CORRELATION BETWEEN KNOWLEDGE AND THE ROLE OF FAMILY WITH

DIET COMPLIANCE OF TYPE 2 DIABETES MELLITUS PATIENTS IN

PUSKESMAS PEKAUMAN BANJARMASIN 2013
1

Rian Tasalim , 2 M. Arief Wijaksono , 3 Chindy Widy Antiariani

1, 2.
Lecturer at Sari Mulia Health Institute
3.
Student Nursing Program at Sari Mulia Health Institute
ABSTRAK

Background: Diabetes mellitus (DM) is a chronic disease with a highly increasing rate of
incidence around the world. Based on data from WHO, Indonesia currently ranks the sixth
highest in the world. Meanwhile, type 2 Diabetes Mellitus is commonly undiagnosed until
after the age of 40. Diet is part of diabetes mellitus, therapy, but non-compliance to the diet
is one of the biggest barriers in achieving treatment of diabetes mellitus. Therefore, the role
of the family is highly important to motivate clients in carrying out treatment and diet.
Aims: to find the correlation between knowledge and the role of family with Diet Compliance
of type 2 Diabetes Mellitus patients
Method: This research is an analytic survey study, using a cross-sectional approach. The
numbers of samples were 77 people, which was chosen using accidental sampling
techniques. Research instruments used were questionnaires. Data analysis using the
spearman rank correlation test =5%.
Results: (1) 44 respondents (51.7%) had a good level of knowledge; (2) 43 respondents
reported positive family role; (3) 40 respondents (32.2%) reported incompliance to diet
treatment; (4) there is a significant relationship between knowledge and diet compliance of
type 2 DM patients (the value of the sig (2-tailed) = 0.036; correllation value = 0.239); (5)
there is a meaningful relationship between the role of family with diet compliance of type 2
DM patientes (the value of the sig (2-tailed) = 0.047; correllation value = 0.227).
Conclusions: Based on results Spearman Rank (Rho) test, there is a sgnificant relationship
between the knowledge, role of the family with diet Compliance of type 2 Diabetes mellitus
patients in Puskesmas Pekauman.
Acknowledments : Authors would like to thank the head of Puskesmas Pekauman and
chairman of STIKES Sari Mulia Banjarmasin, and all parties who participated in this project.
Keywords: Knowledge, The Role of The Family, and Compliance Diet.

Background
Diabetes mellitus (DM) is a chronic

disease

that

continues

to

increase

worldwide. In the United States, an

estimated 23.6 million people suffered

New York City from early 2012 to August

diabetes, 90-95% are type 2 diabetes

2012 amounted to 2,861 people.

Although it can occur at any age, Type 2

The disease is caused due to

diabetes is usually diagnosed after the

reduced production and the availability of

age of 40.

insulin in the body, or dysfunction of

Based on data from the World

insulin which is actually adequate in

Health Organization (WHO), the number

amount.

of developing DM in Indonesia is currently

because of a damage in small part or most

ranked the sixth, after India, China,

of

Russia, Japan and Brazil. Meanwhile,

Langerhans in the pancreas functioned as

research conducted by the Ministry of

insulin producer.

Health in 2008 reveals that 11.4% of

Indonesian

beta

deficiency

cells

of

the

happened
islets

of

In the long term, diabetes can lead

have

prediabetes.

to complications such as narrowing of the

the

International

blood vessels through out the body, and

Diabetes Federation (FDI), diabetes atlas

impaired nerve function, and thus the

shows 285 million people diagnosed

function of organs will be disturbed. This is

diabetes are mostly young people. More

because nerve function and blood flow to

than half of these are young people

the tool are reduced because of the

between 20-60 years old. The data also

narrowing. Abnormalities in the nerves and

show that Indonesia is included in the list

blood vessels are what lies behind the

of 10 countries with the highest incidence

emergence of chronic complications such

of diabetes, with India ranked first, both

as heart attack, a weak heart, stroke,

China and the US third. The number of

blindness due to abnormal eye retina

clients with DM in the world, including

resulting

Indonesia was recorded 175.4 million

impaired renal function until terminal renal

people in 2010, and is expected to be

failure, impaired blood flow to the hand

279.3 million people in 2010, 300 million

causing infection, abscess, gangrene that

people in 2020 and 366 million people by

lead to reason of the cutting of arm or leg

2030.

