The Relationship Between The Knowledge Level Of Patients With Type 2 Diabetes Mellitus And Self-management Behavior At UPTD KedatonPublic Health Center, Bandar Lampung City
DOI:
https://doi.org/10.35451/jfm.v9i1.3943Keywords:
Diabetes Melitus Tipe 2, self-management , knowledge levelAbstract
Type 2 Diabetes Mellitus (T2DM) is a chronic disease that requires long-term management through self-management behaviors to prevent complications. One of the factors presumed to influence self-management behavior is patients knowledge of diabetes. This study aimed to determine the relationship between the knowledge level of patients with Type 2 Diabetes Mellitus and their self-management behavior at UPTD Kedaton Public Health Center, Bandar Lampung City. This quantitative study employed an analytical observational design with a cross-sectional approach. A total of 30 patients participated in the instrument validity and reliability testing, while 62 respondents were selected as the study sample using the Slovin formula and an accidental sampling technique. Data were collected through structured interviews using the Diabetic Knowledge Questionnaire (DKQ-24) and the Diabetic Self-Management Questionnaire (DSMQ). The data were analyzed using univariate analysis and Kendall's Tau-C test. The results showed that most respondents had a moderate level of knowledge (58,1%) and good self-management behavior (80,6%). Bivariate analysis revealed a significant relationship between patients knowledge level and self-management behavior (p-value 0.032; p-value < 0.05). It can be concluded that a higher level of knowledge is associated with better self-management behavior. Continuous health education should therefore be strengthened to improve patients ability to manage diabetes independently.
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[1] Alisa F, Despitasari L, Marta E. Hubungan efikasi diri dan dukungan keluarga dengan manajemen diri pada pasien diabetes melitus tipe II di Puskesmas Andalas Kota Padang. Menara Ilmu. 2020;14(2):30-35.
[2] American Diabetes Association Professional Practice Committee. Glycemic goals and hypoglycemia: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(Suppl 1):S128-S145. doi:10.2337/dc25-S006.
[3] Aulia S, Decroli E, Nurhayati N. Gambaran penyakit penyerta pada pasien diabetes mellitus tipe-2 lanjut usia di RSUP Dr. M. Djamil Padang periode Januari 2020-Januari 2021. J Ilmu Kesehat Indones. 2024.
[4] Cahyaningsih I, Rokhman MR, Maziyyah N, Niamuzisilawati E, Taxis K, Denig P. Translation and validation of the Diabetes Knowledge Questionnaire in Indonesian patients with type 2 diabetes. Sci Diabetes Self Manag Care. 2024;50(6):484-496.
[5] Cong Z, Huo M, Jiang X, Yu H. Factors associated with the level of self-management in elderly patients with chronic diseases: a pathway analysis. BMC Geriatr. 2024;24(1):377. doi:10.1186/s12877-024-04956-9.
[6] Emery KA, Robins J, Salyer J, Thurby-Hay L, Djira G. Type 2 diabetes self-management variables and predictors. Clin Nurs Res. 2021;31(7):1250-1262.
[7] Febriana D. Hubungan lama menderita diabetes melitus dengan self-management pada penderita diabetes melitus tipe 2 wilayah kerja Puskesmas Patrang [thesis]. Jember: Repositori Institusi Universitas Dr. Soebandi; 2022.
[8] Hastutiningtyas W, Rosdiana Y, Ina I. Manajemen diri pada pasien diabetes melitus tipe 2 di Puskesmas Dinoyo Malang. Care J Ilm Ilmu Kesehat. 2024.
[9] Ilahi FS, Nordin MF, Yumassik AM, H.S. AM. Cost utility analysis pada pasien diabetes mellitus tipe 2: integrasi gula darah, komorbiditas, biaya dan kualitas hidup dalam pengambilan keputusan klinis. JIIS J Ilm Ibnu Sina Ilmu Farmasi dan Kesehatan. 2025;10(2):229-242.
