JURNAL READING

* Kepaniteraan Klinik Senior / G1A220003/ Mei 2022

** Pembimbing / dr. Ima Maria, MKM

Correlation between the burden of family caregivers and health status of

people with diabetes mellitus

Ahsan Auliya*

dr. Ima Maria, MKM.**

KEPANITERAAN KLINIK SENIOR

BAGIAN ILMU KESEHATAN MASYARAKAT

FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN

UNIVERSITAS JAMBI

2022
 LEMBAR PENGESAHAN

JURNAL READING

Correlation between the burden of family caregivers

and health status of people with diabetes mellitus

Disusun Oleh:

Ahsan Auliya, S.Ked

G1A220003

KEPANITRAAN KLINIK SENIOR

BAGIAN KESEHATAN MASYARAKAT

FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN

UNIVERSITAS JAMBI

Jambi, Mei 2022

Pembimbing

dr. Ima Maria, MKM

KATA PENGANTAR
Puji syukur penulis panjatkan kehadirat Tuhan YME, karena dengan rahmat-Nya
penulis dapat menyelesaikan tugas JURNAL READING pada Kepaniteraan
Klinik Senior di Bagian Ilmu Penyakit Dalam Fakultas Kedokteran dan Ilmu
Kesehatan Universitas Jambi yang berjudul “Correlation between the burden of
family caregivers and health status of people with diabetes mellitus”

Tugas ini bertujuan agar penulis dapat memahami lebih dalam mengenai teori-
teori yang diberikan selama menjalani Kepaniteraan Klinik Senior di Bagian Ilmu
Kesehatan Masyarakat Puskesmas Olak Kemang Kota Jambi dan melihat
penerapannya secara langsung di lapangan.

Pada kesempatan ini penulis mengucapkan terima kasih kepada dr. Ima Maria,
MKM selaku pembimbing yang telah meluangkan waktunya untuk membimbing
penulis pada karya yang penulis susun.

Penulis menyadari keterbatasan dan kekurangan dalam penulisan, sehingga

diharapkan kritik dan saran yang bersifat membangun dari semua pihak yang
membacanya. Semoga tugas ini dapat memberikan manfaat bagi semua pihak
yang membutuhkan.

Jambi, Mei 2022

Penulis

TELAAH JURNAL

A. DESKRIPSI JURNAL
1. Judul Jurnal

Correlation between the burden of family caregivers and health status of people
with diabetes mellitus

2. Penulis Jurnal

Niko Dima Kristaningrum, Dian Azizah Ramadhani, Yati Sri Hayati, Setyoadi.
School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang,
Indonesia

3. Nama Jurnal Dipublikasikan Oleh

Journal of Public Health Research 2021; volume 10:2227

4. Penelaah / Review Jurnal

Akan ditelaah oleh Ahsan Auliya Mahasiswa Kepaniteraan Klinik Senior

Universitas Jambi

5. Sistematika Penulisan

Sistematika penulisan telah sesuai dengan teknik penulisan karya ilmiah.

Penggunaan tanda baca, huruf besar, tulisan miring untuk bahasa asing di gunakan
dalam penelitian ini dengan tepat.

6. Referensi Daftar Pustaka

Dalam penelitian ini menggunakan 26 referensi

B. STOBE ASSESMENT

No Journal Component Reccomendation (Item Questions) No

 Page
TITLE AND ABSTRACT
1 Title and Abstract (a) Indicate the study’s design with a 1
commonly used term in the title or the
abstract
This is an analytic observational study
which was carried out in the work area of
public health centers in Malang City using
a cross-sectional design approach. The
subjects used were 327 people with
diabetes mellitus and their families were
selected using the cluster sampling
technique. Data collection was carried out
using demographic data instruments, Zarit
Burden Interview (ZBI) questionnaire to
measure the burden of family caregivers
and the SF 12 questionnaire to measure
the health status of people with diabetes
mellitus.
(b) Provide in the abstract an informative 1
and balanced summary of what was done
and what was found
It was concluded that the lesser the burden
on family caregivers, the better the health
status of people with diabetes mellitus.
Therefore, interventions are needed to
reduce the burden of family caregiver and
improve the health status of patients with
diabetes mellitus.
INTRODUCTION
2 Background/ Explain the scientific background and 1,2
 rationale rationale for the investigation being
reported
Diabetes mellitus (DM) is a chronic
degenerative and noncommunicable
diseases caused by abnormal insulin
secretion and characterized by high blood
sugar levels in the body. Being a chronic
disease, diabetes requires long-term
treatment and it's sufferers need some
changes in their lifestyle, such as
adjusting their diet intake, taking
medications and exercising regularly. DM
patients experience dependence on others
because of their decreased mental and
physical functions. Therefore, they need
to get support from family members in
order to carry out their activities that are
useful in controlling their blood sugar
levels.
A family caregiver is someone that is
responsible for providing physical,
emotional, and financial supports to
family members that are unable to take
care of themselves due to illness, injury or
Disability. The health status of DM
patients need to be measured, because it is
the main goal in the
treatment of chronic incurable diseases.

