Associations of self-motivation and self-esteem with quality of life among patients with type 2 diabetes mellitus at a Community Health Center in South Jakarta

Nur Fajariyah Fajar; Ety Nurhayati; Nazarudin Alfaqih

Authors

Nur Fajariyah Fajar Universitas Nasional Indonesia
Ety Nurhayati STIKes Mitra Keluarga Indonesia
Nazarudin Alfaqih Universitas Nasional Indonesia

Abstract

Background: Type 2 diabetes mellitus is a chronic condition that can adversely affect patients’ physical, psychological, and social well-being. Beyond clinical management, psychological factors such as self-motivation and self-esteem may influence how patients manage their condition and perceive their quality of life. However, evidence regarding the relationship between these factors and quality of life among patients receiving care at community health centers remains limited.

Aims: To determine the associations of self-motivation and self-esteem with quality of life among patients with type 2 diabetes mellitus at Pasar Minggu Community Health Center, South Jakarta.

Methods: A quantitative analytical cross-sectional study was conducted among patients with type 2 diabetes mellitus at Pasar Minggu Community Health Center, South Jakarta. From a population of 159 patients, 114 respondents were selected using simple random sampling. Self-motivation, self-esteem, and quality of life were assessed using the Treatment Self-Regulation Questionnaire, Rosenberg Self-Esteem Scale, and Diabetes Quality of Life Questionnaire, respectively. Data were analyzed using the Chi-square test with a significance level of p < 0.05.

Results: Among the 114 respondents, 40 (35.1%) had low self-motivation, 59 (51.8%) had low self-esteem, and 61 (53.5%) reported low quality of life. Self-motivation was significantly associated with quality of life (p = 0.022). Self-esteem was also significantly associated with quality of life (p = 0.002), with an odds ratio of 3.409.

Conclusion: Self-motivation and self-esteem were significantly associated with quality of life among patients with type 2 diabetes mellitus. These findings highlight the importance of addressing psychological factors alongside clinical management to support quality of life among patients with type 2 diabetes mellitus in primary healthcare settings.

Keywords:

type 2 diabetes mellitus, self-motivation, self-esteem, quality of life, primary health care

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