[10] International Diabetes Federation. Indonesia-Western Pacific members [Internet]. Brussels: International Diabetes Federation; 2026 [cited 2026 Jan 17]. Available from: https://idf.org/our-network/regions-and-members/western-pacific/members/indonesia/
[11] Lasmawati E, Putri DF, Nuryani DD. Analisis faktor yang berhubungan dengan kejadian diabetes melitus tipe 2. Holistik J Kesehat. 2023;17(4):334-344.
[12] Milanesi A, Bhat S, Weinreb JE. Outpatient management of diabetes mellitus in elderly patients. In: Feingold KR, Anawalt B, Blackman MR, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2025.
[13] Mulianti L. Tingkat pengetahuan pasien diabetes mellitus tipe 2 dengan kuesioner DKQ-24 di Puskesmas Peneleh Surabaya [diploma thesis]. Surabaya: Akademi Farmasi Surabaya; 2024.
[14] Ningrum WA, Muthoharoh A, Fajriyah NN, Bahrie MS. Hubungan karakteristik dan tingkat pengetahuan responden Prolanis terhadap pengobatan Diabetes Melitus tipe II di wilayah kerja Puskesmas Wonopringgo Kabupaten Pekalongan [thesis]. Yogyakarta: Universitas 'Aisyiyah Yogyakarta; 2020.
[15] Notoatmodjo S. Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta; 2014.
[16] Notoatmodjo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2018.
[17] Noviati BE, Sari SP, Zulaika U, Kristanti F. Hubungan karakteristik responden dengan self manajemen pada pasien Diabetes Mellitus type 2 di poli penyakit dalam Rumah Sakit Santa Elisabeth Bantul. J Keperawatan Muhammadiyah. 2026;11(1):206-210.
[18] Nurasyifa SR, RU VVF, Pratiwi H. Hubungan tingkat pengetahuan terhadap manajemen diri pasien Prolanis diabetes melitus tipe 2 di Puskesmas 1 Purwokerto Timur. Acta Pharmaciae Indones. 2021;9(2):78-85.
[19] Perkumpulan Endokrinologi Indonesia. Pedoman pemantauan glukosa darah mandiri (PGDM) 2021. Jakarta: Perkumpulan Endokrinologi Indonesia; 2021.
[20] Perkumpulan Endokrinologi Indonesia. Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: Perkumpulan Endokrinologi Indonesia; 2024.
[21] Permatasari API, Pura IS, Oktorina L. Korelasi tingkat pengetahuan dengan kepatuhan konsumsi obat pada pasien diabetes melitus tipe 2 di RSUD Dr. Soekardjo Tasikmalaya. Syntax Lit J Ilm Indones. 2024;9(9).
[22] Qusyairi KR, Sani A, Hasan C. Hubungan pengetahuan dengan aktivitas self care pada penderita diabetes melitus di Puskesmas Batua. Window Public Health J. 2022;3(4):595-606. Available from: http://jurnal.fkm.umi.ac.id/index.php/woph/article/view/woph3202
[23] Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Haak T. The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess self-care activities associated with glycaemic control. Health Qual Life Outcomes. 2013;11(1):138.
[24] Setiyawati D, Wahab I, Safitri YB. Kadar glukosa darah pada wanita menopause: studi di Puskesmas Muara Dua Kota Lhokseumawe. J Gizi Kesehat. 2025;15(1):45-52.
[25] Siringo MDS, Simanullang MSD, Ginting FSH. Hubungan self efficacy dengan self management pada penderita diabetes melitus di Klinik Romana tahun 2024. J Innov Creat. 2025;5(3):36628-36638.
[26] Ulfa NM, Suharjono, Hermansyah A. Correlation between knowledge and characteristics of patients with type 2 diabetes mellitus in controlling blood glucose. Pharm Educ. 2024;24(3):298-303.
[27] Yan Z, Cai M, Han X, Chen Q, Lu H. The interaction between age and risk factors for diabetes and prediabetes: a community-based cross-sectional study. Diabetes Metab Syndr Obes. 2023;16:85-93.
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