(amputation), sexual disorders such as

Recent

people

the

Insulin

data

from

in

rapid

happen

cataracts,

DM which is commonly found in

impotence, decreased fertility, frequent

Indonesia is type 2 diabetes. Type 2 DM

abortion and whitish, the digestive tract

clients are approximately 90-95% of the

can lead to malfunctioning of the stomach

total population with diabetes. Based on

(bloating),

that number, 50% are clients at over 60

disturbances in the autonomic nervous ,

years old. Type 2 diabetes is one of the

which in the end all the complications

most chronic conditions in clients at

mentioned will cause a life expectancy of

elderly age The incidence of diabetes in

frequent

diarrhea

due

to

clients with diabetes can be reduced by

vitamins, and antioxidants which should

about 5-10 years.

be consumed as part of a diet.

As for some of the risk factors for

Non-compliance is one of the

type 2 diabetes, some of them are due to

obstacles to achieve the purpose of

heredity / if there is a parent or sibling

treatment of diabetes. To resolve the non-

affected with type 2 diabetes, obesity

compliance education for people with

(overweight), a person with levels of

diabetes, the participation of the client and

cholesterol and triglycerides, a person with

his

a relaxed lifestyle (lack of exercise), the

because DM is a disease associated with

mother who gives birth to a baby weighing

lifestyle, especially diet of DM clients. DM

more than 9 lbs (about 4 kg), stress,

clients having enough knowledge about

history of client type 2 diabetes in the

diabetes who change their behavior will be

family, ethnic group (Asian or Afro-the

able to control the disease conditions so

Caribbean) and who have had the disease

that life becomes more qualified. The

of

tolerance

success of diabetes self-management

disorders of glucose will increase the risk

requires the active participation of the

of diabetes.

client, family and community educators

gestational

diabetes

or

family

are

absolutely

necessary

Management of DM in general can

and support team consisting of doctors,

be divided into primary and secondary

nutritionists, nurses, and other health

treatment.

Primary

professionals.

education,

diet,

secondary
hypoglycemic

therapy

includes

and

exercise

while

Various studies have shown that

treatment

includes

oral

compliance of clients toward chronic

insulin

and

disease is generally low. According to a

agents,

pancreas transplants.

WHO

report

in

2003,

the

average

One of the main pillars of the

compliance clients on long-term therapy

management of diabetes is diet. Although

for chronic disease in developed countries

it has been so rapid advancement of

is only 50%, whereas in developing

research in the field of diabetes treatment

countries, the number is even lower .

with the discovery of various types of

DM

client

that

has

adequate

insulin and oral medications, the diet

knowledge, attitudes, and skills standards

remains

the

of proper diet and apply it in their daily diet

management of diabetes, especially type

is expected to have controlled weight and

2 diabetes mellitus.

blood glucose levels, so it can prevent

the

main

treatment

in

Food or dietary for DM should

further

complications.

In

the

contain high fiber and low fat and protein.

implementation of diet on a DM client

Fruits and vegetables are rich in minerals,

there are 3 errors that become a problem

among

others,

lack

of

knowledge,

forgetting to implement timely diet, and

RESULT

lack of commitment in the implementation

1. Analysis Univariable

of the diet. In addition, family support is

Tabel 1 Distribution of Knowledge

Knowledge
n
Low
11
Moderate
22
Good
44
Total
77
Source: Primary Data

very important to motivate clients in

implementing treatment or diet.
METHODS

Based on Table 1 it can be seen

This research employed survey

research Analytical methods with Cross
Sectional approach. This research was
conducted

at

Puskesmas

Pekauman

Banjarmasin from August 2012 until July

2013. Population and sample in this study
were

all

clients

of

DM

disease

in

Puskesmas Pekauman Banjarmasin with

a sample size of 77 people. Sampling
technique in this research is by accident
(accidental sampling).
Retrieval of data sources used a
questionnaire, a questionnaire is said to
be valid and reliable if the value of r
calculate> r table where for n = 20 at the
5% significance level of r table is 0.444.
Data obtained from the questionnaire are
processed to change data into information
through stages: Preparation of the data,
classification of data, data processing,
data processing and interpretation results.

