The Quality Of Life Of Informal Caregivers Of Older People With Type 2 Diabetes Mellitus In Indonesia: A Cross-Sectional Study
Keywords:
Quality of Life, family caregivers, type 2 diabetes mellitus, elderlyAbstract
This study aimed to assess the Quality of Life (QoL) of family caregivers of older persons with type 2 diabetes mellitus (T2DM) at home. The study utilized the 33-item Quality of Life Index to evaluate the QoL of 394 family caregivers caring for older persons with T2DM under the six Community Health Centers working area in City of Medan, Indonesia. Data analysis involved descriptive statistics and chi-square tests. The study found that the caregivers aged between 60 and 74 years reported a significantly higher prevalence of poor QoL (78.9%). Male caregivers were more likely to report poor QoL (84.7%) compared to female caregivers (45.0%). Unmarried caregivers have good QoL (100%) compared to widowed and married status (24% and 48.7%). Low level of education has poor QoL 83.1%. Spouse caregiver has poorer QoL compared to child and other relative’s relationships. Those caring for older persons with T2DM for less than 5 years (68.7% for 1-2 years and 71.9% for 3-5 years) reported poorer QoL compared to those caregiving for more than 6 years (44%). Caregivers who look after older adults with two and more than three chronic illnesses and complications tend to have a lower QoL. This study highlights that older age, male gender, married/widowed, elementary school, caregiver spouse, shorter caregiving duration (less than 5 years), and having comorbid and complication tend to have poorer QoL.
References
Hill, J. (2019). The older person with diabetes: Considerations for care. British Journal of Community Nursing, 24(4), 160–164.
Cristea, M., Noja, G. G., Stefea, P., & Sala, A. L. (2020). The impact of population aging and public health support on EU labor markets. International Journal of Environmental Research and Public Health, 17(4).
International Diabetes Federation. (2021). IDF Diabetes Atlas 2021 (10th ed., pp. 1–427). Retrieved from www.diabetesatlas.org
Bigelow, A., & Freeland, B. (2017). Type 2 diabetes care in the elderly. Journal of Nurse Practitioners, 13(3), 181–186. http://dx.doi.org/10.1016/j.nurpra.2016.08.010
Dunning, T., & Sinclair, A. (2014). The IDF global guideline for managing older people with type 2 diabetes: Implications for nurses. Journal of Diabetes Nursing, 18, 145–150.
Scarton, L. J. (2016). Activities and support provided by family caregivers of persons with type 2 diabetes. ProQuest Dissertations and Theses (April), 136. https://search.proquest.com/docview/1791388445?accountid=28931
Ripoll, J. M. S., Llinares, V. J. S., Pérez, M. J. R., Cervera, C. G., Cruz, J. M. N., & Atiénzar, P. E., et al. (2018). Caregiver burden in the management of frail elderly patients with diabetes in internal medicine. Health (Irvine Calif), 10(10), 1383–1391.
Sinclair, A. J., Armes, D. G., Randhawa, G., & Bayer, A. J. (2010). Caring for older adults with diabetes mellitus: Characteristics of carers and their prime roles and responsibilities. Diabetic Medicine, 27(9), 1055–1059.
Catalán-Gómez, C. A., Guevara-Valtier, M. C., Reyna-Ávila, L., Cárdenas-Villareal, V. M., & Paz Morales, M. de los Á. (2022). Caregivers experiences about elderly with type 2 diabetes mellitus during the COVID-19 pandemic. Sanus, 7, 1–14. http://www.scielo.org.mx/pdf/sanus/v7/2448-6094-sanus-7-e245.pdf
Jorwal, P., Verma, R., & Balhara, Y. (2015). Psychological health of caregivers of individuals with type 2 diabetes mellitus: A cross-sectional comparative study. Journal of Social Health and Diabetes, 3(2), 95–101.
Adianta, I. K. A., & Wardianti, G. A. (2018). Beban keluarga pada penderita diabetes melitus tipe II [Caregiver burden in caring for patients with type 2 diabetes mellitus]. Jurnal Riset Kesehatan Nasional, 2(1), 85–90.
Sari, I. P., & Hidayati, H. (2016). Beban keluarga dalam merawat anggota keluarga dengan penyakit diabetes mellitus di Aceh [Family burden in caring for family member with diabetes mellitus in Aceh]. Jurnal Ilmiah Mahasiswa, 435–437.
Badriah, S., Wiarsih, W., & Permatasari, H. (2014). Pengalaman keluarga dalam merawat lanjut usia dengan diabetes mellitus [Experience of family caregivers in caring for older persons with diabetes mellitus]. Jurnal Keperawatan Indonesia, 17(2), 57–64.
