IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 6 Ver. III. (Nov.- Dec .2017), PP 32-37 www.iosrjournals.org DOI: 10.9790/1959-0606033237 www.iosrjournals.org 32 | Page Relation Between Self-Efficacy And Quality Of Life Domain In Patients With Type 2 Diabetes Mellitus (A Case Study Of Public Hospitals Type B In Semarang) Ns. Anna Kurnia, S.Kep 1 Dr.dr. K HeriNugroho HS, Sp.PD, K-EMD, FINASIM 2 Ns. NikenSafitriDyanKusumaningrum, S.Kep.,MSi.Med 3 1 (Student of Master of Nursing at Diponegoro University - Indonesia) 2 (Lecture of Medical Faculty at Diponegoro University - Indonesia) 3 (Lecture of Master of Nursing at Diponegoro University - Indonesia) Abstract: The prevalence of patients with Type 2 Diabetes Mellitus (T2DM) increases every year. The quality of life of diabetic patients is worse than the general population. Self-efficacy can be a consistent predictor of the quality of life. It is an important factor which leads to behavioral and mindset changes to minimize the symptoms and improve the quality of life. This study aimed to determine the relationship between self-efficacy and quality of life in patients with T2DM. This study used a correlational analytical design with a cross sectional approach. The respondents were patients with T2DM (n=189) who visited the medical polyclinics in Semarang City Public Hospital and Tugurejo Hospital in Semarang. The self-efficacy was assessed using a questionnaire of Diabetes Management Self-Efficacy Scale (DMSES), while the quality of life was assessed using a questionnaire of Audit of Diabetes-Dependent Quality of Life (ADDQOL). The data were analyzed using a chi-square test. The results indicated a relationship between self-efficacy and quality of life in patients with T2DM with a p-value of 0.016. Furthermore, there was a relationship between self-efficacy with 4 out of 18 domains of quality of life, including sex life, physical appearance, self-confidence, and worries about the future. There was no relationship between self-efficacy and age, sex, duration of DM, diabetic complications, and economic status. Self-efficacy assessment can help nurses acquire necessary information about the patients’ readiness to engage in behavioral changes towards the improvement of their disease condition and self- management which will further enhance their quality of life. Keywords: Type 2 Diabetes Mellitus, Self-efficacy, Quality of life --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 07-11-2017 Date of acceptance: 18-11-2017 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction DMT2 was epidemic that affected 285 million people in the world. 1 Survey in several countries show that 6,4% or 285 million people experience DM in 2010 and this number predicted will be increase to 7,7% or 439 million in 2030. World HealthOrganization (WHO) says that Indonesia is biggest 4th DM's contributor with prevalance reaching 1,1% and predicted will be reaching 21,3 million people in 2030 which 80% is DMT2 patient. 2,3 DMT2 prevalence increase rapidly because elderly population and lifestyle changes. 4 DM treatment start from changing lifestyle, such as dietary habit and exercise. If the glucose has not reach the target in normal range, then it can be given pharmacological intervention. Generally DM treatment consist of 5 pillars that is education, medical nutrition therapy, physical exercise, pharmacological intervention and blood sugar check independently. Wrong DM treatment can impact DM disease physically and psychologically. DM complication can appear in 5 – 10 years after the diagnosis is established. Wrong management can causes serious complication in DMT2 such as heart disease, nephropathyi, retinopathy and neuropathyi. Complication can causes daily life becomes more difficult that causes prolonged sadness. Stress condition in blood sugar control of patient DM can also causes decrease of patient quality of life. 5,6, 7,8 Quality of life often used to measure how much chronic disease interfere someone's daily life. 9 Quality of life patient with DM was worse than people in general. 10 This was because DM will accompany patient for their whole life with uncontrolled complication so that affect patient's quality of life physically, psychologically, social and environment. 10,11 Patient obedience to regimen treatment of chronic disease, generally low. That was one of obstacles in achievement of treatment goals so that the target of treatment not achieved. Diabetic management was integral of behavior that shows in daily life so that their life can be more qualified because quality of life is individual's needs. Patient's faith so that they can perform behaviors that support the improvement of the disease and increase self management is called self-efficacy. Self-efficacy is the main thing in health behavior's model have