3 Objectives State specific objectives, including any 2

prespectified hypotheses
 The aim of this study is to determine the
relationship between the burden of family
caregivers and the health status of people
with diabetes mellitus in Malang City.
METHODS
4 Study design Present key elements of study design 2
early in the paper
This is a quantitative study that made use
of observational analytic methods using a
cross-sectional design.
5 Settings Describe the setting, locations, and 2
relevant dates, including periods of
recruitment, exposure, follow up and
data collection
The population were 1787 diabetes
mellitus patients and their family
caregivers. The cluster random sampling
method was used in collecting data from
327 people with diabetes mellitus and
their family caregiver in all of the Public
Health Centers in Malang City. Data was
collected from January to March 2020
using demographic data instruments, Zarit
Burden Interview (ZBI) questionnaires to
measure the burden of family caregivers
and the SF 12 questionnaire to measure
the health status of DM patients. This
study got ethical
approval from the Health Ethic
Committee, Faculty of Medicine,
Universitas Brawijaya with ethical
 clearance number 06/EC/KEPK/01/2020.
The participants were given an informed
consent before participating in this study
6 Participants (a) Give the eligibility criteria, and the 2
sources and methods of case
ascertainment and control selection. Give
the rationale for the choice of cases and
control.
The population were 1787 diabetes
mellitus patients and their family
caregivers. The cluster random sampling
method was used in collecting data from
327 people with diabetes mellitus and
their family caregiver in all of the Public
Health Centers in Malang City.
7 Variables Clearly define all outcomes, exposures, -
predictors, potential confounders, and
effect modifiers. Give diagnostic criteria,
if applicable
Tidak ada menjelaskan mengenai hasil,
predictor, perancu potensial dan efek
perancu.. Penelitian ini merupakan
penelitian observasional sehingga
responden tidak diberikan interfensi.
8* Data sources/ For each variable of interest, give 2
measurements sources of data and details of methods of
assessment (measurement). Describe
comparability of assessment methods if
there is more than one group
Data collection was carried out using
 demographic data instruments, Zarit
Burden Interview (ZBI) questionnaire to
measure the burden of family caregivers
and the SF 12 questionnaire to measure
the health status of people with diabetes
mellitus.
9 Bias Describe any efforts to address potential -
sources of bias.
Pada bagian metode, penulis tidak
mencantumkan mengenai bias yang
mungkin terjadi.
10 Study Size Explain how the study size was arrived 2
at.
Data dikumpulkan dengan data instrumen
demografis. Pengukuran sampel dilakukan
dengan mengukur beban family caregiver
menggunakan kuesioner ZBI dan
menggunakan kuesioner SF-12 untuk
mengukur sttaus kesehatan dari penderita
DM.

11 Quantitative variable Explain how quantitave variable were 2

handled in analyses. If applicable,
describe which groupings were chosen
and why.
data variabel akan dicek kelengkapan dan
konsistensinta kemudian diedit
12 Statistics Methods (a) Describes all statistical methods, 2,3
including those used to control for
confounding
correlation between the burden of caregivers
and the health status of people with diabetes
mellitus analyzed using The Spearman-Rank
test .

(b) Describes any methods used to

examine subgroups and interactions
There’s no data.

