The Relationship of Environmental Factors (Family Support, Health Worker Support and Friend Support) to the Improvement of Life Style Behavior in Diabates Mellitus Patients in the Pekanbaru City Health Center Area.

Abstract

 Diabetes mellitus is a chronic metabolic disease that can lead to serious complications, including damage to the eyes, kidneys, blood vessels, nerves and heart. A healthy lifestyle is important in the management of diabetes, but behavior change is often difficult to achieve without appropriate interventions. Although environmental factors (family support, friend support and health worker support) are one of the social cognitive theory, other factors must also be considered.Objectives This study aims to determine the relationship between family support, health worker support and friend support on improving the life style behavior of patients with diabetes mellitus. This research method uses descriptive and explanatory research approaches. The study population consisted of 326 patients with diabetes mellitus registered at five health centers in Pekanbaru City. The sampling technique used was probability sampling with random sampling method. The instrument used was a questionnaire to measure the variables of family support, health worker support and friend support on improving the life style behavior of diabetes mellitus patients. Data analysis was performed using descriptive analysis techniques and Partial Least Squares. The results showed a significant relationship between environmental factors and improving life style behavior (path coefficient = -0.314; t-statistic = 5.761).  Environmental factors have a significant effect on improving lifestyle behavior. can be integrated in diabetes management programs at the Puskesmas level. Promotive policies that encourage active social support are needed for sustainable healthy lifestyle changes.