Sebuah Storyline Mengenai Proses Bagaimana Penderita Diabetes di Indonesia Mempelajari Mengenai Penyakitnya

Titan Ligita, Intansari Nurjannah, Kristin Wicking, Nichole Harvey, Karen Francis



Latar Belakang: Edukasi diabetes bermanfaat pada perbaikan dalam pengelolaan diabetes secara mandiri serta peningkatan pengendalian kadar gula darahnya. Tetapi, sampai dengan saat ini belum terdapat penelitian dan publikasi mengenai proses bagaimana penderita diabetes di Indonesia mempelajari tentang penyakitnya.

Tujuan: Adapun tujuan dari penulisan artikel ini adalah untuk menyampaikan hasil penelitian melalui sebuah storyline/alur cerita yang dikembangkan dari sebuah penelitian grounded theory.

Metode: Studi penelitian yang dimaksud ini bertujuan untuk memahami lebih baik proses bagaimana penderita diabetes mempelajari mengenai penyakitnya melalui metodologi grounded theory. Dua puluh enam partisipan diperoleh melalui metode purposive dan theoretical sampling. Wawancara dilakukan kepada partisipan.

Hasil: hasil penelitian menunjukan pengembangan sebuah teori “Learning, choosing, and acting: self-management of diabetes in Indonesia” (Mempelajari, memilih dan bertindak: manajemen diri diabetes di Indonesia) yang merupakan proses penderita diabetes mempelajari tentang penyakitnya, yang bersifat siklus dan linier.

Kesimpulan: Sebuah storyline atau alur cerita digunakan untuk menjelaskan teori mengenai proses mempelajari, memilih dan bertindak dalam manajemen diri diabetes ini. Rekomendasi ditekankan pada perbaikan dalam memberikan edukasi pada penderita diabetes.



Background: Diabetes education is beneficial to enhance both knowledge and attitudes towards self-care management and glycemic control improvement. However, little is known about the process of how people with diabetes in Indonesia receive and engage in education that promotes their health.

Objective: The purpose of this article is to share the findings in the form of a storyline developed from a grounded theory study.

Method: The aim of the study was to better understand this process using grounded theory methodology. Twenty-six participants were recruited through purposive and theoretical sampling methods. The participants were interviewed.

Result: The results showed a cyclic and dynamic process that lead to the development of a theory entitled Learning, choosing, and acting: self-management of diabetes in Indonesia.

Conclusion: This theory will be explicated using a storyline, along with recommendations to help improve the provision of diabetes education.


diabetes; grounded theory; manajemen diri; proses belajar; storyline

Full Text:



Australian College of Nursing. (2014). Person-centred care. Retrieved 14 February 2018

Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics (Vol. 5th). New York, N.Y: Oxford University Press.

Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (Vol. 6th). New York: Oxford University Press.

Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (Vol. Seventhition.). New York: Oxford University Press.

Birks, M. (2014). Practical philosophy. In J. Mills & M. Birks (Eds.), Qualitative methodology: A practical guide (pp. 17-30). Thousand Oaks, CA; London: SAGE.

Birks, M., & Mills, J. (2015). Grounded theory: A practical guide. Thousand Oaks, CA: SAGE.

Birks, M., Mills, J., Francis, K., & Chapman, Y. (2009). A thousand words paint a picture: The use of storyline in grounded theory research. Journal of Research in Nursing, 14(5), 405-417. doi:10.1177/1744987109104675

Blumer, H. (1969). Symbolic interactionism: Perspective and method. Berkeley: University of California Press.

Caballero, A. E. (2007). Cultural Competence in Diabetes Mellitus Care: An Urgent Need. Insulin, 2(2), 80-91. doi:10.1016/S1557-0843(07)80019-4

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: SAGE.

Charmaz, K. (2014). Constructing grounded theory (2nd ed.). London: SAGE.

Corbin, J. M., & Strauss, A. L. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Los Angeles: Sage Publications, Inc.

Crangle, C. E., Bradley, C., Carlin, P. F., Esterhay, R. J., Harper, R., Kearney, P. M., . . . Savage, E. (2017). Soliciting and responding to patients' questions about diabetes through online sources. Diabetes Technology & Therapeutics, 19(3), 194-199. doi:10.1089/dia.2016.0291

Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, Calif: SAGE Publications.

Funnell, M. M. (2011). The National Diabetes Education Program. The American Journal of Nursing, 111(12), 65.

Glaser, B. G. (1998). Doing grounded theory: Issues and discussions. Mill Valley, CA: Sociology Press.