%
14.3
28.6
51.7
100

that

most

respondents

are

knowledgeable, with the number of 44

respondents

or

the

percentage

of

51.7%.
Tabel 2 Distribution Role of Family
Role of Family
n
Negative
34
Positive
43
Total
Source: Primary Data

%
44.2
55.8

77

100

From table 2 it can be seen that

most families have a positive role, with the
number

of

43

respondents

or

the

percentage of 55.8%.
Tabel 3. Distribution of Compliance Diet
Compliance Diet
n
%
Incompliance
40
51.9
Compliance
37
48.1
Total
77
100
Source: Primary Data

From Table 3 it can be seen that

most respondents do not adhere to diet of
diabetes mellitus with 40 respondents or
the percentage of 51.9%.

2. Analysis Bivariable
a. Knowledge Level Correlation with clients Dietary Compliance in Type 2 Diabetes
Mellitus
3.

Tabel 4. Knowledge of the types of Diet Compliance

6. Compliance
4. No

5. Knowledge

7. Total

10. Incompliance
15. n
16. %

11. Incompliance
17. n
18. %

19. n

23. 9

24. 11.7

25. 2

26.

2.6

27. 11 28. 14.3

20. %

21. 1

22. Low

29. 2

30. Moderate

31. 12 32. 15.6

33. 10

34.

13.0

35. 22 36. 28.6

37. 3

38. Good

39. 19 40. 24.6

41. 25

42.

32.5

43. 44 44. 51.7

45. Total
46. 40 47. 51.9
Source: Primary Data

48. 37

49.

48.1

50. 77

52.

53.

51. 100

From Table 4 it can be seen that respondents with good knowledge

level are 25 respondents with the percentage of 32.5% adherence to the diet
program. While respondents with low knowledge level are 9 respondents with the
percentage 11.7% did not adhere to the diet. This illustrates that client with good
knowledge is expected to adhere to a diet program of diabetes mellitus. From the
results of Spearman's test with a confidence level of 95% p value = 0.036 (p <0.05)
then H0 is rejected or accepted Ha. This shows that there is a significant relationship
between the level of knowledge and dietary compliance in clients with diabetes
mellitus in Puskesmas Pekauman Banjarmasin in 2013.
a. The Role of Family Correlation with Compliance Diet
54.

Tabel 5. Knowledge of the types of Compliance Diet

56. The Role of
Family

55. No

72. 1

73. Negative

80. 2

81. Positive
88. Total

95.

57. Compliance Diet

61. Incomplianc
62. Compliance
e
66. n 67. %
68. n
69. %
75. 28.
74. 22
76. 12 77. 15.6
6
83. 23.
82. 18
84. 25 85. 32.5
3
90. 51.
89. 40
91. 37 92. 48.1
9

58. Total
70. n

71. %

78. 34

79. 44.2

86. 43

87. 55.8

93. 77

94. 100

Source: Primary Data

96.

From Table 5 it can be seen that respondents with a positive family

role are 25 respondents with the percentage of 32.5% adherence to the diet
program. While the role of negative family measured 22 respondents with the
percentage of 28.6% did not adhere to his diet. This illustrates that the positive role
of the family is expected to adhere to a diet program of diabetes mellitus. From the
results of Spearman's test with a confidence level of 95% p value = 0.025 (p <0.05)
then H0 is rejected or accepted Ha. This shows that there is a significant relationship
between the role of the family and dietary compliance in clients with diabetes mellitus
in Puskesmas Pekauman Banjarmasin in 2013.
97. DISCUSSION
1. Knowledge

98.

Based on Table 1 it

can be seen that most respondents

having

good

knowledge

44

addressing a problem. A client with

respondents with the percentage of

diabetes mellitus whose educational

51.7%, less than more knowledgeable

backgrounds is in a basic level or less,

counted 22 respondents with the

tend to

percentage of 28.6%, and less than

developments

less

11

degree of health. This is because the

respondents with percentage of 14.3%

educational level of basic education is

of the diet type 2 diabetes mellitus.

to simply introduce new knowledge to

knowledgeable

99.

are

are

be unable to accept new

primarily

supporting

From the results of

someone without any reason and

data collection and debriefing of some

deliberation process will be a science.

respondents,

Respondents

the

researchers

who

have

less

concluded that most of them have

educational background would have

already started experiencing early

difficulty to accept the new information

symptoms

because the thinking process that has

of

complications

of

diabetes mellitus. Nearly 50% of the

been

respondents

an

temporary because of the absence of

interruption in the visual system. This

a process of reason enough from

may affect the client's knowledge of

diabetes mellitus itself due educational

the diet of diabetes mellitus since

background owned.

