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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Proceeding of The International Conference on Health Sciences and Nursing
Helza Risdianti
Politektik Negeri Subang
Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Self-Management in Elderly People With Diabetes Mellitus and Multiple Comorbidities Tobi Pitora; Dzikra Fitria Amita; Dinda Nur Fajri HB; Helza Risdianti; Suprayogi Suprayogi; Irwan Agustian; Reza Indra Wiguna; Muhammad Chairul Aris; Riyda Ma’arifatul Khoirot; Annisa Pratiwi Gunawan
Proceeding of the International Conference on Health Sciences and Nursing Vol. 3 No. 1 (2026): Proceeding of the International Conference on Health Sciences and Nursing
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v3i1.97

Abstract

Diabetes Mellitus is a chronic metabolic disorder with a rapidly increasing prevalence worldwide, particularly among the elderly population. Older adults with diabetes frequently experience multiple comorbidities that may complicate disease management, increase treatment burden, and reduce quality of life. Consequently, effective self-management is essential to maintain glycemic control and prevent complications. This study aimed to identify and analyze self-management among elderly individuals with diabetes mellitus and multiple comorbidities through a literature review. Methods: This study employed a literature review design using the PRISMA framework, including identification, screening, eligibility assessment, and synthesis of selected studies. A systematic search was conducted through PubMed, Scopus, and EBSCO. Articles published within the last five years were included. A total of 5,934 articles were identified from the three databases. Following the removal of duplicates, abstract screening, and evaluation based on inclusion and exclusion criteria, seven studies were selected for analysis. The review indicated that self-management among older adults with diabetes mellitus remains suboptimal. Major challenges included dietary regulation, physical activity, blood glucose monitoring, and medication adherence. Physical and psychological conditions were also found to significantly influence self-management abilities. Self-management among elderly individuals with diabetes and multiple comorbidities requires further improvement through continuous health education, enhancement of self-efficacy, and strong social and family support to reduce complications and improve quality of life.
Self-Efficacy as a Behavioral Enabler of Self-Care in Chronic Heart Failure Tobi Pitora; Helza Risdianti; Dzikra Fitria Amita; Aurellia Firstania; Dinda Nur Fajri Hidayati Bunga; Annisa Pratiwi Gunawan; Yusuf Hanafiah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.992

Abstract

Background: Chronic heart failure (CHF) is a major health problem associated with morbidity, repeated hospitalization, and long-term self-management demands. Although self-care is essential for symptom control and prevention of deterioration, many patients have difficulty maintaining effective daily management. Self-efficacy is considered an important psychological factor that may support self-care behavior.. Objective: This study aimed to examine the relationship between self-efficacy and self-care among patients with chronic heart failure and to contextualize the role of self-efficacy in supporting self-management behavior. Methods: A cross-sectional study was conducted involving 74 patients with CHF. Data were collected using the Self-Care of Heart Failure Index (SCHFI) v.6.2 and the General Self-Efficacy (GSE) Scale. Data were analyzed using descriptive statistics, Pearson’s correlation, independent t-test, and multiple linear regression. Results: Most participants were male (70.3%), with a mean age of 52.01 ± 13.46 years. The mean self-efficacy score was 35.00 ± 3.75, and the mean self-care score was 69.66 ± 3.80. Self-efficacy was positively correlated with self-care (r = 0.343, p = 0.003) and remained a significant predictor in multivariate analysis (β = 0.31, p = 0.004). Conclusion: Self-efficacy was positively associated with self-care among patients with chronic heart failure, but the modest strength of the relationship suggests that self-care is shaped by multiple interacting factors. These findings support the view that self-efficacy functions as a behavioral enabler rather than a standalone determinant of self-care. Interventions aimed at improving CHF self-management should therefore combine confidence-building strategies with broader educational, clinical, and contextual support
Co-Authors Annisa Pratiwi Gunawan Aurellia Firstania Dinda Nur Fajri HB Dinda Nur Fajri Hidayati Bunga Dzikra Fitria Amita Irwan Agustian Muhammad Chairul Aris Reza Indra Wiguna Riyda Ma’arifatul Khoirot Suprayogi Suprayogi Tobi Pitora Tobi Pitora Yusuf Hanafiah