The The Role of Self-Esteem in Predicting Family Independence in Long-Term Elderly Care

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Published Nov 30, 2025
https://doi.org/10.20527/jdk.v13i3.931
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Vol. 13 No. 3 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan

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Nadin Budiarti
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145
Nur Melizza
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145
Brillian Yunita Adiratna
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145
Suyesti Yossi
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145
Berlyan Surya
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145
Roby Putra Hermanto
Nursing Science Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Bendungan Sutami Street No. 188, Sumbersari, Lowokwaru District, Malang City, East Java, Indonesia, 65145

Abstract

As the number of elderly people in Indonesia increases, so does the need for long-term care. In this case, the family acts as the main caregiver who not only provides physical, but also emotional and social support. Family independence is key to successful care, while family members' self-esteem is believed to influence their readiness to carry out this role. The purpose of this study was to determine the relationship between the level of self-esteem of family members and family independence in caring for the elderly. This quantitative study with a cross-sectional design involved 59 respondents in Malang City who were actively involved in caring for the elderly at home who were selected by accidental sampling. Data were collected through the Rosenberg Self-Esteem Scale (RSES) and family independence questionnaire, then analyzed with the Spearman Rank test. The majority of respondents demonstrated high self-esteem (35.6%) and high family independence (KM 4). However, the Spearman Rank test revealed no significant correlation between self-esteem and family independence (p = 0.342; r = -0.126). Other factors such as age, family structure, occupation, and cultural values are thought to be more influential. Self-esteem contributes psychologically, but improving family self-reliance requires a comprehensive approach that includes social, economic, and cultural aspects. Psychosocial and culture-based approaches are important in building an independent, sustainable, and empathetic elder care system.

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How to Cite
1.
Budiarti N, Melizza N, Adiratna BY, Yossi S, Surya B, Hermanto RP. The The Role of Self-Esteem in Predicting Family Independence in Long-Term Elderly Care. jdk [Internet]. 2025 Nov. 30 [cited 2026 Oct. 2];13(3):272-81. Available from: https://jdk.ulm.ac.id/index.php/jdk/article/view/931

