Resilience and Quality of Life of People with Diabetes Mellitus
Abstract
Diabetes mellitus is a highly complex health issue. It causes both physical and psychological impairments, thereby hindering resilience and affecting quality of life. This study aims to analyze the relationship between resilience and quality of life in people with diabetes mellitus. The study employed a cross-sectional correlational design with purposive sampling, involving a sample size of 45 participants who met the criteria of being DM patients aged 20–75 years and willing to participate in the study. The Conor Davidson Resilience Scale (CD-RISC) was used to measure resilience, and the Diabetes Quality of Life (DQOL) questionnaire was used to assess quality of life. The statistical test used was the Pearson Product-Moment correlation. The results showed that the proportion of participants with high quality of life in the high-resilience group was 70.6%, compared to 21.4% in the low-resilience group, with a p-value of 0.03. This indicates a significant relationship between resilience and quality of life. Resilience particularly the self-control component needs to be enhanced as an integral part of nursing care and health education, as it plays a major role in achieving a better quality of life for people with diabetes mellitus.
References
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Deski, F. I. (2023). Pengaruh Mastery Learning terhadap Kompetensi Perawat Melakukan Pengkajian dan Perawatan Luka Ulkus Diabetikum di Rumah Sakit Aisyiyah Pariaman Tahun 2023. Universitas Andalas.
Homagarani, Y. M., Adlparvar, K., Teimuri, S., Tarrahi, M. J., & Nilchian, F. (2023). The effect of diabetes mellitus on oral health-related quality of life: A systematic review and meta-analysis study. https://www.crd.york.ac.uk/prospero/display_re
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Mahajan, A., & Muley, A. (2024). Assessment of lifestyle factors, stress levels, and quality of life among people with Type 2 Diabetes Mellitus. Discover Public Health, 21(1). https://doi.org/10.1186/s12982-024-00173-2
Mei, Y., Yang, X., Gui, J., Li, Y., Zhang, X., Wang, Y., Chen, W., Chen, M., Liu, C., & Zhang, L. (2023a). The Relationship Between Psychological Resilience and Quality of Life Among The Chinese Diabetes Patients : The Mediating Role of Stigma and The Moderating Role of Empowerment. BMC Public Health, 23(2043), 1–11. https://doi.org/https://doi.org/10.1186/s12889-023-16927-7
Mendorf, S., Heimrich, K. G., Mühlhammer, H. M., Prell, T., & Schönenberg, A. (2023). Trajectories of quality of life in people with diabetes mellitus: results from the survey of health, ageing and retirement in Europe. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1301530
Nakayama, I., Goto, A., Hayashino, Y., Suzuki, H., Yamazaki, K., Izumi, K., & Noda, M. (2022). Employment status and diabetic outpatient appointment non-attendance in middle to senior working generation with type 2 diabetes: the Japan diabetes outcome intervention trial-2 large scale trial 005 (J-DOIT2-LT005). Acta Diabetologica, 59(6), 793–801. https://doi.org/10.1007/s00592-022-01869-0
Naryati, N., & Setiawati, Y. (2022). Hubungan Kesejahteraan Spiritual dengan Kemampuan Resiliensi pada Penderita Diabetes Millitus Tipe 2 di Ruang Rawat Inap Rumah Sakit Tingkat II Moh. Ridwan Meuraksa. MANUJU : Malahayati Nursing Journal, 4(8), 2132–2146. https://doi.org/https://doi.org/10.33024/mnj.v4i8.6936
Nasriyah, C., & Marselin, A. (2021). The effects of complications, frequency of control and education level on quality of life of type 2 diabetes mellitus patients. International Journal Of Community Medicine And Public Health, 8(11), 5206. https://doi.org/10.18203/2394-6040.ijcmph20214040
Nurdiana, N., Kilo, M. F. H., & Basri, B. (2026). Hubungan Efikasi Diri dengan Kualitas Hidup dan Resiliensi pada Pasien Diabetes Melitus di Ruangan Rawat Inap RSUD Mokopido Tolitoli. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(4), 23363–23376. https://doi.org/https://doi.org/10.31004/jerkin.v4i4.5861
Onyishi, C. N., Eseadi, C., Ilechukwu, L. C., Okoro, K. N., Okolie, C. N., Egbule, E., Asogwa, E., Okoro, K. N., Okolie, C. N., Egbule, E., & Asogwa, E. (2022). Potential Influences of Religiosity and Religious Coping Strategies on People with Diabetes. World Journal of Clinical Cases, 10(25), 8816–8827. https://doi.org/10.12998/wjcc.v10.i25.8816
Parviniannasab, A. M., Faramarzian, Z., Hosseini, S. A., Hamidizadeh, S., & Bijani, M. (2024). The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18022-x
Pratiwi, I. N., Widyawati, I. Y., Dewi, L. C., & Chan, C. M. (2026). Association between Psychological Resilience and Glycemic Control in Young Adults With Newly Diagnosed Diabetes : A Systematic Review. International Journal of Africa Nursing Sciences, 24, 1–10. https://doi.org/10.1016/j.ijans.2026.101007
Ramalingam, P., M, S., J, J., N, H., Ramanathan, K., Subramanian, S. S., Alhalaiqa, F., Samhan, G., & Abdelhadi, L. (2025). A Study to Assess the Level of Resilience and Quality of Life Among Patients with Diabetes Mellitus at Selected Villages Under Rural Health and Training Centre. Retos, (68), 1721–1728. https://doi.org/https://doi.org/10.47197/re- tos.v68.114530
Siallagan, A., Sinurat, S., & Gulo, P. (2023). Spiritualitas Dan Kualitas Hidup Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Balam Medan. Gema Kesehatan, 15(2), 130–138. https://doi.org/10.47539/gk.v15i2.427
Surabaya, D. K. K. (2024). Laporan Tahunan Tahun 2023.
