Correlation Between Self-Motivation and Family Support on Stress Levels and Self-Acceptance of Type 2 Diabetes Mellitus Patient

https://doi.org/10.22146/rpcpe.97563

Diah Krisnansari(1*), Rahmawati Wulansari(2), Fadhila Husnannisa(3)

(1) Department of Public Health and Community Medicine; Faculty of Medicine; Jenderal Soedirman University; Indonesia
(2) Department of Public Health and Community Medicine; Faculty of Medicine; Jenderal Soedirman University; Indonesia
(3) Faculty of Medicine; Jenderal Soedirman University; Indonesia
(*) Corresponding Author

Abstract


Background: Type 2 Diabetes Mellitus patients often have psychological problems related to burdens and worries about their illness, so they need family support as a support system in dealing with existing worries and emotional burdens. Family support will lead to self-confidence and motivation to deal with their problems. Motivation can come from family support and also from the patient's self-motivation. Motivation from family support and self-motivation is related to the patient's stress level and self-acceptance. Objectives: To determine the correlation between self-motivation and family support on stress levels and self-acceptance in type 2 Diabetes patients at Sumbang Banyumas. Methods: The analytic observational study with a cross-sectional approach on 49 respondents with type 2 Diabetes Mellitus used the Hensarling Diabetes  Family Support Scale Questionnaire, Treatment Self-Regulation Questionnaire, General Health Questionnaire-12, and Berger's Self-Acceptance Scales. Data were analyzed using the gamma correlation test with α<0.05. Results: The results showed  89.8% were over 45 years old, 83.7% were women, 69.4% were elementary school graduates, 53% were not working,  81.6% had a monthly income below the Regional Minimum Wage, 71.4% had no genetic of Diabetes Mellitus, 34.7% had a long duration of suffering from Diabetes Mellitus < 5 years and 5 - 10 years and 73.5% had good APGAR score, 73.4% had good self-motivation, 69.4% had good family support, 67.3% had mild stress levels and 75.5% had good self-acceptance. There was a significant correlation between self-motivation (p= 0.037) and family support (p= 0.000) on stress levels and there was a significant correlation between self-motivation (p = 0.000) and family support (p = 0.000) on self-acceptance. Conclusions: Self-motivation and family support correlate with stress levels and self-acceptance of type 2 Diabetes Mellitus patients at Sumbang Banyumas.


Keywords


Family support; self-motivation; self-acceptance; stress levels; type 2 diabetes mellitus

