Faktor Determinan Fungsi Keluarga dan Keintiman Keluarga pada Keluarga Lansia Muslim

Yusuf Alam Romadhon(1*)

(1) Fakultas Kedokteran Universitas Muhammadiyah Surakarta
(*) Corresponding Author

Abstract

Latar belakang: Fungsi keluarga dan keintiman keluarga merupakan faktor protektif penting bagi lansia dari berbagai penyakit fisik dan mental, serta menentukan tingkat kesejahteran dan kualitas hidup lansia. Hingga kini masih sedikit kajian yang mengeksplorasi faktor-faktor determinan apa yang berpengaruh bagi fungsi keluarga dan keintiman keluarga tersebut.

Tujuan: untuk mengetahui faktor determinan fungsi keluarga dan keintiman keluarga pada populasi lanjut usia Muslim Indonesia

Metode: Sebanyak 106 pra lanjut usia / lanjut usia Muslim dan berkeluarga berpartisipasi dalam penelitian ini. Faktor determinan yang diuji meliputi faktor demografi meliputi: usia, tingkat pendidikan, jenis kelamin dan pendapatan, faktor biologis meliputi: indeks masa tubuh, rasio lingkar pinggang/panggul, dan tekanan darah, faktor psikologis meliputi: tingkat depresi, anxietas dan stres [kueisoner DASS/depression anxiety stress scale], serta faktor spiritual Islam dengan melihat jumlah rakaat sholat. Fungsi keluarga diukur dengan menggunakan APGAR family sedangkan keintiman keluarga diukur dengan skala keintiman keluarga Muchlas-Sudiyanto. Analisis statistik menggunakan analisis bivariat korelasi spearman, karena distribusi data tidak normal.

Hasil: usia berkorelasi negatif dengan keintiman seksual (r = -0,269; p = 0,005), intelektual (r = -0,332; p = 0,001), dan rekreasional (r = - 0,303; p = 0,002). Indeks masa tubuh berkorelasi negatif dengan fungsi keluarga (r = -0,209; p = 0,032). Tekanan diastolik berkorelasi negatif dengan keintiman seksual (r = 0,227; p = 0,019). Tingkat depresi, anxietas dan stres berkorelasi negatif dengan fungsi keluarga, secara berurutan nilai [r;p] = r = -0,224; p = 0,021, r = -0,285; p = 0,003, r = -0,236; p = 0,015. Jumlah rakaat sholat berkorelasi positif dengan keintiman emosional (r = 0,204; p = 0,036).

Kesimpulan: faktor biologis yang berpengaruh pada keintiman adalah usia, indeks masa tubuh berpengaruh pada fungsi keluarga, tekanan diastolik pada keintiman seksual; faktor psikologis depresi, anxietas dan stres berpengaruh negatif pada fungsi keluarga, sedangkan faktor spiritual berpengaruh positif pada keintiman emosional

Keywords

fungsi keluarga, keintiman keluarga, faktor determinan

References

Alimoradi, Z., Lin, C. Y., Imani, V., Griffiths, M. D., & Pakpour, A. H. (2019). Social media addiction and sexual dysfunction among Iranian women: The mediating role of intimacy and social support. Journal of Behavioral Addictions, 8(2), 318–325. https://doi.org/10.1556/2006.8.2019.24

Asgari, A., & Goodarzi, K. (2019). Effectiveness of Emotional Schema Therapy on Marital Intimacy among Couples on the Brink of Divorce. 6(2).

