Peran Keluarga dalam Perawatan dan Pengelolaan Pasien Penyakit Paru Obstruktif Kronik (PPOK): Tinjauan Literatur
DOI:
https://doi.org/10.55123/sehatmas.v5i3.8041Keywords:
Chronic Obstructive Pulmonary Disease (COPD), Family Support, Family Role, Disease Management, Patient CareAbstract
Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic illness that requires long-term management and active family involvement. Functional limitations, recurrent exacerbations, and psychosocial impacts highlight the importance of family support in COPD care. This study aimed to analyze the role of family in the care and management of patients with COPD through a systematic literature review. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were carried out using PubMed, Scopus, ScienceDirect, and Google Scholar with keywords related to COPD, family support, caregivers, self-management, and palliative care. Ten articles that met the inclusion criteria were analyzed using descriptive and thematic approaches. The findings indicate that family support plays a crucial role in improving self-efficacy, self-management behaviors, treatment adherence, and quality of life among patients with COPD. Family involvement also contributes to care decision-making, prevention of exacerbations, and the effectiveness of palliative care. However, caregiving responsibilities may impose physical and emotional burdens on caregivers. Therefore, COPD management should adopt a family-centered approach through education, continuous support, and caregiver empowerment to achieve comprehensive and sustainable patient care outcomes.
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Akmalia, A., Kasih, L. C., & Safuni, N. (2024). Hubungan dukungan keluarga dengan efikasi diri pada pasien penyakit paru obstruktif kronis (PPOK) di poliklinik paru Rumah Sakit Umum Daerah Zainoel Abidin Kota Banda Aceh. Jurnal Keperawatan Wiyata, 5(2), 9–17.
Disler, R. T., Green, A., Luckett, T., et al. (2022). Experience of advanced chronic obstructive pulmonary disease: A meta-synthesis. Journal of Pain and Symptom Management, 63(2), e123–e138.
Fahmi, M. Z., Karuniawati, H., & Ismail, W. I. W. (2025). Drug-related problems in chronic obstructive pulmonary disease: A literature review. Journal of Pharmaceutical Sciences. https://journal-jps.com/new/index.php/jps/article/view/955
Global Initiative for Chronic Obstructive Lung Disease. (2023). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2023 report). https://goldcopd.org/2023-gold-report-2/
Hipólito, N., Martins, S., Ruivo, A., Flora, S., Silva, C. G., Marques, A., & Cruz, J. (2022). Construct validity and reliability of the informal caregiver burden assessment questionnaire (QASCI) in caregivers of patients with COPD. Respiratory Medicine, 205, 107027.
Iyer, A. S., Sullivan, D. R., Lindell, K. O., & Reinke, L. F. (2022). The role of palliative care in COPD. Chest, 161(5), 1250–1262.
Iyer, A. S., Wells, R. D., Dionne-Odom, J. N., Bechthold, A. C., Armstrong, M., Byun, J. Y., & Bakitas, M. A. (2023). Project EPIC (early palliative care in COPD): A formative and summative evaluation of the EPIC telehealth intervention. Journal of Pain and Symptom Management, 65(4), 335–347.
Johansson, H., Jonasson, L.-L., & Berterö, C. (2025). Support and its effect for persons affected by COPD and their next of kin: An integrative review. International Journal of Chronic Obstructive Pulmonary Disease, 20, 2459–2480. https://doi.org/10.2147/COPD.S390072
Kementerian Kesehatan Republik Indonesia. (2018). Laporan nasional Riset Kesehatan Dasar (Riskesdas) 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Lan, X., Lu, X., Yi, B., Chen, X., & Jin, S. (2022). Factors associated with self-management behaviors of patients with chronic obstructive pulmonary disease. Japan Journal of Nursing Science, 19(1), e12450.
Lenferink, A., Brusse-Keizer, M., van der Valk, P., et al. (2023). Self-management interventions including action plans for exacerbations in COPD. Cochrane Database of Systematic Reviews, CD011682.
Leukel, P. J., Piette, J. D., & Lee, A. A. (2025). Impact of loneliness and social support on acute health service use and symptom exacerbation among adults with asthma and COPD. Journal of Clinical Psychology in Medical Settings, 32(2), 375–384.
Lian, S., Shi, C., Chen, F., Zhu, Z., & Lian, X. (2025). The impact of social and psychological support on patients with varying degrees of severity of chronic obstructive pulmonary disease. Frontiers in Medicine, 12, 1659691. https://doi.org/10.3389/fmed.2025.1659691
Liu, Y. R., Wang, Y., Liu, J., & Xie, H. (2025). Path analysis of illness perception, medication beliefs, and family support on inhaler adherence in elderly COPD patients: Based on triadic reciprocal determinism. Patient Education and Counseling, 130, 108465.
McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., & Lacasse, Y. (2022). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 4(4), CD003793.
Nakken, N., Janssen, D. J. A., Habraken, J. M., van der Palen, J., Spruit, M. A., Wouters, E. F. M., & Schols, A. M. (2022). Informal caregivers of patients with COPD: Home sweet home? European Respiratory Review, 31(165), 220018. https://doi.org/10.1183/16000617.0018-2022
Pascoe, A., Chen, X., & Smallwood, N. (2025). A narrative review of proactive palliative care models for people with COPD. Therapeutic Advances in Respiratory Disease, 19, 17534666241310987.
Soto-Rubio, A., Valero-Moreno, S., Díaz, J. L., Andreu, Y., & Pérez-Marín, M. (2020). COPD at the end of life: Predictors of the emotional distress of patients and their family caregivers. PLoS ONE, 15(10), e0240821. https://doi.org/10.1371/journal.pone.0240821
Suen, A. O., Bischoff, K., Iyer, A. S., Radhakrishnan, K., Fenton, C., Singer, J. P., & Farrand, E. (2024). Differences in health care and palliative care use at the end of life: A comparison study among lung cancer, COPD, and idiopathic pulmonary fibrosis. Chest, 166(6), 1487–1496.
Suresh, M., Young, J., Fan, V., Simons, C., Battaglia, C., Simpson, T. L., & Trivedi, R. (2022). Caregiver experiences and roles in care seeking during COPD exacerbations: A qualitative study. Annals of Behavioral Medicine, 56(3), 257–269.
Wiidiawati, S., Sawitri, I. A. A. D., & Nugraha, I. W. A. (2024). Pemberdayaan keluarga pasien dalam perawatan penyakit paru obstruktif kronik (PPOK) di rumah. Warmadewa Medical Journal, 3(1), 45–49.
World Health Organization. (2023). Integrated care for older people: Guidelines on community-level interventions. https://www.who.int/publications/i/item/9789240068157
Zhao, J., Zhang, X., Li, X., et al. (2024). Unraveling the mediation role of frailty and depression in the relationship between social support and self-management among elderly COPD patients. BMC Pulmonary Medicine, 24, 66. https://doi.org/10.1186/s12890-024-02889-y
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