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Sociodemographic Relationships with Self-Care Management Adherence in Type 2 Diabetes Mellitus Patients Pitora, Tobi; azahra, Sahara; khoirunissa, kenssa; suryani, sri; sabrina, najwa; utami, winda
JURNAL CITRA KEPERAWATAN Vol 13 No 1 (2025): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v13i1.392

Type 2 diabetes mellitus (T2DM) is a chronic disease with a high complication rate that is strongly influenced by patient compliance with self-care management. This study aims to analyze the forms of compliance that affect self-care management in T2DM, sociodemographic characteristics that play a role in self-care management, and aspects of self-care management that contribute to improving compliance of T2DM patients. The method used was literature from the EBSCO, SAGE, and PubMed databases for the period 2021-2025, with the inclusion criteria of English articles, full text, and the use of Medical Subject Headings (MeSH Terms). The literature review showed that adherence in the aspects of blood sugar monitoring, diet management, physical activity, medication consumption, and foot care determine the success of self-care management. Sociodemographic factors such as advanced age, low education and economic level, and lack of social support were shown to reduce patient adherence to self-care management. In contrast, patients with good health education, access to adequate medical equipment, and family and community support showed a more optimal level of compliance and self-care management. Effective self-care management, especially in terms of diet management, physical activity, and blood sugar monitoring, significantly increases patient compliance, reduces the risk of complications, and improves quality of life. Thus, sociodemographic-based interventions, health education, and family/community involvement are essential to improve adherence and effectiveness of self-care management in T2DM patients.

Overview Quality of Life Diabetes Mellitus of Tipe II Patients Nurani, Rahmawati Dian; Pitora, Tobi; Bunga, Dinda Nur Fajri Hidayati; Khoirot, Risyda Ma’rifatul
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 2 (2025): Jurnal Kesehatan (Oktober 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i2.934

Diabetes mellitus (DM) is a global health threat, both in Indonesia and globally. Nearly half a billion people live with diabetes. DM patients experience elevated blood sugar levels (hyperglycemia) caused by abnormalities in insulin secretion, insulin action, or both. The purpose of this study was to determine the quality of life in patients with Type II Diabetes Mellitus. A quantitative descriptive method was used with 70 respondents with diabetes mellitus selected by accidental sampling. The research instrument used was the DQOOL questionnaire. Data collection was conducted in August 2024. The results of the study from 70 respondents showed that the most dominant respondents were type II DM patients with a good quality of life of 38 people (54.3%), and a poor quality of life of 32 people (45.7%). The conclusion of this study is that the majority Diabetes Mellitus of Type 2 Patients at Abdul Moeloek Hospital are elderly people with hypertension. These findings are expected to motivate Type 2 Diabetes Mellitus patients to improve their quality of life.

Relationship Between Behaviour and Lifestyle Patterns and The Risk of Hypertension: A Scoping Review Fauziyah, Fauziyah; Padilah, Fitri Nur; Nurkhodijah, May; Aprillia, Ristha Eka; Arrafah, Riva Nur; Pitora, Tobi
Jurnal Ilmiah Ners Indonesia Vol 6 No 2 (2025): November 2025
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v6i2.47127

Hypertension is an increasingly common health problem worldwide and poses a significant risk for various cardiovascular conditions. To prevent an increase in the incidence and mortality rates, preventive measures are needed to identify the risks associated with hypertension. Behavioral and Lifestyle changes are the primary foundation in the prevention and treatment of hypertension. Changing behavior is a key factor that can influence the lifestyle of individuals with hypertension. This scoping review aims to examine the relationship between lifestyle patterns, behavior, and the risk of hypertension. A scoping review was conducted using a comprehensive literature search across PubMed, ScienceDirect, and Taylor & Francis, focusing on original studies involving human participants, Behavior and lifestyle outcomes reported, and studies published between 2020 and 2025. Article analysis uses the PRISMA-ScR Checklist. A total of 7 studies were analyzed. Findings show that Individuals who are obese or have other diseases (ex, diabetes mellitus) and do not adopt a healthy lifestyle have a higher risk of complications such as hypertension. Lifestyle patterns and Behaviors such as abstaining from smoking, limiting alcohol consumption, maintaining a balanced diet (DASH diet), and engaging in regular physical activity have consistently been associated with reduced risk of hypertension and cardiometabolic comorbidities. Patients who combine physical activity and a healthy lifestyle have a lower risk of death. The integration of lifestyle modifications (such as not smoking, exercising, maintaining sleep quality, and not consuming alcohol) with medication adherence helps in the sustainable management of hypertension.

