Correlation Between Family Support and Adherence to Insulin Therapy in Patients with Type 2 Diabetes Mellitus

Authors

  • Jurdiansyah Nursing Department, Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia
  • Wantonoro Nursing Department, Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia
  • Ruhyana Nursing Department, Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.26630/jkmsw.v18i1.4942

Keywords:

Blood sugar, Chronic disease, Diabetes Family Support Scale

Abstract

Diabetes Mellitus (DM) is a chronic disease caused by the body's inability to use insulin optimally. Insulin therapy is an effective treatment to replace the role of the insulin hormone. Adherence to insulin therapy is crucial for the health of DM patients. This study investigates the correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center, Yogyakarta. This study employed a quantitative cross-sectional design. Fifty-three type II DM patients who underwent control at Gamping II Health Center participated in this study. The family support instrument was measured using the Hensarling Diabetes Family Support Scale (HDFSS) Indonesian version, while adherence to insulin therapy was measured using the Morisky Insulin Adherence Scale-8 (MIAS). Kendall tau test was used for data analysis. The results showed a significant correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center (p=0.011). Effective family support, in the form of assistance, attention, or information, is crucial in improving adherence to insulin therapy among type II DM patients. Therefore, family involvement is highly recommended to control blood sugar levels among type II DM patients.

References

Al-Qahtani, A. A. (2024). Improving outcomes of type 2 diabetes mellitus patients in primary care with the Chronic Care Model: A narrative review. J Gen Fam Med, 25(4), 171-178. https://doi.org/10.1002/jgf2.659

Almubaid, Z., Alhaj, Z., Almosa, O., Marikh, M., & Khan, W. (2024). The Impact of Social Support on Health Outcomes of Diabetic Patients: A Systematic Review. Cureus, 16(8), e67842. https://doi.org/10.7759/cureus.67842

Armstrong, D. G., Tan, T. W., Boulton, A. J. M., & Bus, S. A. (2023). Diabetic Foot Ulcers: A Review. Jama, 330(1), 62-75. https://doi.org/10.1001/jama.2023.10578

Association, A. D. (2020). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care, 43(Suppl 1), S14-s31. https://doi.org/10.2337/dc20-S002

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. J Adv Nurs, 79(10), 3652-3677. https://doi.org/10.1111/jan.15689

DiMatteo, M. R., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002). Patient adherence and medical treatment outcomes: a meta-analysis. Med Care, 40(9), 794-811. https://doi.org/10.1097/00005650-200209000-00009

Federation_Global, I. D. (2020). IDF Diabetes Atlas [Internet]. Global. International Diabetes Federation 9th edition 2019. Retrieved 25 Okt 2020, from https://www.diabetesatlas.org/en/resources/

Guo, C., Li, Q., Tian, G., Liu, Y., Sun, X., Yin, Z., Li, H., Chen, X., Liu, X., Zhang, D., Cheng, C., Liu, L., Liu, F., Zhou, Q., Wang, C., Li, L., Wang, B., Zhao, Y., Liu, D., . . . Hu, D. (2019). Association of age at menopause and type 2 diabetes: A systematic review and dose-response meta-analysis of cohort studies. Prim Care Diabetes, 13(4), 301-309. https://doi.org/10.1016/j.pcd.2019.02.001

Karvonen-Gutierrez, C. A., Park, S. K., & Kim, C. (2016). Diabetes and Menopause. Curr Diab Rep, 16(4), 20. https://doi.org/10.1007/s11892-016-0714-x

Kim, J. (2023). The pathophysiology of diabetic foot: a narrative review. J Yeungnam Med Sci, 40(4), 328-334. https://doi.org/10.12701/jyms.2023.00731

Miller, T. A., & Dimatteo, M. R. (2013). Importance of family/social support and impact on adherence to diabetic therapy. Diabetes Metab Syndr Obes, 6, 421-426. https://doi.org/10.2147/dmso.S36368

Olagbemide, O. J., Omosanya, O. E., Ayodapo, A. O., Agboola, S. M., Adeagbo, A. O., & Olukokun, T. A. (2021). Family support and medication adherence among adult type 2 diabetes: Any meeting point? Ann Afr Med, 20(4), 282-287. https://doi.org/10.4103/aam.aam_62_20

Pamungkas, R. A., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A Systematic Review: Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients. Behav Sci (Basel), 7(3). https://doi.org/10.3390/bs7030062

Riskesdas. (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia, .

Schlosser, R. (2019). Fixed-Dose and Fixed-Ratio Combination Therapies in Type 2 Diabetes. Can J Diabetes, 43(6), 440-444. https://doi.org/10.1016/j.jcjd.2019.05.005

Tang, T. S., Brown, M. B., Funnell, M. M., & Anderson, R. M. (2008). Social support, quality of life, and self-care behaviors amongAfrican Americans with type 2 diabetes. Diabetes Educ, 34(2), 266-276. https://doi.org/10.1177/0145721708315680

Wahidin, M., Achadi, A., Besral, B., Kosen, S., Nadjib, M., Nurwahyuni, A., Ronoatmodjo, S., Rahajeng, E., Pane, M., & Kusuma, D. (2024). Projection of diabetes morbidity and mortality till 2045 in Indonesia based on risk factors and NCD prevention and control programs. Sci Rep, 14(1), 5424. https://doi.org/10.1038/s41598-024-54563-2

Wang, Y., Qiu, Y., Ren, L., Jiang, H., Chen, M., & Dong, C. (2024). Social support, family resilience, and psychological resilience among maintenance hemodialysis patients: a longitudinal study. BMC Psychiatry, 24(1), 76. https://doi.org/10.1186/s12888-024-05526-4

Zewdie, S., Moges, G., Andargie, A., & Habte, B. M. (2022). Self-Care Practice and Associated Factors Among Patients with Type 2 Diabetes Mellitus at a Referral Hospital in Northern Ethiopia - A Mixed Methods Study. Diabetes Metab Syndr Obes, 15, 3081-3091. https://doi.org/10.2147/dmso.S373449

Zhao, F., Suhonen, R., Katajisto, J., & Leino-Kilpi, H. (2020). Factors associated with subsequent diabetes-related self-care activities: The role of social support and optimism. Nurs Open, 7(1), 195-205. https://doi.org/10.1002/nop2.379

Downloads

Published

28-06-2025