The Relationship Between Knowledge Level And Family Support On Medication Adherence In Patients With Diabetes Mellitus
DOI:
https://doi.org/10.51601/ijhp.v6i3.689Abstract
Background : Non-compliance in taking medication is the main determining factor that triggers the onset of complications in people with diabetes mellitus, so adherence to pharmacological therapy is a very important element in efforts to control this disease. The level of patient understanding related to diabetes mellitus and the support from the family are believed to have a significant role in encouraging increased patient adherence to the treatment regimen. The purpose of the research is to analyze the relationship between the level of knowledge and family support and medication adherence in patients with diabetes mellitus at the Kedungmundu Health Center, Semarang City. Method: This cross-sectional design observational analytical study involving 110 respondents of diabetes mellitus patients at the Kedungmundu Semarang Health Center was determined from a consecutive sampling technique based on inclusion and exclusion criteria. Data were collected using the Diabetes Knowledge Questionnaire (DKQ-24), Hensarling Diabetes Family Support Scale (HDFSS), Medication Adherence Report Scale (MARS-10), then analyzed with univariate and bivariate using the Spearman Rho test with a meaning of p<0.05. Results: The Spearman Rho test showed a positive correlation of Knowledge Level and Medication Compliance (p<0.05; r = 0.584). Positive correlation of Family Support and Medication Compliance (p<0.05; r = 0.503). Good knowledge level 61 respondents (55.5%), high family support 59 respondents (53.6%), high medication adherence 58 respondents (52.7%). Bivariate analysis showed that there was a significant positive correlation between the level of knowledge and family support for medication adherence to diabetes mellitus patients at the Kedungmundu Health Center in Semarang. Conclusion : The higher the level of knowledge and family support, the more compliant the medication the diabetic mellitus patients are.
Downloads
References
[1]. Kunaryanti K, Andriyani A, Wulandari R. The Relationship between Knowledge Level about Diabetes Mellitus and Blood Sugar Control Behavior in Outpatients with Diabetes Mellitus at Dr. Moewardi Regional Hospital, Surakarta. Journal of Health. 2018;11(1):49–55. doi:10.23917/jk.v11i1.7007
[2]. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016 Nov 1;39(11):2065–79. doi:10.2337/dc16-1728
[3]. Chaidir R, Wahyuni AS, Furkhani DW. The Relationship between Self-Care and Quality of Life in Diabetes Mellitus Patients. Endurance Journal. 2017;2(2):132. doi:10.22216/jen.v2i2.1357
[4]. IDF. Diabetes Atlas 11th Edition. Diabetes Atlas 11th Edition. Published online 2025; 2025. 1–399 p.
[5]. Ministry of Health. Time to regulate the sweet. https://P2PKemkesGoId/Saatnya-Mengatur-Si-Manis/. 2024;1.
[6]. Semarang PK. Number of Diabetes Mellitus Cases in Semarang City in 2022. 01-02-2023. 2023;2021.
[7]. Semarang DKK Health Dashboard. 1069 monthly weekly. 2025;
[8]. Safitri MF. The Relationship Between Medication Compliance and Quality of Life of Type 2 Diabetes Mellitus Patients at the Bojong Rawa Lumbu Community Health Center, Bekasi City. [Bekasi]: Mitra Keluarga Health Sciences College; 2023.
[9]. Farida U, Sugeng Walujo D, Aulia Maratina N. The Relationship between Knowledge Level of Diabetes Mellitus and Blood Sugar Levels of Diabetes Mellitus Patients at Community Health Center X. Indonesian Journal of Pharmaceutical Education. 2023;3(1):125–30. doi:10.37311/ijpe.v3i1.19052
[10]. Aini L, Astuti L, Anita F. The Relationship between Family Support and Diet Compliance in Type 2 Diabetes Mellitus Patients at the Internal Medicine Clinic of Siti Khadijah Islamic Hospital, Palembang. Malahayati Nursing Journal. 2024;6(2):689–99. doi:10.33024/mnj.v6i2.12607
[11]. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2018 Mar 5;12(1):14. doi:10.1186/2251-6581-12-14
[12]. Ulfa S, Muflihatin SK. The relationship between knowledge and quality of life of type 2 diabetes mellitus sufferers in the Pasundan Community Health Center, Samarinda City. Borneo Student Research. 2022;4(1):22–30.
[13]. Fadhilah H, Kasumawati F, Yuningsih D. Analysis of the Level of Compliance with Oral Antidiabetic Drug Use in Type II Diabetes Mellitus Patients. Edu Masda Journal. 2023 Sep 29;7(2):121. doi:10.52118/edumasda.v7i2.190
[14]. Soelistijo SA. Guidelines for the management and prevention of type 2 diabetes mellitus in adults in Indonesia 2021. Jakarta: PB PERKENI; 2021.
[15]. Farida U, Sugeng Walujo D, Aulia Maratina N. The Relationship between Knowledge Level of Diabetes Mellitus and Blood Sugar Levels of Diabetes Mellitus Patients at Community Health Center X. Indonesian Journal of Pharmaceutical Education. 2023;3(1):125–30. doi:10.37311/ijpe.v3i1.19052
[16]. Supriyati S, Syahyuning A, Wahyu D, Ichtiar M, Geraldi R, Darell S. Level of Knowledge about Diabetes Mellitus among Health Profession Students. Health Promotion and Community Engagement Journal. 2024 Jan 30;2(1):48–56. doi:10.70041/hpcej.v2i1.66
[17]. Alafghan YM. The relationship between family support and quality of life of elderly with diabetes mellitus in the working area of Cakung Community Health Center, West Cakung Village, East Jakarta. Jakarta: Mitra Keluarga Health Sciences College; 2023.
[18]. Safari G, Siti Nurlani M, Juliar Hermanto E. The Relationship Between Family Support and Blood Sugar Control Compliance in Diabetes Mellitus Patients. Healthy Journal. 2021;10(2):45–55. doi:10.55222/healthyjournal.v10i2.1001
[19]. Marni GE. The relationship between family support and medication adherence in type II diabetes mellitus patients at Puskesmas II, West Denpasar, Denpasar: Bali Health Institute; 2023.
[20]. Safwendra E, Dormina D, Martawinarti RN, Nurhusna N. Health Education on Nutrition Pattern Management for Patients with Type 2 Diabetes Mellitus. Journal of Nursing, University of Jambi. 2025 Apr 24;9(2):23–30. doi:10.22437/jkuj.v9i2.43411
[21]. Nurlaili. The relationship between family support and blood glucose control compliance with the quality of life of diabetes mellitus patients at Sultan Agung Islamic Hospital, Banjarbaru. Banjarbaru: Related Institutions; 2024.
[22]. Lilis SR. The relationship between knowledge and attitude levels with medication adherence in type 2 diabetes mellitus patients at Pacarkeling Community Health Center, Surabaya [thesis]. Surabaya: Widya Mandala Catholic University, Surabaya; 2021.
[23]. Maryani L. Diabetes complications. J Health Education Poltekkes Jogja. 2020:8–31.
[24]. Septi Fandinata S, Ernawati I. Management of therapy in degenerative diseases. Recognizing, preventing, and treating degenerative diseases (diabetes mellitus and hypertension). 2020;1–134.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Atthiyyah Nur Aini, Merry Tiyas A, Chamim Faizin

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.




















