Effect of health education on self-care behavior in patients with type 2 diabetes mellitus
DOI:
https://doi.org/10.35816/jiksh.v14i2.281Keywords:
Diabetes Mellitus, Health Education, Patients, Self-Care BehaviorAbstract
Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder requiring continuous self-care to prevent complications. Health education plays a crucial role in enhancing patients’ understanding, attitudes, and skills for effective self-management. This study aimed to investigate the impact of health education on self-care behaviors among patients with Type 2 Diabetes Mellitus.
Methods: This quasi-experimental study employed a pretest–posttest design with a control group. The study involved 60 patients with type 2 diabetes mellitus (T2DM) selected using purposive sampling from a public health center. The intervention group received structured health education sessions covering diet management, physical activity, medication adherence, and blood glucose monitoring for a period of four weeks, while the control group received standard care. Data were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Statistical analysis was conducted using paired and independent t-tests with a significance level of p < 0.05.
Results: The findings showed a significant increase in self-care behavior scores in the intervention group after receiving health education (p < 0.001), while no significant change was observed in the control group (p > 0.05). The mean difference between the two groups indicated that health education had a positive effect on self-care behavior among patients with T2DM.
Conclusion: Health education has a significant impact on improving self-care behaviors among patients with Type 2 Diabetes Mellitus. Structured and continuous education increases patients’ awareness, adherence, and ability to manage diet, exercise, medication, and blood glucose monitoring effectively. Healthcare providers should integrate regular health education programs into diabetes management to enhance patients’ self-care skills and prevent complications. Further research with larger samples and longer follow-up is recommended to evaluate the long-term impact of such interventions.
Downloads
References
Alotaibi, H. M. et al. (2025) ‘Evaluation of depressive symptoms and their association with diabetes self-care among patients with Type 2 Diabetes Mellitus in Jouf Region, Saudi Arabia’, Endocrine and Metabolic Science, 19, p. 100278. doi: https://doi.org/10.1016/j.endmts.2025.100278.
Alsahli, M. et al. (2025) ‘Effectiveness of Patients’ Education and Telenursing Follow-Ups on Self-Care Practices of Patients With Diabetes Mellitus: Cross-Sectional and Quasi-Experimental Study’, JMIR Nursing, 8. doi: https://doi.org/10.2196/67339.
Badi, S. et al. (2025) ‘Impact of clinical pharmacist video-based education on self-care and glycemic control in Sudanese adults with type 2 diabetes: A pre-post interventional study’, Exploratory Research in Clinical and Social Pharmacy, 19, p. 100617. doi: https://doi.org/10.1016/j.rcsop.2025.100617.
Bakhshi, F. et al. (2024) ‘Exploring medication adherence and self-care behaviors among diabetes patients in comprehensive rural health service centers in northern Iran’, International Journal of Africa Nursing Sciences, 21, p. 100814. doi: https://doi.org/10.1016/j.ijans.2025.100814.
Butt, M. D. et al. (2025) ‘Empowering Diabetes Care Through Pharmacist-Led Education: A Randomized Controlled Trial in a Low-Resource Setting’, Endocrine Practice, 31(11), pp. 1414–1425. doi: https://doi.org/10.1016/j.eprac.2025.06.022.
Izadirad, H. and Jangizahi, Z. (2025) ‘Sustainable effects of a hybrid self-care education program on diet quality and cardiovascular risk in patients with chronic conditions: A randomized controlled trial’, International Journal of Cardiology Cardiovascular Risk and Prevention, 27, p. 200479. doi: https://doi.org/10.1016/j.ijcrp.2025.200479.
Jang, M. K. et al. (2025) ‘Impact of smart watch mobile application on the risk treatment of type 2 diabetes mellitus (iSMART-DM)’, Primary Care Diabetes. doi: https://doi.org/10.1016/j.pcd.2025.10.008.
Khazew, H. R. and Faraj, R. K. (2024) ‘Illness acceptance and its relationship to health-behaviors among patients with type 2 diabetes: A mediating role of self-hardiness’, Current Problems in Cardiology, 49(8), p. 102606. doi: https://doi.org/10.1016/j.cpcardiol.2024.102606.