Brandão, T., Pedro, J., Nunes, N., Martins, M. V., Costa, M. E., & Matos, P. M. (2017). Marital adjustment in the context of female breast cancer: A systematic review. Psycho-Oncology, 26(12), 2019–2029. https://doi.org/10.1002/pon.4432

Brower, N., Payne, P. B., & Simmons, M. (2019). Measuring the effectiveness of a multi-year multi-county marriage celebration: qualitative findings. Marriage and Family Review, 55(7), 601–618. https://doi.org/10.1080/01494929.2019.1589616

Busari, A. O. (2019). Construction and Development of Perceived Marital Self Efficacy Scale. Advances in Social Sciences Research Journal, 6(8), 144–159. https://doi.org/10.14738/assrj.68.6847

Chintya, S. A., Budihastuti, U. R., & Adriani, R. B. (2019). Effect of Menopause on Quality of Life: Path Analysis from Ponorogo East Jawa. Indonesian Journal of Medicine, 4(2), 155–164. https://doi.org/10.26911/theijmed.2019.04.02.09

Choi, S. Y., Kim, H. R., & Myong, J. P. (2020). The mediating effects of marital intimacy and work satisfaction in the relationship between husbands’ domestic labor and depressive mood of married working women. International Journal of Environmental Research and Public Health, 17(12), 1–12. https://doi.org/10.3390/ijerph17124547

Christie, K. M., Meyerowitz, B. E., & Maly, R. C. (2010). Depression and sexual adjustment following breast cancer in low-income Hispanic and non-Hispanic White women. Psycho-Oncology, 19(10), 1069–1077. https://doi.org/10.1002/pon.1661

Cordova, J. V., Gee, C. B., & Warren, L. Z. (2005). Emotional skillfulness in marriage: Intimacy as a mediator of the relationship between emotional skillfulness and marital satisfaction. Journal of Social and Clinical Psychology, 24(2), 218–235. https://doi.org/10.1521/jscp.24.2.218.62270

Czyżkowska, A., & Cieciuch, J. (2020). Marital goals: Circular value-based model and measurement. Current Psychology, 2011. https://doi.org/10.1007/s12144-020-00787-0

Czyżowska, D., Gurba, E., Czyżowska, N., Kalus, A., Sitnik-Warchulska, K., & Izydorczyk, B. (2019). Selected predictors of the sense of intimacy in relationships of young adults. International Journal of Environmental Research and Public Health, 16(22). https://doi.org/10.3390/ijerph16224447

Davison, K. K., Jurkowski, J. M., Li, K., Kranz, S., & Lawson, H. A. (2013). A childhood obesity intervention developed by families for families: results from a pilot study. International Journal of Behavioral Nutrition and Physical Activity, 10(3), 1–11. https://doi.org/10.3390/su8060520

Do, H.-Y., Kim, Y.-J., & Lee, S.-J. (2019). Dual Mediating Effect of spousal support and Child support in the Effects of Marital Intimacy on the spousal Caregiving Awareness. Medico-Legal Update, 19(2), 468. https://doi.org/10.5958/0974-1283.2019.00221.4

Javadivala, Z., Allahverdipour, H., Kouzekanani, K., Merghati-Khoei, E., Asghari Jafarabadi, M., & Mirghafourvand, M. (2019). A Randomized Trial of a Relationship-Enhancement Approach in Improving Marital Intimacy in Middle-Aged Iranian Couples. Journal of Sex and Marital Therapy, 45(3), 190–200. https://doi.org/10.1080/0092623X.2018.1501447

Kamali, Z., Allahyar, N., Ostovar, S., Alhabshi, S. M. S. bin S. M., & Griffiths, M. D. (2020). Factors that influence marital intimacy: A qualitative analysis of iranian married couples. Cogent Psychology, 7(1), 1–17. https://doi.org/10.1080/23311908.2020.1771118

Karimi, R., Bakhtiyari, M., & Masjedi Arani, A. (2019). Protective factors of marital stability in long-term marriage globally: a systematic review. Epidemiology and Health, 41, e2019023. https://doi.org/10.4178/epih.e2019023

Kraemer, L., Stanton, A., Meyerowitz, B., Rowland, J., & Ganz, P. (2011). A Longitudinal Examination of Couples’ Coping Strategies as Predictors of Adjustment to Breast Cancer. Journal of Family Psychology, 25(6). https://doi.org/10.1007/s10943-019-00909-4