clients are already experiencing a

101.

had

experienced

ingrained

in

him

is

only

And the last factor

decline in vision that can inhibit the

that affects the knowledge is the

entry of information in the form of

length of illness experienced by clients

mass media and the printed media.

with diabetes mellitus. On the results

100.
can

affect

Other
the

things

that

of this study showed that less than

knowledge

are

most

of

the

length

of

illness

education and the duration of disease

experienced by clients is 0-2 years

experienced by the respondents. From

with the percentage of 42.85%. This is

the

associated researcher with the length

results,

the

majority

of

respondents have a background in

of

treatment

or

basic education (elementary, middle)

experience on the client with diabetes

as many as 51 respondents (65.96%).

mellitus. From the results of question

Education is an activity or learning

and answer brief obtained from 77

process to develop or improve certain

respondents,

capabilities so that educational goals

percentage of the respondents who

that can stand on its own. The lower

said that he gained knowledge of

the level of education owned , the

several sources of information, for

lower the ability owned by someone in

example, of a nurse or doctor who

there

diet

was

program

small

was in the Puskesmas Pekauman

especially about

Banjarmasin when doing blood sugar

relation to health. This is consistent

checks

time

with the statement which states that

month, and there is also information

the higher the education level never

obtained by close relatives, neighbors

reached, the easier new information

or the home of the client's own family

absorbed. In other words, if more

members. There is also a question of

information is obtained by the client

the results of several answers found

with diabetes mellitus it is expected

that they are not overly exposed to

that the knowledge of the diet program

knowledge of diabetes mellitus in

2 diabetes mellitus will be better.

regularly

every

1-3

nutrition

general. This is because in the entire

102.

sample there are newly diagnosed

2. The Role of Family

diabetes mellitus less than 1 year. It

103.

and its

From the research

certainly cannot be equated with a

that was obtained based on Table 2

client who had been diagnosed with

can be seen that most families have a

diabetes mellitus associated with the

positive role to the number of 43

experience factor by clients with a

respondents

with

diagnosis

percentage

55.8%,

of

diabetes

mellitus.

the

results
in

the

Knowledge is the result of the idea,

implementation of the diet, and less

and this occurred after people do

than most families play a negative role

sensing a particular object. Sensing

with a number of 34 respondents with

occurs after human senses, the sense

the percentage of 44.2% in the

of sight, hearing, smell, taste and

implementation of a diet program.

touch. Most human knowledge is

104.

The

role

of

the

obtained through the eyes and ears.

family in here is the role of family

Or cognitive domain knowledge is very

members to pay attention to the

important

person's

client's health programs, particularly in

actions. He also said that, knowledge

the diet program clients with diabetes

drawback of the respondents in the

mellitus. Results of the question and

study is influenced by factors of age

answer

and by the education that has been

researchers from several respondents

passed

respondents.

obtained from most of their nuclear

Increasing levels of education, it is

families were 58 respondents with the

expected to be more knowledgeable

percentage of 75.32%. where the

respondents' knowledge as well as

couple

easier and faster to receive a variety

predominantly male. This causes role

of information from various media,

of the family becomes negative since

in

by

shaping

the

session

by

the

conducted

clients

by

are

their husbands are mostly laborers,

the

farmers and traders who carry out

assistance and attention. With a good

activities

Few

level of family support it is expected

respondents said that there is an

that family is able to recognize family

absence

the

health issues and the changes that

attention that is given by family

happen to a family member that will

members to adhere to a diet, it

improve

becomes its own reason for not

member.

during
of

the

day.

companion

and

undergoing diet.
105.

family

will

the

health

106.
Positive family role

always

This

provide

of

can

family
happen

because the views of the age factor

greatly affects the condition of the

likely

clients who are undergoing treatment

respondents (77.93%) were aged from

or diet program, this is because that

41-65 years. The age range of 41-65

the so-called family is family is seen

years showed in the final stages of

as a system, in case of disorder in a

adult development that has begun to

family member can affect the entire

ripen

system.