(c) Explain how missing data were

addressed.
This study doesn’t explain about missing
data.
(d) If applicable, describe analytical
methods taking account of sampling
strategy
The
cluster random sampling method was used
in collecting data from 327 people with
diabetes mellitus and their family
caregiver in allof the Public Health
Centers in Malang City. The family
 caregiverinclusion criteria were those that
live in the same houses with dia-betes
mellitus patients, more than 17 years old,
could read andwrite, and understands the
Indonesian language. Furthermore,
theinclusion criteria for people with
diabetes mellitus were those thatcould
read and write, understands the
Indonesian language, lives inthe same
houses with family caregivers, and
registered at the pub-lic health center as
those undergoing outpatient care.
(e) Describe any sensitivity analyses
No data

RESULTS
13 Participants (a) Report numbers of individuals at 2
each stage of studyeg numbers
potentially eligible, examined for
eligibility, confirmed eligible,
included in the study, completing
follow-up, and analysed.
This study involved 327 patients with DM
and lived together with their family
caregiver
(b) Give reasons for non-participation at -
each stag.
There’s no data.
(c) Consider use of a flow diagram -
 This study is not using any flow diagram
14 Descriptive Data (a) Give characteristics of study 3
participants (eg demographic,
clinical, social) and information on
exposures and potential
confounders.
The results showed that the demographic
characteristics of family caregivers were
mostly less than 45 years (48.3%), had
high school education (48.6%), self-
employed/private occupation (57.5%), and
relationships with DM sufferers that are
children (47.1%). It was found that
patients with diabetes mellitus based on
the demographic characteristics in this
study were mostly 45-65 years old
(63.3%), females (80.4%), had elementary
level education (51.7%), and not working
(68.8%).
(b) Indicate number of participants with -
missing data for each variable of
interest.
There’s no data.
15 Outcome data Report numbers in each exposure -
category, or summary measures of
exposure.
Penelitian ini merupakan peneltian
observasional, sehingga respondne tidak
diberikan intervensi.
16 Main Results (a) Give unadjusted estimates and, if 3
 applicable, confounder-adjusted
estimates and their precision (eg,
95% confidence interval), Make clear
which confounders were adjusted for
and why they were included.
The results of the Spermank-Rank
statistical test showed that there was a
negative relationship between the burden
of family caregivers and the health status
of people with diabetes mellitus (p-value
0.000 and coefficient value of -0.333).
It was concluded that the lesser the burden
on family caregivers, the better the health
status of people with diabetes mellitus.
Therefore, interventions are needed to
reduce the burden of family caregiver and
improve the health status of
patients with diabetes mellitus.
(b) Report category boundaries when -
continuous variables were
categorized
There’s no data.
(c) If relevant, consider translating -
estimates of relative risk into absolute
risk for meaningful time period
There’s no data.
17 Others analyses Report other analyses done--eg analyses -
of subgroups and interactions, and
sensitivity analyses
There’s no data.
DISCUSSION
18 Key Results Summarise key results with reference to 6
study objectives
The number of tasks and
responsibilities, pressure and stress
experienced by caregivers incaring for
people with DM would have a negative
impact on the patients, because stress
experienced can be an obstacle in
performing the role of a family caregiver
and will have an impact on the
health status of DM sufferers.
It was concluded that a negative and moderate
correlation exist between the burden of family
caregivers and the health status of people with
DM that means the lesser the burden on
family caregivers, the better the health status
of people with diabetes mellitus. Therefore,
interventions are needed to reduce the burden
of family caregiver and improve the health
status of patients with diabetes mellitus
19 Limitations Discuss limitations of the study, taking -
into account sources of potential bias or
imprecision. Discuss both direction and
magnitude of any potential bias
Tidak ada
20 Interpretation Give a cautious overall interpretation of 3,6
results considering objectives,
limitations, multiplicity of analyses,
results from similar studies, and other
relevant evidence
This study discovers a negative and
 moderate correlation exist
between the burden of family caregivers
and the health status of
people with DM.
It was found that patients with diabetes
mellitus based on
the demographic characteristics in this
study were mostly 45-65
years old (63.3%), females (80.4%), had
elementary level education (51.7%),
99.7% of the family caregivers experienced
emotional burden in the low category, and
68.6% had feelings of fear for the future of
family member with DM, because it is an
incurable disease and has various
complications when not properly controlled.
21 Generalisabilty Discuss the generalisability (external
validity) of the study results
Hasilnya valid karena sampel yang diukur
jelas dan metode pengukurannya pun
jelas. Semuanya di jabarkan pada bagian
hasil penelitian.
22 Funding Give the source of funding and the role 6
of the funders for the present study and,
if
applicable, for the original study on
which the present article is based.
Penelitian ini didukung oleh Faculty of
Medicine, Universitas Brawijaya, Malang,
Indonesia.