Nursing and Health Sciences Journal (NHSJ)
Vol. 6 No. 1 (2026): March 2026

Factors associated with diabetes self-care activities in patients with type 2 diabetes mellitus

Hisni, Dayan (Unknown)
Wowor, Tommy JF (Unknown)
Syamsiah, Siti (Unknown)
Lubis, Rosmawaty (Unknown)



Article Info

Publish Date
17 Mar 2026

Abstract

The chronic nature of Type 2 diabetes mellitus (T2DM) necessitates management strategies beyond pharmacotherapy, specifically consistent self-care and family support. While self-care is critical for glycemic control, the influence of urban sociocultural and family dynamics remains underexplored. This study aimed to evaluate diabetes self-care levels and their associations with demographics, disease knowledge, and family support among adults. A STROBE-compliant cross-sectional study was conducted with 89 purposively sampled adults at a public health center. Instruments included the Diabetes Knowledge Questionnaire (DKQ-24), Family Support Scale (HDFSS), and Summary of Diabetes Self-Care Activities (SDSCA). Reliability was established (Cronbach's α = 0.73–0.96). Data were analyzed using the Mann-Whitney U test and Spearman's rho test. The mean SDSCA score was 71.4 (SD=13.7). Self-care behaviors were significantly associated with university education (p=0.048), disease duration ≥5 years (p=0.002), and older age (r=0.73, p<0.001). Diabetes knowledge (r=0.285, p=0.007) and family support (r=0.219, p=0.039) showed weaker, yet significant, positive correlations. No significant gender differences were observed (p=0.527). Age emerged as the strongest predictor of self-care. These findings highlight the need for age-stratified interventions that integrate family support to optimize T2DM management.

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Journal Info

Abbrev

nhs

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case ...