development

Conversely,

family

to

affect,

or

since

entering
of

the

the

stage

all

of

elderly. This

dysfunction can also be one of the

condition

causes of the disorder in family

function of the body so that the family

members. Family support is a form of

became increasingly concerned with

attention,

the state of the client. Hence their

encouragement

obtained

affects

almost

families

direct assistance, such as money,

support to clients with informational,

equipment,

time,

emotional,

environment

as

instrumental

positively
and

assessment. While clients having a

employment. Support provided by the

negative family's role to implement the

families

diet program is motivated by the

associated
functioning,

as

to

helping

family

well

the

happy

decreased

individual from others. It is including

modify

feel

the

with

affective

economic

and

length of the clients diagnosed with

health nursing functions. Care and

diabetes mellitus with 17 respondents

health maintenance function is a

(22.09%) who have been diagnosed

function in maintaining the health

with diabetes 5-8 years. Given the

status of family members to keep a

length of illness experienced by clients

high productivity. Support is given to

with a diagnosis of diabetes mellitus

mean that the family is always ready

usually it allows families to feel

to provide help and assistance if it is

saturated

needed by member of the family, the

attention, affection, and information

better the support given by the family,

about the disease or diet program that

to

provide

services,

is good for clients with diabetes

mellitus, it is known that dietary

mellitus. The family has been less

compliance is influenced by the level

eager to prepare instrumental support

of education, eating habits, duration of

the

and

disease, as well as information. In the

infrastructure of clients. Similarly, in

research that 51 respondents out of a

terms of emotional support for the

total of 77 respondents in mind that

family has been frustrated and less

low education, namely primary and

eager to give suport to the client in

secondary school. If the education of

order to adhere to his diet, as well as

the respondents is low, they do not

to support the family assessment

have the capacity in terms of solving

already lazy and do not care anymore

problems. The lower the educational

to give an assessment to the client

level, the lower possessed also the

about the diet program she lived.

ability to be owned by someone in

From the above description, it can

addressing a problem. Factors of

concluded that the positive role of the

eating habits here will be directly

family that greatly impacted and have

linked to the duration of the disease

a major influence on a health program

that has been experienced by clients

implementation, in particular that the

with

diet program clients with a diagnosis

debriefing with clients, researchers

of type 2 diabetes mellitus. Support

have shown that a small fraction of the

from family is an important element in

total sample said they were still less

helping people to solve problems. If

capable of doing this thing a diabetic

there

will

diet program due to the custom client-

increase and motivation to face the

food eating sweets and drinking sweet

problems that happen to be increased.

beverages as well. It is closely related

necessary

is

facilities

support,

confidence

diabetes

mellitus.

Results

107.

to duration of disease experienced by

3. Compliance Diet

clients with diabetes mellitus in this

108.

Based on Table 3,

study are mostly 0-2 years with the

most respondents did not adhere to

percentage of 42.85%, given that in

diet adherence by 40 respondents

accordance with what the theory is

with the percentage of 51.9% and

that diabetes can occur at any age,

earned less than the majority of

but

respondents

diagnosed after the age of 40 years.

adhere

to

dietary

type

The

the percentage of 48.1%. From the

noncompliance

results of frequently asked questions

Information is the result of data

by

processing that is used for a purpose .

with

type

diabetes

affecting

generally

compliance by 37 respondents with

clients

factor

diabetes

is

subsequent
information.

One of the tools to deliver information

human beings towards the positive

to a dispersed audience is the mass

direction

media. The media itself is a kind of

factors and negative socio-cultural

communication

all

actions. Eating habits or diet means

people, whether printed or electronic

eating and drinking in accordance with

passes. Some clients expressed that

the guidelines regard 3J ie, feeding

they are less exposed to the concept

schedule, the amount and type of

of diabetes in general, so this is

food. Results debriefing with clients,

causing

not

researchers get the data that they say

adhere to the diet. While the definition

there is a small part of the study

of dietary compliance is compliance

sample

with

according

the

addressed

respondents

recommendeded

to

did

diet

keep

by

reducing

meals
to

on

behavioral

time,

their

i.e.

eat

individual

diabetes on daily habits and can be

schedules. But many say that eating 3

assessed with a score of research.

times per day with a morning meal

Thus it can be said compliance is

schedule at 07.00 pm, lunch at 12:00

adherence to the diet food and drink

pm and dinner at 18:00 pm. But they

consumed each day in a healthy state

also eat more than 3 times per day a

to maintain health and to accelerate

day at certain times due to the

the healing process for those who are

excessive appetite when seeing the

sick. Compliance diet is influenced by

food dishes that are preferred by the

several things, such as education

client. Judging from the results, most

level,

client

of the clients do not adhere to his diet,

management and also eating habits.