References

  1. Afifah N, Fajriansi A. Hubungan peran keluarga dan self-esteem dengan tingkat kemandirian lansia dalam pemenuhan kegiatan sehari-hari. J Ilm Mhs Penelit Keperawatan. 2023;3:2023.
  2. Alvariza A, Häger-Tibell L, Holm M, Steineck G, Kreicbergs U. Increasing preparedness for caregiving and death in family caregivers of patients with severe illness cared for at home: study protocol for a web-based intervention. BMC Palliat Care. 2020;19(1):1–8. doi:10.1186/s12904-020-0530-6.
  3. Badan Pusat Statistik. Statistik penduduk lanjut usia 2020 [Internet]. Jakarta: BPS; 2020 [cited 2025 Apr 18]. Available from: https://bps.go.id/pressrelease/2020-lansia
  4. Bremmers LGM, Fabbricotti IN, Graler ES, Groot CAU, van Roijen LH. The impact of informal care provision on the quality of life of adults caring for persons with mental health problems: a cross-sectional assessment. Health Serv Insights. 2024;11:1–12. doi:10.1177/20551029241262883.
  5. Briede-Westermeyer JC, Radici Fraga PG, Schilling-Norman MJ, Pérez-Villalobos C. Identifying the needs of older adults associated with daily activities: a qualitative study. Int J Environ Res Public Health. 2023;20(5):4257. doi:10.3390/ijerph20054257.
  6. Hosseini M, Soltanian M. Application of Roy’s adaptation model in clinical nursing: a systematic review. Nurs Pract Today. 2022;5(4).
  7. Kaakinen JR, Coehlo DP, Steele R, Robinson M. Family health care nursing: theory, practice, and research. Philadelphia: F.A. Davis; 2018.
  8. Leung DYP, Chan HYL, Chiu PKC, Lo RSK, Lee LLY. Source of social support and caregiving self-efficacy on caregiver burden and patient’s quality of life: a path analysis. Int J Environ Res Public Health. 2020;17(15):5457. doi:10.3390/ijerph17155457.
  9. Malki ST, Johansson P, Andersson G, Andréasson F, Mourad G. Caregiver burden, psychological well-being, and support needs among Swedish informal caregivers. BMC Public Health. 2025;25(1). doi:10.1186/s12889-025-22074-y.
  10. Muñoz-Bermejo L, Adsuar JC, Postigo-Mota S, Casado-Verdejo I, de Melo-Tavares CM, García-Gordillo MÁ, et al. Relationship of perceived social support with mental health in older caregivers. Int J Environ Res Public Health. 2020;17(11):3886. doi:10.3390/ijerph17113886.
  11. Nasreen HE, Tyrrell M, Vikström S, Craftman Å, Syed Ahmad SAB, Zin NM, et al. Caregiver burden, mental health, quality of life and self-efficacy of family caregivers of persons with dementia in Malaysia: baseline results of a psychoeducational intervention study. BMC Geriatr. 2024;24(1):522. doi:10.1186/s12877-024-05221-9.
  12. Parellangi, Haroen H, Meilianingsih L. Peningkatan kemandirian keluarga setelah intervensi pelayanan home care. Husada Mahakam J Kesehatan. 2017;3(3):114–122.
  13. Putri YAS, Mariyati LI. Hubungan penerimaan diri dan regulasi emosi terhadap psychological well-being caregiver lansia. G Couns J. 2024;9(1):263–275. doi:10.31316/gcouns.v9i1.6359.
  14. Ryszewska-Łabedzka D, Tobis S, Kropinska S, Wieczorowska-Tobis K, Talarska D. Association of self-esteem with the level of independent functioning and primary demographic factors in persons over 60 years of age. Int J Environ Res Public Health. 2022;19:1–19.
  15. Šare S, Ljubicic M, Gusar I, Canovic S, Konjevoda S. Self-esteem, anxiety, and depression in older people in nursing homes. Healthcare (Basel). 2021;9(8).
  16. Savela R, Välimäki T, Nykänen I, Koponen S, Suominen AL, Schwab U. Assessing social inequalities in older family caregivers’ frailty, comorbidity, and cognitive functioning: a cross-sectional study. Gerontologist. 2023. doi:10.1177/23337214231214082.
  17. Schulz R, Beach SR, Czaja SJ, Martire LM, Monin JK. Family caregiving for older adults. Annu Rev Psychol. 2020;71:635–659. doi:10.1146/annurev-psych-010419-050754.
  18. Serrano-Gemes G, Serrano-del-Rosal R. Family care of older people: a matter of moral duty. Qual Ageing Older Adults. 2024;25(3):150–163. doi:10.1108/QAOA-08-2023-0060.
  19. Shrestha S, Arora S, Hunter A, Debesay J. The morality of care: female family caregivers’ motivations for providing care to older migrants. Qual Health Res. 2024;34:1–15. doi:10.1177/10497323241280239.
  20. Stokes JE, Patterson SE. Caregiving and self-esteem in mid and later life: variation by age, parental status, and gender. Int J Aging Hum Dev. 2023;97(3):306–326. doi:10.1177/00914150221128976.
  21. Wanu FK, Syamruth YK, Pello SC. Psychological well-being of elderly caregivers at elderly social welfare service. [Journal name]. 2025;7(3):869–883.
  22. Xu Q, Ma J, Zhang Y, Gan J. Family resilience and social support as mediators of caregiver burden and capacity in stroke caregivers: a cross-sectional study. Front Psychol. 2024;15:1435867. doi:10.3389/fpsyg.2024.1435867.
  23. Yang Y, Romine W, Oyesanya TO, Park HK, Hendrix CC. Association of self-esteem with caregiving demands, coping, burden, and health among caregivers of breast cancer patients: a structural equation modeling approach. Cancer Nurs. 2022;45(5):E820–E827. doi:10.1097/NCC.0000000000001011.
  24. Muslih M, Chung MH. Structural validity of the Rosenberg self-esteem scale in patients with schizophrenia in Indonesia. PLoS One. 2024;19(5):e0300184. doi:10.1371/journal.pone.0300184.