Xie, H., Cheng, C., Tao, Y., Zhang, J., Robert, D., & Jia, J., et al. (2016). Quality of life in Chinese family caregivers for elderly people with chronic diseases. Health and Quality of Life Outcomes, 14(1), 1–10.
Ferrans, C. E., Zerwic, J. J., Wilbur, J. E., & Larson, J. L. (2005). Conceptual model of health-related quality of life. Journal of Nursing Scholarship, 37(4), 336–342.
Kristaningrum, N. D., Ramadhani, D. A., Hayati, Y. S., & Setyoadi. (2021). Correlation between the burden of family caregivers and health status of people with diabetes mellitus. Journal of Public Health Research, 10(2), 326–331.
Ayudia, L., Gimmy, A., Siswadi, P., & Purba, F. D. (2020). Kualitas hidup family caregiver pasien orang dengan skizofrenia (ODS) [Quality of life of family caregivers of people with schizophrenia]. Jurnal Kesehatan Indonesia, 4, 128–142.
Yuliano, A., Putra, M., Sari, Y. P., Resti, D., & Nanda, D. (2020). Kualitas hidup caregiver skizofrenia: A cross sectional study [Quality of life of caregivers for schizophrenia patients: A cross-sectional study]. Jurnal Kesehatan Indonesia, 7(1), 91–97.
Sambasivam, R., Liu, J., Vaingankar, J. A., Ong, H. L., Tan, M. E., Fauziana, R., et al. (2019). The hidden patient: Chronic physical morbidity, psychological distress, and quality of life in caregivers of older adults. Psychogeriatrics, 19(1), 65–72.
Starks, S. A., Graff, J. C., & Wicks, M. N. (2020). Factors associated with quality of life of family caregivers of dialysis recipients. Western Journal of Nursing Research, 42(3), 177–186.
Statistic Indonesia. (2021). Statistik penduduk lanjut usia 2021 [Elderly population statistics 2021]. Retrieved from https://www.bps.go.id
Saunders, M. M. (2009). Indicators of health-related quality of life in heart failure family caregivers. Journal of Community Health Nursing, 26(3), 173–182.
Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1, 185–216.
Galarraga, M. M., & Llahana, S. (2018). Quality of life for carers of people with type 2 diabetes: A literature review. Journal of Diabetes Nursing, 22(1).
Longo, M., Bellastella, G., Maiorino, M. I., Meier, J. J., Esposito, K., & Giugliano, D. (2019). Diabetes and aging: From treatment goals to pharmacologic therapy. Frontiers in Endocrinology (Lausanne), 10(FEB).
Aljuaid, M., Illyas, N., Altuwaijri, E., Albedawi, H., Alanazi, O., Shahid, D., et al. (2022). Quality of life among caregivers of patients diagnosed with major chronic disease during COVID-19 in Saudi Arabia. Retrieved from https://doi.org/10.3390/healthcare10030523
Fauziah, W., Kato, M., Shogenji, M., & Tsujiguchi, H. (2022). Factors associated with depression among family caregivers of patients with stroke in Indonesia: A cross-sectional study. Journal of Nursing Research, 30(5), 1–13.
Widagdo, T. M. M., Gulo, L. I., Cendrasilvinia, H., & Manus, W. C. (2022). Caregivers of elderly with moderate to total dependence in activities of daily living in Yogyakarta, Indonesia: Correlation of burden and quality of life. Makara Journal of Health Research, 26(3).
Riasmini, N. M., Sahar, J., & Resnayati, Y. (2013). Pengalaman keluarga dalam penanganan lanjut usia di masyarakat dari aspek budaya Indonesia [Family experiences in care management of older people in the community: Indonesian cultural perspective]. Jurnal Berkala Epidemiologi, 4(2), 213–224.
Purnomo, A. (2006). Teori peran laki-laki dan perempuan [Male and female role theory]. Egalita, 1(2), 1–21. Retrieved from https://ejournal.uin-malang.ac.id/index.php/egalita/article/view/1920/pdf
Lopez–Anuarbe, M., & Kohli, P. (2019). Understanding male caregivers’ emotional, financial, and physical burden in the United States. Healthcare, 7(2), 1–18.
Valera, C. C., Regué, M. B., Ritort, S. F., & Torres, E. C. (2019). How to undertake aging in a healthy way: Changes and opportunities. AQUICHAN, 19(19), 1–13.
Las, C. D. E., Mayores, P., Cuidadores, Y. S. U. S. (2017
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
