The Role Of Family Functions On The Quality Of Life Of Type 2 Diabetes Mellitus Patients In Primary Service Facilities Of PUSKESMAS Medan Johor
DOI:
https://doi.org/10.51601/ijhp.v5i1.360Abstract
The global focus on non-communicable diseases (NCDs) has been growing, particularly chronic degenerative diseases such as Diabetes Mellitus (DM), which is now a serious threat to public health worldwide. According to WHO data from 2008, these diseases account for 55% of total deaths in Southeast Asia. In Indonesia, the prevalence of type 2 DM has significantly increased, with over 10 million sufferers aged 20-79 years in 2017, making it a significant health management challenge. To address this, BPJS Health launched the Chronic Disease Management Program (Prolanis) to optimize patients' quality of life while maintaining healthcare cost efficiency. Families play a crucial role in supporting DM patients in managing their disease effectively, socially, and in healthcare. This study aims to analyze the relationship between family functioning and the quality of life of type 2 DM patients at the Medan Johor Public Health Center (Puskesmas). Using a cross-sectional study design, data were collected through the WHOQOL-BREF questionnaire to measure quality of life and the Family APGAR questionnaire to assess family functioning. The results showed that most respondents were women, had a high school education, and had been suffering from type 2 DM for less than 10 years. Most family functions were classified as highly functional. Still, no significant relationship was found between APGAR scores and quality of life in the four domains (physical health, psychological, social relationships, and environment).
Downloads
References
Azizah, A. Sofian, and Suyanto, “Gambaran Kualitas Hidup Pasien Kanker Serviks Yang Menjalani Radioerapi Di RSUD Arifin Achmad Provinsi Riau Periode 2011 - 2013,” Jurnal Online Mahasiswa Universitas Riau, vol. 1, no. 2, pp. 1–17, 2014.
S. Oktowaty, E. P. Setiawati, and N. Arisanti, “Hubungan Fungsi Keluarga Dengan Kualitas Hidup Pasien Penyakit Kronis Degeneratif di Fasilitas Kesehatan Tingkat Pertama,” Jurnal Sistem Kesehatan, vol. 4, no. 1, pp. 1–6, 2018, doi: 10.24198/jsk.v4i1.19180.
IDF Committee, IDF Diabetes Atlas 2021, 10th ed., vol. 102, no. 2. Online Edition, 2021. doi: 10.1016/j.diabres.2013.10.013.
M. R. Friedman, V. R. Bowden, and E. Jones, Family Nursing: Research, Theory, and Practice, 5th ed. New Jersey - USA: Prentice Hall international, 2003.
Setyoadi, T. H. Nasution, and A. Kardinasari, “Hubungan Dukungan Keluarga Dengan Kemandirian Pasien Stroke di Instalasi Rehabilitasi Medik Rumah Sakit Dr. Iskak Tulungagung,” Majalah Kesehatan FKUB, vol. 4, no. 3, pp. 139–148, 2017, doi: 10.21776/ub.majalahkesehatan.2017.004.03.5.
D. Y. Ramadhani, F. Agusman, and R. Hadi, “Karakteristik, Dukungan Keluarga dan Efikasi Diri pada Lanjut Usia Diabetes Mellitus Tipe 2 di Kelurahan Padangsari, Semarang,” Jurnal Ners Lentera, vol. 4, no. 2, pp. 142–151, 2016, [Online]. Available: http://journal.wima.ac.id/index.php/NERS/article/view/877
E. Lambrinou, T. B. Hansen, and J. W. J. Beulens, “Lifestyle factors, self-management and patient empowerment in diabetes care,” Eur J Prev Cardiol, vol. 26, no. 2_suppl, pp. 55–63, 2019, doi: 10.1177/2047487319885455.
J. A. Elliott et al., “A cross-sectional assessment of diabetes self-management, education and support needs of Syrian refugee patients living with diabetes in Bekaa Valley Lebanon Bayard Roberts, Kiran Jobunputra, Preeti Patel and Pablo Perel,” Confl Health, vol. 12, no. 1, pp. 1–10, 2018, doi: 10.1186/s13031-018-0174-9.
X. Jing et al., “Related factors of quality of life of type 2 diabetes patients: A systematic review and meta-analysis,” Health Qual Life Outcomes, vol. 16, no. 1, pp. 1–14, 2018, doi: 10.1186/s12955-018-1021-9.
D. M. Almasri et al., “The impact of diabetes mellitus on health-related quality of life in Saudi Arabia,” Saudi Pharmaceutical Journal, vol. 28, no. 12, pp. 1514–1519, 2020, doi: 10.1016/j.jsps.2020.09.018.
C. Yuliastuti, N. M. Astuti, D. D. Winarno, M. A. Sari, and N. John, “Family Support Related to Quality of Life in Diabetes Mellitus Patients with Ulcer,” Malaysian Journal of Nursing, vol. 14, no. 2, pp. 96–100, 2022, doi: 10.31674/mjn.2022.v14i02.016.
A. T. Panganiban-Corales and M. F. Medina, “Family resources study: Part 1: Family resources, family function and caregiver strain in childhood cancer,” Asia Pac Fam Med, vol. 10, no. 1, pp. 1–11, 2011, doi: 10.1186/1447-056X-10-14.