Li, F. et al. (2025) ‘Effectiveness of health education based on Behavior Change Wheel theory combined with teach-back method for self-management of community-dwelling empty nesters with hypertension combined with type 2 diabetes mellitus: a randomized controlled trial’, Geriatric Nursing, 65, p. 103458. doi: https://doi.org/10.1016/j.gerinurse.2025.103458.
Liu, W. et al. (2025) ‘Self-management knowledge, attitudes, and behaviors among patients with type 2 diabetes mellitus in a community of western China: A cross-sectional study’, Geriatric Nursing, 61, pp. 34–40. doi: https://doi.org/10.1016/j.gerinurse.2024.10.075.
Morinishi, K. et al. (2025) ‘Relationship Between Autonomous Motivation for Dietary Self-Care Behaviors and Quality of Life in People with Type 2 Diabetes: A Structural Equation Modeling Approach’, Asian Nursing Research. doi: https://doi.org/10.1016/j.anr.2025.08.001.
Murat Mehmed Ali̇, M. et al. (2025) ‘Bridging illness uncertainty and self-care: The role of cognitive emotion regulation in type 2 diabetes management’, Primary Care Diabetes, 19(4), pp. 375–382. doi: https://doi.org/10.1016/j.pcd.2025.04.001.
Park, G. et al. (2024) ‘Automated Personalized Self-care Program for Patients With Type 2 Diabetes Mellitus: A Pilot Trial’, Asian Nursing Research, 18(2), pp. 114–124. doi: https://doi.org/10.1016/j.anr.2024.04.003.
Qiu, Y. et al. (2025) ‘The effect of online health management on type 2 diabetes mellitus: A systematic review and meta-analysis’, Primary Care Diabetes. doi: https://doi.org/10.1016/j.pcd.2025.08.010.
Sasarari, Z. A., Rahagia, R. and Suprapto, S. (2025) ‘Self-care management education for diabetes mellitus patients based on disease perception and length of suffering’, Jurnal Pengabdian Masyarakat Edukasi Indonesia, 2(3), pp. 103–111. doi: https://dx.doi.org/10.61099/jpmei.v2i3.125.
Seng, J. J. B. et al. (2025) ‘Health Coaching and Its Impact in the Remote Management of Patients With Type 2 Diabetes Mellitus: Scoping Review of the Literature’, Journal of Medical Internet Research, 27. doi: https://doi.org/10.2196/60703.
Suprapto, S. (2020) ‘Nurse Compliance using Basic Personal Protective Equipment in Providing Health Services Nursing Actions’, International Journal of Medicine and Public Health, 10(3), pp. 119–121. doi: https://dx.doi.org/10.5530/ijmedph.2020.3.25.
Suprapto, S. (2024) ‘Optimization of public health through counseling on diabetes mellitus’, Jurnal Pengabdian Masyarakat Edukasi Indonesia, 1(1), pp. 01–08. doi: https://dx.doi.org/10.61099/jpmei.v1i1.31.
Suprapto, S. et al. (2025) ‘How is Quality in Homecare Services Created? A Qualitative Study of Health Professional Perspectives’, Jurnal Kesehatan Masyarakat, 21(2), pp. 485–496. doi: https://dx.doi.org/10.15294/kemas.v21i2.31257.
Syaharuddin, S., Fardi, F. and Damayanti, T. (2025) ‘Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients’, Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), pp. 55–63. doi: https://dx.doi.org/10.35816/jiskh.v14i1.1247.
Terkes, N., Bektas, H. and Aydemir, M. (2025) ‘Effectiveness of structured distance education on metabolic control, self-care, and health literacy in newly diagnosed type 2 diabetes: A randomized controlled trial’, Primary Care Diabetes. doi: https://doi.org/10.1016/j.pcd.2025.09.002.
Tsai, C.-C. et al. (2024) ‘Structural equation modeling of dispositional mindfulness, internal environmental factors, external environmental factors, and self-care behaviors in people with type 2 diabetes’, Applied Nursing Research, 77, p. 151799. doi: https://doi.org/10.1016/j.apnr.2024.151799.
Yan, F. et al. (2025) ‘Identifying decision-making biases in self-care behaviours among patients with type 2 diabetes mellitus: A qualitative study from a behavioural economics perspective’, International Journal of Nursing Studies, 171, p. 105182. doi: https://doi.org/10.1016/j.ijnurstu.2025.105182.
