Motivasi Diri Dan Dukungan Keluarga Dalam Mengontrol Tekanan Darah Lansia Hipertensi. J JKFT [Internet]. 2022 Aug 28;7(1):1. Available from: https://jurnal.umt.ac.id/index.php/jkft/article/view/6232
  18. White CL, Barrera A, Turner S, Glassner A, Brackett J, Rivette S, et al. Family caregivers’ perceptions and experiences of participating in the learning skills together intervention to build self-efficacy for providing complex care. Geriatr Nurs (Minneap) [Internet]. 2022 May;45:198–204. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0197457222000945
  19. Widjianingrum A, Wulansari W. Edukasi Kesehatan Keluarga dalam Melakukan Perawatan dengan Masalah Pengelolaan Pemeliharaan Kesehatan Tidak Efektif. Indones J Nurs Res [Internet]. 2022 Nov 28;5(2):104–9. Available from: https://jurnal.unw.ac.id/index.php/ijnr/article/view/1775
  20. Zarzycki M, Morrison V, Bei E, Seddon D. Cultural and societal motivations for being informal caregivers: a qualitative systematic review and meta-synthesis. Health Psychol Rev [Internet]. 2023 Apr 3;17(2):247–76. Available from: https://www.tandfonline.com/doi/full/10.1080/17437199.2022.2032259