Tamornpark, R., Utsaha, S., Apidechkul, T., Panklang, D., Yeemard, F., & Srichan, P. (2022). Quality of life and factors associated with a good quality of life among diabetes mellitus patients in northern Thailand. Health and Quality of Life Outcomes, 20(1). https://doi.org/10.1186/s12955-022-01986-y
Ting, Z., Huicai, W., Kudelati, Z., Yongkang, G., Alimu, A., Xiaotian, Z., Xingge, Q., & Tong, L. (2025). Exploring the Dynamics of Self-Efficacy, Resilience, and Self-Management on Quality of Life in Type 2 Diabetes Patients : A Moderated Mediation Approach from A Positive Psychology Perspective. PLOS One, 20(1), 1–18. https://doi.org/https://doi.org/10.1371/journal. pone.0317753
Teli, M., Thato, R., & Rias, Y. A. (2023). Predicting Factors of Health-Related Quality of Life Among Adults With Type 2 Diabetes: A Systematic Review. In SAGE Open Nursing (Vol. 9). SAGE Publications Inc. https://doi.org/10.1177/23779608231185921
Utama, G. Y., Prapti, N. K. G., & Widyanthari, D. M. (2022). Hubungan Self Efficacy dengan Resiliensi pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan, 14(3), 731–738.
Wardika, I. J., Widayati, N., & Ridla, A. Z. (2024). Resilience and Quality of Life on Type 2 Diabetes Mellitus Patients with Chronic Complications. Nursing and Health Sciences Journal (NHSJ), 4(2), 150–158. https://doi.org/10.53713/nhsj.v4i2.311
Wicaturatmashudi, S., Soewondo, P., Dahlia, D., Asih, S. R., Gayatri, D., & Aryani, R. (2024). Impact of Self-Management on the Quality of Life of Patient with Diabetes Mellitus: A Systematic Review. Jurnal Promkes, 12(1), 120–128. https://doi.org/10.20473/jpk.v12.i1.2024.120-128
Wilson, A. L., Mcnaughton, D., Meyer, S. B., & Ward, P. R. (2017). Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia. Archives of Public Health, 75(56), 1–13. https://doi.org/10.1186/s13690-017-0222-8
Wirkkala, J., Kubin, A.-M., Ohtonen, P., Falck, A., & Hautala, N. (2023). Outcomes of 35-year duration of type 1 diabetes and proliferative diabetic retinopathy on functional vision and quality of life: Benefits of good glycemic control. Journal of Diabetes and Its Complications, 37(2).
Zahra, K., Khan, S., & Sadia, R. (2025). Gender Difference across Diabetes Distress, Cognitive Emotional Regulation, and Diabetes Related Quality of Life among Type II Diabetics. Foundation University Journal of Psychology, 9(2). https://doi.org/10.33897/fujp.v9i2.783
Zeng, Z., Wang, X., Chen, Y., Zhou, H., Zhu, W., Xiong, X., Tang, J., & Zhao, Q. (2023). Health-related quality of life in Chinese individuals with type 2 diabetes mellitus: a multicenter cross-sectional study. Health and Quality of Life Outcomes, 21(1). https://doi.org/10.1186/s12955-023-02183-1
Aslani, F., Gheibizadeh, M., Ghanbari, S., & Jahanshahi, A. (2026). Investigating The Role of Health Literacy, Resilience, and Adherence to Treatment in Predicting Quality of Life in Patients with Type 2 Diabetes. Journal of Education and Health Promotion, 15, 1–9. https://doi.org/10.4103/jehp.jehp_1948_24
Alzahrani, O., Fletcher, J. P., & Hitos, K. (2023). Quality of life and mental health measurements among patients with type 2 diabetes mellitus: a systematic review. In Health and Quality of Life Outcomes (Vol. 21, Number 1). BioMed Central Ltd. https://doi.org/10.1186/s12955-023-02111-3
Balitbang. (2013). RISET KESEHATAN DASAR Riskesdas 2013.