B. Sathvik, G. Parthasarathi, M. Narahari, and K. Gurudev, “An assessment of the quality of life in hemodialysis patients using the WHOQOL-BREF questionnaire,” Indian J Nephrol, vol. 18, no. 4, p. 141, 2008, doi: 10.4103/0971-4065.45288.
B. Suwarno and A. Nugroho, Kumpulan Variabel-Variabel Penelitian Manajemen Pemasaran (Definisi & Artikel Publikasi), 1st ed. Bogor: Bogor: Halaman Moeka Publishing, 2023.
N. Nina, H. Purnama, H. Z. N. Adzidzah, M. Solihat, M. Septriani, and S. Sulistiani, “Determinan Risiko dan Pencegahan terhadap Kejadian Penyakit Diabetes Melitus Tipe 2 pada Usia Produktif di Wilayah DKI Jakarta,” Journal of Public Health Education, vol. 2, no. 4, pp. 377–385, 2023, doi: 10.53801/jphe.v2i4.148.
U. Ernawati, T. A. Wihastuti, and Y. W. Utami, “Effectiveness of diabetes self-management education (Dsme) in type 2 diabetes mellitus (t2dm) patients: Systematic literature review,” J Public Health Res, vol. 10, no. 2, pp. 404–408, 2021, doi: 10.4081/jphr.2021.2240.
I. A. A. S. Sastrika, P. A. S. Utami, and M. A. Witriasih, “Pengaruh Keluarga Sebagai Kelompok Pendukung Terhadap Penurunan Kadar Gula Darah Lansia DM Tipe 2,” Community of Publishing in Nursing (COPING), vol. 6, no. 2, pp. 105–112, 2018.
I. K. Suardana, I. G. A. A. Rasdini, and N. K. Kusmarjath, “Hubungan Dukungan Sosial Keluarga Dengan Kualitas Hidup Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Denpasar Selatan,” Jurnal Skala Husada, vol. 12, no. 1, pp. 96–102, 2015.
M. Mirza, E. Cahyady, and Denafianti, “Gambaran Faktor Risiko Diabetes Mellitus Tipe-II Pada Pasien Poliklinik Penyakit Dalam di Rumah Sakit Meraxa Kota Banda Aceh Tahun 2018 Universitas Abulyatama Kandidat: Jurnal Riset dan Inovasi Pendidikan,” Kandidat: Jurnal Riset dan Inovasi Pendidikan, vol. 2, no. 2, pp. 35–41, 2020, [Online]. Available: http://jurnal.abulyatama.ac.id/index.php/kandidathttp://jurnal.abulyatama.ac.id/index.php/kandidat
E. Tamara, Bayhakki, and F. A. Nauli, “Hubungan antara dukungan keluarga dan kualitas hidup pasien diabetes mellitus tipe II di RSUD Arifin Achmad Provinsi Riau,” JOM PSIK: Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau, vol. 1, no. 2, pp. 1–7, 2014.
D. Ulfani, Safruddin, and Sudarman, “Relationships Between Family Support and Self-Care To The Quality Of Life Of Patients With Type 2 Diabetes Mellitus at Puskesmas Kabaena Barat, Bombana, 2020,” STRADA Jurnal Ilmiah Kesehatan, vol. 10, no. 1, pp. 86–93, 2021, doi: 10.30994/sjik.v10i1.601.
H. Bao, “Relationship among family support, mental resilience and diabetic distress in patients with type 2 diabetic mellitus during covid-19,” Iran J Public Health, vol. 50, no. 8, pp. 1648–1657, 2021, doi: 10.18502/ijph.v50i8.6811.
F. Nuraisyah, H. Kusnanto, and T. B. Rahayujati, “Dukungan keluarga dan kualitas hidup pasien diabetes mellitus,” Berita Kedokteran Masyarakat, vol. 33, no. 1, p. 25, 2017, doi: 10.22146/bkm.7886.
N. Saudah, E. V. Yuniarti, and E. A. Wulandari, “The Correlation of Families Role and the Quality of Life (QOL) of Diabetes Mellitus Patients,” Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), vol. 6, no. 1, pp. 006–013, 2019, doi: 10.26699/jnk.v6i1.art.p006-013.
B. B. Bennich et al., “Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications,” Can J Diabetes, vol. 43, no. 3, pp. 193–200, 2019, doi: 10.1016/j.jcjd.2018.09.002.
A. Yamin and C. W. M. Sari, “Relationship of Family Support Towards Self-Management and Quality of Life of Patients with Type 2 Diabetes Mellitus,” Jurnal Keperawatan Padjadjaran, vol. 6, no. 2, pp. 175–182, 2018, doi: 10.24198/jkp.v6i2.673.
J. L. Hinkle and K. H. Cheever, Handbook for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 14th ed. Philadelphia - USA: Wolters Kluwer Health / Lippincott Williams & Wilkins, 2014.
B. Suwarno, S. Rizal, C. Novalinda Ginting, Ermi Girsang, B. Alamsyah, and R. Tua Siregar, “Analysis of Post-COVID-19 Hospital Service Quality : A Study Based on Patient Perceptions,” European Business & Management, vol. 9, no. 2, pp. 22–31, 2023, doi: 10.11648/j.ebm.20230902.11.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ali Napiah Nasution, Novia Novia, Suhartina Suhartina
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
