The Effect of Medical Personnel Communication, Family Support, and Education on Treatment Adherence among Patients with Type 2 Diabetes Mellitus (DM) through Self-Efficacy as an Intervening Variable at the Internal Medicine Polyclinic of RSUD Dr. Harjono S. Ponorogo, East Java
DOI:
https://doi.org/10.31004/riggs.v5i2.10811Keywords:
Medical Personnel Communication, Family Support, Education, Self-Efficacy, Treatment Adherence, Type 2 Diabetes Mellitus, SEM-PLSAbstract
Medication non-adherence among patients with Type 2 Diabetes Mellitus (T2DM) remains a significant issue in chronic disease care. A preliminary study at the Internal Medicine Outpatient Clinic of Dr. Harjono S. Regional General Hospital in Ponorogo Regency revealed that 64% of patients took medication only when symptoms appeared, 70% had not received structured education, 58% did not understand the function of their medication, and 52% lacked family support. This study aimed to analyze the influence of of medical personnel communication, family support, and education on medication adherence, both directly and through self-efficacy as an intervening variable. The study employed a quantitative design using a cross-sectional approach and an explanatory research method. The sample consisted of 130 respondents selected via purposive sampling from a population of 178 active patients; the sample size was determined using the SEM-PLS rule of thumb. Data were collected using a fou point Likert scale questionnaire and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). All research instruments were validated and proven reliable.The results indicate that medical personnel communication, family support, and education significantly influence medication adherence, both directly and through self-efficacy as an intervening variable. Self-efficacy was proven to be a significant mediator in enhancing medication adherence among T2DM patients. This study contributes to the development of hospital policies based on patient-centered care for the multidimensional management of chronic diseases.
Downloads
References
[1] A. Bandura, Self-Efficacy: The Exercise of Control. New York: W.H. Freeman and Company, 1997.
[2] World Health Organization, Adherence to Long-Term Therapies: Evidence for Action. Geneva: WHO, 2003.
[3] C. McCabe and F. Timmins, Communication Skills for Nursing Practice. London: Palgrave Macmillan, 2013.
[4] J. R. Kaakinen et al., Family Health Care Nursing: Theory, Practice, and Research. Philadelphia: F.A. Davis Company, 2018.
[5] S. B. Bastable, Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. Burlington: Jones & Bartlett Learning, 2019.
[6] I. Ghozali, Aplikasi Analisis Multivariate dengan Program IBM SPSS. Semarang: Badan Penerbit Universitas Diponegoro, 2018.
[7] J. F. Hair et al., Multivariate Data Analysis. Boston: Cengage Learning, 2019.
[8] R. Anggraeni and N. Rochmah, "Efikasi diri dan kepatuhan pengobatan pada pasien Diabetes Mellitus Tipe 2," 2022.
[9] D. Apriani and S. Setyowati, "Pengaruh edukasi kesehatan terhadap efikasi diri pasien Diabetes Mellitus Tipe 2," 2022.
[10] G. Datak and D. Febriani, "Komunikasi interpersonal dan kepatuhan minum obat pada pasien Diabetes Mellitus Tipe 2," Poltekkes Kemenkes, 2020.
[11] S. Deshpande et al., "Pengaruh edukasi kesehatan terhadap perilaku kesehatan dan kepatuhan pengobatan pasien penyakit kronis," 2023.
[12] A. Fahamsya et al., "Hubungan efikasi diri dengan kepatuhan pengobatan pasien Diabetes Mellitus Tipe 2," 2022.
[13] N. Fatimatussa'diah et al., "Dukungan keluarga dan kepatuhan pengobatan pasien Diabetes Mellitus Tipe 2," 2025.
[14] H. Hasniah et al., "Kepatuhan minum obat dan kadar gula darah pasien Diabetes Mellitus Tipe 2," JIIS Ibnu Sina, 2024.
[15] N. Hilyah et al., "Dukungan keluarga dan kepatuhan diet pasien Diabetes Mellitus," 2023.
[16] H. Hudiyanto et al., "Pengaruh edukasi kesehatan terhadap kepatuhan minum obat pasien Diabetes Mellitus," 2025.
[17] International Diabetes Federation, IDF Diabetes Atlas. 2023.
