Exploration of families' experiences in managing hypertension control in Denpasar, Indonesia: a qualitative study (2025)

The (Passive) Violence of Harmony and Balance: Lived Experienced of Javanese Women with Type 2 Diabetes

2014

This study is an examination of Javanese women's lived experience with Type 2 diabetes, an exploration of the ways these women maintain interactions with family members and society and how they adapt diabetes management to Javanese cultural beliefs and traditions. Through participant's narratives, this study provides a new conceptual understanding of diabetes and how submission to culture becomes an opportunity for these women to reconstruct their identities and manage their disease and their obligations. This study includes data collected through in-depth interviews and observations, which were analyzed using narrative analysis. A total of 60 Javanese women with Type 2 diabetes participated in this study. These women are from middle class and poor socioeconomic groups, and reside in urban and rural areas of Central Java, Indonesia. Through the interviews, the influence of cultural beliefs related to Javanese women's health beliefs, and their roles in maintaining harmonious social interactions and obligations are examined, along with issues of self-image and identity formation. Narrative analysis was conducted to analyze individuals' stories and the socio-cultural meanings embedded in the stories. Further, in the analysis, women's narratives are used to capture shared socio-cultural values that shape Javanese women's identities and their understandings about diabetes. The analysis reveals xiv that harmony and balance are main themes in women's stories of their lived experiences with Type 2 diabetes. Principles of balance and harmony emphasize individuals' abilities to manage disruptions in their lives using specific cultural resources, and attaining balance and harmony, participants say-is required for even constitutive of good health. The author concludes that the prominence of balance and harmony in the narratives indicates that these two obligations substantially affect Javanese people's worldview, providing a fundamental structure for understanding conceptual thinking about disease, health, cures, and ways of managing Type 2 diabetes. More specifically, diabetes challenges harmony and balance on three different levels: the personal level, the familial level, and the social level. Within these levels, participants emphasize the importance of achieving "fit" through submission to Javanese cultural values, especially tepa selira (empathy).

Effects of Family Function on Blood Sugar Control in Patients with Type 2 Diabetes Mellitus

Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)

Background: A long term treatment can happen for patients with diabetes mellitus (DM), which can negatively affect their lives and their families. Family support is an important factor to help them adapt to their DM and maintain their self-management. Doctors must assess family function of the patients with DM during their treatment.Objective: This study aimed to observe the effects of family function on blood sugar control in type 2 DM patients who were included in PROLANIS (chronic disease management program) at Puskesmas Banguntapan 2 Bantul, D.I. Yogyakarta, Indonesia.Methods: This quantitative analytical study was conducted with a cross-sectional design in November-December 2019 by using the Family APGAR instrument and fasting blood sugar tests from the DM patients’ venous blood. Its sampling technique was the total sampling of the PROLANIS participants who suffered from DM and met inclusion criteria of this study. All obtained data of this study were analyzed by Spearman Produ...

Perceived family support among older persons in diabetes mellitus self-management

BMC Geriatrics

Background: The 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. Methods: This 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. Results: The 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. Conclusions: Physical 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.

Silent Killers: Diabetes and the Active Ignorance of Noncommunicable Disease in Bali

2018

In this paper, I will explore the growing burden of non-communicable diseases and specifically diabetes in Bali. I will study the general publics’ awareness and behaviors about noncommunicable diseases, as well as the attitudes and behaviors of diabetic patients towards their own condition. Furthermore, I will explore the diagnosis, treatment, and outcomes of diabetes, as well as the impact of the Indonesian national healthcare reform of 2014 on these issues. My objectives in this study were to explore the perspectives of both patients and healthcare providers towards diabetes, and to compare and contrast these perspectives both against each other and against the assumptions I had made from my literature review going into the field. I found that they often challenged each other. More than anything, I found that healthcare in Bali is in a massive state of transition, from the introduction of the single state healthcare provider and increasing awareness about noncommunicable disease. ...

