The Family as A Dominant Factor in Improving the Quality of Life of Diabetes Mellitus Patients: A Literature Review
DOI:
https://doi.org/10.37287/ijghr.v8i4.1650Keywords:
diabetes mellitus, family function, family resilience, family role, quality of lifeAbstract
Diabetes mellitus is a dangerous and life-threatening disease with significant morbidity and mortality rates worldwide. The lack of family role, function, and resilience has an impact on the physical and psychological aspects as well as the quality of life of patients. This study aims to determine the relationship between family factors, including family role, family function, and family resilience, in improving the quality of life of diabetes mellitus patients. This study used a literature review, reviewing 15 articles selected by the researcher from 53 articles that were assessed for suitability and obtained from searches on Google Scholar, PubMed, Science Direct, and Springer Nature Link websites and published between 2019 and 2025. The keywords used were "Family Role," "Family Functions," "Family Resilience," and "Diabetes Mellitus". The results of this study's analysis show that the role, function, and resilience of the family can help patients comply with their treatment regimen, follow a healthy diet, increase their confidence in fighting their disease, and cope with the stress and trauma experienced by patients due to diabetes mellitus. The conclusion of this study shows that family factors, including family role, family function, and family resilience, have a significant relationship with improving the quality of life of patients with diabetes mellitus.
References
Akbar, M. A., Studi, P., Baturaja, D. K., Palembang, P. K., & Keperawatan, P. S. D. (2023). Family support and quality of life in type II diabetes mellitus patients. 8(1). https://doi.org/https://doi.org/10.52235/cendekiamedika.v8i1.227
Aryanto, T. A., Pujiastuti, N., & Hidayah, N. (2024). The relationship between family support and the quality of life of diabetes mellitus patients in the applied nursing undergraduate program in Malang, Malang Ministry of Health Polytechnic. 9(1), 63–72. https://doi.org/http://dx.doi.org/10.30829/jumantik.v9i1.16986
Bennich, B. B., Munch, L., Egerod, I., Konradsen, H., Ladelund, S., Knop, F. K., Vilsbøll, T., Røder, M., & Overgaard, D. (2019). Patient assessment of family function, glycemic control, and quality of life in patients with type 2 diabetes with incipient complications. Canadian Journal of Diabetes. https://doi.org/https://doi.org/10.1016/j.jcjd.2018.09.002
Dewi, R., Rahayu, N., Sanjaya, W., Arsyi, D. N., & Budhiana, J. (2022). The effect of health education on diet compliance among patients with diabetes mellitus in the Sukaraja Public Health Center’s work area in Sukabumi Regency. 8(June). https://doi.org/10.33755/jkk
Dewi, R., Safitri, R. A., Budhiana, J., Arsyi, D. N., & Fatmala, S. D. (2024). Factors affecting quality of life of type 2 diabetes mellitus patients in the UPTD working area of Sukabumi PHC. 20(9), 83–87. https://doi.org/https://doi.org/10.47836/mjmhs.20.2.12
Dewi, R., Suherman, R., Oktaviani, Y., Melinda, F., & Budiana, J. (2024). The relationship between family support and self-care with the quality of life of type 2 diabetes mellitus patients. 5(01), 41–48. https://doi.org/10.34305/jnpe.v5i1.1349
Dian, L., Florensa, & Anggreini, Y. (2025). The relationship between family resilience and the quality of life of elderly people with diabetes mellitus at the Sambas Regional General Hospital. 7(1). https://doi.org/https://doi.org/10.53399/knj.v7i1.320
Hossain, J. (2024). Diabetes mellitus, the fastest growing global public health concern: early detection should be focused. 5–9. https://doi.org/https://doi.org/10.1002/hsr2.2004
Jais, M., Tahlil, T., & Susanti, S. S. (2021). Family support and quality of life of diabetes mellitus patients treated at community health centers. 5, 82–88. https://doi.org/https://doi.org/10.31539/jks.v5i1.2687
Jia, G., Li, X., Chu, Y., & Dai, H. (2020). Function of family of origin and current quality of life: exploring the mediator role of resilience in Chinese patients with type 2 diabetes. https://doi.org/https://doi.org/10.1007/s13410-020-00894-5
Ministry of Health of the Republic of Indonesia. (2021). Situation and analysis of diabetes in Indonesia. Center for Health Data and Information, Ministry of Health of the Republic of Indonesia. https://kemkes.go.id/id/home
