• Ezalina Stikes Payung Negeri Pekanbaru
  • Duri Mandasari STIkes Payung Negeri Pekanbaru
  • Desti Puswati STIkes Payung Negeri Pekanbaru
  • Gita Adelia STIkes Payung Negeri Pekanbaru
Keywords: Lansia, Literasi Kesehatan, Perawatan diri


Diabetes mellitus is a disease that causes premature death worldwide and is a major cause of blindness, heart disease, and kidney failure. It is estimated that 1 person dies every 5 seconds from diabetes. The main cause of death is lack of self-care. This is influenced by the individual's ability to understand and access health and use health services (health literacy). This study aimed to find out the analysis of health literacy with self-care for the diabetic elderly. A cross-sectional design was carried out on the elderly who visited Simpang Tiga Health Center Pekanbaru city. 97 elderly people were chosen as the sample through purposive random sampling. Then, the data were analyzed using frequency distribution and chi square test. The results showed that elderly people with good health literacy were only 21 people (21.6%), while 33 people had problems (34.0%), 43 people (44.3%) were inadequate, and 44 people had good self-care (45.4%). ), 27 people were enough (27.8%) and 26 people were lacking (26.8%). There is also a significant relationship between health literacy and self-care of DM patients (p=0.000). Based on the characteristics of the respondents, this study found that education had a significant relationship with self-care (p=0.000). Then, the health literacy sub-variable, understand information and apply information, has a significant relationship with self-care (p=0.000). It is expected for the elderly to always improve themselves in health literacy and carry out self-care in the prevention of diabetes mellitus in the form of diet compliance, regular exercise, identifying symptoms of hyperglycemia and hypoglycemia, regular treatment, and improving quality of life.


Download data is not yet available.

Author Biography

Ezalina, Stikes Payung Negeri Pekanbaru

Community health nursing


Al-Jumaili, A. A., Al-Rekabi, M. D., & Sorofman, B. (2015). Evaluation of instruments to assess health literacy in Arabic language among Iraqis. Research in Social and Administrative Pharmacy, 11(6), 803–813.

Azimah, N., Ahmad, A., Azmirul, M., Sallehuddin, A., Teo, Y. C., & Rahman, H. A. (2020). Self-Care Management of Patients with diabetes : nurses ’ perspectives. 1537–1542.

Creswel, J. W. (2016). Research Design: pendekatan kualitatif, kuantitatif, dan campuran. Pustaka Pelajar.

Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, Pham, T. V., Pham, K. M., Truong, T. Q., Nguyen, K. T., Oo, W. M., Mohamad, E., Su, T. T., Huang, H. L., Sørensen, K., Pelikan, J. M., Broucke, S. Van den, & Chang, P. W. (2017). Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries. Journal of Epidemiology, 27(2), 80–86.

Forghani. (2020). The Rela ti onship Between Health Literacy and Self-Care Behaviors in Diabe ti c Type 2 Elderly People. February, 46–53.

Houghton, D., Hardy, T., Stewart, C., Errington, L., Day, C. P., Trenell, M. I., & Avery, L. (2018). Systematic review assessing the effectiveness of dietary intervention on gut microbiota in adults with type 2 diabetes. Diabetologia, 61(8), 1700–1711.

Kemenkes RI. (2020). Infodatin 2020 Diabetes Melitus.pdf.

Liu, Y. B., Chen, Y. L., Xue, H. P., & Hou, P. (2019). Health Literacy Risk in Older Adults With and Without Mild Cognitive Impairment. Nursing Research, 68(6), 433–438.

Marciano, L., Sc, M., Camerini, A., Ph, D., Schulz, P. J., & Ph, D. (2018). The Role of Health Literacy in Diabetes Knowledge , Self-Care , and Glycemic Control : a Meta-analysis. 1007–1017.

Metsämarttila, E., Rodilla, E., Jokelainen, J., Herrala, S., Leppäluoto, J., Keinänen-Kiukaanniemi, S., & Herzig, K. H. (2018). Effect of physical activity on pulse wave velocity in elderly subjects with normal glucose, prediabetes or Type 2 Diabetes. Scientific Reports, 8(1), 1–10.

Model, C. (2010). Standards of medical care in diabetes-2009. Diabetic Retinopathy, 1–36.

Moeini, B., Rostami-Moez, M., Besharati, F., Faradmal, J., & Bashirian, S. (2019). Adult Functional Health Literacy and its Related Factors: A Cross-Sectional Study. International Journal of Epidemiologic Research, 6(1), 24–29.

Nacanabo, R., Debussche, X., Rouamba, M., Kamouni, P., Mancini, J., & Kouanda, S. (2021). Health literacy and health-related quality of life in type 2 diabetes: A cross-sectional study in Burkina Faso. Diabetes Epidemiology and Management, 3, 100016.

Protheroe, J., Rowlands, G., Bartlam, B., & Levin-zamir, D. (2017). Health Literacy , Diabetes Prevention , and Self-Management. 2017, 10–13.

Ran, X., Chen, Y., Jiang, K., & Shi, Y. (2022). The Effect of Health Literacy Intervention on Patients with Diabetes: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 19(20).

Rani, D., & Singh, P. (2022). An observational study of risk association of diabetes mellitus and hypertension in the first-degree relatives of patients with diabetes mellitus. Hamdan Medical Journal, 15(3), 139.

Reisi, M., Mostafavi, F., Javadzade, H., Mahaki, B., Tavassoli, E., & Sharifirad, G. (2016). Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in iranians with type 2 diabetes. Oman Medical Journal, 31(1), 52–59.

RobatSarpooshi, D., Mahdizadeh, M., Alizadeh Siuki, H., Haddadi, M., Robatsarpooshi, H., & Peyman, N. (2020).

The Relationship Between Health Literacy Level and Self-Care Behaviors in Patients with Diabetes

. Patient Related Outcome Measures, Volume 11, 129–135.

Schmitt, A., Kulzer, B., Ehrmann, D., Haak, T., & Hermanns, N. (2022). A Self-Report Measure of Diabetes Self-Management for Type 1 and Type 2 Diabetes: The Diabetes Self-Management Questionnaire-Revised (DSMQ-R) – Clinimetric Evidence From Five Studies. Frontiers in Clinical Diabetes and Healthcare, 2(January), 1–16.

Vogt, D., Schaeffer, D., Messer, M., Berens, E. M., & Hurrelmann, K. (2018). Health literacy in old age: Results of a German cross-sectional study. Health Promotion International, 33(5), 739–747.

Webber, S. (2021). International Diabetes Federation. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2).

World Health Organization. (2016). Global Report on Diabetes. Isbn, 978, 88. 978 92 4 156525 7

Yakaryilmaz. (2017). Treatment of type 2 diabetes mellitus in the elderly. 9358(6).

Abstract viewed = 205 times