Hackel, J. M. (2013). 'Patient-Centered Care' for Complex Patients with Type 2 Diabetes Mellitus-Analysis of Two Cases. Clinical Medicine Insights: Endocrinology and Diabetes, 2013(6), 47-61. doi:10.4137/CMED.S12231

Hartayu, T. S., Izham, M., & Suryawati, S. (2012a). Improving of type 2 diabetic patients knowledge, attitude and practice towards diabetes self-care by implementing community-based interactive approach-diabetes mellitus strategy. BioMed Central Research Notes, 5(1), 315-315. doi:10.1186/1756-0500-5-315

Hartayu, T. S., Izham, M., & Suryawati, S. (2012b). Improving type 2 diabetes patients' quality of life by using a community-based interactive approach-diabetes mellitus strategy in Yogyakarta, Indonesia. Journal of Pharmaceutical Health Services Research, 3(2), 95-102. doi:10.1111/j.1759-8893.2012.00088.x

Higginbottom, G., & Lauridsen, E. I. (2014). The roots and development of constructivist grounded theory. Nurse Researcher, 21(5), 8-13. doi:10.7748/nr.21.5.8.e1208

Javalkar, K., Williamson, N., Vaidya, S., Vaidya, A., & Ferris, M. (2016). The association between educational resource utilization and knowledge/self-management among patients with type 2 diabetes in Pune, India. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 10(4), 186-189. doi:10.1016/j.dsx.2016.06.002

Klein, H. A., Jackson, S. M., Street, K., Whitacre, J. C., & Klein, G. (2013). Diabetes self-management education: Miles to go. Nursing Research and Practice, 2013, 581012-581015. doi:10.1155/2013/581012

Ligita, T., Francis, K., Wicking, K., Harvey, N., & Nurjannah, I. (In Press). Using a storyline for bilingual dissemination of a grounded theory. Nurse Researcher.

Ligita, T., Wicking, K., Harvey, N., & Mills, J. (2018). The profile of diabetes healthcare professionals in Indonesia: A scoping review. International Nursing Review, 65(3), 349-360. doi:10.1111/inr.12418

Ligita, T., Wicking, K., Harvey, N., Nurjannah, I., & Francis, K. (2019). How people living with diabetes in Indonesia learn about their disease: A grounded theory study. Plos One, 14(2). doi:

Mills, J. (2014). Methodology and methods. In J. Mills & M. Birks (Eds.), Qualitative methodology: A practical guide (pp. 31-48). Thousand Oaks, CA; London: SAGE.

Mills, J., Birks, M., & Hoare, K. (2014). Grounded theory. In J. Mills & M. Birks (Eds.), Qualitative methodology: A practical guide (pp. 107-122). Thousand Oaks, CA; London: SAGE.

National Institute for Health Research and Development. (2013). 'Riset Kesehatan Dasar'. Jakarta: Ministry of Health Republic of Indonesia.

National Institute for Health Research and Development. (2018). 'Riset Kesehatan Dasar'. Jakarta: Ministry of Health Republic of Indonesia.

Ng, N., Nichter, M., Padmawati, R. S., Prabandari, Y. S., Muramoto, M., Nichter, M., . . . Institutionen för folkhälsa och klinisk, m. (2010). Bringing smoking cessation to diabetes clinics in Indonesia. Chronic Illness, 6(2), 125-135. doi:10.1177/1742395310364253

Patel, N. R., Kennedy, A., Blickem, C., Reeves, D., & Chew-Graham, C. (2016). "I'm managing my diabetes between two worlds": Beliefs and experiences of diabetes management in British South Asians on holiday in the east-a qualitative study. Journal of Diabetes Research, 1-8. doi:10.1155/2016/5436174

Rice, T. (2016). Person-centred care in diabetes: A must have. Australian Nursing and Midwifery Journal, 23(9), 43.

Sae-Sia, W., Maneewat, K., & Kurniawan, T. (2013). Effect of a self-management support program on diabetic foot care behaviors. International Journal of Research in Nursing, 4(1), 14-21.

Stuckey, H. L., Vallis, M., Burns, K. K., Mullan-Jensen, C. B., Reading, J. M., Kalra, S., . . . Peyrot, M. (2015). "I Do My Best To Listen to Patients": Qualitative Insights Into DAWN2 (Diabetes Psychosocial Care From the Perspective of Health Care Professionals in the Second Diabetes Attitudes, Wishes and Needs Study). Clinical therapeutics, 37(9), 1986-1998. doi:10.1016/j.clinthera.2015.06.010

van der Heide, I., Uiters, E., Rademakers, J., Struijs, J. N., Schuit, A. J., & Baan, C. A. (2014). Associations Among Health Literacy, Diabetes Knowledge, and Self-Management Behavior in Adults with Diabetes: Results of a Dutch Cross-Sectional Study. Journal of Health Communication, 19(Suppl 2), 115-131. doi:10.1080/10810730.2014.936989

Waspadji, S., Ranakusuma, A. B., Suyono, S., Supartondo, S., & Sukaton, U. (1983). Diabetes mellitus in an urban population in Jakarta, Indonesia. The Tohoku Journal of Experimental Medicine, 141 Suppl, 219.

World Health Organization. (2014). Indonesia: Country profile. Global Health Observatory (GHO) data: Indonesia. Retrieved from

Yacoub, T. G. (2014). Combining clinical judgment with guidelines for the management of type 2 diabetes: overall standards of comprehensive care. Postgrad Med, 126(3), 85-94. doi:10.3810/pgm.2014.05.2758.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

IJNP (Indonesian Journal of Nursing Practices) are indexed by:


School of Nursing, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta
Siti Walidah Building F3, 4th floor.
JL. Brawijaya, Tamantirto, Kasihan, Bantul, Yogyakarta 55183

Creative Commons License
Indonesian Journal of Nursing Practice is licensed under a Creative Commons Attribution 4.0 International License.

View My Stats