Effects of Family Function on Blood Sugar Control in Patients with Type 2 Diabetes Mellitus


Yayuk Fathonah(1*), Ana Fauziyati(2), Muhammad Malik(3), Muhammad Hanif(4)

(1) Faculty of Medicine Universitas Islam Indonesia
(2) Faculty of Medicine Universitas Islam Indonesia
(3) Faculty of Medicine Universitas Islam Indonesia
(4) Faculty of Medicine Universitas Islam Indonesia
(*) Corresponding Author


Background: A long term treatment can happen for patients with diabetes mellitus (DM), which can negatively affect their lives and their families. Family support is an important factor to help them adapt to their DM and maintain their self-management. Doctors must assess family function of the patients with DM during their treatment.

Objective: This study aimed to observe the effects of family function on blood sugar control in type 2 DM patients who were included in PROLANIS (chronic disease management program) at Puskesmas Banguntapan 2 Bantul, D.I. Yogyakarta, Indonesia.

Methods: This quantitative analytical study was conducted with a cross-sectional design in November-December 2019 by using the Family APGAR instrument and fasting blood sugar tests from the DM patients’ venous blood. Its sampling technique was the total sampling of the PROLANIS participants who suffered from DM and met inclusion criteria of this study. All obtained data of this study were analyzed by Spearman Product Moment analysis to determine the effects of family function on their fasting blood sugar levels.

Results: This study found that there was a significant effect of family function on blood sugar control in the patients with type 2 DM (p=0.008). This finding indicated that the family function was an important aspect in controlling their blood sugar.

Conclusion: The family function was an influential factor to optimize the treatment of patients with type 2 DM. The assessment on the family function should be a part of their routine examination in primary healthcare units.


Type 2 Diabetes Mellitus, Family Function, Self-management, Blood Sugar Control

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1. IDF - International Diabetes Federation Diabetes Atlas, Ninth Edition. 2019.

2. Ministry of Health, Republic of Indonesia. Basic health research results 2018. Ministry of Health, Republic of Indonesia. 2018;53(9):1689–99.

3. Rosella LC, Lebenbaum M, Fitzpatrick T, O’Reilly D, Wang J, Booth GL, et al. Impact of diabetes on healthcare costs in a population-based cohort: a cost analysis. Diabet Med. 2016;33(3):395–403.

4. BPJS. Prolanis practical guide (chronic disease management program). Jakarta: BPJS Kesehatan; 2014.

5. Odume BB, Ofoegbu OS, Aniwada EC, Okechukwu EF. The influence of family characteristics on glycaemic control among adult patients with type 2 diabetes mellitus attending the general outpatient clinic, national hospital, Abuja, Nigeria. South African Fam Pract [Internet]. 2015;57(6):347–53. doi:10.1080/20786190.2015.1090688

6. Gardner W, Nutting PA, Kelleher KJ, Werner JJ, Farley T, Stewart L, et al. Does the family APGAR effectively measure family functioning?. J Fam Pract. 2001;50(1):19–25.

7. Takenaka H, Ban N. The most important question in family approach: the potential of the resolve item of the family APGAR in family medicine. Asia Pac Fam Med. 2016;15(1):1–7.

8. Silva MJ da, Victor JF, Mota FR do N, Soares ES, Leite BMB, Oliveira ET. Analysis of psychometric properties of family APGAR with elderly in northeast Brazil. Esc Anna Nery - Rev Enferm. 2014;18(3):527–32.

9. Galán-González E, Martínez-Pérez G, Gascón-Catalán A. Family functioning assessment instruments in adults with a non-psychiatric chronic disease: a systematic review. Nurs Reports. 2021;11(2):341–55.

10. Iloh GU, Collins PI, Amadi AN. Family functionality, medication adherence, and blood glucose control among ambulatory type 2 diabetic patients in a primary care clinic in Nigeria. Int J Health Allied Sci. 2018;7(1):23-30.

11. Azmoude E, Tafazoli M, Parnan A. Assessment of family functioning and its relationship to quality of life in diabetic and non-diabetic women. J Caring Sci [Internet]. 2016;5(3):231–9. doi:10.15171/jcs.2016.025

12. Gomes LC, Coelho ACM, Gomides D dos S, Foss-Freitas MC, Foss MC, Pace AE. Contribution of family social support to the metabolic control of people with diabetes mellitus: a randomized controlled clinical trial. Appl Nurs Res. 2017;36(November):68–76.

13. Peñarrieta MI, Flores-Barrios F, Gutiérrez-Gómez T, Piñones-Martínez S, Resendiz-Gonzalez E, Quintero-Valle LM. Self-management and family support in chronic diseases. J Nurs Educ Pract. 2015;5(11):73-80.

14. Bennich BB, Røder ME, Overgaard D, Egerod I, Munch L, Knop FK, et al. Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review. Diabetol Metab Syndr. 2017;9(1):1–9.

15. Rosland AM, Heisler M, Piette JD. The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review. J Behav Med. 2012;35(2):221–239.

16. Mayberry LS, Harper KJ, Osborn CY. Family behaviors and type 2 diabetes: what to target and how to address in interventions for adults with low socioeconomic status. Chronic Illn. 2017;12(3):199–215.

17. Badedi M, Solan Y, Darraj H, Sabai A, Mahfouz M, Alamodi S, et al. Factors associated with long-term control of type 2 diabetes mellitus. Journal of Diabetes Research. 2016;2016.

18. Gunggu A, Thon CC, Whye Lian C. Predictors of diabetes self-management among type 2 diabetes patients. J Diabetes Res. 2016;2016.

19. Gutiérrez-Mata R, Máynez-Ocón S, Gameros-Gardea R, Arriaga-González A, López-Hernández E. Family functioning is related to health behaviors in patients with type 2 diabetes. Medicine. 2017;6(4):659-2.

20. Kristianingrum ND, Wiarsih W, Nursasi AY. Perceived family support among older persons in diabetes mellitus self-management. BMC Geriatr. 2018;18(Suppl 1):1–5.

21. Chaves C, Amaral O, Nelas P, Coutinho E, Dionisio R. Withdrawn: assessment of family functionality among the elderly with chronic illness. Procedia - Soc Behav Sci [Internet]. 2014;113:62–7. doi:10.1016/j.sbspro.2014.01.011

DOI: https://doi.org/10.22146/rpcpe.69859

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