Diabetes Self-Care Management Among the Elderly in Rural Areas
DOI:
https://doi.org/10.33862/citradelima.v9i1.518Keywords:
Diabetes Self-Care Management, Elderly, Rural AreaAbstract
Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.
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Amerzadeh, M., Shafiei Kisomi, Z., Senmar, M., Khatooni, M., Hosseinkhani, Z., & Bahrami, M. (2024). Self-care behaviors, medication adherence status, and associated factors among elderly individuals with type 2 diabetes. Scientific Reports, 14(1), 1–9. https://doi.org/10.1038/s41598-024-70000-w
Arianti, S., Winahyu, K. M., & Hastuti, H. (2023). Dukungan Sosial dan Manajemen Diri pada Lansia Diabetes Melitus Tipe 2 di Komunitas. Jurnal Kesehatan Masa Depan, 2(1), 10–21. https://doi.org/10.58516/jkmd.v2i1.52
Asyikin, A., Nurisyah, & Dewi, R. (2024). Edukasi Hidup Sehat Untuk Pencegahan Diabetes Mellitus Dengan Serbuk Instan Kayu Secang, Kayu Manis, Jahe dan Sereh Bagi Warga Kelurahan Sambung Jawa Kota Makassar. Jurnal Pengabdian Kefarmasian, 5(1), 7–11. https://doi.org/https://doi.org/10.32382/jpk.v5i1.3447
Bartkeviciute, B., Riklikiene, O., Kregzdyte, R., & Lesauskaite, V. (2023). Individualized care for older adults with diabetes and its relationship with communication, psychosocial self-efficacy, resources and support for self-management and socio-demographics. Nursing Open, 10(4), 2560–2571. https://doi.org/10.1002/nop2.1515
Busebaia, T. J. A., Thompson, J., Fairbrother, H., & Ali, P. (2023). The role of family in supporting adherence to diabetes self-care management practices: An umbrella review. Journal of Advanced Nursing, 79(10), 3652–3677. https://doi.org/10.1111/jan.15689
Camargo-Plazas, P., Robertson, M., Costa, I. G., Paré, G. C., Alvarado, B., & Duhn, L. (2022). The big challenge out here is getting stuff: How the social determinants of health affect diabetes self-management education for seniors. New Trends in Qualitative Research, 11, 1–11. https://doi.org/10.36367/ntqr.11.2022.e555
Davis, M. L. (2017). Self-care Management and Education of Diabetic Clients. Texila International Journal of Nursing, 3(1), 26–43. https://doi.org/10.21522/tijnr.2015.03.01.art003
Fitriani, F., & Sanghati, S. (2021). Intervensi Gaya Hidup Terhadap Pencegahan Diabetes Melitus Tipe 2 Pada Pasien Pra Diabetes. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 704–714. https://doi.org/10.35816/jiskh.v10i2.682
Foss, R., Fischer, K., Lampman, M. A., Laabs, S., Halasy, M., Allen, S. V., Thacher, T. D. (2023). Disparities in diabetes care: Differences between rural and urban patients within a large health system. Annals of Family Medicine, 21(3), 234–239. https://doi.org/10.1370/afm.2962
Gadó, K., Tabák, G. Y. Á., Vingender, I., Domján, G., & Dörnyei, G. (2024). Treatment of type 2 diabetes mellitus in the elderly – Special considerations. Psysiology International, 111(2), 143–164. https://doi.org/10.1556/2060.2024.00317
Gupta, S. K., Lakshmi, P. V. M., Chakrapani, V., Rastogi, A., & Kaur, M. (2024). Understanding the diabetes self-care behaviour in rural areas: Perspective of patients with type 2 diabetes mellitus and healthcare professionals. PLoS ONE, 19(2), 1–21. https://doi.org/10.1371/journal.pone.0297132
Hidayat, R., Erika, K. A., & Sjattar, E. L. (2024). Self-Care Management in Elderly with Hypertension in Developing Country: A Scoping Review. Pakistan Journal of Life and Social Sciences, 22(2), 699–722. https://doi.org/10.57239/PJLSS-2024-22.2.0052
Houle, J., Lauzier-Jobin, F., Beaulieu, M. D., Meunier, S., Coulombe, S., Côté, J.,Lambert, J. (2016). Socioeconomic status and glycemic control in adult patients with type 2 diabetes: A mediation analysis. BMJ Open Diabetes Research and
Care, 4(1), 8–10. https://doi.org/10.1136/bmjdrc-2015-000184
Ishwari Adhikari, B., & Santosh, B. (2021). Self-care Management among Patients with Type 2 Diabetes Mellitus in Tanahun, Nepal. Archives of Community Medicine and Public Health, 7, 037–042. https://doi.org/10.17352/2455-5479.000131
Kim, J. E. (2023). Factors Related to Diabetes Self-Care among Immigrants in the United States: A Scoping Review. Research in Community and Public Health Nursing, 34(2), 171–182. https://doi.org/10.12799/rcphn.2023.00094