Kuczynski, A. M., Kanter, J. W., Wetterneck, C. T., Olaz, F. O., Singh, R. S., Lee, E. B., Stowe, T. J., Mazzucchelli, T. G., Mier-Chairez, J., Maitland, D. W. M., Manbeck, K. E., & Corey, M. D. (2020). Measuring intimacy as a contextual behavioral process: Psychometric development and evaluation of the Awareness, Courage, and Responsiveness Scale. Journal of Contextual Behavioral Science, 16(February), 199–208. https://doi.org/10.1016/j.jcbs.2019.02.004

Kuo, J. A., Voorhees, C. C., Haythornthwaite, J. A., & Young, D. R. (2007). Associations between family support, family intimacy, and neighborhood violence and physical activity in urban adolescent girls. American Journal of Public Health, 97(1), 101–103. https://doi.org/10.2105/AJPH.2005.072348

Lee, J. Y., Kim, J. S., Kim, S. S., Jeong, J. K., Yoon, S. J., Kim, S. J., & Lee, S. M. (2019). Relationship between health behaviors and marital adjustment and marital intimacy in multicultural family female immigrants. Korean Journal of Family Medicine, 40(1), 31–38. https://doi.org/10.4082/kjfm.17.0059

Lee, S., Rhie, S., & Chae, K. Y. (2013). Depression and marital intimacy level in parents of infants with sleep onset association disorder: A reliminary study on the effect of sleep education. Korean Journal of Pediatrics, 56(5), 211–217. https://doi.org/10.3345/kjp.2013.56.5.211

Lindau, S. T., Surawska, H., Paice, J., & Baron, S. R. (2011). Communication about Sexuality and Intimacy in Couples Affected by Lung Cancer and their Clinical Care Providers Stacy. Psycho-Oncology, 20(2), 179–185. https://doi.org/10.1002/pon.1787

Martyn, K. K., Loveland-Cherry, C. J., Villarruel, A. M., Gallegos Cabriales, E., Zhou, Y., Ronis, D. L., & Eakin, B. (2009). Mexican adolescents’ alcohol use, family intimacy, and parent-adolescent communication. Journal of Family Nursing, 15(2), 152–170. https://doi.org/10.1177/1074840709332865

Melisko, M. E., Goldman, M., & Rugo, H. S. (2010). Amelioration of sexual adverse effects in the early breast cancer patient. Journal of Cancer Survivorship, 4(3), 247–255. https://doi.org/10.1007/s11764-010-0130-1

Mousavi, S. F. (2016). The Predictive Role of Interpersonal Forgiveness in protecting against Marital Instability in Married Couples. International Journal of Psychology, 10(2).

Neijenhuijs, K. I., Hooghiemstra, N., Holtmaat, K., Aaronson, N. K., Groenvold, M., Holzner, B., Terwee, C. B., Cuijpers, P., & Verdonck-de Leeuw, I. M. (2019). The Female Sexual Function Index (FSFI)—A Systematic Review of Measurement Properties. Journal of Sexual Medicine, 16(5), 640–660. https://doi.org/10.1016/j.jsxm.2019.03.001

Oh, Y. K., & Hwang, S. Y. (2018). Impact of uncertainty on the quality of life of young breast cancer patients: Focusing on mediating effect of marital intimacy. Journal of Korean Academy of Nursing, 48(1), 50–58. https://doi.org/10.4040/jkan.2018.48.1.50

Panganiban-Corales, A. T., & Medina, M. F. (2011). Family resources study: Part 1: Family resources, family function and caregiver strain in childhood cancer. Asia Pacific Family Medicine, 10(1), 14. https://doi.org/10.1186/1447-056X-10-14

Perz, J., Ussher, J. M., & Gilbert, E. (2013). Constructions of sex and intimacy after cancer: Q methodology study of people with cancer, their partners, and health professionals. BMC Cancer, 13(1), 1. https://doi.org/10.1186/1471-2407-13-270

