Improving Quality of Life in Type II Diabetes Through Self-Care and Family Support
Abstract
Background: Global and national data indicate an increasing trend in diabetes mellitus (DM) cases, including in Padang City, where the Belimbing Community Health Center recorded the highest number of type II DM patients in 2023. Several previous studies have reported a low quality of life among patients, prompting this study to explore similar trends and serve as a basis for future improvements. This study aims to examine the relationship between self-care and family support and the quality of life of patients with type II diabetes in the working area of the Belimbing Community Health Center.
Methods: This quantitative, cross-sectional study was conducted from December to June 2025. The population included 468 type II DM patients treated at the health center between August and October. A total of 88 respondents were selected through cluster random sampling. Data were collected using the SDSCA, HDFSS, and WHOQOL-BREF questionnaires, and analyzed using univariate and bivariate analysis with the Chi-Square test.
Results: The findings showed that 47.7% of patients had poor self-care, 15.9% received insufficient family support, and 50.0% had a poor quality of life. A significant relationship was found between self-care (p = 0.00) and family support (p = 0.001) and the quality of life of patients.
Conclusion: Community health centers are encouraged to organize productive community-based activities and provide education and informational media to families in order to support patient care and enhance self-care management.
Downloads
References
Budiarto, E., & Anggraeni, D. (2014). Pengantar Epidemiologi (2nd ed.). Buku Kedokteran EGC.
Butar-Butar, K., Nurlaila, & Wari, Y. (2022). Penerapan Kreatifitas Membuat Prakarya Dari Bahan Bekas Sebagai Terapi Mengurang Kecemasan Pada Penderita Diabetes Milletus Di Desa Sidangkal Padangsidimpuan Sumatera Utara. Jurnal Pengabdian Masyarakat, 5, 1844–1848.
Despitasari, L., Afrizal, Sastra, L., Alisa, F., Amelia, W., Desnita, R., & Afnel, F. A. (2022). Hubungan Self Efficacy dengan Self Care Pada Pasien Penderita Diabates Melitus Tipe 2 di Puskesmas Andalas. Jurnal Amanah Kesehatan, 4(2), 117–126.
Despitasari, L., Alisa, F., Sastra, L., Amelia, W., & Fadhila, R. D. (2023). Hubungan Self-Care Management Terhadap Kualitas Hidup Pada Penderita Dm Tipe 2 Di Kelurahan Jati Wilayah Kerja Puskesmas Andalas Padang. 5(1), 39–47.
Dinas Kesehatan Kota Padang. (2024). Profil Kesehatan Kota Padang Tahun 2023. In Dinas Kesehatan Kota Padang.
Fadilla Ramadhani. (2023). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Di Rumah Sakit Tk.III Dr. Reksodiwiryo Padang Tahun 2023. Journal of Nursing and Public Health, 18089014028, 1–12.
Hans Tandra. (2017). Segala Sesuatu yang Harus Anda Ketahui Tentang Diabetes. Gramedia Pustaka.
Hardin, F., & Dhila, S. N. (2020). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien DM di Puskesmas Lubuk Begalung. Jurnal Kesehatan Lentera ‘Aisyiyah, 3(1), 374–377.
IDF. (2021). IDF Diabetes Atlas - 10th edition. In Diabetes Research and Clinical Practice. International Diabetes Federation. https://doi.org/10.1016/j.diabres.2013.10.013
Kardela, W., Bellatasie, R., Rahmidasari, A., Wahyuni, S., & Wahyuni, F. (2022). Penilaian Kualitas Hidup Terkait Kesehatan Pasien Diabetes Melitus Tipe 2 Di Puskesmas Andalas Kota Padang. Jurnal Farmasi Higea, 14(2), 110. https://doi.org/10.52689/higea.v14i2.496
Kepmenkes. (2020). Keputusan Menteri Kesehatan Republik Indonesia.
Maulana, M. (2021). Mengenal Diabetes Melitus. Kata Hati.
Morewitz, S. J. (2006). Chronic Diseases and Health Care. Springer Science Business Media.
Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan (5th ed.). Salemba Medika.
Pramita, R., Nasution, S. S., & Purba, J. M. (2021). Intervensi Pemberdayaan Berbasis Keluarga terhadap Peningkatan Perilaku Perawatan Diri Pasien dengan Diabetes Mellitus Tipe 2. Journal of Telenursing (JOTING), 3(2), 784–796. https://doi.org/10.31539/joting.v3i2.2389
Saragih, H., Sari Dewi Simanullang, M., & Florentina Br Karo, L. (2022). Hubungan Self-Care Dengan Kualitas Hidup Penderita DM Tipe II. Jurnal Ilmiah Keperawatan IMELDA, 8(2), 147–154.
Sarmadi, S. (2018). Psikologi Positif. Titah Surga.
Setyo, B. D. (2020). Strategi Holistik Peningkatan Kualitas Hidup Lansia. Penerbit Amerta Media.
SKI. (2023). Survei Kesehatan Indonesia Tahun 2023.
Suwanti, E., Andarmoyo, S., & Purwanti, L. E. (2021). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2. Health Sciences Journal, 5, 70. https://doi.org/10.24269/hsj.v5i1.674
Syatriani, S. (2023). Kualitas Hidup Penderita Diabetes Melitus. Rizmedia Pustaka Indonesia.
Wahid Iqbal Mubarak, & Chayatin, N. (2009). Ilmu Keperawatan Komunitas Pengantar dan Teori. In Salemba Medika.
Yanto, A., & Setyawati, D. (2023). Asuhan Keperawatan Psikososial Penderita Diabetes Mellitus Tipe 2. Cipta Prima Nusantara.
Zaura, T. A., Bahri, T. S., & Darliana, D. (2021). Hubungan Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe II. JIM FKep, V(1), 65–73. https://doi.org/10.22216/jen.v2i2.1137
Copyright (c) 2025 florien nisak, Idrawati Bahar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright and License Statement
By submitting a manuscript to the Journal of Applied Holistic Nursing Science, the author agrees to this policy. No specific document approval is required.
Copyright:
Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional
The copyright for any article in the Journal of Applied Holistic Nursing Science is fully held by the author under the Creative Commons CC BY-NC-SA 4.0 license.
1. The copyright of each article belongs to the author.
2. Authors retain all rights to their published work, including but not limited to the rights outlined on this page.
3. The author acknowledges that Journal of Applied Holistic Nursing Science is the first publisher under the Creative Commons Attribution 4.0 International License (CC BY-NC-SA-4.0).
4. Authors may separately submit their work, arrange for non-exclusive distribution of the manuscript previously published in this journal into other versions (e.g., submission to the author's institutional repository, publication in books, etc.), with acknowledgment that the manuscript was first published in Journal of Applied Holistic Nursing Science
5. The author guarantees that the original article, written by the authors named, has not been previously published, does not contain statements that are illegal, does not infringe upon the rights of others, and is subject to copyright exclusively held by the authors.
6. If the article is co-authored by more than one author, each submitting author guarantees that they have been authorized by all co-authors to agree to the copyright and licensing notice (agreement) on their behalf and agrees to inform co-authors of the terms of this policy.Journal of Applied Holistic Nursing Science will not be held liable for any issues arising from internal disputes between authors.
License:
Journal of Applied Holistic Nursing Science is published under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0). This license allows anyone to:
Copy and redistribute the material in any medium or format, and remix, transform, and build upon the material, even for commercial purposes, as long as they credit the author for the original creation.