Yao, T. et al. (2025) ‘The mediating role of expectations regarding aging between diabetes distress and self-management behaviors in older adults with type 2 diabetes mellitus’, Geriatric Nursing, 63, pp. 362–369. doi: https://doi.org/10.1016/j.gerinurse.2025.03.033.
Zhang, Q. et al. (2024) ‘Effects of nudge strategy-based dietary education intervention in patients with type 2 diabetes mellitus: A cluster randomized controlled trial’, Diabetes & Metabolism, 50(5), p. 101563. doi: https://doi.org/10.1016/j.diabet.2024.101563.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Syaharuddin, Suprapto, Darmi Arda, Maria Kurni Menga, Rudolf Cymorr Kirby Palogan Martinez

This work is licensed under a Creative Commons Attribution 4.0 International License.
Statement:
The authors retain the copyright of this work and grant Jurnal Ilmiah Kesehatan Sandi Husada the right of first publication. The work is simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original author(s) and the initial publication in this journal are properly credited.
The authors are permitted to copy and redistribute the published version of the work, including posting it to an institutional repository or including it in a book, with acknowledgment of its initial publication in Jurnal Ilmiah Kesehatan Sandi Husada.
Most read articles by the same author(s)
- Syaharuddin, Fardi, Tri Damayanti, Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Ari Setiawati, Fransisca B. Batticaca, Evi Nurmaisa Biduri, Mery Kana, Maria Kurni Menga, Community Nurses' Strategies for Overcoming Stunting Through a Family Approach , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Wibowo, Suprapto, Muh Ihsan Kamaruddin, Nurlina, Jessy Andre Mangaya Takke, Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Syaharuddin, Yoga Tri Wijayanti, Mery Kana, Suprapto, Kens Napolion, Public health nurses' caring behaviour can increase homecare patients' satisfaction , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 13 No. 2 (2024): July - Desember
Similar Articles
- Wibowo, Suprapto, Muh Ihsan Kamaruddin, Nurlina, Jessy Andre Mangaya Takke, Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Isymiarni Syarif, Wahyuni Langelo, Jukarnain Jukarnain, Andi Nursiah, Nur Masita, Family Health Tasks and Childhood Stunting in Primary Care: A Cross-Sectional Study in Indonesia , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Putu Noviana Sagitarini, Ni Komang Tri Agustini, Ida Ayu Ningrat Pangruating Diyu, Ni Made Candra Citra Sari, Determinants of Reproductive Health Behavior among Adolescents: A Cross-Sectional Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Hasni Hasni, Saman Saman, Novica Ariyanti Putri, Sova Evie, Enggar Enggar, Determinants of Antenatal Care Utilization Among Pregnant Women: A Qualitative Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Syaharuddin, Yoga Tri Wijayanti, Mery Kana, Suprapto, Kens Napolion, Public health nurses' caring behaviour can increase homecare patients' satisfaction , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 13 No. 2 (2024): July - Desember
- Rasdiyanah Rasdiyanah, Nurul Farah Dila, Nur Al Marwah Asrul, Eny Sutria, Nur Andani, Family Support and Self-Management Behavior Among Clients with Hypertension: A Cross-Sectional Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Nur Sabriyah Latif, Andi Yusuf, Muhammad Khadafi S, Analysis of the causes of diabetes mellitus occurrence in the chronic disease management program , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Nawir Rahman, Role of transformational leadership of primary health center heads in the success of the national immunization program: a qualitative study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Alamsyah Alamsyah, Arfinayanti Arfinayanti, Ruqaiyah Ruqaiyah, Samsir Samsir, Tut Handayani, Ayatullah Harun, Health Information Exposure and Obstetric Emergency Knowledge Among Pregnant Women: A Cross-Sectional Study in Makassar, Indonesia , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Risna Ayu Rahmadani, Yuliati Lumintang, Ike FA Chabibah, Mother’s level of education and attitude determines the provision of complete basic immunization in infants , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
You may also start an advanced similarity search for this article.