Overview Quality of Life Diabetes Mellitus of Tipe II Patients Nurani, Rahmawati Dian; Pitora, Tobi; Bunga, Dinda Nur Fajri Hidayati; Khoirot, Risyda Ma’rifatul
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 2 (2025): Jurnal Kesehatan (Oktober 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i2.934

Diabetes mellitus (DM) is a global health threat, both in Indonesia and globally. Nearly half a billion people live with diabetes. DM patients experience elevated blood sugar levels (hyperglycemia) caused by abnormalities in insulin secretion, insulin action, or both. The purpose of this study was to determine the quality of life in patients with Type II Diabetes Mellitus. A quantitative descriptive method was used with 70 respondents with diabetes mellitus selected by accidental sampling. The research instrument used was the DQOOL questionnaire. Data collection was conducted in August 2024. The results of the study from 70 respondents showed that the most dominant respondents were type II DM patients with a good quality of life of 38 people (54.3%), and a poor quality of life of 32 people (45.7%). The conclusion of this study is that the majority Diabetes Mellitus of Type 2 Patients at Abdul Moeloek Hospital are elderly people with hypertension. These findings are expected to motivate Type 2 Diabetes Mellitus patients to improve their quality of life.

Perceived susceptibility and vaccine hesitancy among mothers in completing basic immunization: A qualitative study Amita, Dzikra Fitria; Risdianti, Helza; Firstania, Aurellia; Zaharany, Tsania Ayu; Rajagukguk, Sartika; Khoirot, Risyda Ma'arifatul; Fajri, Dinda Nur; Gunawan, Annisa Pratiwi; Pitora, Tobi
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.705

Background: Immunization is a highly effective public health intervention to reduce child morbidity and mortality. However, declining immunization coverage in several regions of Indonesia, including North Bengkulu Regency, reflects growing vaccine hesitancy. In Arga Makmur, concerns about post-immunization adverse events (KIPI) influence mothers’ decisions, indicating a shift in perceived susceptibility within the Health Belief Model. Objective: This study aimed to explore mothers’ perceived susceptibility related to childhood immunization and how these perceptions contribute to vaccine hesitancy in Arga Makmur, North Bengkulu. Methods: A descriptive qualitative study was conducted between October and November 2022 in the working area of the Argamakmur Community Health Center, North Bengkulu Regency, Indonesia. Nine mothers of children with incomplete immunization status were selected using purposive sampling. Data were collected through semi-structured in-depth interviews, audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s six-phase thematic analysis. Results: Four major themes emerged from the analysis: (1) fear that injections could cause illness in children, (2) suspicion regarding the safety of vaccines and medications, (3) perceptions that children were physically weak or unfit to receive immunization, and (4) fatalistic beliefs reflected in surrender to divine destiny. Mothers tended to perceive the risks associated with vaccination as more immediate and threatening than the risks posed by vaccine-preventable infectious diseases. These perceptions were reinforced by misinformation, social narratives, and personal observations of post-immunization reactions. Conclusion: Vaccine hesitancy among mothers in Arga Makmur is strongly associated with a shift in perceived susceptibility—from concern about infectious diseases toward fear of vaccine-related risks. Addressing this imbalance requires effective risk communication, strengthening trust in healthcare providers, counteracting misinformation, and implementing culturally and religiously sensitive health promotion strategies to improve immunization acceptance.

Self-Efficacy as a Behavioral Enabler of Self-Care in Chronic Heart Failure Pitora, Tobi; Risdianti, Helza; Amita, Dzikra Fitria; Firstania, Aurellia; Bunga, Dinda Nur Fajri Hidayati; Gunawan, Annisa Pratiwi; Hanafiah, Yusuf
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

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

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