The role of nurses in improving self-care for diabetes mellitus patients in primary care: A cross-sectional study

Abstract

Background: Diabetes mellitus is a global health problem that requires strict self-care management to prevent complications. Nurses in Community Health Centers (Puskesmas) have a strategic role as educators and motivators in improving patient independence.

Objective: This study aims to analyze the role of nurses in improving the self-care of diabetes mellitus patients in the Puskesmas working area.

Methods: This study used a descriptive-analytic quantitative design with a cross-sectional approach. Samples were selected using a consecutive sampling technique among type 2 diabetes patients in the Puskesmas working area. Research instruments included a nurse role questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire.

Results: The majority of respondents gave a positive perception of the nurse's role as educator and motivator. The patient's self-care level was in the sufficient category, with the highest compliance in the diet management domain. Analysis showed a significant correlation between the active role of nurses and the improvement of patients' independent self-care behavior.

 Conclusion: The optimal role of nurses as agents of change contributes significantly to improving the health status and independence of diabetes patients at the primary care level.