Effect of Family Caregiver Empowerment on Burnout in Caregiver Type 2 Diabetes
DOI:
https://doi.org/10.33006/jikes.v8i2.798Abstract
Abstrak
Burnout pada caregiver dapat muncul sebagai reaksi dari peran, tanggung jawab, dan kurang optimalnya caregiver keluarga dalam merawat penderita T2DM. Burnout yang terjadi mengindikasikan kurangnya sumber daya dalam penatalaksanaan T2DM yang menyebabkan kemampuan keluarga tidak memadai. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi Family Caregiver Empowerment Model (FCEM) terhadap Burnout pada Caregiver pasien Diabetes Melitus tipe 2. Penelitian ini merupakan penelitian quasi eksperimental dengan desain pretest dan posttest dengan sampel sebanyak 74 responden, secara acak menggunakan cluster sampling (perlakuan = 35, kontrol = 39). Variabel independen adalah FCEM, dan variabel dependen adalah burnout. Instrumen yang digunakan adalah kuesioner Maslach Burnout Inventory (MBI-HSS). Analisis statistik menggunakan Wilcoxon signed rank test dan Mann Whitney. Hasil penelitian menunjukkan bahwa pada kelompok intervensi dan kelompok kontrol terdapat perbedaan skor burnout yang signifikan pada saat pretest dan posttest (p=<0.001 p=0.002 < α =0.05). Terdapat perbedaan yang signifikan pada skor burnout antara kelompok intervensi dan kelompok kontrol (p=<0,001). Intervensi FCEM dapat mengurangi depresi pada penderita T2DM. Perawat dapat menggunakan intervensi FCEM untuk meningkatkan kapasitas keluarga dalam perawatan diri diabetes untuk mengurangi burnout pada caregiver pasien T2DM.
Kata kunci: burnout, pemberdayaan, pengasuh keluarga, diabetes mellitus tipe 2
Abstract
Burnout in caregivers can arise as a reaction to the role, responsibility, and less-than-optimal family caregivers in caring for people with T2DM. Burnout may indicate a lack of resources in managing T2DM, which can result in inadequate family abilities. This study aims to analyze the effect of the Family Caregiver Empowerment Model (FCEM) intervention on Burnout in Caregivers of type 2 Diabetes Mellitus patients. The study was a quasi-experimental pretest and posttest design with a sample of 74 respondents, randomly using cluster sampling (treatment = 35, control = 39). The independent variable is FCEM, and the dependent variable is burnout. The instrument used was the Maslach Burnout Inventory (MBI-HSS) questionnaire. Statistical analysis used Wilcoxon signed rank test and Mann Whitney. The results showed that in both the intervention and control groups, there was a significant difference in burnout scores at the pretest and posttest (p=<0.001 p=0.002 < α =0.05). There was a significant difference in burnout scores between the intervention and control groups (p=<0,001). FCEM intervention could reduce depression in people with T2DM. Nurses can use FCEM interventions to increase family capacity in diabetes self-care and reduce burnout in caregivers of patients with T2DM.
Keywords: burnout, empowerment, family caregiver, type 2 diabetes mellitus
References
Alsaedi, Y. E., Almalki, A. A., Alqurashi, R. D., Altwairqi, R. S., Almalki, D. M., Alshehri, K. M., Alamri, A. A., & Alswat, K. A. (2022). Assessment of Type II Diabetes Patients’ Caregivers’ Burnout Level: A Cross-Sectional Study in Taif, Saudi Arabia. Diabetes, Metabolic Syndrome and Obesity, 15(April), 1091–1099. https://doi.org/10.2147/DMSO.S357340
Ansari, R. M., Harris, M. F., Hosseinzadeh, H., & Zwar, N. (2022). Experiences of Diabetes Self-Management: A Focus Group Study among the Middle-Aged Population of Rural Pakistan with Type 2 Diabetes. Diabetology, 3(1), 17–29. https://doi.org/10.3390/diabetology3010002
International Diabetes Federation. (2021). International Diabetes Federation. In Diabetes Research and Clinical Practice,102(2). https://doi.org/10.1016/j.diabres.2013.10.013
Ahmadi, B., Sabery, M., & Adib-Hajbaghery, M. (2021). Burnout in the primary caregivers of children with chronic conditions and its related factors. Journal of Client-Centered Nursing Care, 7(2), 139-148. https://doi.org/10.32598/JCCNC.7.2.360.1
Anto, R. P., Harahap, T. K., Sastrini, Y. E., Trisnawati, S. N. I., Ayu, J. D., Sariati, Y. & Mendo, A. Y. (2023). Perempuan, Masyarakat, Dan Budaya Patriarki. Penerbit Tahta Media.
Asih, S. W., & Wahyuni, S. (2021). Family Health Education sebagai Pencegahan Penularan Covid-19 pada Keluarga Dengan Komorbid Diabetes Mellitus. JI-KES (Jurnal Ilmu Kesehatan), 4(2), 60-65. https://doi.org/10.33006/ji-kes.v4i2.204
Azwar, S. (2022). Penyusunan Skala Psikologi (edisi 2). Jogyakarta: Pustaka Pelajar
Banovcinova, A., Levicka, J., & Veres, M. (2014). The impact of poverty on the family system functioning. Procedia-Social and Behavioral Science, 132, 148-153. https://doi.org/10.1016/j.sbspro.2014.04.291.