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References

  1. Matthew C. Riddle M. Disclosures: Standards of medical care in diabetes-2022. Diabetes Care. 2022;45(January):S256–8.
  2. IDF. Diabetes Atlas 10th Edition. 2021.
  3. Central Java Health Department. Central Java in 2021. Central Java Province Health Profile 2021. 2021;i–123.
  4. Banyumas DK. Banyumas health profile. IT - Inf Technol [Internet]. 2021;48(1):11. Available from: https://static.banyumaskab.go.id/website/file/website_010422105512624677a06d7ca.pdf
  5. Perkeni. Guidelines for the management and prevention of adult type 2 DM in Indonesia. Jakarta: PB PERKENI; 2021. 113 p.
  6. Isnaini N, Ratnasari R. Risk factors influence the incidence of type two diabetes mellitus. J Midwifery and Nursing Aisyiyah. 2018;14(1):59–68.
  7. Abdul Muhith SS. Gerontic nursing education [Internet]. CV Andi Offset. 2016. Available from: http://repository.unusa.ac.id/id/eprint/6142
  8. Katuuk ME, Kallo VD. The relationship between motivation and self-efficacy in nursing type II diabetes mellitus patients. [Internet]. 2019;7:1–7. Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/25209
  9. Candrawati RD, Wiguna PK, Malik MF, Nurdiana A, Salbiah, Runggandini SA, et al. Health promotion and behavior. 2023. 1–43 p.
  10. Ariani Y. The relationship between motivation and self-efficacy of type 2 dm patients in the context of nursing care at RSUP. H. Adam Malik Medan [Internet]. Universitas Indonesia. 2011. Available from: http://lontar.ui.ac.id/file?file=digital/20282755-T Yesi Ariani.pdf
  11. Fatimah. The relationship between personal factors and diabetes mellitus support in the posbindu working area of the Pisangan Health Center, South Tangerang City. Universitas Islam Negeri Syarif Hidayatullah Jakarta. 2016.
  12. Primasari I, Hidayat R. General health qquestionnaire-12 (GHQ-12) as a screening instrument for adjustment disorders. J Psychol. 2016;43(2):121.
  13. Sukmawati AK. Analysis of factors associated with self-acceptance of chronic kidney failure patients undergoing hemodialysis therapy at Haji General Hospital Surabaya [Internet]. Universitas Airlangga Surabaya. 2018. Available from: http://repository.unair.ac.id/85199/
  14. Sastroasmoro S. Basics of clinical research methodology. [Internet]. Edisi ke-5. Jakarta: Sagung Seto; 2014. Available from: http://kin.perpusnas.go.id/DisplayData.aspx?pId=124322&pRegionCode=UNTAR&pClientId=650
  15. Fitriani Nasution, Andilala AAS. Risk factors for diabetes mellitus. 2021;9(2):7823–30.
  16. Kabosu RAS, Adu AA, Hinga IAT. Risk factors for type two diabetes mellitus in Bhayangkara Hospital, Kupang City. Timorese J Public Health. 2019;1(1):11–20.
  17. Annisa Pahlawati PSN. The relationship between education level and age with the incidence of hypertension in the working area of the Palaran Community Health Center in 2019. J Dunia Kesmas. 2019;8(4):1–5.
  18. Kemenkes 2018. Decree of the minister of health of the republic of Indonesia [Internet]. Available from: https://pusdatin.kemkes.go.id/download.php?file=download/pusdati
  19. Pradina WS, Wahyuni S. Analysis of risk factors for type 2 diabetes mellitus based on transcultural nursing. J Nusant Med [Internet]. 2021;5(1). Available from: https://doi.org/10.29407/judika.v5i1.15844
  20. Mayawati D. The relationship between socio-economic status and the incidence of wounds in diabetes mellitus sufferers in Magelang Regency. 2020.
  21. Yosmar R, Almasdy D, Rahma F. Diabetes mellitus risk survey for the people of Padang City. J Sains Farm dan Klin. 2018;5(Agustus 2018):134–41.
  22. Imelda SI. Factors that influence the occurrence of diabetes mellitus at Harapan Raya Community Health Center in 2018. Sci J. 2019;8(1):28–39.
  23. Banggut, S., Nugroho, F.C., Dumalag T. Comparison of family support and self-acceptance in male and female patients with type ii diabetes mellitus. Nurs Art. 2021;Vol 15( 01:16-35.
  24. Ispiriantari, A., Priasmoro D. Self-acceptance of adolescents with type 1 diabetes in Malang City. World of Nursing. Vol 5 (02):115–20.
  25. Jatmiko AC, Nurainiwati SA, Drestania ZVL. Analysis of family function (family APGAR ) on the quality of life of leprosy sufferers. CoMPHI J Community Med Public Heal Indones J. 2022;3(2):82–6.
  26. Mutmainah A, Kusnanto H, Hilman O. The effect of family APGAR score on depression rate in type 2 diabetes mellitus patients at first-level health facilities. Rev Prim Care Pract Educ (Study of Primary Care Practice and Educators. 2018;1(2):62.
  27. Suratih K, Nur Z, Suharyati A. The relationship between motivation and family support and stress levels in kidney failure patients at Pandan Arang Boyolali Regional Hospital. Indones J Med Sci [Internet]. 2019;6(2):25–31. Available from: http://ejournal.ijmsbm.org/index.php/ijms/article/download/182/180
  28. Abdul Nasir AM. Basics of psychiatric nursing [Internet]. Jakarta: Salemba Medika; 2011. Available from: https://opac.umpalopo.ac.id/index.php?p=show_detail&id=11318
  29. Supriati L, Kusumaningrum BR, Setiawan HF. The relationship between the level of emotional intelligence and the level of stress in diabetes mellitus sufferers at Dr. Soepraoen Army Hospital, Malang. 2017;4(2):79–87. Available from: http://majalahfk.ub.ac.id/index.php/mkfkub/article/download/128/113
  30. Kaplan, H.I., Sadock B. Synopsis of psychiatry: behavioral sciences / clinical psychiatry. 10th ed. Philadelphia: Lippincott Williams & Wilkins.; 2007.
  31. Erda R, Novitri W, Gemini S, Yunaspi D. Relationship between family support and anxiety levels in diabetes mellitus sufferers. J Kesehatan Mercusuar. 2021;4(2):82–6.
  32. Sholikhah A, Widiarini R, Wibowo PA. The relationship between family support and self-management behavior and the level of stress during dieting in type 2 diabetes mellitus sufferers in Nambangan Lor Village, Manguharjo District, Madiun City. J-KESMAS J Kesehatan Masyarakat. 2021;6(2):106.
  33. L S. Human Physiology from Cells to Systems. 8th ed. Jakarta: EGC; 2016.
  34. Tombokan V, Rattu AJM, Tilaar CR. Factors associated with treatment compliance in diabetes mellitus patients at family doctor practices in Tomohon City. J Kesehat Masayarakat UNSRAT. 2020;5(2):260–9.
  35. Kubler-Ross E, Kessler D. On grief & grieving: finding the meaning of grief through the five stages of loss [Internet]. Vol. 98, Simon & Schuster 2005, 2014. 2014. 233 p. Available from: https://scholar.google.fr/scholar?q=Kubler-Ross+2005&btnG=&hl=fr&as_sdt=0,5#0
  36. Qatrunnada, Arnita Y, Atika S. Motivation in controlling blood sugar levels in type 2 diabetes mellitus sufferers. JIM FKep. 2022;6(1):305–9.
  37. Azizah N. The relationship between self-acceptance and quality of life in type ii diabetes mellitus patients [Internet]. Repository Universitas Jember. 2019. Available from: http://repository.unej.ac.id/handle/123456789/92257
  38. Loca ICP. The relationship between family social support and self-acceptance of diabetes mellitus patients at the Buduran Sidoarjo community health center. STIKES HANG TUAH; 2020.
  39. Laila RN. The relationship between social support and self-acceptance in type ii diabetes mellitus patients. UMS; 2016.
  40. Friedman. Textbook of family nursing research, theory and practice. Jakarta: EGC; 2014.
  41. Bisnu M, Kepel B, Mulyadi N. The relationship between family support and the degree of hypertension in hypertension patients at the ranomuut community health center, Manado City. J Keperawatan UNSRAT. 2017;5(1):108807.
  42. Rusdiana R. The relationship between family support and self-acceptance in parents of children with special needs. Psikoborneo J Ilm Psikol. 2018;6(2):242–8.
  43. Handayani TN, Sofyannur. The role of nurses in overcoming family anxiety in the emergency department. JIM FKep. 2018;IV(1):33–40.



DOI: https://doi.org/10.22146/rpcpe.97563

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