Indonesian Journal of Health Services
Vol. 2 No. 4 (2025): October - December

The role of nurses in improving self-care for diabetes mellitus patients in primary care: A cross-sectional study

Siti Aulia (Prodi S1 Keperawatan, Universitas Muhamadiyah Ahmad Dahlan Palembang, Indonesia)
Virza Rizky (Prodi DII Keperawatan, STIKes Al-Ma’arif, Indonesia)



Article Info

Publish Date
18 Jan 2026

Abstract

Background: Diabetes mellitus is a global health problem that requires strict self-care management to prevent complications. Nurses in Community Health Centers (Puskesmas) have a strategic role as educators and motivators in improving patient independence. Objective: This study aims to analyze the role of nurses in improving the self-care of diabetes mellitus patients in the Puskesmas working area. Methods: This study used a descriptive-analytic quantitative design with a cross-sectional approach. Samples were selected using a consecutive sampling technique among type 2 diabetes patients in the Puskesmas working area. Research instruments included a nurse role questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Results: The majority of respondents gave a positive perception of the nurse's role as educator and motivator. The patient's self-care level was in the sufficient category, with the highest compliance in the diet management domain. Analysis showed a significant correlation between the active role of nurses and the improvement of patients' independent self-care behavior.  Conclusion: The optimal role of nurses as agents of change contributes significantly to improving the health status and independence of diabetes patients at the primary care level.

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Journal Info

Abbrev

IJHS

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

The Indonesian Journal of Health Services (IJHS) is committed to advancing research that supports the Sustainable Development Goals (SDGs), particularly SDG 3: "Good Health and Well-being." The journal focuses on a broad range of topics within health services and public health that address critical ...