RELATIONSHIP BETWEEN QUALITY OF LIFE AND SELF-MANAGEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS

Hubungan Self manajemen dengan kualitas hidup Pada Pasien Diabetes Mellitus

Authors

  • Mohamad Alfaqih Institut Sains TeKnologi dan Kesehatan ICsada Bojonegoro
  • Angger Anugerah
  • Hadi Sulistyo

DOI:

https://doi.org/10.22437/tbswhq19

Keywords:

DQOL, quality of life, SDSCA, self-management, Type 2 diabetes mellitus

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease requiring lifelong self-management to achieve optimal glycemic control, prevent complications, and improve quality of life. Effective self-management is considered a cornerstone of diabetes care; however, patients' adherence to self-care behaviors remains inconsistent. Therefore, investigating the relationship between self-management and quality of life is essential for improving patient-centered diabetes care. Methods: A quantitative analytical study with a cross-sectional design was conducted among 50 patients with Type 2 Diabetes Mellitus selected using purposive sampling. Self-management was assessed using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire, while quality of life was measured using the Diabetes Quality of Life (DQOL) questionnaire. Data were analyzed using Spearman's rank correlation test with a significance level of 0.05. Results : Most participants demonstrated a moderate level of self-management (56.0%) and a moderate quality of life (60.0%). Spearman's rank correlation analysis revealed a statistically significant positive relationship between self-management and quality of life (Spearman's rho = 0.575; p < 0.001). The moderate positive correlation indicates that patients with better self-management behaviors tend to report a better quality of life. Conclusion:  Self-management is significantly associated with quality of life among patients with Type 2 Diabetes Mellitus. Strengthening diabetes self-management education, continuous nursing support, and family involvement may improve patients' self-management abilities and contribute to better quality of life.

References

Alfaqih, M., Dwi Khoiriya, D. and Pramesti, A. A. (2026) “The Relationship Between Random Blood Sugar Levels And Sleep Quality Of Elderly People With Diabetes Mellitus At The Purwosari Community Health Center”, Jurnal Keperawatan Universitas Jambi, 10(2), pp. 1–8. doi: 10.22437/jkuj.v10i2.54255American Association of Diabetes Care & Education Specialists (ADCES) (2023) The ADCES7 Self-Care Behaviors® Framework. Chicago, IL: ADCES.

American Diabetes Association (2025) ‘Standards of Care in Diabetes—2025’, Diabetes Care, 48(Suppl. 1), pp. S1–S350.

Baig, A.A., Benitez, A., Quinn, M.T. and Burnet, D.L. (2015) ‘Family interventions to improve diabetes outcomes for adults’, Annals of the New York Academy of Sciences, 1353(1), pp. 89–112.

Beck, J., Greenwood, D.A., Blanton, L. et al. (2020) ‘2020 National standards for diabetes self-management education and support’, The Diabetes Educator, 46(4), pp. 350–369.

Bojonegoro, dinas kesehatan. (2024). Data Morbiditas (Angka Kesakitan). Dinas Kesehatan Bojonegoro.

Centers for Disease Control and Prevention (CDC) (2024) Diabetes Self-Management Education and Support. Available at: https://www.cdc.gov/diabetes/ (Accessed: 30 July 2026).

Chrvala, C.A., Sherr, D. and Lipman, R.D. (2016) ‘Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control’, Patient Education and Counseling, 99(6), pp. 926–943.

Dinas Kesehatan Jawa Timur. (2024). Profil Kesehatan Provinsi Jawa Timur. Analytical Biochemistry. https://dinkes.jatimprov.go.id/userfile/dokumen/profil kesehatan provinsi jawa timur tahun 2023.pdf

Funnell, M.M., Brown, T.L., Childs, B.P. et al. (2012) ‘National standards for diabetes self-management education’, Diabetes Care, 35(Suppl. 1), pp. S101–S108.

Glasgow, R.E., Toobert, D.J. and Hampson, S.E. (2000) ‘Effects of a brief office-based intervention to facilitate diabetes dietary self-management’, Health Education Research, 15(5), pp. 583–593.