Cho, S. E., Kwon, M., & Kim, S. A. (2022). Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes. Healthcare (Switzerland), 10(10). https://doi.org/10.3390/healthcare10101983
Ciarambino, T., Crispino, P., Leto, G., Mastrolorenzo, E., Para, O., & Giordano, M. (2022). Influence of Gender in Diabetes Mellitus and Its Complication. In International Journal of Molecular Sciences (Vol. 23, Number 16). MDPI. https://doi.org/10.3390/ijms23168850
Deski, F. I. (2023). Pengaruh Mastery Learning terhadap Kompetensi Perawat Melakukan Pengkajian dan Perawatan Luka Ulkus Diabetikum di Rumah Sakit Aisyiyah Pariaman Tahun 2023. Universitas Andalas.
Homagarani, Y. M., Adlparvar, K., Teimuri, S., Tarrahi, M. J., & Nilchian, F. (2023). The effect of diabetes mellitus on oral health-related quality of life: A systematic review and meta-analysis study. https://www.crd.york.ac.uk/prospero/display_re
Indah, N., Haskas, Y., & BN, I. R. (2023). Hubungan Self Care Dengan Quality Of Life Serta Screening Risiko Ulkus Diabetik Pada Penderita Diabetes Melitus Tipe 2. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 3(2), 65–72.
Mahajan, A., & Muley, A. (2024). Assessment of lifestyle factors, stress levels, and quality of life among people with Type 2 Diabetes Mellitus. Discover Public Health, 21(1). https://doi.org/10.1186/s12982-024-00173-2
Mei, Y., Yang, X., Gui, J., Li, Y., Zhang, X., Wang, Y., Chen, W., Chen, M., Liu, C., & Zhang, L. (2023a). The Relationship Between Psychological Resilience and Quality of Life Among The Chinese Diabetes Patients : The Mediating Role of Stigma and The Moderating Role of Empowerment. BMC Public Health, 23(2043), 1–11. https://doi.org/https://doi.org/10.1186/s12889-023-16927-7
Mendorf, S., Heimrich, K. G., Mühlhammer, H. M., Prell, T., & Schönenberg, A. (2023). Trajectories of quality of life in people with diabetes mellitus: results from the survey of health, ageing and retirement in Europe. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1301530
Nakayama, I., Goto, A., Hayashino, Y., Suzuki, H., Yamazaki, K., Izumi, K., & Noda, M. (2022). Employment status and diabetic outpatient appointment non-attendance in middle to senior working generation with type 2 diabetes: the Japan diabetes outcome intervention trial-2 large scale trial 005 (J-DOIT2-LT005). Acta Diabetologica, 59(6), 793–801. https://doi.org/10.1007/s00592-022-01869-0
Naryati, N., & Setiawati, Y. (2022). Hubungan Kesejahteraan Spiritual dengan Kemampuan Resiliensi pada Penderita Diabetes Millitus Tipe 2 di Ruang Rawat Inap Rumah Sakit Tingkat II Moh. Ridwan Meuraksa. MANUJU : Malahayati Nursing Journal, 4(8), 2132–2146. https://doi.org/https://doi.org/10.33024/mnj.v4i8.6936
Nasriyah, C., & Marselin, A. (2021). The effects of complications, frequency of control and education level on quality of life of type 2 diabetes mellitus patients. International Journal Of Community Medicine And Public Health, 8(11), 5206. https://doi.org/10.18203/2394-6040.ijcmph20214040
Nurdiana, N., Kilo, M. F. H., & Basri, B. (2026). Hubungan Efikasi Diri dengan Kualitas Hidup dan Resiliensi pada Pasien Diabetes Melitus di Ruangan Rawat Inap RSUD Mokopido Tolitoli. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(4), 23363–23376. https://doi.org/https://doi.org/10.31004/jerkin.v4i4.5861
Onyishi, C. N., Eseadi, C., Ilechukwu, L. C., Okoro, K. N., Okolie, C. N., Egbule, E., Asogwa, E., Okoro, K. N., Okolie, C. N., Egbule, E., & Asogwa, E. (2022). Potential Influences of Religiosity and Religious Coping Strategies on People with Diabetes. World Journal of Clinical Cases, 10(25), 8816–8827. https://doi.org/10.12998/wjcc.v10.i25.8816
Parviniannasab, A. M., Faramarzian, Z., Hosseini, S. A., Hamidizadeh, S., & Bijani, M. (2024). The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18022-x
Pratiwi, I. N., Widyawati, I. Y., Dewi, L. C., & Chan, C. M. (2026). Association between Psychological Resilience and Glycemic Control in Young Adults With Newly Diagnosed Diabetes : A Systematic Review. International Journal of Africa Nursing Sciences, 24, 1–10. https://doi.org/10.1016/j.ijans.2026.101007
Ramalingam, P., M, S., J, J., N, H., Ramanathan, K., Subramanian, S. S., Alhalaiqa, F., Samhan, G., & Abdelhadi, L. (2025). A Study to Assess the Level of Resilience and Quality of Life Among Patients with Diabetes Mellitus at Selected Villages Under Rural Health and Training Centre. Retos, (68), 1721–1728. https://doi.org/https://doi.org/10.47197/re- tos.v68.114530
Siallagan, A., Sinurat, S., & Gulo, P. (2023). Spiritualitas Dan Kualitas Hidup Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Balam Medan. Gema Kesehatan, 15(2), 130–138. https://doi.org/10.47539/gk.v15i2.427
Surabaya, D. K. K. (2024). Laporan Tahunan Tahun 2023.