there are a couple of samples that do

Education is a major base in the

not want to talk about the reason why

success of the treatment. Educational

they do not want to obey the given diet

goals

diet

program. The more obedient client

adherence clients, ensure the control

diabetes to diet of diabetes mellitus, it

of metabolic disorders in the body in

is expected to perform the pattern and

general, increase the confidence of

type of food eaten, which is one way

clients,

DM

that has been done by the client with

disease.

diabetes mellitus to maintain the

diabetes

mellitus

include

which

improving

can

inhibit

complications

of

the

Education

an

attempt

is

instill

condition that the sugar levels in the

understanding and in order for the

body of the client diabetes mellitus

human

remains stable existence.

(society)

to

grow

understanding, attitudes and positive

4. Compliance

actions. Basically the education effort

with Diet

is a change in attitude and behavior in

Knowledge

Correlation

109.

From Table 4 it can

the health status in the absence of

be seen that respondents with good

sufficient reasoning process because

knowledge level of 25 respondents

the

(32.5%) adherence to the diet, while

have. Without knowledge is high then,

respondents with a good knowledge

the client is reluctant to adhere to a

level but do not obey as many as 19

diet program she lived. On a good

people respondents (24.6%). This

knowledge

illustrates

good

respondents did not adhere to the diet

knowledgeable client then the client

with the percentage of 24.6% because

will be more adherent to dietary

they are eager to eat food outside a

compliance diabetes mellitus lived.

diet program. Passion is what drives

Spearman correlation of test results

them into a diet program does not

(Rho) with a confidence level of 95% p

adhere

type

value = 0.036 (p <0.05) with a

Factors

that

correlation value of 0.239. Then the

include

research hypothesis testing said Ha

(predisposing

HO rejected or accepted. This means

factors (enabling factors), and factors

that a significant relationship between

driving / amplifier (reinforcing factor).

the level of knowledge and dietary

Predisposing factors include attitudes,

compliance in clients with diabetes

beliefs, convictions, social culture,

mellitus in

customs

that

with

Puskesmas

Pekauman

educational

of

background

as

many

diabetes

they

as

19

mellitus.

influence

adherence

predisposing

factors

factors),

and

enabling

traditions.

Enabling

Banjarmasin in 2013. Compliance of

factors (enabling factors) include the

clients with implementation of diabetes

distance between the home with

mellitus diet is indirectly affected by

medical facilities and health facilities

the results of clients with diabetes

are available. While the factors driving

mellitus obtained from education. In

/ amplifier (reinforcing factors) include

the study, it will explain why the results

the attitude of health workers and

are less knowledge as much as 9

health workers behavior. The client's

respondents did not adhere to the diet

knowledge of diabetes mellitus which

with the percentage of 11.7%. This is

includes

because the total sample of 77

requirements and implementation of

respondents, found as many as 21

diabetes mellitus diet will indirectly

respondents

affect the compliance of clients with

were

primary

school

definitions,

mellitus

objectives,

education. A client with a basic level of

diabetes

education, tend to be difficult to accept

implementation

development or in the case of new

mellitus. The results are consistent

information, especially in supporting

with the idea that the new behavior,

of

in
diet

the
diabetes

especially in adults began in the

knowledge. A person with a low level

cognitive domain in the sense that the

of education will greatly affect a

subject knew beforehand the stimulus

person's

in

material

Knowledge will also affect a person's

outwardly cause a response in the

behavior, including in the treatment of

form of inner attitude. Finally stimulus

hypertension. Low knowledge could

object that has been known and fully

possibly influence the behavior of

realized that it will further causes a

hypertension treatment in the diet.

response in the form of action against

Based on the results of this study

the stimulus or object. Knowledge is

showed that respondents with lack of

the first step of a person to determine

knowledge is one of several factors

attitudes and behavior. So the level of

that affect dietary compliance on client

knowledge

the

type 2 diabetes mellitus in Puskesmas

acceptance of a program. A matter

Pekauman Banjarmasin so as to

affecting other compliance matter is

improve knowledge can be obtained

information, resources and the mass

through reading, viewing, listening on

media.

electronic media or diligent seminar on

the

form

will

By

information,
Opera

of

object

greatly

getting
and

affect

the

right

is supported

delivered

by

by

health

diabetes
knowledge,

level

of

mellitus.
clients

knowledge.

