INTEGRATED SELF CARE MODEL APPLICATION TOWARD THE ABILITY OF INDEPENDENT FAMILY TO OVERCOME THE PROBLEM OF NON-COMMUNICABLE DISEASES AT PUBLIC HEALTH CENTER OF KOMBOS MANADO CITY

Abstract

The ability of independent family to overcome the problem of non-communicable diseases (degenerative disease) prevalence of hypertension 74,2% in society, prevalence of diabetes 5,7%, central obesity 28% exceeding national prevalence 18,8%. Integrated Self Care Model considers that the client has the ability and potential to take care of themselves, to achieve healthy and prosperous with emphasis on the role of the client as self-care agent for self, where self-care is a client situation that is able to do self-care and self-deficit is the client situation who cannot afford self-care (Oren, 2001). The purpose of this research is to apply the Integrated Self-Care Model to the ability of family independent with non-communicable diseases. The type of research is quasi experiment with pretest and posttest research design with One Group Design. The respondents of this research were families with family members who suffered from non-communicable diseases which is diabetes mellitus type 2, hypertension, and obesity amounted to 94 family members. Purposive random sampling is the sampling that is used in this research. Data analysis using statistical test paired sample t test with significance level α<0,05. Confidence level is 95%. Data analysis uses SPSS with version 21. The result of the research shows that the most respondent characteristic of female gender is 76% and age mostly in age 45-59 years old which is 46,8%. The results of statistical tests showed there are differences in the ability of family independence before and after the application model of Integrated Self Care to family members who suffer non-communicable diseases (Hypertension, DM, Obesity) α=0,000<0,005. Suggestion: to improve family self-reliance by applying Integrated Self Care model with continuous mentoring. Cross-sector and cross-program cooperation is needed.