Effect of Nurse Family Partnership–Based Family Empowerment on Preventive Behaviors for Type 2 Diabetes Complications Among Pandhalungan Mothers

Susi Wahyuning Asih, Ginanjar Sasmita Adi, Supriyadi Supriyadi

Abstract


Background: Diabetes mellitus (DM) is a major public health problem associated with a high risk of chronic complications. Preventing these complications requires active family involvement, particularly mothers as primary caregivers in managing family health. The Nurse Family Partnership (NFP) approach is considered relevant for strengthening family empowerment within the Pandhalungan cultural context. This study aimed to analyze the effect of implementing family empowerment among Pandhalungan mothers based on the Nurse Family Partnership (NFP) on preventive behaviors for type 2 DM complications. Methods: This study employed a quantitative cross-sectional design. The population consisted of 240 Pandhalungan mothers, with a sample of 165 respondents selected using multistage random sampling. Data were collected using structured questionnaires measuring the implementation of NFP based family empowerment and preventive behaviors for type 2 DM complications. Data were analyzed using Spearman Rank correlation and logistic regression tests. Results: There was a significant relationship between the implementation of NFP and preventive behaviors for type 2 DM complications (r = 0.612; p < 0.001). Logistic regression analysis indicated that NFP implementation was a significant predictor of preventive behavior (OR = 4.21; p < 0.001). Conclusions: The Nurse Family Partnership (NFP) based family empowerment approach provides a culturally appropriate and effective strategy for improving preventive behaviors in managing type 2 DM complications at the community level.


Full Text:

PDF

References


Campagna D, Alamo A, Di Pino A, Russo C, Calogero AE, Purrello F, Polosa R. Smoking and diabetes: dangerous liaisons and confusing relationships. Diabetology & Metabolic Syndrome. 2019;11(1):85. https://doi.org/10.1186/s13098-019-0482-2

Andika IPJ, Baso YS. Pemberdayaan keluarga Model to Prevent Stunting Based on Family Nursing: A Literature Review. Menara Journal of Health Science. 2024;3(3):362-375.

Mardhiyah M, Dinilhaq NA, Amelia Y, Arini A, Hidayatullah R, Harmonedi. Populasi dan Sampel dalam Penelitian Pendidikan: Memahami Perbedaan, Implikasi, dan Strategi Pemilihan yang Tepat. Katalis Pendidikan: Jurnal Ilmu Pendidikan dan Matematika. 2025;2(2):208–218. http://dx.doi.org/10.62383/katalis.v2i2.1670

Durlach V, Vergès B, Al-Salameh A, Bahougne T, Benzerouk F, Berlin I, Clair C, Mansourati J, Rouland A, Thomas D, Thuillier P, Tramunt B, Le Faou AL. Smoking and diabetes interplay: A comprehensive review and joint statement. Diabetes and Metabolism. 2022;48(6):101370. https://doi.org/10.1016/j.diabet.2022.101370

Eshete A, Mohammed S, Deresse T, Kifleyohans T, Assefa Y. Association of stress management behavior and diabetic self-care practice among diabetes type II patients in North Shoa Zone: a cross-sectional study. BMC Health Services Research. 2023;23(1):767. https://doi.org/10.1186/s12913-023-09752-6

Hamid N. Effects of stress management training on glycemic control in women with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2011;13(4):346-353.

Handayani VV. Begini Cara Atur Pola Makan pada Pengidap Diabetes. Jakarta: Halodoc; 2019. Available from: https://www.halodoc.com/artikel/begini-cara-atur-pola-makan-pada-pengidap-diabetes?srsltid=AfmBOooZ7PGlCFkFvK954K85b6k1bmejR-Y7Cx7ZVqMh2S7o7me4JONN (Accessed on 20 Jan 2026)

American Diabetes Association. Standards of care in diabetes—2024. Diabetes Care. 2024;47(Suppl. 1):S1–S350.

International Diabetes Federation. Diabetes and Fasting. Brussels: International Diabetes Federation; 2025. Available from: https://idf.org/about-diabetes/diabetes-management/diabetes-and-fasting/ (Accessed on 20 Jan 2026)

Campagna D, Alamo A, Di Pino A, Russo C, Calogero A. E, Purrello F, Polosa R. Smoking and diabetes: Dangerous liaisons and confusing relationships. Diabetology and Metabolic Syndrome. 2019;11(1):85. https://doi.org/10.1186/s13098-019-0482-2

Eshete A, Mohammed S, Deresse T, Kifleyohans T, Assefa Y. Association of stress management behavior and diabetic self-care practice among diabetes type II patients in North Shoa Zone: a cross-sectional study. BMC Health Services Research. 2023;23(1):767. https://doi.org/10.1186/s12913-023-09752-6

Hamid N. Effects of stress management training on glycemic control in women with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2011;13(4):346-353.

Handayani VV. Begini Cara Atur Pola Makan pada Pengidap Diabetes. Jakarta: Halodoc; 2019. Available from: https://www.halodoc.com/artikel/begini-cara-atur-pola-makan-pada-pengidap-diabetes?srsltid=AfmBOooZ7PGlCFkFvK954K85b6k1bmejR-Y7Cx7ZVqMh2S7o7me4JONN (Accessed on 20 Jan 2026)

International Diabetes Federation. Diabetes and Fasting. Brussels: International Diabetes Federation; 2025. Available from: https://idf.org/about-diabetes/diabetes-management/diabetes-and-fasting/ (Accessed on 20 Jan 2026)

Koloverou E, Tentolouris N, Bakoula C, Darviri C, Chrousos G. Implementation of a stress management program in outpatients with type 2 diabetes mellitus: A randomized controlled trial. Hormones. 2014;13(4):509–518. https://doi.org/10.14310/horm.2002.1492

Minister of Health of the Republic of Indonesia. Keputusan Menteri Kesehatan RI tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Diabetes Melitus Tipe 2 Dewasa, Pub. L. No. No HK.01.07/MENKES /603/ 2020. Jakarta: Minister of Health of the Republic of Indonesia; 2020.

Perkeni. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021 (Cetakan ke). Jakarta: PB Perkeni; 2021.

Yekefallah L, Jalalpour A, Namdar P, Hemmati F, Mafi MH. Poor Quality of Sleep is a Risk Factor for Increasing Fasting Blood Sugar and Glycated Hemoglobin in Patients with Type 2 Diabetes. Iranian Journal of Endocrinology and Metabolism. 2022;24(5):285–291.

Nurse-Family Partnership. (2020). Evidence-based outcomes. Boulder, Colorado: Nurse-Family Partnership Organization; 2020.

Stanhope M, Lancaster J. Public health nursing: Population-centered health care in the community (10th ed.). Amsterdam: Elsevier; 2020.

Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth’s textbook of medical-surgical nursing. Alphen aan den Rijn: Wolters Kluwer; 2020.




DOI: https://doi.org/10.33846/hd30306

Refbacks

  • There are currently no refbacks.




____________________________________________________________________________________________________________________________________________

Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408