Literature Review Family and Nurse Support in Improving Self Management in Patient with Diabetes Mellitus

Diabetes Mellitus is a disease that causes damage to the body's organs and tissues over time. According to Riskesdas 2018, it increased by 8.5 percent over 5 years. Diabetic patients who adhere to the 4 pillars of diabetes mellitus have better blood glucose levels, and this cannot be separated from the role of the family. Based on a preliminary study at the Anggrek Elderly Integrated Health Service Post, it was found that most elderly people live separately from their children, resulting in a lack of family involvement in managing DM. Additionally, the elderly also need support for self-management, which can be obtained from family members and nurses. Therefore, the researchers contributed to understand the condition of the elderly with DM in various aspects of family support and the implementation of nursing in improving the knowledge of self-management in Diabetes Mellitus patients. The review of articles yielded 4 main aspects: family support can improve self-management in DM patients, family support does not affect blood sugar levels, nurse education improves DM patient understanding, and educational level affects the implementation of education in patients. The education level of nurses influences patient education, and family support enhances patient self-management.