Effect of Religion, Self-Care, and Coping Mechanisms on Quality of Life in Diabetes Mellitus Patients

Abstract

Background: Uncontrolled diabetes is at a high risk for complications. This chronic complication can cause a decrease in the quality of life of DM patients. There are several factors that affect the quality of life of people with diabetes. Religiosity, self-care, and coping mechanisms together affect the quality of life. Religiosity is very important for patients to have as a foundation for maintaining quality of life. Self-care is a basic effort to control and prevent complications arising from DM. Coping mechanisms are problem-solving efforts and defense mechanisms used to protect themselves from DM problems. Purpose: This study aims to determine the effect of religiosity, self-care, and coping mechanisms on the quality of life of DM sufferers. Methods: This study uses a quantitative research design and a cross-sectional approach involving 130 respondents, using a total sampling technique. Data was collected using various questionnaires, including a Centrality Religiosity Scale (CRS) questionnaire, Summary of Diabetes Self-Care Activity (SDSCA), Coping Orientation to Problem Experienced (COPE), and Diabetes Quality of Life (DQOL). Inclusion criteria were patients with type 2 diabetes mellitus with blood glucose levels  200 mg/dl and patients with type 2 diabetes who had diabetes > 1 year or more. Path Analysis is used to analyze data. Results: The religiosity of patients with type 2 diabetes has a mean of 49.47, a mean of 42.59 for self-care, a mean of 85.29 for coping mechanisms, and a mean of 42.56 for quality of life. There is an effect of religiosity (p = 0.000), coping mechanisms (p = 0.001), and self-care (p = 0.000) on the quality of life. Conclusion: Religiosity, coping mechanisms, and self-care affect the quality of life of people with Type 2 DM. Efforts that can be made by the hospital to increase health promotion related to improving the quality of life of people with diabetes mellitus.

Predicting Factors of Health-Related Quality of Life Among Adults With Type 2 Diabetes: A Systematic Review

“…People who regularly engage in religious practices tend to enjoy better spiritual health, which in turn may improve their mental health, sense of belonging, and sense of direction in life. All of these are internal resources for managing their diseases ( Dewi et al, 2022 ; Jannoo et al, 2017 ; Saffari et al, 2019 ). In terms of location, two studies indicated that those who lived in rural areas had better HRQoL than those who lived in cities because they had easier access to fresh fruits, vegetables, and fish.…”

Analisis Kepuasan Pasien Terhadap Kualitas Pelayanan Kesehatan di Puskesmas Kalapanunggal Kabupaten Sukabumi

“…Analisis kuadran pada metode IPA meliputi atribut kinerja atau kenyataan yang digambarkan dengan sumbu X dan atribut kepentingan atau harapan yang digambarkan dengan sumbu Y atau perlu dipertahankan berdasarkan persepsi dan harapan pengguna sehingga dapat diketahui perbedaan dari dua sudut pandang penilaian (Dewi et al, 2024). IPA digambarkan melalui diagram kartesius yang dibagi menjadi 4 kuadran.…”

The Relationship of Spirituality with Coping Mechanism in Patients with Type 2 Diabetes Mellitus in Sukabumi Regency, Indonesia

“…People with Type 2 DM become more spiritually oriented, they view spirituality as a potent tool for overcoming the disease. Spirituality improves a patient's concentration, strength, and vitality, allowing them to conquer their sickness (16,17) In line with Rohmin's research (2018), it shows a significant relationship between spirituality and coping mechanisms, where the higher the level of spirituality, the better the coping mechanism and is supported by research Dewi et al, (2020) showed that there was a relationship between spirituality and self-efficacy with coping mechanisms in type 2 diabetes mellitus patients (5). Individuals suffering from chronic ailments benefit from spirituality.…”