Hubungan Faktor Sosiodemografis dengan Sikap Keluarga dalam Mendampingi Pasien Menjelang Ajal

Thifal Fairuz Megumi, Sheizi Pristasari, Hasniatisari Harun, Hartiah Haroen

Sari


ABSTRACT

 

Family involvement is an essential component in the care of terminal patients, particularly during palliative care andthe end-of-life phase. Family attitudes toward accompanying terminal patients may be influenced by various factors, including sociodemographic characteristics. This study aimed to analyze the relationship between sociodemographic factors and family attitudes in accompanying terminal patients at the end of life. This study employed a quantitativecross-sectional design and involved 66 respondents selected through purposive sampling. Family attitudes were measured using the Indonesian version of the Frommelt Attitudes Toward Care of the Dying Form B (FATCOD-B-I). Data were analyzed using univariate and bivariate analyses with the Chi-Square test, along with alternative tests suchas the Likelihood Ratio or Fisher’s Exact Test when Chi-Square assumptions were not met. A total of 54.5% of respondents demonstrated a favorable attitude toward accompanying terminal patients at the end of life. Bivariate analysis indicated that sociodemographic factors were not significantly associated with family attitudes toward end-of-life caregiving (p > 0.05). Family attitudes toward accompanying terminal patients were not significantly associated with sociodemographic factors. Psychological, experiential, and psychosocial-spiritual factors may play amore influential role.

 

Keywords: End-Of-Life Care, Family, FATCOD-B-I, Palliative Care, Sociodemographic.

 

 

ABSTRAK

 

Pendampingan keluarga memegang peran penting dalam perawatan pasien terminal, terutama pada perawatan paliatif dan fase menjelang ajal. Sikap keluarga dalam mendampingi pasien terminal dapat Menganalisis hubungan antara faktor sosiodemografis dengan sikap keluarga dalam mendampingi pasien terminal menjelang ajal. Studi inimenggunakan desain kuantitatif dengan pendekatan cross-sectional. Penelitian melibatkan 66 responden yang dipilih menggunakan teknik purposive sampling. Sikap keluarga diukur menggunakan instrumen Frommelt Attitudes Toward Care of the Dying Form B versi Indonesia (FATCOD- B-I). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square, serta uji alternatif Likelihood Ratio atau Fisher’s Exact Test jika asumsi uji tidak terpenuhi. Sebanyak 54,5 persen responden menunjukkan sikap favorable dalam mendampingi pasien menjelang ajal.Analisis bivariat menunjukkan bahwa faktor sosiodemografis tidak memiliki hubungan yang bermakna secara statistikdengan sikap keluarga dalam mendampingi pasien terminal menjelang ajal dengan nilai p lebih dari 0,05. Sikapkeluarga dalam mendampingi pasien terminal menjelang ajal tidak berhubungan secara langsung dengan faktor sosiodemografis. Faktor lain seperti pengetahuan tentang perawatan paliatif, pengalaman pendampingan, serta dukungan psikososial dan spiritual kemungkinan lebih berperan dalam membentuk sikap keluarga.

 

Kata KunciFATCOD-B-I, Keluarga, Menjelang Ajal, Perawatan Paliatif, Sosiodemografis.


Teks Lengkap:

Download Artikel

Referensi


A’la, M. Z. (2016). The Frommelt Attitudes Toward Care Of The Dying Care Form B (Fatcod-B) Indonesia Version: Measurement Validity Using Factor Analysis In Nursing Students. Nurseline Journal, 1(1), 73–82.

Arikunto. (2021). Pengantar Metodologi Penelitian. In Antasari Press.

Azwar, S. (2007). Sikap Manusia Teori Dan Pengukurannya (Edisi Ke-2). Pustaka Pelajar Offset.

Centeno, C., & Arias-Casais, N. (2019). Global Palliative Care: From Need To Action. The Lancet. Global Health, 7(7), E815–E816.Https://Doi.Org/10.1016/S2214-109x(19)30223-2

Cohen, S., & Wills, T. (1985). Stress, Social Support , And The Buffering Hypothesis. 98(2).

Connor, S. R. (2020). Global Atlas Of Palliative Care At The End Of Life Global Atlas Of Palliative Care (Number January 2014).

Damani, A., Ghoshal, A., Salins, N., Deodhar, J., & Muckaden, M. (2018). Prevalence And Intensity Of Dyspnea In Advanced Cancer And Its Impact On Quality Of Life.

Indian Journal Of Palliative Care, 24(1), 44–50.Https://Doi.Org/10.4103/Ijpc.I Jpc_114_17

Dasat, M., Mulyono, S., Khasanah, U., & Hermawan, S. M. (2024).

Family Perceptions Of Palliative Care For Advanced- Stage Cancer Patients At Home. 27(October), 175–185. Https://Doi.Org/10.7454/Jki.V2 7i3.1231

Dijkman, B. L., Luttik, M. L., Van Der Wal-Huisman, H., Paans, W., & Van Leeuwen, B. L. (2022). Factors Influencing Family Involvement In Treatment Decision-Making For Older Patients With Cancer: A Scoping Review. Journal Of Geriatric Oncology, 13(4), 391397.Https://Doi.Org/10.1016/J.Jgo. 2021.11.003

Frommelt, K. H. M. (2003). Attitudes Toward Care Of The Terminally Ill: An Educational Intervention. The American Journal Of Hospice & Palliative Care, 20(1), 13–22.Https://Doi.Org/10.1177/10499 0910302000108

Haroen, H., Juniarti, N., Sari, C. W. M., Prista Sari, S., Arovah, N. I., Pardosi, J. F., & Wibowo, D.