[18] M. Kandira and R. Sukmayanti, "Efikasi diri dan manajemen diri pasien Diabetes Mellitus," 2025.
[19] K. Khadijah et al., "Efektivitas edukasi leaflet terhadap kepatuhan pengobatan pasien Diabetes Mellitus," 2023.
[20] N. Khoirunnisa and R. Dewi, "Dukungan keluarga dan kepatuhan diet pasien Diabetes Mellitus Tipe 2," 2024.
[21] D. Listifani and L. Indrawati, "Komunikasi terapeutik dan kepatuhan diet pasien Diabetes Mellitus," Jurnal Perawat Profesional, 2024.
[22] X. Liu et al., "Family support, self-efficacy, and medication adherence among chronic disease patients," 2022.
[23] Y. Luo et al., "The role of family support in improving self-efficacy and treatment adherence among diabetes patients," 2024.
[24] A. Lutfian et al., "Pengaruh edukasi, dukungan sosial, dan interaksi tenaga kesehatan terhadap kepatuhan pasien penyakit kronis," 2025.
[25] M. Masliyah et al., "Pengaruh edukasi kesehatan terhadap kepatuhan pengobatan pasien Diabetes Mellitus," 2023.
[26] Mundakir, "Komunikasi terapeutik dalam meningkatkan efikasi diri pasien penyakit kronis," 2022.
[27] N. Nurhidayati and D. Wulandari, "Pengaruh edukasi kesehatan terhadap efikasi diri pasien Diabetes Mellitus usia lanjut," 2022.
[28] O. Olagbemide et al., "Family support and medication adherence among patients with Type 2 Diabetes Mellitus," 2021.
[29] R. Pakaya et al., "Family support and medication adherence among Type 2 Diabetes Mellitus patients," An Idea Health Journal, 2024.
[30] M. Peimani et al., "The relationship between healthcare communication and self-care behavior among patients with Type 2 Diabetes Mellitus," 2024.
[31] A. Putri and R. Septiawan, "Hubungan kepatuhan pengobatan dengan kadar gula darah Diabetes Mellitus Tipe 2," JPP Poltekkes Palembang, 2025.
[32] S. Rahayu and M. Isfandiari, "Dukungan keluarga dan efikasi diri pasien Diabetes Mellitus Tipe 2," 2022.
[33] R. Rissa, "Pengaruh Diabetes Self-Management Education (DSME) terhadap kepatuhan pengobatan pasien Diabetes Mellitus Tipe 2," IJPCR, 2025.
[34] F. Rumondor et al., "Faktor-faktor kepatuhan berobat pasien Diabetes Mellitus Tipe 2," KREATIF Jurnal, 2025.
[35] S. Sharkiya, "Effective communication and patient participation in chronic disease management," 2023.
[36] R. Siregar et al., "Patient knowledge as determinant of medication adherence," Jurnal Mutiara Ners, 2025.
[37] H. Susanto and U. Hasanah, "Peran keluarga dalam meningkatkan efikasi diri pasien Diabetes Mellitus usia lanjut," 2023.
[38] S. Syaripudin, "Komunikasi interpersonal dan kepatuhan minum obat pasien Diabetes Mellitus Tipe 2," Ensiklopedia of Journal, 2024.
[39] A. Thalib and N. Bula, "Komunikasi terapeutik dan kepatuhan diet pasien Diabetes Mellitus Tipe 2," Bina Generasi, 2024.
[40] P. Utama et al., "Efikasi diri dan resiliensi pasien penyakit kronis," 2022.
[41] D. Wahyuni and R. Tristiana, "Pengaruh komunikasi terapeutik terhadap efikasi diri pasien kronis," 2022.
[42] X. Xu et al., "Health education and medication adherence among elderly patients with Type 2 Diabetes Mellitus," 2025.
[43] Z. Yu et al., "Family support, self-efficacy, and adherence behavior in chronic illness management," 2024.
[44] Y. Zhang et al., "Therapeutic communication and patient trust in healthcare services," 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ariana Widiawati, Kemala Rita Wahidi, Nofierni Nofierni
This work is licensed under a Creative Commons Attribution 4.0 International License.