International Diabetes Federation (2025) IDF Diabetes Atlas. 11th edn. Brussels: International Diabetes Federation.

Jacobson, A.M., de Groot, M. and Samson, J.A. (1994) ‘The Diabetes Quality of Life Measure’, Diabetes Care, 17(4), pp. 267–274.

Luthfa, I. and Fadhilah, N. (2019) ‘Self-management determines quality of life among patients with type 2 diabetes mellitus’, Belitung Nursing Journal, 5(6), pp. 239–245.

Nursalam (2020) Metodologi Penelitian Ilmu Keperawatan. 5th edn. Jakarta: Salemba Medika.

Perkeni (2021) Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. Jakarta: Perkumpulan Endokrinologi Indonesia.

Polonsky, W.H. and Fisher, L. (2022) ‘The importance of emotional well-being in diabetes care’, Current Diabetes Reports, 22(8), pp. 359–367.

Polsook, R., Aungsuroch, Y. and Thongvichean, S. (2024) ‘Effectiveness of diabetes self-management interventions on glycemic control and quality of life: A systematic review’, Journal of Diabetes Nursing, 28(1), pp. 1–14.

Polit, D.F. and Beck, C.T. (2021) Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11th edn. Philadelphia: Wolters Kluwer.

Powers, M.A., Bardsley, J.K., Cypress, M. et al. (2020) ‘Diabetes self-management education and support in adults with type 2 diabetes: A consensus report’, Diabetes Care, 43(7), pp. 1636–1649.

Rubin, R.R. and Peyrot, M. (1999) ‘Quality of life and diabetes’, Diabetes/Metabolism Research and Reviews, 15(3), pp. 205–218.

Suniyadewi, N.W., Widyastuti, N. and Sari, D.K. (2023) ‘Factors associated with quality of life among Indonesian patients with type 2 diabetes mellitus: A systematic review’, Jurnal Keperawatan Indonesia, 26(2), pp. 95–107.

Teli, S., Sharma, S., Singh, R. and Kumar, P. (2023) ‘Factors associated with health-related quality of life among patients with type 2 diabetes mellitus: A systematic review’, BMC Endocrine Disorders, 23(1), pp. 1–15.

Toobert, D.J., Hampson, S.E. and Glasgow, R.E. (2000) ‘The Summary of Diabetes Self-Care Activities Measure: Results from seven studies and a revised scale’, Diabetes Care, 23(7), pp. 943–950.

Walker, R.J., Smalls, B.L., Hernandez-Tejada, M.A., Campbell, J.A. and Egede, L.E. (2014) ‘Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors and quality of life’, Diabetes Technology & Therapeutics, 16(2), pp. 70–77.

Waruwu, N. N., Silaban, P. E., Lahagu, I. K., Padang, N. S. V. B., DSihotang, D. V., & Silaban, T. (2025). Hubungan Kualitas Tidur dengan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe II . Jurnal Penelitian Perawat Profesional, 7(6), 341–346. https://doi.org/10.37287/jppp.v7i6.1086

World Health Organization (2024) Diabetes. Geneva: World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes (Accessed: 30 July 2026).

Yadav, U.N., Rayamajhee, B., Mistry, S.K., Parsekar, S.S. and Mishra, S.K. (2020) ‘A systematic review of the factors associated with the health-related quality of life of people with type 2 diabetes mellitus’, International Journal of Environmental Research and Public Health, 17(6), 1866.

Zheng, Y., Ley, S.H. and Hu, F.B. (2018) ‘Global aetiology and epidemiology of type 2 diabetes mellitus and its complications’, Nature Reviews Endocrinology, 14(2), pp. 88–98.

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Published

2026-08-31

How to Cite

“RELATIONSHIP BETWEEN QUALITY OF LIFE AND SELF-MANAGEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS: Hubungan Self manajemen dengan kualitas hidup Pada Pasien Diabetes Mellitus” (2026) Jurnal Keperawatan Universitas Jambi, 10(3), pp. 12–21. doi:10.22437/tbswhq19.

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