Relationship between the levels of family burden in caring for ...
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Caring for older people can be a burden for the family that led to the mistreatment. Research conducted by Galuh, Caregiver Burden dan Strategi Coping pada ...
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Relationshipbetweenthelevelsoffamilyburdenincaringforolderpeoplewith...
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Vol.28.Núm.S1.1stInternationalNursingScholarsCongress.Depok(Indonesia),15-16November2016Páginas74-78(Febrero-Junio2018)
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Vol.28.Núm.S1.1stInternationalNursingScholarsCongress.Depok(Indonesia),15-16November2016Páginas74-78(Febrero-Junio2018)
DOI:10.1016/S1130-8621(18)30041-X
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Relationshipbetweenthelevelsoffamilyburdenincaringforolderpeoplewiththeincidenceofmistreatment
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EttyRekawatia,
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[email protected].
,AchirYaniS.Hamida,JunaitiSahara,Widyatutia,CASbaFacultyofNursing,UniversitasIndonesia,Depok,JawaBarat,IndonesiabCentreofAgeingStudies,UniversitasIndonesia
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Tablas(5)Table1.Characteristicsofolderpeople,KelurahanHarjamuktiKecamatanCimanggis(n=135).Table2.Characteristicsoffamilies,KelurahanHarjamuktiKecamatanCimanggis(n=135).Table3.Familyburdensincaringforolderpeople,KelurahanHarjamuktiKecamatanCimanggis(n=135).Table4.Incidentofolderpeoplemistreatmentinfamilies,KelurahanHarjamuktiKecamatanCimanggis(n=135).Table5.Relationshipbetweenfamilyburdenswiththeincidenceofmistreatment,KelurahanHarjamuktiKecamatanCimanggis(n=135).MostrarmásMostrarmenos
AbstractBackgroundCaringforolderpeoplecanbeaburdenforthefamilythatledtomistreatment.ObjectiveTodeterminetherelationshipbetweenthelevelsoffamilyburdenincaringforolderpeoplewiththeoccurrenceofmistreatmentincidence.Designandparticipants:Acrosssectionalstudydesignwasconductedwith135olderpeoplewholivewiththeirfamilyasrespondents.Setting135familieswitholderpeopleatKelurahan/VillageofHarjamuktiarea,Kecamatan/DistrictofCimanggis,Depokcity.MethodThisstudyappliedprobabilitysamplingtechniquewithmultistageclustersampling.ResultsFamilycharacteristicsshowthatalmosthalfofolderpeoplewerecaringbyfamilymembers(caregivers)whowereaged20-39years,nearlyallcaregiverswerewomen,familyincomemostlylessthanUMK,familiesmostlymonosyllabicnationBetawiandcaregiversmostlyweretheirownchild.Mostofthefamiliesstatedthatnoexpenseincaringfortheolderpeople(89.6%),buttherearestillfamilieswhofeeltheburdenofcaring.Thehighesttypeofmistreatmetoftheolderpeopleispsychologicalmistreatments.ConclusionsFromthestatisticaltestobtainedbypvalueequalsto0.553,itwasconcludedtherewasnocorrelationbetweentheincidencesofanyfamilyburdenwithmistreatment.Keywords:MistreatmentOlderpeopleFamilyBurden
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IntroductionOneareawillbecalledasanoldstructureareaifthepercentageofolderpeopleinitismorethan7%.BPSRI-SUSENAS2009,inKomisiNasionalLansia,statesthattheaveragepercentageofolderpeopleresidentsinIndonesiaat8.37%,sothatIndonesiaisoneofoldstructurednation.Among34provincesinIndonesia,thereare11provincesthathaveolderpeoplepopulationmorethan7%.ThreeprovinceswithhighestpercentageareDaerahIstimewaYogyakarta(14.02%),JawaTengah(10.99%),JawaTimur(10.92%),whilethreeprovinceswiththelowestpercentageofolderpeoplearePapua(2.16%),PapuaBarat(3.31%),andKepulauanRiau(4.83%).BPSRI,inOlderPeoplePopulationProfilecompiledbyKomisiNasionalLansiain2010explainedthatWestJavaisoneofoldstructuredprovincesincepopulationofolderpeopleinWestJavais7.95%ofthetotalpopulationof41902385inhabitants1,2.Olderpeopleexperiencechangesduetoagingprocess;oneofagingprocessisabiologicalchange.Physicalchangesaffectolderpeople’sbodycondition,forexamplemuscleatrophy,lossofelasticityinbloodvessels,increasedbloodpressure,decreasedsalivaproduction,andchangesinurinarypatterns.AccordingtoMiller’stheory,theoryofConsequences,thehealthproblemsintheolderpeoplemayoccurduetoavarietyofbiologicalchangesintheolderpeople.Thehealthproblemsbecomeincreasinglyseverebecauseitisaccompaniedbyriskfactors,suchasdietpatternsinceayoungageandlesssupportivelifestyle3.Olderpeopleasfamilymemberadopthealthybehaviorswhichthefamilyhasbelievedin.Familyactuallyisthefirstenvironmenttoestablishhealthybehaviorsandhabitsincludethevalueofhealthylifestyleaswellasperceptionsofhealthrisks.Itmeansfamilybehaviorshavebigimpacttothehealthstatusofolderpeople.Furthermore,familysupportstoolderpeoplecanaffectolderpeoplelevelofdependency.Iffamilysupportisinadequate,itmaycausehighlevelofolderpeopledependencytowardthefamily.Thefamilyastheclosestrelativetoolderpeopleneedstohaveabilitytofulfiltheelders’basicneeds.Mistreatmentcanhappenifthefamilyfailstoprovideagoodcareforelders.Caringforolderpeoplecanbeaburdenforthefamilythatledtothemistreatment.ResearchconductedbyGaluh,CaregiverBurdendanStrategiCopingpadaFamilyCaregiver,usingqualitativemethodsstatesthatcaregiversofpeoplewithHIV/AIDSexperiencetheburdeninthepatientcareprocess.Theburdenappearsintheformofaphysicalburden,financial,social,andeconomic4.Familyisalsotheclosestonewhodirectlyprovidescareforolderpeople.Mistreatmentmayoccurwhenthereisahighdependencyofelders;familyabilityisnoteffectiveinprovidingcareforelders;andburdenfeelingfromfamily.Somepeoplebelievethatmistreatmentcanbeassociatedwithrevengefromchildrenwhoexperienceviolencefromparents5.NationalCenteronElderAbuse,USAstatesthatneglectofolderpeopleisoneofthemistreatmenttoolderpeople.Duckhornalsodescribestypesofmistreatmentofolderpeoplesuchas14.6%physicalmistreatment,12.4%offinancialmistreatment,7.8%ofemotionsmistreatment,0.4%ofsexualmistreatment,55.1%neglectoftheolderpeople,4.1%unknownand6.2%happenothermistreatments.ResearchconductedbyRekawatifoundthatolderpeoplewhooftenhavemistreatmentinthisstudyareaged60-75yearsold,female,Javanesetribe,Moslems,onlycompletedelementaryschool,andawidoworwidower6–8.Itwasalsoidentifiedthatincidenceofmistreatmenttoolderpeoplewholivewiththeirfamilywasincreasingeveryyear.ThereweresomanyresearchrelatedtoolderpeoplehasbeendoneinIndonesiaatthistime,especiallyresearchrelatedtomistreatmentincidencetowardinfantsuptoolderpeople.However,therewasnoresearchontheperceivedburdenoffamilieswhoprovidecareforolderpeoplethatinfluencesmistreatment.Basedonthiscondition,researcherinterestedtoexploretherelationshipbetweenlevelsoffamilyburdenincaringwiththeincidenceofmistreatmentofolderpeople.MethodThisquantitativeresearchdesignwasperformedwithsimpledescriptivedesignappliedwithcross-sectionalstudyapproach(cross-sectional).SamplesofthisresearcharedeterminedbytheformulaaccordingtoLemeshow9andamountedto135people.Inclusioncriteriasforthisstudyconsistoftwocategories,namelytheolderpeopleandfamilies.Olderpeopleinclusioncriteriasinclude:ageover60years,stayingwithfamily,beabletoperformverbalcommunicationeffectively,minimaleducationalleveliselementaryschool,andwaswill-ingtobethesubjectofresearch.Whiletheinclusioncriteriasforthefamilyorcaregiveris:staywitholderpeople,beabletoperformverbalcommunicationeffectively,minimaleducationlevelwashighschoolgraduation,andwaswillingtobethesubjectofresearch.Researchwasconductedusingprobabilitysamplingtechniquewithmultistageclustersampling.Thistechniqueusedtodeterminethesamplewhenthesourcedataisverybroad.Beforecollectingdata,theresearchersconductedtestsontheinstrumentsusedintheKelurahanCisalakPasararea.KelurahanCisalakPasarhassimilarcharacteristicswiththepopulationofresearchtargetarea.Processinganddataanalysiswasperformedusingthecomputerprogramandcalculatingwiththehelpofstatisticalteststodeterminethefrequencydistributionandproportionofeachvariable.ResearchconductedatKelurahanHarjamuktiKecamatanCimanggisofDepok.Priortotheimplementationofthestudy,respondentsgotexplanationofthepurposeandbenefitsofresearchandwererequestedapprovalbycompletingtheinformedconsent.ResultsTable1showsthecharacteristicsoftheolderpeoplemostlyagedbetween60-69years,themajorityofrespondentsarefemale,almostentirelyunderUMKincome.Table2showsalmosthalfofolderpeoplecaredbyfamilymembers(caregivers)wereaged20-39years,themajoritycaregiverisfemale,mostofthefamilyincomeislessthanUMK,andthecaregiversmostlytheelders’child.Table1.Characteristicsofolderpeople,KelurahanHarjamuktiKecamatanCimanggis(n=135).No.
Characteristics
Amount
Percentage(%)
1Ages60-69yearsold
69
51.1
70-79yearsold
42
31.1
≥80yearsold
24
17.8
Total
135
100
2GenderWomen
75
55.6
Men
60
44.4
Total
135
100
3Income
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