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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing Journal of Nutrition College Jurnal Keperawatan Komunitas Jurnal Keperawatan Anak Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS HIGEIA (Journal of Public Health Research and Development) Jurnal Luka Indonesia JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal Jurnal Pengabdian Pada Masyarakat Journal Of Holistic Nursing Science CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan Nurse and Health: Jurnal Keperawatan Journal of Islamic Nursing JI-KES (Jurnal Ilmu Kesehatan) JURNAL KESEHATAN PERINTIS Jurnal Ilmu Keperawatan Jiwa Jurnal Keperawatan Respati Yogyakarta Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Ilmiah Keperawatan Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal)
Niken Safitri Dyan Kusumaningrum
Department Of Nursing, Faculty Of Medicine, Universitas Diponegoro
Agriculture, Biological Sciences & Forestry Decision Sciences, Operations Research & Management Dentistry Education Engineering Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Perceived Obstacles to Diabetes Care and Self-Management and Their Sociodemographic Correlates Among Adults in Central Java, Indonesia Kusumaningrum, Niken Safitri Dyan; Handayani, Fitria; Cahyani, Zulfida Rahma; Nilamsari, Nur Suci; Utami, Estuning Budi; Puspitasari, Monica Adelia; Lusiana, Khofifah
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.69749

Abstract

Background: Effective diabetes management requires sustained commitment and heightened awareness. Individuals with diabetes often face multiple obstacles that affect daily functioning and long-term health outcomes. However, evidence describing specific obstacles among people with diabetes in Indonesia, particularly in Central Java, remains limited.Purpose: This study aimed to examine the prevalence and domains of perceived diabetes-related obstacles among adults living with diabetes and to assess their associations with sociodemographic characteristics.Methods: A cross-sectional study was conducted among individuals with diabetes attending public health centres in Semarang, Central Java, Indonesia. Participants were consecutively recruited if they were aged ≥18 years, had a confirmed diagnosis of diabetes, and had no known cognitive impairment. Individuals who were acutely ill were excluded. Data were collected using the 57-item Bahasa Indonesia version of the Diabetic Obstacle Questionnaire (DOQ), which covers eight domains of diabetes-related challenges. Independent t-tests and multiple linear regression were used to examine associations between obstacle scores and selected sociodemographic characteristics.Results: A total of 237 participants were included (mean age = 61.96 years), the majority of whom were female, with a mean diabetes duration of 8.16 ± 7.39 years. The highest perceived obstacles were observed in the diagnosis domain (−21.36 ± 33.39). Bivariate analysis showed that education level (p = .002) and diabetes duration (p = .045) were significantly associated with obstacles related to knowledge and beliefs, while random blood glucose level was associated with obstacles related to advice and support (p = .029). Multivariable analysis further identified education level, employment status, diabetes duration, and glycaemic control as significant predictors across selected domains.Conclusion: Although perceived barriers to diabetes management were generally low, challenges persist in the domains of diagnosis, knowledge, and support. These findings highlight the influence of sociodemographic and clinical factors, as well as sociocultural context, in shaping diabetes-related obstacles. Culturally responsive, person-centred interventions are needed to improve self-management and health outcomes.
Co-Authors AA Sudharmawan, AA Achmad Zulfa Juniarto Ainul Yaqin Salam Ainur Muhti Ashari Akhmad Ismail Andrew Johan Andrew Johan Andrian Budi Prasetyo Anita Aprilia Yunita Sari Avin Maria Cahyani, Imamah Indah Cahyani, Imamah Indah Cahyani, Zulfida Rahma Chairani, Farmita Chandra Bagus Ropyanto Costrie G. W Devi Nurmalia Dwi Puji Susanti Dwi Uswatun Khasanah EDI DHARMANA Edi Dharmana Eli Ermawati Farmita Chairani Fatikhu Yatuni Asmara Febyastuti, Isna Widya Fitri Handayani Fitria Handayani Fitria Handayani FITRIA HANDAYANI Giajati, Sukma Anggraeni Handayani, Fitria Henni Kusuma Khana Rosyida, Khana Lestari, Melani Puji Lusiana, Khofifah Meira Erawati Muchlisin Muchlisin Muchlisin, Muchlisin Muin, Muhammad Musdhalifah Hesti Anggraini Nilamsari, Nur Suci Nistiandani, Ana Puspitasari, Monica Adelia Reni Sulung Utami Rennata, Rezza Agus Rezza Agus Rennata Ria Afnenda Naibaho Rizky Asriningati, Rizky Saputri, Afriana Dwi Siswahyudianto Suciari Tri Utami Sultana MH Faradz Susanti, Brigitta Ayu Dwi Untung Sujianto Utami, Estuning Budi Utami, Suciari Tri Vida Dwi Pringgani W, Costrie G. Wahyono Wahyono Wahyu Hidayati Yuni Dwi Hastuti