Family Therapy is Effective to Enhance Family Self-Sufficiency to Care For Elderly Family Members with Hypertension

Jurnal Keperawatan Soedirman

Hypertension is a one of the most common medical problems affecting the elderly.Strategies to manage the problem is already developed. However, patient's compliance, particularly elderly, to follow hypertension management is considered low.Some factors contributed to patient's non-compliance behavior are including lack of motivation and family support. Lack of family support was associated to lack of family self-sufficiency for hypertension management.This study aimed at determines the effect of family therapy on family self-suffienciency in managing hypertension. This study used quasy experimental study with control group design.A total of 40 families which divided into two groups (treatment group and control group) were involved in this study.Samples in each group (20 families each) were assigned using simple random sampling technique. Level of family self-sufficiency was determined using Indonesian Ministry of Health definition. Data was analyzed using Wilcoxon test.Resul...

Theory of Planned Behaviour for Cervical Cancer Prevention - View of Husband Support

The husband's support is an important interpersonal factor in the prevention of cervical cancer performed by women but there are also women who have received support from their husbands who are still reluctant to make an effort related to the early detection of cervical cancer. This study aims to analyse the factors related to the husband's support behaviour in cervical cancer prevention based on the Theory of Planned Behavior. This study used a cross-sectional design. The sample consisted of 102 husbands within childbearing couples taken using a cluster sampling technique. The variables of the research included the husband's attitude, the subjective norm, perceived behavioural control, intention and support behaviour in relation to cervical cancer prevention. Data analysis was performed using Spearman Rho with α ≤0.05. The results showed there to be a significant relationship between attitude and intention (p=0.000; r=0.377), perceived behavioral control and intention (p=0.003; r=0.289) and the intention with the husband's support behaviour in terms of cervical cancer prevention (p =0.000; r=0.431). The subjective norms within the intention indicate a significant relationship (p=0.059; r=0.188). To improve the prevention of cervical cancer, health care providers and health institutions should involve the husband to reduce female morbidity and mortality from cervical cancer.

Family Involvement in the Treatment of Hypertensive Patients using Dunn’s Health Grid: A Multiple Case Study

Proceedings of the 5th International Conference on Health Sciences (ICHS 2018), 2019

Non-communicable diseases such as hypertension have overtaken infectious diseases as the leading causes of death in the world. However, it is considered to be a preventable disease. Family has a role in preventing and controlling this disease. The study aimed to analyze the involvement of family in the treatment of hypertensive patients in the community in Terban using qualitative research method with a multiple case study design. Using purposive sampling, four families were recruited to participate in this research, each of which represented four quadrants of Dunn’s Health Grid. These characteristics include: (1) Case 1 is a family that has a patient with high-level of wellness in a favourable environment, (2) Case 2, has a patient with emergent high-level of wellness in an unfavourable environment, (3) Case 3, has a patient with protected poor health in a favourable environment, and (4) Case 4, has a patient with poor health in an unfavourable environment. To gather the data, this...

The physical and mental health of elderly in a Balinese village

Journal of Cross-cultural Gerontology, 1988

This was a study of the physical and mental health and lifestyle of elderly Balinese. Persons over 65 years of age (N = 45) in the village of Batur Utara were studied by structured interviews and quantitative psychological/psychiatric instruments. Prevalences of physical illness and mental disorders were obtained and compared with data available from other countries. The proportion of elderly in the total population was relatively low (4.1%). A high proportion (95.7%) were still working. We found relatively high prevalences of depression (14%) and anxiety (18%) and relatively low prevalences of dementia (7%) and obesity (0%).

College of Nursing Education 3 rd Floor, DPT Building Matina Campus, Davao City A Family Case Study Presented To the College of Nursing In Partial Fulfillment of the Requirements in Community Organizing Participatory Action Research Family Case Study

"Ritual Burdens" Film Study Guide