Cohen, R. I. (2018). Lean methodology in health care. Chest, 154(6), 1448-1454.
Fauzian, R. (2020). Pengantar Psikologi Perkembangan. CV Jejak (Jejak Publisher).
Firmansyah, M. R. (2019). Mekanisme Koping Dan Efikasi Diri Dengan Manajemen Perawatan Diri Pasien Diabetes Melitus Tipe 2. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 11(1). https://doi.org/10.36729/bi.v11i1.924
Hakim, L. N. (2020). Urgensi revisi undang-undang tentang kesejahteraan lanjut usia. Sumber, 17(6). https://doi.org/10.46807/aspirasi.v11i1.1589
Lambrinou, E., Hansen, T. B., & Beulens, J. W. J. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26(2_suppl), 55–63. https://doi.org/10.1177/2047487319885455
Luthfa, I. (2018). Peran Keluarga Merawat Lansia Pasca Stroke. In Unissula Nursing Conference Call For Paper & National Conference 1.1, Pp. 62-69). http://dx.doi.org/10.26532/.v1i1.2888.g2102
Maharani, R., Amir, N., Tornoto, K., Molintao, W., Muftadi, M., Said, F., & Yusrini, Y. (2023). Efektifitas Psikoedukasi Terhadap Tingkat Burnout Caregiver Klien Skizofrenia di Desa Kersamanah Kabupaten X. MAHESA : Malahayati Health Student Journal, 3(5), 1283-1296. https://doi.org/10.33024/mahesa.v3i5.10326
Nagori, A. (2023). A Study of Effect of the Caregiving Burden on the Resilience and Burnout among Caregivers of Diabetic Family Members. 2(April), pp 164–182.
Nusantara, A. F., Sunanto, S., & Kusyairi, A. (2019). Support System Keluarga dalam Pencegahan Ketoasidosis Diabetik pada Anak dengan DM Tipe 1. JI-KES (Jurnal Ilmu Kesehatan), 3(1), 1-6. https://doi.org/10.33006/ji-kes.v3i1.122
Rondhianto, R., Nursalam, N., Kusnanto, K., & Melaniani, S. (2020). Development of family caregiver empowerment model (FCEM) to improve family caregiver capability on type 2 diabetes self-management. https://doi.org/10.31838/srp.2020. 6.149
Rondhianto, R., Nursalam, N., Kusnanto, K., & Melaniani, S. (2021). Pengelolaan Mandiri Diabetes Mellitus Tipe 2 Di Rumah.
Rondhianto, R., Nursalam, N., Kusnanto, K., & Melaniani, S. (2022). The effect of family caregiver empowerment interventions on family caregiver capabilities in self-management of type 2 diabetes mellitus in Indonesia.https://doi.org/10.1016/j.enfcle.2022.01.005
Simanjuntak, G. V., & Simamora, M. (2020). Lama Menderita Diabetes Mellitus Tipe 2 Sebagai Faktor Risiko Neuropati Perifer Diabetik. Holistik Jurnal Kesehatan, 14(1), 96-100. https://doi.org/10.33024/hjk.v14i1.1810
Swartz, K., & Collins, L. G. (2019). Caregiver care. American Family Physician, 99(11), 699–706.
Teti Rahmawati, S. R. (2019). Karakteristik Dan Kesediaan Caregivers Keluarga Dari Pasien Dengan Penyakit Kronis Tentang Pembentukan Support Group. Jurnal Ilmiah Keperawatan Altruistik, 2(2), 53–62. https://doi.org/10.48079/vol2.iss2.42
Thongduang, K., Boonchieng, W., Chautrakarn, S., & Ong-Artborirak, P. (2022). The Influence of Family Caregiver Knowledge and Behavior on Elderly Diabetic Patients’ Quality of Life in Northern Thailand. International Journal of Environmental Research and Public Health, 19(16). https://doi.org/10.3390/ijerph191610216
Wahyuningrum, R., Wahyono, D., Mustofa, M., & Prabandari, Y. S. (2020). Masalah-Masalah terkait Pengobatan Diabetes Melitus Tipe 2: Sebuah Studi Kualitatif. Indonesian Journal of Clinical Pharmacy, 9(1), 26 https://doi.org/10.15416/ijcp.2020.9.1.26
Widhianingtanti, L. T., & Luijtelaar, G. V. (2022). The Maslach-Trisni burnout inventory: adaptation for IndonesiaJP3I (Jurnal Pengukuran Psikologi dan Pendidikan Indonesia). Jurnal pengukuran psikologi dan Pendidikan Indonesia, 11(1), 1-21. https://doi.org/10.15408/jp3i.v11i1.24400
Downloads
Published
Issue
Section
Citation Check
License
Copyright (c) 2025 Novita Putri Eka Wardani, Rondhianto, Akhmad Zainur Ridla

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.