Analysis of Family Nursing Problems: Inability of Family Coping in Tuberculosis Families with Diabetes Mellitus


  • Laylatul Firdausiah Faculty of Nursing, Universitas Jember, Indonesia
  • Tantut Susanto Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Jember University, Jember, Indonesia
  • Niken Asih Laras Ati Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Jember University, Jember, Indonesia
  • Syahroni Bahtiar Public Health Offices of Jember, Indonesia



Tuberculosis (TB) and Diabetes Mellitus (DM) are two health problems that are quite large epidemiologically and have a major impact globally because they are both chronic and interrelated diseases. Diabetes Mellitus health problems with tuberculosis can change coping in the family, the family will provide adaptive behaviors such as supporting sick family members or maladaptive such as limiting himself to adapt to family health problems. The purpose of this study is to analyze family nursing problems: family coping disabilities in Tuberculosis with Diabetes Mellitus families in the working area of the Ajung Health Center. The participants in this study were two families in the working area of the Ajung Health Center, Jember Regency, namely Mr. L's family and Mrs. N's family. This study was conducted through family nursing care coaching for 3 weeks, assisted families were given family nursing care with 6 times visits for 30 minutes. This case study method emphasizes the analysis of nursing problems from family coping disabilities in Tuberculosis with Diabetes Mellitus families in depth, meaning researchers who want to examine a single event. The results of the case study showed that both families had nursing problems, family coping disabilities. As a nurse, it is very important to recognize the emotional and psychological difficulties experienced by adapting families and learn how to coping with family coping disabilities. Providing emotional support is part of a nurse's job, understanding the nursing diagnosis in this case is key.


Diabetes Mellitus, Coping Inability, Family, Nursing Problem, Tuberculosis


Download data is not yet available.


Agrina, A., Afandi, D., Suyanto, S., Erika, E., Dewi, Y. I., Helina, S., ... & Safira, N. (2022). Analysis of supporting factors associated with exclusive breastfeeding practice in the urban setting during the COVID-19 pandemic. Children, 9(7), 1074. DOI:

Amja, K., Vigouroux, M., Pagé, M. G., & Hovey, R. B. (2021). The experiences of people living with chronic pain during a pandemic:“crumbling dreams with uncertain futures”. Qualitative Health Research, 31(11), 2019-2028. DOI:

Arini, M., Sugiyo, D., & Permana, I. (2022). Challenges, opportunities, and potential roles of the private primary care providers in tuberculosis and diabetes mellitus collaborative care and control: a qualitative study. BMC Health Services Research, 22(1), 215. DOI:

Damayanti, R. (2023). Studi Kasus Asuhan Keperawatan Keluarga Pada Salah Satu Anggota Menderita Diabetes melitus Dengan Masalah Penurunan Koping Keluarga. Tugas Akhir (D3) Thesis, Universitas Muhammadiyah Ponorogo.

Dinkes Jember. (2023). Laporan tahunan tahun 2023. Dinas Kesehatan Kabupaten Jember.

Duko, B., Bedaso, A., & Ayano, G. (2020). The prevalence of depression among patients with tuberculosis: a systematic review and meta-analysis. In Annals of General Psychiatry (Vol. 19, Issue 1). Springer Science and Business Media LLC. DOI:

Friedman, M. M., V. R. Bowden, dan E. G. Jones. (2010). Buku Ajar Keperawatan Keluarga Riset, Teori Dan Praktik. Edisi 5. Jakarta: EGC.

Gilbert, E. S., & Konya, K. T. (2020). Continuance commitment and organisational performance of manufacturing firms in Port Harcourt, Nigeria. International Journal of Innovative Social Sciences & Humanities Research, 8(1), 80-91.

International Diabetes Foundation, IDF. (2020). Diabetes Atlas – Eighth edition 2020.

Keputusan Menteri Kesehatan Republik Indonesia. (2019). Nomor HK.01.07/Menkes/755/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis

Leite, A. C. A. B., Garcia‐Vivar, C., Neris, R. R., Alvarenga, W. D. A., & Nascimento, L. C. (2019). The experience of hope in families of children and adolescents living with chronic illness: A thematic synthesis of qualitative studies. Journal of Advanced Nursing, 75(12), 3246-3262. DOI:

Nadirawati. (2018). Buku Ajar Asuhan Keperawatan Keluarga. Bandung: PT Refika Aditam

Nair, M., Paul, L. T., Latha, P. T., & Parukkutty, K. (2017). Parents' knowledge and attitude regarding their child's cancer and effectiveness of initial disease counseling in pediatric oncology patients. Indian journal of palliative care, 23(4), 393. DOI:

Peraturan Menteri Kesehatan Republik Indonesia. (2022). Nomor HK.01.07/Menkes/1936/2022 tentang Panduan Praktik Klinis Bagi Dokter Di Fasilitas Pelayanan Kesehatan Tingkat Pertama

Putra, G. J., Jiu, C. K., Pratama, K., & Amrullah, S. (2021, March). Development of Social Assessment to Diabetic Foot Ulcer Patients. In Journal Universitas Muhammadiyah Gresik Engineering, Social Science, and Health International Conference (UMGESHIC) (Vol. 1, No. 1, pp. 16-25). DOI:

Senanayake, S., Harrison, K., Lewis, M., McNarry, M., & Hudson, J. (2018). Patients’ experiences of coping with idiopathic pulmonary fibrosis and their recommendations for its clinical management. PLoS One, 13(5), e0197660. DOI:

Setiawan, H., Sandi, Y. D. L., Andarini, E., Kurniawan, R., Richard, S. D., & Ariyanto, H. (2021). The effect of genetic counseling on depression, anxiety, and knowledge level among diabetes mellitus patients. KONTAKT-Journal of Nursing & Social Sciences related to Health & Illness, 23(4). DOI:

Standards of Medical Care in Diabetes–2006. In Diabetes Care (Vol. 29, Issue suppl_1, pp. s4–s42). American Diabetes Association. DOI:

Sulistyono, R. E., Susanto, T., & Tristiana, RR. D. (2020). Patients Experience and Perception in Preventing Tuberkulosis Transmission in Rural Areas: A Qualitative Research. Jurnal Keperawatan Padjadjaran. 8. DOI:

Susanto, T., Arisandi, D., Kumakura, R., Oda, A., Koike, M., Tsuda, A., Kimura, R., Tabuchi, N. and Sugama, J., (2018). Development and testing of the family structure and family functions scale for parents providing adolescent reproductive health based on the Friedman family assessment model. Journal of Nursing Measurement, 26(2), pp.217-236. DOI:

Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. Edisi 2. Jakarta selatan.

Whitehead, L., Jacob, E., Towell, A., Abu‐qamar, M. E., & Cole‐Heath, A. (2018). The role of the family in supporting the self‐management of chronic conditions: A qualitative systematic review. Journal of clinical nursing, 27(1-2), 22-30. DOI:

Zhang, Y. (2018). Family functioning in the context of an adult family member with illness: A concept analysis. Journal of clinical nursing, 27(15-16), 3205-3224. DOI:

Zulfitri, R., Agrina & Herlina (2014). Gambaran Pelaksanaan Fungsi Perawatan Kesehatan Keluarga Di Wilayah Kerja Puskesmas Rumbai. Jurnal Ners Indonesia, 2(2), 109–115.




How to Cite

Firdausiah, L., Susanto, T., Ati, N. A. L., & Bahtiar, S. (2024). Analysis of Family Nursing Problems: Inability of Family Coping in Tuberculosis Families with Diabetes Mellitus . Journal of Rural Community Nursing Practice, 2(1), 82–96.




Most read articles by the same author(s)