FAMILY SUPPORT IN RELATION TO SELF MANAGEMENT AMONG PATIENTS WITH UNCONTROLLED TYPE 2 DIABETES MELLITUS

Abstract

Patients with uncontrolled Type 2 Diabetes Mellitus (T2DM) are at increased risk of developing diabetes related complications due to poor glycemic control, which may reflect inadequate self-management practices. This study aimed to examine the relationship between family support and self management among patients with uncontrolled T2DM. A quantitative correlational study with a cross-sectional design was conducted among 83 patients with uncontrolled T2DM from five community health centers in Malang City, Indonesia, using purposive sampling. Family support was measured using the Hensarling Diabetes Family Support Scale (HDFSS), while self-management was assessed using the Diabetes Self-Management Questionnaire-Revised (DSMQ-R). Data were analyzed using descriptive statistics and Pearson's correlation test. Most participants reported poor family support (55.4%, n=46), while 53.0% (n=44) demonstrated poor self-management. A weak but statistically significant positive correlation was found between family support and self-management (r=0.218, p=0.047). These findings indicate that better family support is associated with better self management among patients with uncontrolled T2DM. Therefore, family-centered education and interventions involving family members may be considered to strengthen family support and promote diabetes self management.