Wiliyanarti, Pipit Festi and Tamsuri, Anas
(2017)
Social Support Approach: Development of Nursing Holistic Care Model in Surabaya.
Advanced Science Letters, 23 (12).
pp. 12540-12545.
Abstract
Life expectancy is one indicator of the success of Health Development in Indonesia. As the age of increasing
the life expectancy, the number of elderly group will increase, it is followed by all impacts on their aspects of
life and health. Disorders resulting from the aging process in the elderly require continuous health services in a
long-term. Therefore, this study aims to obtain a model of nursing service in the elderly group in primary health
care services. Action research was used. A hundred and ten elderly in four areas of primary health care service
in Surabaya were selected by random sampling technique. Questionnaires and interviews were used as data
collection. Exogenous variables were Characteristic of elderly, social support and social environment. Endogenous variables were physical wellbeing, psychological well-being, holistic health service. Structural Equation
Modeling method with Partial Least Square (SEM-PLS) approach and statistic frequency distribution were performed to analyses the data. The result shows that the majority of elderly who have attended counseling only
need simple service (57%). Cumulatively, the elderly who have and do not have health insurance require almost
the same service pattern. As many as 78% of elderly who have health insurance were require medic and complex services. Meanwhile, 77% of elderly people who do not have health insurance also require medication and
complex services. The largest social support was information support (98%). Statistical analysis model showed
that social environment influence to holistic care equal to 0,426, influence of social support to physical health
equal to 0,312, influence of holistic care to psychological health equal to 0,308. R-Square = 0,426, AVE social
support = 0,511 Composite Reliability: 0.67, AVE Holistic Care 0,543 Composite Reliability 0,778, AVE Elderly
Income = 1,000, Composite Reliability = 0,876; AVE Physical health = 0,779 Composite Reliability = 0,810; AVE
health Psychological = 0,519; Composite Reliability, AVE social environment = 1,000 (AVE > 0.5) Composite
Reliability = 1,000 (>0.6). Nursing Holistic Care Model with social support approach in elderly patients is needed
in order to achieve elderly wellbeing. Thus, it can reduce morbidity rate in elderly.
Keywords: Holistic Care, Elderly, Well-Being, Nursing.
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