Procentese, F., Gatti, F., & Di Napoli, I. (2019). Families and social media use: The role of parents’ perceptions about social media impact on family systems in the relationship between family collective efficacy and open communication. International Journal of Environmental Research and Public Health, 16(24). https://doi.org/10.3390/ijerph16245006

Rizkalla, N., & Segal, S. P. (2019). War can harm intimacy: consequences for refugees who escaped Syria. Journal of Global Health, 9(2), 020407. https://doi.org/10.7189/jogh.09.020407

Schofield, P., Juraskova, I., Bergin, R., Gough, K., Mileshkin, L., Krishnasamy, M., White, K., Bernshaw, D., Penberthy, S., & Aranda, S. (2013). A nurse- and peer-led support program to assist women in gynaecological oncology receiving curative radiotherapy, the PeNTAGOn study (Peer and nurse support trial to assist women in gynaecological oncology): Study protocol for a randomised controlled tria. Trials, 14(1), 1–11. https://doi.org/10.1186/1745-6215-14-39

Schoors, M. Van, Caes, L., Alderfer, M. A., Goubert, L., & Verhofstadt, L. (2017). Couple functioning after pediatric cancer diagnosis: a systematic review. Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 26(5), 608–616.

Sieh, D. S., Visser-Meily, J. M. A., & Meijer, A. M. (2013). Differential Outcomes of Adolescents with Chronically Ill and Healthy Parents. Journal of Child and Family Studies, 22(2), 209–218. https://doi.org/10.1007/s10826-012-9570-8

Sitsira-at, S. (2019). Risk management in family cohesion. 23(1), 15–31.

Stroup, A. M., & Smith, K. R. (2007). Familial effects of BRCA1 genetic mutation testing: Changes in perceived family functioning. Cancer Epidemiology Biomarkers and Prevention, 16(1), 135–141. https://doi.org/10.1158/1055-9965.EPI-06-0178

Štulhofer, A., Jurin, T., Graham, C., Janssen, E., & Træen, B. (2020). Emotional intimacy and sexual well-being in aging European couples: a cross-cultural mediation analysis. European Journal of Ageing, 17(1), 43–54. https://doi.org/10.1007/s10433-019-00509-x

Svetina, M., & Nastran, K. (2012). Family relationships and post-traumatic growth in breast cancer patients. Psychiatria Danubina, 24(3), 298–306.

Trief, P. M., Himes, C. L., Orendorff, R., & Weinstock, R. S. (2001). The marital relationship and psychosocial adaptation and glycemic control of individuals with diabetes. Diabetes Care, 24(8), 1384–1389. https://doi.org/10.2337/diacare.24.8.1384

Trief, P. M., Wade, M. J., Britton, K. D., & Weinstock, R. S. (2002). A prospective analysis of marital relationship factors and quality of life in diabetes. Diabetes Care, 25(7), 1154–1158. https://doi.org/10.2337/diacare.25.7.1154

Vincent, M. O. (1986). A well doctor’s family: the struggle for intimacy. Maryland Medical Journal (Baltimore, Md. : 1985), 35(2), 111–115.

Wang, F., Chen, F., Huo, X., Xu, R., Wu, L., Wang, J., & Lu, C. (2013). A Neglected Issue on Sexual Well-Being following Breast Cancer Diagnosis and Treatment among Chinese Women. PLoS ONE, 8(9). https://doi.org/10.1371/journal.pone.0074473

Warner, E. L., Kent, E. E., Trevino, K. M., Parsons, H. M., Zebrack, B. J., & Kirchhoff, A. C. (2016). Social well-being among adolescents and young adults with cancer: A systematic review. Cancer, 122(7), 1029–1037. https://doi.org/10.1002/cncr.29866

Zakhirehdari, N., Navabinejad, S., & Koraei, A. (2019). Marital Intimacy of Couples. 23(97).

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