• Ninik Ambar Sari STIKES Hang Tuah Surabaya, East Java Province, Indonesia
  • Ceria Nurhayati STIKES Hang Tuah Surabaya, East Java Province, Indonesia
Keywords: Self-management, quality of life, type 2 diabetes mellitus


Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels as a result of insufficient insulin secretion, impaired insulin activity or both. Patients with diabetes mellitus are at risk for complications that can affect their quality of life. These complications can be minimized through self-management.  Objectives: The aim of this study was to determine the relationship between self-management and quality of life in type 2 DM patients. Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 75 people who were carried out at the endocrine polyclinic RS Pusat TNI Angkatan Laut (RSPAL) DR. Ramelan Surabaya. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the quality of life using the Diabetes Quality of Life Brief (DQoL Brief) instrument developed by Burrough et al (2008). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between self-management and quality of life in type 2 DM patients (p-value = .000, r = .394). Conclusion: There is a significant positive relationship between the level of self-management and quality of life in type 2 DM patients. From the results of the Spearman test correlation coefficient, there is a positive sign. This means that the higher the patient's self-management, it will also improve the quality of their life. The implication of this study are nurses can increase patient knowledge by providing education that focuses on improving self-management and facilitating the provision of family support as well as supervision and monitoring related to self-management by type 2 DM patients.


ADA. (2020). Standards of medical care in diabetes-2012. Diabetes Care, 43 (SUPPL.1).

Brady, T. J., Murphy, L., Colmain, B. J. O., Beauchesne, D., Daniels, B., greenberg, M., Chervin, D. (2013). A Meta analysis of health status, health behaviors, and health care utilization outcomes of the chronic disease self management program. Preventing Chronic Disease, 10, 1-14. DOI:

Burroughs, T. E., Desikan, R., Waterman, B. M., Gilin, D., & Mcgill, J. (2004). Development and Validation of the Diabetes Quality of Life Brief Clinical Inventory. Diabetes Spectrum, 17 (1), 41-49. DOI:

Choi, Y.J., Lee, M.S., An, S.Y., Kim, T.H., Han, S.J., Chung, Y.S., Lee, K.W & Kim, D.J., 2011. The Realtionship between Diabetes Mellitus and Health-Related Quality of Life in Korean Adults: The Fourth Korea National Health and Nutrition Examination Survey (2007-2009). Diabetes Metabolism Journal, 35(6), pp. 587-594. DOI:

Hayes, A. J., Leal, J., Gray, A. M., Holman, R. R., & Clarke, P. M. (2013). UKPDS outcomes model 2: a new version of a model to simulate lifetime health outcomes mof patients with type 2 diabetes mellitus using data from the 30 year United Kingdom Prospective Diabetes Study: UKPDS 82 Lipids in Diabetes Study. Diabetologia, 56, 1925-1933. DOI:

Heinrich, E., Schaper, N. C., & Vries, N. K. De. (2010). Self management interventions for type 2 diabetes : a systematic review. EDN Autumn, 7 (2). DOI:

Jonkman, N. H., Schuurmans, M. J., Groenwold, R.H. H., Hoes, A. W., & Trappenburg, J. C. A. (2016). Identifying components of self management interventions that improve health related quality of life in chronically ill patient: systematic review and meta egression analysis. Jounal Patient Education and Counseling, 99 (7), 1087-1098. DOI:

Litwak, L., Goh, S.-Y., Hussein, Z., Malek, R., Prusty, V., & Khamseh, M. E. (2013). Prevalence of diabetes complications in people with type 2 diabetes mellitus and its association with baseline characteristics in the multinational A 1chieve study. Diabetology & Metabolic Syndrome, 5 (1), 57. DOI:

Palmer, J. S., Brandle, M., Trevisan, R., Federici, M. O., Liabat, S., & Valentine, W. (2014). Assessment of the association between glycemic variability and diabetes-related complications in type 1 and type 2 diabetes. Journal Diabetes Research and Clinical Practice, 105, 273-284. DOI:

Papatheodorou, K., Papanas, N., Banach, M., papazoglou, D., & Edmonds, M. (2016). Complications of Diabetes 2016, 2016 DOI:

Perkeni. (2015). Konsensus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia. PB Perkeni

Schmitt, A., Gahr, A., Hermanns, N., Kulzer, B., Huber, J., & Haak, T. (2013). The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health and Quality of Life Outcomes, 11, 1. DOI:

Yusra, A. (2011). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di poliklinik penyakit dalam rumah sakit umum pusat fatmawati jakarta.

Wulandari, Y.M & Isfandiari, A.M. (2013). Kaitan Sindroma Metabolik dan Gaya Hidup dengan Gejala Komplikasi Mirkovaskuler. Jurnal Berkala Epidemiologi, 1(2)

Zychowska, M., Rojewska, E., Przewlocka, B., & Mika, J. (2013). Mechanisms and pharmacology of diabetic neuropaty-experimental and clinical studies. Pharmacological Reports: PR, 65(6), 1601-10. DOI:

How to Cite
Sari, N. A., & Nurhayati, C. (2021). THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS. Nurse and Health: Jurnal Keperawatan, 10(2), 343-349.
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