Satriya Pranata, Xuan Yi Huang


Background: The number of patients with diabetes mellitus (DM) in Indonesia was reported to increase every year. Indonesia included into ranked sixth countries for diabetes (20-79 years) and ranked third as the deadliest diseases, (IDF, 2017; WHO, 2016). However, research about self-management experience for people with Type 2 DM is insufficient. Objectives: The purpose of this study was to explore the Self-management Experience of Patient with Type 2 DM in Sumbawa Besar, West Nusa Tenggara. Methods: Purposive sampling with one-on-one depth interview were used to obtain the participants experiences about self-management. six participants were selected randomly from 30 participants in community. Data saturation was achieved and analyzed by Colaizzi’s (1978) seven-step method. Results: Six themes emerged from study were: dietary adjustment, using medicine to decrease blood glucose, taking exercise, taking care of DM by oneself, social support and looking for information regarding DM were consider as important theme for DM population in Sumbawa Besar, West Nusa Tenggara. Conclusion: the result of this study showed that each patient with DM has ability to carry out self-management based on their belief, value and knowledge. Basic information about diabetes was the most important aspect before patients can perform self-management successfully.


Diabetes Mellitus; Experiences; Interviews; Nursing; Self Management


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Atak, N. (2008). The effect of education on knowledge, self-management behaviours and self-efficacy of patients with type 2 diabetes. Australian Journal of Advance Nursing, 26(2), 66-74.

Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31, 143–164.

Bandura, A. (1978). Self-efficacy: Toward a unifying theory of behavioral change. Advances in Behaviour Research and Therapy, 1(4), 139–161.

Bandura, A. (1986). Social Foundations of Thought and Action. A Social Cognitive Theory. Englewoods Cliffs, NJ: Prentice Hall.

Bandura, A. (1989a). Self-Efficacy Mechanism in Physiological Activation and Health-Promoting Behavior. In J. Madden, S. Matthysse & J. Barchas (Eds.), Adaptation, Learning and Affect (pp. 1169-1188). New York, NY: Raven.

Bandura, A. (1989b). Social cognitive theory. In R. Vasta (Ed.). Annals of Child Development. Vol. 6. Six Theories of Child Development, 6, 1–60.

Bandura, A. (2002). Self efficacy: The Exercise of Control. New York , NY: W. H. Freeman & Company.

Barlow, J., Wright, C., Sheasby, J., & Turner, A. H. J. (2002). Self-management approaches for people with chronic conditions: A review. Patient Education and Counseling, 48(2), 177–87.

Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48–71). New York, NY: Oxford University Press.

Davies, A. K., McGale, N., Humphries, S. E., Hirani, S. P., Beaney, K. E., Bappa, D. A. S., … Newman, S. P. (2015). Effectiveness of a self-management intervention with personalised genetic and lifestyle-related risk information on coronary heart disease and diabetes-related risk in type 2 diabetes (CoRDia): Study protocol for a randomised controlled trial. Trials, 16(1), 1–11.

DiNardo, M. M., Gibson, J. M., Siminerio, L., Morell, A. R., & Lee, E. S. (2012). Complementary and alternative medicine in diabetes care. Current Diabetes Reports, 12, 749-761.

Gill, M. J. (2014). The Possibilities of Phenomenology for Organizational Research. Organizational Research Methods, 17(2), 118–137.

Grady, P. A., & Gough, L. L. (2018). Self-management: A comprehensive approach to management of chronic conditions. American Journal of Public Health.

Groenewald, T. (2004). A Phenomenological Research Design Illustrated. International Journal of Qualitative Methods, 3(1), 42–55.

Grossman, L. D., Roscoe, R., & Shack, A. R. (2018). Complementary and Alternative Medicine for Diabetes. Canadian Journal of Diabetes, 42, S154–S161.

Heisler, M., Piette, J. D., Spencer, M., Kieffer, E., & Vijan, S. (2005). The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-management. Diabetes Care, 28(4), 816–822.

International Diabetes Federation (IDF). (2017). International Diabetes Federation Diabetes Atlas (8th ed.). Brussels, Belgium: Retrieved from

Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes and mechanism. Annals of Behavioral Medicine, 26(1), 1-7.

Mathew, R., Gucciardi, E., De Melo, M., & Barata, P. (2012). Self-management experiences among men and women with type 2 diabetes mellitus: A qualitative analysis. BMC Family Practice, 13.

Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist, 28(8), 643–644. Retrieved from

Niswah, Chinnawong, T. & Manasurakarn J. (2014). Complementary Therapies Used Among Adult Patients with Type 2 Diabetes Mellitus in Aceh, Indonesia. Nurse Media: Journal of Nursing, 4(1), 671–687.

Omisakin, F. D., & Ncama, B. P. (2011). Self, self-care and self-management concepts : Implications for self-management education. Retrieved from

O’Brien, C. A., Van Rooyen, D., & Ricks, E. (2015). Self-management experiences of persons living with diabetes mellitus type 2. Africa Journal of Nursing and Midwifery, 17(2), 103–117.

Polit, D. F., & Beck, C. T. (2015). Essentials of nursing research:Appraising evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., … Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382.

Pranata, S. (2017). Marawat Penderita Diabetes Melitus. Yogyakarta: Pustaka Panasea.

Pranata, S. (2019). Pilot study : Self-Management Among Diabetes Mellitus Patients at HL . Manambai Abdulkadir Hospital. Scientific Journal of Nursing, 5(1), 107–113.

Pranata, S., Hs, K. H. N., & Sujianto, U. (2016). The Effect of Transcutaneous Electrical Nerve Stimulation (Tens) Towards Pain Level Of Patients With Diabetes Mellitus (Dm) With Peripheral Neuropathy In Diabetic Foot Ulcer Treatment In Yogyakarta General Hospital Indonesia. IOSR Journal of Nursing and Health Science, 5(5), 76–80.

Sassen, B. (2018). Nursing: Health Education and Improving Patient Self-Management.

Shenton, A. K. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22(2), 63–75.

Vas, A., Devi, E. S., Vidyasagar, S., Acharya, R., Rau, N. R., George, A., … Nayak, B. (2017). Effectiveness of self-management programmes in diabetes management: A systematic review. International Journal of Nursing Practice, 23(5), 1–8.

World Health Organization (WHO). (2016). Diabetes. Retrieved from

World Self-Medication Industry. (2010). The story of self-care and medication 40 years of progress, 1970-2010. WSMI, 1–17.

Wu, F. L., Tai, H. C., & Sun, J. C. (2019). Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study. Asian Nursing Research, 13(3), 209–215.

Wu, S. F. V., Lee, M. C., Liang, S. Y., Lu, Y. Y., Wang, T. J., & Tung, H. H. (2011). Effectiveness of a self-efficacy program for persons with diabetes: A randomized controlled trial. Nursing and Health Sciences, 13(3), 335–343.

Wu, S. V., Liang, S., Lee, M., Yu, N., & Kao, M. (2013). The efficacy of a self-management programme for people with diabetes, after a special training programme for healthcare workers in Taiwan : a quasi-experimental design. Journal of Clinical Nursing 23(17-18), 2515–2524.

Wu, S. V., Liang, S., Wang, T., Chen, M., & Jian, Y. (2011). A self-management intervention to improve quality of life and psychosocial impact for people with type 2 diabetes. Journal of Clinical Nursing 20(17-18), 2655–2665.


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