HUBUNGAN SELF-CARE BEHAVIOR BERDASARKAN ADCES7 DENGAN KUALITAS HIDUP PENDERITA DIABATES MELITUS TIPE 2 DI WILAYAH PUSKESMAS SUMBERBARU

Abstrak

Pendahuluan: Diabetes melitus tipe 2 merupakan penyakit metabolik kronis yang memerlukan pengelolaan jangka panjang untuk mencegah komplikasi dan mempertahankan kualitas hidup pasien. Self-care behavior berdasarkan Association of Diabetes Care and Education Specialists (ADCES7) berperan penting dalam pengelolaan diabetes, namun penerapannya masih bervariasi sehingga dapat memengaruhi kualitas hidup. Penelitian ini bertujuan mengetahui hubungan self-care behavior berdasarkan ADCES7 dengan kualitas hidup pada pasien diabetes melitus tipe 2 di wilayah Puskesmas Sumberbaru Kabupaten Jember. Metode: Penelitian kuantitatif dengan pendekatan cross-sectional ini melibatkan 63 responden yang dipilih menggunakan purposive sampling. Data dikumpulkan menggunakan kuesioner Summary of Diabetes Self-Care Activities (SDSCA) berdasarkan ADCES7 dan WHOQOL-BREF, kemudian dianalisis menggunakan uji Spearman Rank (α = 0,05). Hasil dan Analisis: Sebagian besar responden memiliki self-care behavior kategori baik (84,1%) dan kualitas hidup kategori sangat baik (76,2%). Hasil uji Spearman Rank menunjukkan terdapat hubungan signifikan antara self-care behavior dengan kualitas hidup (p = 0,000; r = 0,481). Hubungan tersebut bersifat positif dengan kekuatan sedang, yang menunjukkan bahwa semakin baik self-care behavior, maka kualitas hidup cenderung semakin baik, meskipun kualitas hidup juga dipengaruhi oleh faktor lain. Kesimpulan: Peningkatan self-care behavior melalui edukasi dan pendampingan berkelanjutan diperlukan untuk mendukung kualitas hidup pasien diabetes melitus tipe 2.

Introduction: Type 2 diabetes mellitus is a chronic metabolic disease requiring long-term management to prevent complications and maintain patients' quality of life. Self-care behaviors based on the Association of Diabetes Care and Education Specialists (ADCES7) framework play a crucial role in diabetes management; however, their implementation varies, which can impact quality of life. This study aimed to determine the relationship between ADCES7-based self-care behaviors and quality of life among patients with type 2 diabetes mellitus in the working area of the Sumberbaru Community Health Center, Jember Regency. Methods: This quantitative study employed a cross-sectional design involving 63 respondents selected via purposive sampling. Data were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire (based on ADCES7) and the WHOQOL-BREF, then analyzed using the Spearman Rank test (α = 0.05). Results and Analysis: The majority of respondents demonstrated good self-care behaviors (84.1%) and excellent quality of life (76.2%). The Spearman Rank test results indicated a significant relationship between self-care behaviors and quality of life (p = 0.000; r = 0.481). This relationship was positive and of moderate strength, indicating that better self-care behaviors tend to be associated with better quality of life, although quality of life is also influenced by other factors. Conclusion: Improving self-care behaviors through education and continuous support is essential for enhancing the quality of life of patients with type 2 diabetes mellitus.