Lee, M. K., & Jihyun Oh. (2020). Health-related quality of life in older adults. Healthcare, 8(407), 1–13. https://doi.org/http://dx.doi.org/10.3390/healthcare8040407
Lv, X., Yu, D. S. F., Cao, Y., & Xia, J. (2021). Self-Care Experiences of Empty-Nest Elderly Living With Type 2 Diabetes Mellitus: A Qualitative Study From China. Frontiers in Endocrinology, 12(11), 1–11. https://doi.org/10.3389/fendo.2021.745145
Milita, F., Handayani, S., & Setiaji, B. (2021). Kejadian Diabetes Mellitus Tipe II pada Lanjut Usia di Indonesia (Analisis Riskesdas 2018). Jurnal Kedokteran Dan Kesehatan, 17(1), 9. https://doi.org/10.24853/jkk.17.1.9-20
Nadatien, I., Puspita, U. N., Kartini, Y., Setiyowati, E., & Hidayah, N. (2024). Does Education Influence Self Care Management in Diabetes Mellitus Patients??: Systematic Review. Journal of Applied Nursing and Health, 6(1), 102–112. https://doi.org/10.55018/janh.v6i1.181
Naralia, T. W., Diorarta, R., Fadhani, M., Sahar, J., Prima, U., Bukittinggi, N., & Indonesia, U. (2024). Improving Self care Behavior of Elderly Group with Diabetes Mellitus through Diabetes Self Management Intervention. Jurnal Kesehatan, 15(2), 107–114. https://doi.org/https://doi.org/10.35730/jk.v15i2.1163
Rahman, M., Nakamura, K., Hasan, S. M. M., Seino, K., & Mostofa, G. (2020). Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh. Scientific Reports, 10(1), 1–13. https://doi.org/10.1038/s41598-020-63253-8
Rahmasari, I., Yudhianto, K., Putri, A., & Widyastuti. (2022). Self management education (DSME) mampu meningkatkan kepatuhan perawatan kaki pasien DM tipe 2. SIKesNas, 520–523. https://doi.org/https://doi.org/10.47701/sikenas.vi.2107
Rohani, R., Handayani, S., & Yusnaini, Y. (2024). Comparison of Self-Care Behavior through Diabetes Self-Care Management Education in Type 2 DM Patients in Urban And Rural. International Journal of Healthcare Research, 6(2), 16–22. https://doi.org/10.12928/ijhr.v6i2.10141
Roza, A., Marlita, L., Roberto, M., & Siregar, U. A. (2022). The effect of education level on self care empowerment of diabetes mellitus patients. Al Insyirah International Scientific Conference On Health, 292–298. Retrieved from https://jurnal.ikta.ac.id/aisch/article/view/2370
Stotz, S. A., Ricks, K. A., Eisenstat, S. A., Wexler, D. J., & Berkowitz, S. A. (2021). Opportunities for Interventions That Address Socioeconomic Barriers to Type 2 Diabetes Management: Patient Perspectives. Science of Diabetes Self-Management and Care, 47(2), 153–163. https://doi.org/10.1177/0145721721996291
Sumarni, N., Rosidin, U., Witdiawati, W., Shalahuddin, I., Purnama, D., M Noor, R., & Luthfiyani, N. (2024). Penerapan Pola Hidup Sehat Agar Terhindar Dari Diabetes di RW 08 Kelurahan Ciwalen Kecamatan Garut Kota. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(2), 722–731. https://doi.org/10.33024/jkpm.v7i2.12981
Susanto, D. (2021). Perilaku Perawatan Diri Lansia Dengan Diabetes Melitus Tipe 2 (T2Dm). Jurnal Penelitian Keperawatan Kontemporer, 1(2), 39–51. https://doi.org/10.59894/jpkk.v1i2.193
Toobert, D. ., Hampson, S. ., & Glasgow, R. . (2000). The Summary of Diabetes Self-Care Activities Measure. Diabetes Care Journal, 23(7), 943–950. https://doi.org/doi: 10.2337/diacare.23.7.943
Vernanda, G. A., & Sari, I. W. W. (2024). Studi komparatif: Manajemen diri pada pasien diabetes mellitus tipe ii di wilayah perkotaan dan pedesaan (comparative study: self-management in type ii diabetes mellitus patients in urban and rural areas). Jurnal Ilmu Medis Indonesia (JIMI, 3(2), 47–57. Retrieved from https://doi.org/10.35912/jimi.v3i2.2996
Vitaliati, T., Silvanasari, I. A., Maurida, N., & Basri, A. A. (2024). Striving For Diabetes Self-Care Management In The Older People Based On Self-Determination Theory. Jurnal Pengabdian
Mssyarakat Dalan Kesehatan, 6(2). https://doi.org/https://doi.org/10.20473/jpmk.v6i2.55513
Zhang, Y., Li, X., Bi, Y., Kan, Y., Liu, H., Liu, L., Gong, W. (2023). Effects of family function, depression, and self-perceived burden on loneliness in patients with type 2 diabetes mellitus: a serial multiple mediation model. BMC Psychiatry, 23(1), 1–9. https://doi.org/10.1186/s12888-023-05122-y
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Copyright (c) 2025 Trisna Vitaliati, Irwina Angelia Silvanasari, Nurul Maurida, Achmad Ali Basri, Achmad Ali Basri

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