Pengaruh Intervensi Family Caregiver Empowerment Model (FCEM) terhadap Koping pada Pasien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Banjarsengon Kabupaten Jember

Abstract

DM (Diabetes Mellitus) is a disease that can cause stress. Family support is needed as an essential factor in forming coping. The theory that is appropriate and supports assistance through family caregivers is the Family Caregiver Empowerment Model (FCEM) theory. This study aimed to determine the effect of the FCEM intervention on coping in T2DM patients. This quantitative study applied a randomized control group pre-test and post-test design. The sampling technique was cluster random sampling involving 85 respondents divided into 41 respondents as the intervention group and 44 as the control group. FCEM intervention was conducted in 10 sessions within ten weeks. The instrument used is a coping scale. We analyzed data using Wilcoxon and Mann-Whitney test with a significant level of 0.05. The results showed the increase in the average coping value in the intervention group was 6.17, and the control group was 0.73. The Wilcoxon test revealed a significant difference between the pre-test and post-test in the intervention group (p-value=0.000) but no significant difference in the control group (p-value=0.500). The Mann-Whitney test showed a significant difference between the intervention and control groups (p-value=0.000). These results show the effect of the FCEM intervention on coping in T2DM patients. FCEM is given by empowering families so that it causes increased knowledge and skills in caring for T2DM patients. Good empowerment creates self-efficacy in patients so that it encourages patients to adopt a healthy lifestyle and improves coping mechanisms in T2DM patients. Family support in the care of T2DM patients will improve coping in patients. Nurses can empower families through through the application of FCEM to improve coping in T2DM patients.