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Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas

Nurse Media Journal of Nursing · Vol. 15 No. 1 (2025) · hlm. 65–74

DOI
10.14710/nmjn.v15i1.62539
ISSN
2406-8799, 2087-7811
Terbit
2025-04-30
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: Type 2 diabetes mellitus (T2DM) is a global health problem with an increasing prevalence. Most related studies focus on Diabetes Self-Management (DSM) in urban populations or general contexts, leaving a gap in understanding the specific factors affecting DSM among rural T2DM patients. Therefore, there is limited understanding of the factors that influence DSM in rural T2DM patients.Purpose: This study aimed to investigate DSM in rural T2DM patients and its associated factorsMethods: This study employed a cross-sectional design. The samples involved 146 patients with T2DM from the community health center in Ogan Komering Ulu Regency, Indonesia, selected using a simple random sampling technique. Diabetes Knowledge Questionnaire (DKQ), Diabetes Management Self-Efficacy Scale (DMSES), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Self-Management Instrument (DSMI) were used for data collection. The t-test, ANOVA, Pearson correlation, and multiple linear regression were used to analyze the data.Results: The study found a significant relationship between gender (p=0.001), knowledge (p=0.001), self-efficacy (p=0.001), and family support (p=0.032) with DSM in rural T2DM patients. However, the multiple regression analysis revealed that self-efficacy (β=0.392, p=0.001), gender (β=0.283, p=0.001), and duration of DM (β=-0.189, p=0.012) significantly affected DSM in patients with T2DM in rural areas, explaining 28 percent of the variance (R2=0.280).Conclusion: The results indicated a significant relationship between gender, knowledge, self-efficacy, and family support with DSM in T2DM patients in rural areas, with self-efficacy being the most dominant factor affecting DSM. This study recommends that community nurses can play a pivotal role in designing and implementing interventions enhancing self-efficacy. Additionally, the involvement of PROLANIS, collaborating with key community figures, is crucial to increasing community participation and support for effective diabetes self-management.

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  • University of Indonesia
  • Sriwijaya University
  • London School of Hygiene & Tropical Medicine
  • Diponegoro University
  • Udayana University
  • Riau University
  • Universitas Airlangga
  • Organisasi lain
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Rekan penulisOrganisasiArtikel bersama
Wiwin WiarsihUniversity of Indonesia5
Widyatuti WidyatutiUniversity of Indonesia4
Dwi Nurviyandari Kusuma WatiUniversity of Indonesia4
Rita Hadi WidyastutiDiponegoro University4
Henny PermatasariUniversity of Indonesia3
Sigit MulyonoUniversity of Indonesia3
Arief AndriyantoAfiliasi tidak diketahui3
Mustikasari MustikasariUniversity of Indonesia2
Dewi GayatriUniversity of Indonesia2
Elly NurachmahUniversity of Indonesia2
Sabarinah PrasetyoUniversity of Indonesia2
Poppy FitriyaniUniversity of Indonesia2
Asih SetiariniUniversity of Indonesia1
Andini Retno YunitasariUniversity of Indonesia1
NurlinawatiAfiliasi tidak diketahui1
Sukemi SukemiSriwijaya University1
Gabriel Ekoputra Hartono CahyadiSriwijaya University1
Samsuryadi SamsuryadiSriwijaya University1
Mizna SabillaUniversity of Indonesia1
Putu Ayu Sani UtamiUdayana University1
Rr. Tutik Sri HariyatiUniversity of Indonesia1
Agrina AgrinaRiau University1
Budi Iman SantosoUniversitas Airlangga1
Royani RoyaniUniversity of Indonesia1
Sutanto Priyo HastonoUniversity of Indonesia1
Roselina TambunanAfiliasi tidak diketahui1
Joko WiyonoAfiliasi tidak diketahui1
Kumboyono KumboyonoUniversity of Brawijaya1
Yuli IsnaeniUniversity of Indonesia1
Muhidin MuhidinUniversitas Halu Oleo1
Anisah ArdianaUniversitas Jember1
Christina AnugrahiniNational Academy of Medicine1
Kuntarti KuntartiUniversity of Indonesia1
Sovia SoviaPoltekkes Kemenkes Jambi1
Diah ArruumUniversity of Indonesia1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas</dc:title>
	<dc:creator>Akbar, M. Agung</dc:creator>
	<dc:creator>Sahar, Junaiti</dc:creator>
	<dc:creator>Rekawati, Etty</dc:creator>
	<dc:creator>Sartika, Ratu Ayu Dewi</dc:creator>
	<dc:creator>Gupta, Prateek</dc:creator>
	<dc:subject xml:lang="en-US">Diabetes mellitus; rural; self-efficacy; self-management</dc:subject>
	<dc:description xml:lang="en-US">Background: Type 2 diabetes mellitus (T2DM) is a global health problem with an increasing prevalence. Most related studies focus on Diabetes Self-Management (DSM) in urban populations or general contexts, leaving a gap in understanding the specific factors affecting DSM among rural T2DM patients. Therefore, there is limited understanding of the factors that influence DSM in rural T2DM patients.Purpose: This study aimed to investigate DSM in rural T2DM patients and its associated factorsMethods: This study employed a cross-sectional design. The samples involved 146 patients with T2DM from the community health center in Ogan Komering Ulu Regency, Indonesia, selected using a simple random sampling technique. Diabetes Knowledge Questionnaire (DKQ), Diabetes Management Self-Efficacy Scale (DMSES), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Self-Management Instrument (DSMI) were used for data collection. The t-test, ANOVA, Pearson correlation, and multiple linear regression were used to analyze the data.Results: The study found a significant relationship between gender (p=0.001), knowledge (p=0.001), self-efficacy (p=0.001), and family support (p=0.032) with DSM in rural T2DM patients. However, the multiple regression analysis revealed that self-efficacy (β=0.392, p=0.001), gender (β=0.283, p=0.001), and duration of DM (β=-0.189, p=0.012) significantly affected  DSM in patients with T2DM in rural areas, explaining  28 percent of the variance  (R2=0.280).Conclusion: The results indicated a significant relationship between gender, knowledge, self-efficacy, and family support with DSM in T2DM patients in rural areas, with self-efficacy being the most dominant factor affecting DSM. This study recommends that community nurses can play a pivotal role in designing and implementing interventions enhancing self-efficacy. Additionally, the involvement of PROLANIS, collaborating with key community figures, is crucial to increasing community participation and support for effective diabetes self-management.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:date>2025-04-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
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	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/62539</dc:identifier>
	<dc:identifier>10.14710/nmjn.v15i1.62539</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 15, No 1 (2025): (April 2025); 65-74</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/62539/28911</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>