A. (2025a). Factors Associated With Caregiver Burden In Families Of Patients With Palliative And Chronic Illness: A Cross-Sectional Study. Journal Of Multidisciplinary Healthcare, 18, 4497–4510. Https://Doi.Org/10.2147/Jmdh.S533067

Haroen, H., Juniarti, N., Sari, C. W. M., Prista Sari, S., Arovah, N. I., Pardosi, J. F., & Wibowo, D.

A. (2025b). Factors Associated With Caregiver Burden InFamilies Of Patients With Palliative And Chronic Illness: A Cross-Sectional Study. Journal Of Multidisciplinary Healthcare, 4497–4510.

Huriah, T., Hidayah, N., & Mikami, A. (2021). Attitudes And Associated Factors Towards Care For Dying Patients Among Non-Palliative Care Nurses, Yogyakarta, Indonesia. 5(1), 916.

Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family Health Care Nursing : Theory, Practice, And Research (Sixth Edition.). F.A. Davis Company.

Kim, B., Hwang, I. C., Ahn, H. Y., & Lee, J.-W. (2025). Family Relationships And Caregiver Burden Among Family Caregivers Of Patients With Terminal Cancer. Bmc Palliative Care, 24(1), 207. Https://Doi.Org/10.1186/S1290 4-025-01855-7

Krisdianto, B. F., Dahlia, D., & Waluyo, A. (2024). Making Dependence On In-Hospital Palliative Care For Cancer Patients M Er Ci Us E On Er. 12, 431–437.Https://Doi.Org/10.4081/Hls.20 24

Kristanti, M. S., Setiyarini, S., & Effendy, C. (2017). Enhancing The Quality Of Life For Palliative Care Cancer Patients In Indonesia Through Family Caregivers: A Pilot Study Of Basic Skills Training. Bmc

Palliative Care, 16(1), 4. Https://Doi.Org/10.1186/S1290 4-016-0178-4

Lei, L., Zhao, H., Ran, L., Wang, L., & Luo, Y. (2022). Influencing Factors Of Attitudes Towards Death And Demands For Death Education Among Community- Dwelling Chinese Older Adults: A Cross-Sectional Study. Bmc Public Health, 22(1), 1242. Https://Doi.Org/10.1186/S1288 9-022-13655-2

Neuman, B. (1982). The Neuman Systems Model : Application To Nursing Education And Practice. In Appleton-Century- Crofts. Https://Doi.Org/10.1111/J.136 5-2648.1985.Tb00501.X

Notoadmodjo, S. (2012). Promosi Kesehatan & Prilaku Kesehatan. In Jakarta: Egc.

Oruč, M., Sivić, S., Bokonjić, D., Galijašević, K., & Hodžić, H. (2024). Measurement Of Palliative Care Competencies Using Palcom Instrument.14(1), 12–16.

Pender, N. J. (N.D.). Health Promotion In Nursing Practice.

Purba, C. I. H., Johnston, B., & Kotronoulas, G. (2023). An Exploration Of Family Caregivers’ Health Care Needs When Caring For Patients With Cancer In The Resource- Challenged Context Of West Java, Indonesia. Seminars In Oncology Nursing, 39(3), 151369.Https://Doi.Org/10.1016/J.Sonc N.2022.151369

Rizka, Erwin, Hasneli, & Putriana. (2021). Beban Family Caregiver Dalam Merawat. 12(1).

Rochmawati, E., & Wiechula, R. (2023). Family Caregivers ’ Preparedness With Death And Dying : An Ethnographic Study. 26(June), 107–118.Https://Doi.Org/10.7454/Jki.V2 6i2.1095

Shatri, H., Putranto, R., Irawan, C., Adli, M., & Elita, D. (2019).Characteristics Of Palliative Patients, Insights Of Patients And Families, And The Impact Of Estimated Survival Time On Therapy Decisions. Acta Medica Indonesiana, 51(2), 151–157.

Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif Dan R&D.

Wahyudi, Tobing, Adyani, Anggraini, Anggraeni, & Itra, Y. (2025). Optimalisasi Peran Kader Posbindu Lansia Dalam Perawatan Paliatif Home Care Di Wilayah Kerja Kelurahan Limo. 8, 2232–2245.

Wong, P., Reker, & Gesser. (1994).Death Attitude Profile- Revised: A Multidimensional Measure Of Attitudes Toward Death. In R. A. Neimeyer (Ed.), Death Anxiety Handbook: Research, Instrumentation, And Application.

World Health Organization. (2020).Palliative Care Fact Sheets.

Zendrato, L. O., Rheina, L., Waruwu, T., Nar, Y. S., Sitanggang, Y. F., & Sakti, E. (2019). Di Indonesia Barat Description Of Family ’ S Knowledge About Palliative Care In A Private Hospital In West Indonesia

Selanjutnya Harrop , Byrne Dan Nelson Paliatif Ditujukan Bukan Hanya Pada Pasien. 7(2), 32–39.




DOI: https://doi.org/10.33024/mnj.v8i4.24902

Refbacks

  • Saat ini tidak ada refbacks.