HUBUNGAN SELF-MANAGEMENT DENGAN KUALITAS HIDUP PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS NGRANDU PONOROGO

ABSTRACT
THE RELATIONSHIP BETWEEN SELF-MANAGEMENT AND QUALITY OF LIFE
IN TYPE 2 DIABETES MELLITUS PATIENTS
In the Working Area of the Ngrandu Community Health Center, Ponorogo Regency
Nabella Syifa Elvareta

Type 2 diabetes mellitus (T2DM) is a chronic degenerative disease with an increasing prevalence in Indonesia, requiring optimal self-management to maintain and improve the quality of life of patients. This study aims to analyze the relationship between the level of self-management and quality of life in patients with type 2 diabetes mellitus in the working area of the Ngrandu Community Health Center, Ponorogo Regency. The study used a quantitative analytical design with a cross-sectional approach. The sample consisted of 65 respondents who met the inclusion criteria, namely having been diagnosed with T2DM for at least one year, being cooperative, and being able to read and write, selected through purposive sampling. Data collection instruments included the Diabetes Self-Management Questionnaire (DSMQ) to measure self-management and the modified Diabetes Quality of Life (DQOL) to measure quality of life. Bivariate analysis was performed using Spearman's rank correlation test. The results showed that the majority of respondents had good self-management (55.4%) and good quality of life (66.2%). There was a significant positive relationship between self-management and quality of life (r = 0.664; p = 0.010; α < 0.05). The higher the level of self-management, the better the quality of life reported by patients. These findings are consistent with Dorothea Orem's Self-Care Deficit Nursing Theory and underscore the urgency of strengthening the Diabetes Self-Management Education program.

Keywords: Type 2 Diabetes Mellitus, Self-Management, Quality of Life