Without
with

the

diabetes

professionals on the implementation

mellitus would be lazy and reluctant to

of diet diabetes mellitus as well as the

comply in performing diet diabetes

availability of health facilities and

mellitus because the client does not

infrastructure

know

which

can

support

how

the

impact

of

non-

positive behavior clients with diabetes

compliance in the implementation of

mellitus in the implementation of diet

diet diabetes mellitus.

diabetes mellitus will affect the attitude

held by the client with diabetes
mellitus diabetes to diet as a way to
control high blood sugar. Without this
knowledge,

Compliance Diet
111.

From Table 5 it can

be seen that respondents with a

mellitus would be lazy and reluctant to

negative family roles as much as 22

comply in performing diet diabetes

respondents (28.6%) did not adhere to

mellitus because the client does not

the diet. While respondents with a

know

non-

positive family role amounted 25

compliance in the implementation of

respondents (32.5%) adhere to diet

diet diabetes mellitus. Low education

diabetes

levels can cause a lack of health

correlation of test results (Rho) with a

the

with

5. The Role of Family Correlation with

diabetes

how

clients

110.

impact

of

mellitus.

Spearman

confidence level of 95% p value =

clients to the Diet the majority of

0.047 (p <0.05) with a correlation

clients

value of 0.257. Due to the significant

implementation of the diet of diabetes

value that is obtained (p) <, then the

mellitus by the number of percentage

research hypothesis H0 is rejected

of 51.9%, There was a significant

and H1 accepted meaning there is a

association

significant relationship between the

adherence between the client and the

role of the family with diabetes mellitus

Diabetes Mellitus There is significant

dietary

correlation between the role of the

compliance

in

Puskesmas

Pekauman Banjarmasin.
112.

In the survey results

Type
116.

not adhere to the diet with the

117.

percentage of 23.3%. From the results

question

respondents

and

said

adhere

Knowledge

to

the

with

diet

answer

that

he

get,
would

Diabetes

Mellitus

in

Puskesmas Pekauman Banjarmasin.

family as much as 18 respondents did

not

family with the client's diet Compliance

revealed that the positive role of the

of

do

2. Suggestions
118.

Researchers suggest: 1) To

improve the delivery of Community Health

Centers

Pekauman

more

in-depth

adhere to a diet program she lived

information to clients type 2 diabetes

when she eat or drink accompanied by

mellitus, and should be on the medical or

family, it can be a child, husband, wife,

nursing documentation notes should be

daughter, or other family members

considered more disciplined again, for

who at the time he ate and drank at

example in the case of coding the

his side , In addition, the influence of

diagnosis

non-compliance clients in the diet is a

understood and to understand. 2) For

client to buy their own food and drinks

Educational

should not be eaten and drunk outside

expand again in the procurement of books

the knowledge of family members.

on diabetes mellitus. 3) For researchers

113.

of

diseases
Institutions

to

be

should

easily
further

the researchers furthermore, can be done

CONCLUSIONS &

further research with a number of samples

RECOMMENDATIONS

greater and independent variables such as

114.

1. Conclusion
115.

gender,

attitude,

eating

habits,

of

environment, quality of service, within the

respondents are mostly located in

home, drug side effects, duration of illness

either

of

, motivation and level of family income. 4)

percentage of 51.7%, role of the

For the Client / Community should be

family largely positive role with the

more active in exploring and searching for

percentage of 58.8%, Compliance

information,

category

Knowledge

age,

the

number

especially

concerning

diabetes mellitus are related to diet and

a/Buletin%20Info%20POM/0506.pdf.

how to maintain a healthy body in several

(Di Akses, 20 Desember 2012).

ways, ways that can be done is to read,

6.

Basuki,

Endang

(2009).

Kunci

menuju

see, listen on electronic media or diligent

Konseling

seminars of diabetes mellitus. And also for

kepatuhan pasien. Departemen Ilmu

the family members should give praise to

Kedokteran Komunitas. FKUI

the client with diabetes mellitus so that

7.

medik:

S.

Darmono.

(2007).

Naskah

clients feel valued by spouse or other

Lengkap : Diabetes Mellitus Ditinjau

family members, as a sincere compliment

dari Berbagai Aspek Penyakit Dalam.

can also be used as a client as motivation

Semarang : CV. Agung Semarang.

for a speedy recovery.

8.

119.

Delima Fitri P.N. (2012). Hubungan

dukungan keluarga dengan kepatuhan

120.

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