Kesejahteraan Psikologis sebagai Prediktor Kontrol Glikemik pada Diabetes Melitus Tipe 2

Abstract

Background: Good glycemic control is essential in preventing complications and reducing mortality among individuals with diabetes. The achievement of optimal glycemic control is influenced not only by medical factors but also by psychological aspects. Objective: This study aims to examine the relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus. Method: This study employed a cross-sectional design and was conducted at Imanuel Clinic, Manado. A total of 87 patients with type 2 diabetes mellitus were selected using purposive sampling. The inclusion criteria were: patients aged 30 years and above, diagnosed with type 2 diabetes mellitus for more than one year, and having undergone HbA1c testing within the past three months. Data were collected using a research instrument consisting of the Ryff’s Scale of Psychological Well-Being (SPWB) questionnaire, as adapted by previous researchers. Result: Spearman’s rho correlation test revealed a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, with a strong negative correlation (r = –0.753) and a p-value of 0.038 (p<0.05). Conclusion: There is a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, indicating that higher psychological well-being is associated with better glycemic outcomes.