Tamornpark, R., Utsaha, S., Apidechkul, T., Panklang, D., Yeemard, F., & Srichan, P. (2022). Quality of life and factors associated with a good quality of life among diabetes mellitus patients in northern Thailand. Health and Quality of Life Outcomes, 20(1). https://doi.org/10.1186/s12955-022-01986-y
Ting, Z., Huicai, W., Kudelati, Z., Yongkang, G., Alimu, A., Xiaotian, Z., Xingge, Q., & Tong, L. (2025). Exploring the Dynamics of Self-Efficacy, Resilience, and Self-Management on Quality of Life in Type 2 Diabetes Patients : A Moderated Mediation Approach from A Positive Psychology Perspective. PLOS One, 20(1), 1–18. https://doi.org/https://doi.org/10.1371/journal. pone.0317753
Teli, M., Thato, R., & Rias, Y. A. (2023). Predicting Factors of Health-Related Quality of Life Among Adults With Type 2 Diabetes: A Systematic Review. In SAGE Open Nursing (Vol. 9). SAGE Publications Inc. https://doi.org/10.1177/23779608231185921
Utama, G. Y., Prapti, N. K. G., & Widyanthari, D. M. (2022). Hubungan Self Efficacy dengan Resiliensi pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan, 14(3), 731–738.
Wardika, I. J., Widayati, N., & Ridla, A. Z. (2024). Resilience and Quality of Life on Type 2 Diabetes Mellitus Patients with Chronic Complications. Nursing and Health Sciences Journal (NHSJ), 4(2), 150–158. https://doi.org/10.53713/nhsj.v4i2.311
Wicaturatmashudi, S., Soewondo, P., Dahlia, D., Asih, S. R., Gayatri, D., & Aryani, R. (2024). Impact of Self-Management on the Quality of Life of Patient with Diabetes Mellitus: A Systematic Review. Jurnal Promkes, 12(1), 120–128. https://doi.org/10.20473/jpk.v12.i1.2024.120-128
Wilson, A. L., Mcnaughton, D., Meyer, S. B., & Ward, P. R. (2017). Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia. Archives of Public Health, 75(56), 1–13. https://doi.org/10.1186/s13690-017-0222-8
Wirkkala, J., Kubin, A.-M., Ohtonen, P., Falck, A., & Hautala, N. (2023). Outcomes of 35-year duration of type 1 diabetes and proliferative diabetic retinopathy on functional vision and quality of life: Benefits of good glycemic control. Journal of Diabetes and Its Complications, 37(2).
Zahra, K., Khan, S., & Sadia, R. (2025). Gender Difference across Diabetes Distress, Cognitive Emotional Regulation, and Diabetes Related Quality of Life among Type II Diabetics. Foundation University Journal of Psychology, 9(2). https://doi.org/10.33897/fujp.v9i2.783
Zeng, Z., Wang, X., Chen, Y., Zhou, H., Zhu, W., Xiong, X., Tang, J., & Zhao, Q. (2023). Health-related quality of life in Chinese individuals with type 2 diabetes mellitus: a multicenter cross-sectional study. Health and Quality of Life Outcomes, 21(1). https://doi.org/10.1186/s12955-023-02183-1
Published
2026-06-29
How to Cite
RAMADHANI, Dwi Yuniar; HARDIYANTI, Siti.
Resilience and Quality of Life of People with Diabetes Mellitus.
Adi Husada Nursing Journal, [S.l.], v. 12, n. 1, p. 62-70, june 2026.
ISSN 2502-2083.
Available at: <https://adihusada.ac.id/jurnal/index.php/AHNJ/article/view/699>. Date accessed: 02 july 2026.
doi: https://doi.org/10.37036/ahnj.v12i1.699.
Section
Articles
Keywords
Diabetes Mellitus, Resilience, Quality of Life
This work is licensed under a Creative Commons Attribution 4.0 International License.