Ministry of Health of the Republic of Indonesia. (2023). Key findings of the 2023 Indonesian Health Survey (SKI). Health Policy and Development Agency, Ministry of Health of the Republic of Indonesia. Health Policy and Development Agency, Ministry of Health of the Republic of Indonesia. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Lontaan, A., Adam, Y., Keintjem, F., & Sumiyati, S. (2024). The role of family in improving the management of diabetes mellitus patients. 2(2), 33–40. https://doi.org/https://doi.org/10.61099/junedik.v2i2.43
Lukacs, A., Zagraj, V. B., Kovacs3, A. B., Soos, A., Sok3, A. T., & Barkai, L. (2021). Health-related quality of life of preschool-aged children with type 1 diabetes in the context of family and maternal functioning. 0(0), 1–11. https://doi.org/10.1177/1367493521995320
Milita, F., Handayani, S., & Setiaji, B. (2021). The incidence of type II diabetes mellitus in the elderly in Indonesia (analysis of Riskesdas 2018). 17, 9–20. https://doi.org/https://doi.org/10.24853/jkk.17.1.9-20
Mulia, M. (2025). The relationship between family support and quality of life in type 2 diabetes mellitus. 10(1), 9–14. https://doi.org/https://doi.org/10.52822/jwk.v10i1.708
Nasution, & Napiah, A. (2025). The role of family functions on the quality of life of type 2 diabetes mellitus patients in primary service facilities of puskesmas Medan Johor. 5, 193–201. https://doi.org/https://doi.org/10.51601/ijhp.v5i1.360
Pasha, M. (2021). Analysis of factors affecting quality of life in Prolanis (chronic disease management program) type 2 diabetes mellitus patients in several community health centers in Bandung. 4(2), 91–97. https://doi.org/https://doi.org/10.36465/jop.v4i2.745
Rahmah, S., Manto, O. A. D., Tjomiadi, C. E. F., & Syahlani, A. (2024). The relationship between family role and intrinsic motivation with the quality of life of type 2 diabetes mellitus patients. 12(3), 657–666. https://doi.org/https://doi.org/10.26714/jkj.12.3.2024.657-666
Rima, O. M., Debora, R., Tambunan, C. E., Hutagalung, S. R., Nurhayati, E., & Lubis, L. (2025). Supporting family relationships with the quality of life of a diabetic mellitus patient at Eshmun Hospital. 16(1), 127–132. https://doi.org/https://doi.org/10.34035/jk.v16i1.1680
Saudah, N., Yuniarti, E. V., & Wulandari, E. A. (2019). The correlation of families role and the quality of life (qol) of diabetes mellitus patients. 6(April), 6–13. https://doi.org/https://doi.org/10.26699/jnk.v6i1.ART.p006-013
Sijabat, F., Siregar, R., & Barus, D. J. (2023). The relationship between family support and the quality of life of elderly people with type II diabetes at the Baktiraja Community Health Center, Humbang Hasundutan. 8(1), 37–45. https://doi.org/https://doi.org/10.51544/jmkm.v8i1.4233
Sriyani, Y., & Hilman, M. (2023). The relationship between family function and the quality of life of diabetes mellitus patients. 11(1), 1–8. https://doi.org/https://ejurnal.ars.ac.id/index.php/keperawatan/article/view/885
Wahyuningsih, S., Yunita, R., Hartono, D., Marfuah, & Alfarizi, M. (2023). The relationship between family roles and the quality of life of type 2 diabetes mellitus patients in Senduro subdistrict, Lumajang district. 11(2), 77–86. https://doi.org/https://doi.org/10.33508/ners.v11i2.5084
Wardika, I. J., Widayati, N., & Ridla, A. Z. (2024). The correlation between resilience and quality of life in type 2 diabetes mellitus patients with chronic complications. 4(2), 150–158. https://doi.org/https://doi.org/10.53713/nhsj.v4i2.311
Wati, F. R., Afiani, N., & Qodir, A. (2021). The relationship between medication adherence and quality of life in hypertensive patients with diabetes mellitus. 2, 28–34. https://doi.org/https://doi.org/10.33475/mhjns.v2i2.46
World Health Organization. (2021). Global report on diabetes. France: World Health Organization. World Health Organization. https://www.who.int/publications/i/item/9789241565257
Zan, H., Meng, Z., Li, J., Zhang, X., & Liu, T. (2024). Factors associated with quality of life among elderly patients with type 2 diabetes mellitus: the role of family caregivers. 1–9. https://doi.org/https://doi.org/10.1186/s12889-024-17917-z
Zhu, L., Pan, Z., Shen, F., Shen, Y., & Zhang, W. (2024). Effects of family support system on the self-management behavior of patients with T2DM: a multi-center cross-sectional study in community settings. 41(February), 114–122. https://doi.org/https://doi.org/10.1093/fampra/cmae010
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








