Family Support and Knowledge Level: Key Motivators for Dietary Adherence in Patients with Diabetes Mellitus
Keywords:
Dietary Adherence, Diabetes Mellitus Management , Motivation, Knowledge, Family SupportAbstract
Background: Diabetes mellitus is a chronic disease that requires dietary adherence as an effort to control blood sugar levels. One important aspect of diet management is patient motivation. Patient motivation in carrying out the diet is strongly influenced by various factors including the level of knowledge and family support.
Objective: This study aims to analyze the relationship between the level of knowledge and family support with the motivation of diet compliance in patients with diabetes mellitus.
Methods: This study used a quantitative approach with a cross-sectional design. The sample consisted of 130 patients with diabetes mellitus at Bangetayu Community Health Center Semarang who were selected using simple random sampling technique. The test used is chi-square test.
Results: Based on the results of the analysis obtained (p-value = 0.01), it shows that there is a significant relationship between the level of knowledge and family support on the motivation of dietary compliance in patients with diabetes mellitus. Therefore, more intensive education and family involvement in patient care are needed to improve proper dietary compliance.
References
Amaliyah, L. (2022). Hubungan Motivasi Dengan Tingkat Kepatuhan Diet Pada Pasien Diabetes Mellitus Tipe 2 : Literature Review. 47.
Andoko, A., Pangesti, D. N., & Nurhayati, N. (2020). Hubungan pengetahuan dengan motivasi mencegah komplikasi pada penderita diabetes melitus. Holistik Jurnal Kesehatan, 14(2), 257–263. https://doi.org/10.33024/hjk.v14i2.1478
Di, J., Zhu, Q., Wu, L., Tan, J., Gao, Y., & Liu, J. (2023). Exploring Motivations Regarding Dietary Intake Intentions in Gestational Diabetes Mellitus: Development and Validation of a Questionnaire. Patient Preference and Adherence, Volume 17, 2939–2948. https://doi.org/10.2147/ppa.s434348
Dimitriades, M. E., & Pillay, K. (2022). Carbohydrate counting in type 1 diabetes mellitus: dietitians’ perceptions, training and barriers to use. South African Journal of Clinical Nutrition, 35(3), 94–99. https://doi.org/10.1080/16070658.2021.1979764
Ebrahim, Z., De Villiers, A., & Ahmed, T. (2014). Factors influencing adherence to dietary guidelines: A qualitative study on the experiences of patients with type 2 diabetes attending a clinic in Cape Town. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 19(2), 76–84. https://doi.org/10.1080/16089677.2014.11073604
Hisni, D., Widowati, R., & Wahidin, N. (2017). Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Diabetes Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Puskesmas Limo Depok. Jurnal Ilmu dan Budaya, 40(57), 6659–6668.
Klinovszky, A., Márton Kiss, I., Papp-Zipernovszky, O., Lengyel, C., & Buzás, N. (2019). Associations of different adherences in patients with type 2 diabetes mellitus. Patient Preference and Adherence, 13, 395–407. https://doi.org/10.2147/PPA.S187080
Lie, S. S., Karlsen, B., Niemiec, C. P., Graue, M., & Oftedal, B. (2018). Written reflection in an eHealth intervention for adults with type 2 diabetes mellitus: A qualitative study. Patient Preference and Adherence, 12, 311–320. https://doi.org/10.2147/PPA.S154612
Marito, R., & Lestari, I. C. (2021). Hubungan Antara Tingkat Pengetahuan Dengan Tingkat Kepatuhan Minum Obat Pasien Diabetes Melitus Tipe 2. Jurnal Kedokteran Ibnu Nafis, 10(2), 122–127. https://doi.org/10.30743/jkin.v10i2.180
Pharamita, A. (2023). Hubungan Tingkat Pengetahuan Dengan Kepatuhan Minum Obat Pada Pasien Diabetes Melitus Di Wilayah Kerja Puskesmas Sumurgung. Jurnal Multidisiplin Indonesia, 2(9), 2859–2868. https://doi.org/10.58344/jmi.v2i9.558
Priharsiwi, D., & Kurniawati, T. (2021). Gambaran Dukungan Keluarga Dan Kepatuhan Diet Pada Pasien Diabetes Mellitus Tipe 2: Literature Review. Prosiding Seminar Nasional Kesehatan, 1, 324–335. https://doi.org/10.48144/prosiding.v1i.679
Wijaya, N. I. S. (2021). Hubungan Pengetahuan dengan Motivasi dalam Mencegah Terjadinya Komplikasi Diabetes Melitus di Wilayah Kerja Puskesmas Samata. Nursing Care and Health Technology Journal (NCHAT), 1(1), 11–15. https://doi.org/10.56742/nchat.v1i1.3
Yi Wong, E. L., Woo, J., Hui, E., Chan, C., Chan, W. L. S., & Cheung, A. W. L. (2011). Primary care for diabetes mellitus: Perspective from older patients. Patient Preference and Adherence, 5, 491–498. https://doi.org/10.2147/PPA.S18687
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Dewi Agustin, Suyanto Suyanto, Indah Sriwahyuningsih, Indah Murni (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.