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All Journal Journal of Health Sciences Nurse and Holistic Care
Erika Martining Wardani
Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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The Relationship between Self-Efficacy and Diet Compliance in Diabetes Mellitus Patients at Jemursari Islamic Hospital, Surabaya: Hubungan Self efficacy dengan Kepatuhan Diet pada Pasien Diabetes Melitus di Rumah Sakit Islam Jemursari Surabaya Fildzah Hendriawati; Difran Nobel Bistara; Khamida; Erika Martining Wardani; Susanti
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i02.7894

Abstract

Patients with diabetes mellitus frequently experience difficulties adhering to recommended dietary regimens, resulting in unstable blood glucose levels and an increased risk of further complications. One significant factor influencing dietary adherence is self-efficacy, or patients' belief in their own ability to manage their diet. This study aims to investigate the relationship between self-efficacy and dietary adherence among diabetes mellitus patients at Jemursari Islamic Hospital, Surabaya. This study employed a correlational analytical design with a cross-sectional approach. A total of 119 respondents were selected using a simple random sampling technique from a population of 170 patients with type 1 and type 2 diabetes mellitus. Data collection instruments included the Diabetes Management Self efficacy Scale (DMSES) for measuring self-efficacy and the Dietary Behaviour Questionnaire (DBQ) for assessing dietary adherence. Data were analyzed using Spearman's Rank correlation test. The results indicated that the majority of respondents had a low level of self-efficacy (fifty-three point eight percent) and moderate dietary adherence (forty-six point two percent). Statistical analysis revealed a significant positive relationship between self-efficacy and dietary adherence among diabetes mellitus patients (p = 0.000), with a strong correlation coefficient of 0.851. Based on these findings, self-efficacy was found to have a strong positive association with dietary adherence. Therefore, healthcare professionals are advised to emphasize simple and repetitive educational approaches, particularly targeting elderly patients with low to moderate educational levels, to enhance patients' confidence in consistently and independently adhering to diabetes dietary regimens. .
THE RELATIONSHIP BETWEEN DIABETES SELF-MANAGEMENT AND DIABETES DISTRESS IN TYPE 2 DIABETES MELLITUS PATIENTS AT JEMURSARI ISLAMIC HOSPITAL, SURABAYA Nabilla Annisa Pradita; Difran Nobel Bistara; Faridah Umamah; Erika Martining Wardani; Susanti
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.7877

Abstract

Background: Diabetes mellitus remains a prevalent global disease and can lead to both physical and psychological complications. One of the most common psychological impacts is diabetes distress, which refers to emotional stress caused by the continuous demands of managing diabetes. Objective: This study aimed to analyze the relationship between diabetes self-management and diabetes distress among patients with type 2 diabetes mellitus at Jemursari Islamic Hospital, Surabaya. Methods: This study used a correlational analytic design with a cross-sectional approach. A total of 174 patients were selected using a purposive sampling technique. The independent variable was diabetes self-management education, and the dependent variable was diabetes distress. Data collection instruments included the Diabetes Self-Management Questionnaire (DSMQ) and the Diabetes Distress Scale (DDS). Data were analyzed using the Spearman Rank correlation test, with a significance level of p < 0.05. Result: The results showed a significant relationship between diabetes self-management and diabetes distress (p = 0.001), indicating that higher levels of self-management education are associated with lower levels of diabetes distress. Conclusion: This study concludes that better diabetes self-management is significantly associated with lower levels of diabetes distress among patients with type 2 diabetes mellitus. Improving patients’ ability to manage their condition through consistent and comprehensive self-management education may help reduce psychological distress and enhance overall quality of life.
Co-Authors Difran Nobel Bistara Faridah Umamah Fildzah Hendriawati Khamida Nabilla Annisa Pradita Susanti Susanti