Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas
Dublin Core
Title
Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas
Subject
Diabetes mellitus; rural; self- efficacy; self-management
Description
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 factors
Methods: 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
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 factors
Methods: 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
Creator
M. Agung Akbar1
, Junaiti Sahar2, Etty Rekawati2, Ratu Ayu Dewi Sartika3, Prateek Gupta4
, Junaiti Sahar2, Etty Rekawati2, Ratu Ayu Dewi Sartika3, Prateek Gupta4
Source
https://doi.org/10.14710/nmjn.v15i1.62539
Date
23 February 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
M. Agung Akbar1
, Junaiti Sahar2, Etty Rekawati2, Ratu Ayu Dewi Sartika3, Prateek Gupta4, “Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11285.