Patient Self-care Management Research Articles

Predictors of self-care in patients with cancer treated with oral anticancer agents: A systematic review.

In the last two decades, the use of oral anticancer agents (OAAs) has increased in cancer patients. Despite this, patients and their caregivers face some challenging issues (side effects, drug-to-drug interactions, etc.) related to OAA administration. The three dimensions of self-care by Riegel et al., self-care maintenance (i.e., stability of patient condition), self-care monitoring (i.e., detection of side effects), and self-care management (i.e., management of side effects), may be implemented to avoid negative outcomes. However, knowledge of self-care determinants is necessary to recognise people at risk of poor self-care behaviours. Determine which are the predictors of self-care maintenance, self-care monitoring and self-care management in patients with cancer taking OAA. A systematic review with narrative synthesis was conducted. We included studies on adult patients with cancer using any kind of oral anticancer agent and describing a predictor of self-care. The search was performed on PubMed, CINAHL/PsycINFO, and Web of Science. Of 3,061 records, 45 studies were included in this review. Forty-six predictors organised into 14 categories were identified. In general, all studies focused only on adherence, considered as a self-care maintenance component, and none of them focused on other dimensions of self-care. The predictors of OAA adherence most reported were age, side effects, and socioeconomic factors (e.g., insurance status, and annual income). This systematic review highlighted the literature gap on the analysis of determinants of self-care behaviours in patients taking OAAs. This element could be a starting point for future research that can provide elements to support the oncology nursing research agenda, aimed at recognising patients at risk of poor self-care.

Evaluating dyadic factors associated with self-care in patients with heart failure and their family caregivers: Using an Actor-Partner Interdependence Model

Dyadic conditions of patients with heart failure and their caregivers may affect both patient self-care and caregiver contribution to patient self-care (CCPS). The purpose of this study was to examine the relationships of patient-caregiver physical function and depressive symptoms to the patient self-care (maintenance and management) and CCPS. Data from 55 were analyzed using an Actor–Partner Interdependence Model to address the aim through AMOS. Patient self-care was very poor. Better patient physical function was related to better patient self-care management (actor effect) and poorer CCPS maintenance (partner effect). Better caregiver physical function was related to CCPS management (actor effect). Severer patient depressive symptoms were related to poorer patient self-care maintenance (actor effect) and poorer CCPS management (partner effect). Physical function and depressive symptoms in patient-caregiver dyads were related to patient self-care and CCPS. To improve patient self-care and CCPS, dyadic support for physical function and depressive symptoms is needed.

The Effect of Breathing Exercise on Self-Care Management in Chronic Obstructive Pulmonary Patients

Objectives: The aim of this study is to investigate the effect of breathing exercise on self-care management in chronic obstructive pulmonary patients. Methods: The study was conducted in a cross-sectional descriptive type with 415 COPD patients between 04.01-04.02.2023. COPD patient identification form and self-care management scale in chronic diseases were used to collect research data. The research data were evaluated with the statistical package program. Results: The rate of application of breathing exercises by the participants was found to be 47.7%. The mean self-care management of patients with COPD was found to be 93.53±35.32. It was determined that the mean of self-care management of the COPD patients who participated in the study who applied breathing exercise was 100.97±29.86, the mean of self-care management of the participants who did not apply respiratory exercise was 86.73±38.48, and the difference between the averages was statistically significant (p < .001). Conclusion: As a result of this study, it was determined that the level of application of breathing exercises in COPD patients was below fifty percent, and the level of self-care management was below the middle. It was determined that the practice of breathing exercise was effective on self-care management.

Self-care behaviors and their individual-level determinants in Italian adults with Marfan syndrome: A single-center cross-sectional study

AimThis study aimed to describe the levels of self-care behaviors and self-care self-efficacy in patients with Marfan syndrome and to identify the individual-level determinants of self-care behaviors. BackgroundThe behaviors aimed at maintaining health stability (self-care maintenance), monitoring signs and symptoms (self-care monitoring), and taking action when signs and symptoms occur (self-care management) are key aspects of the care for addressing the complexity of care of patients with Marfan syndrome. However, the description of self-care behaviors and their determinants in patients with Marfan syndrome are highly under-described. MethodsThe adopted design was descriptive observational with a cross-sectional data collection on 111 patients with MFS in a single Italian specialized and reference center for this disease between 2020 and 2021. ResultsPerforming healthy activities and managing illness, therapies, and follow-ups to maintain health over time (self-care maintenance) was almost adequate (mean score = 67.87 ± 13.17), as well as the ability to recognize signs and symptoms promptly (self-care monitoring, mean score = 67.95 ± 26.70). The ability to respond to symptoms when they occur (self-care management, mean score = 54.17 ± 19.94) was sub-optimal. The stronger positive predictor of each self-care behavior was self-care self-efficacy. ConclusionsThis study suggested prioritizing educational activities focused on enhancing self-care management in patients with Marfan syndrome and strengthening their self-care self-efficacy. Researchers should develop and validate evidence-based educational approaches to enhance self-care in patients with Marfan syndrome, and clinical nurses should strengthen their focused educational activities to improve the self-care management of these patients.

Does Education Influence Self Care Management in Diabetes Mellitus Patients? : Systematic Review

Background: Diabetes mellitus is a major health problem in society. Indonesia ranks 7th out of 10 countries—metabolic disorders in the body cause diabetes. Several factors also influence the occurrence of diabetes mellitus, including genetic factors, age, and lifestyle (eating patterns and daily activities). This research aims to determine the effect of health education on self-care management in type 2 diabetes mellitus patients. Methods: The method used in this research is a systematic review with systematic reviews (PRISMA) using several journal databases from Google Scholar, Science Direct, and Pubmed. from 2020-2024 with the keywords " Diabetes mellitus, "" health education," or " self-care management." Articles that are ready to be reviewed are ten articles obtained using PRISMA. Results: The results of a systematic review study show that providing diabetes self-management education has an influence on self-care management in patients with type 2 diabetes mellitus. Conclusion: It is hoped that the presence of diabetes self-management education will increase knowledge and change the individual's mindset so that they can care. themselves and prevent complications and will improve their quality of life

Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients

Introduction: The main purpose of disease management in hypertension, which is a chronic disease, is to ensure management through treatment and care behavior. Aim: The aim of study was to investigate the effct and relationship between self-care behavior profies of patients with hypertension on their self-care management. Method: This descriptive study was conducted on 268 hypertension patients who applied to the cardiology outpatient clinic of a university hospital in Ankara between September 2022 and March 2023. Results: The mean overall score of Self-Care Management in Chronic Diseases was 115.220 ± 23.745, while the mean of Hypertension Self-Care Profie Behavior Scale score was 46.246 ± 9.599. When the overall scores of the patients for the Hypertension Self-Care Profie Behavior Scale and the Self-Care Management in Chronic Diseases Scale were compared, a positive high-level correlation (r = 0.702; p < 0.05) was discovered. There was a strong correlation between self-care behavior and management in chronic diseases, according to regression analysis (F = 258.123; p < 0.05). The total change in self-care behavior level was explained by self-care management in chronic diseases by 49.1% (R2 = 0.491). Self-care management in chronic diseases increased the total level of self-care behavior (ß = 0.702). Conclusion: As a result of the research, it was revealed that hypertension patients with good self-care behavior were able to control their condition better and had less diffilty in managing the disease. Therefore, strengthening patients' self-care behaviors in the management of hypertension is an important issue that nurses should focus on.

Perception of Type 2 Diabetes Mellitus (T2DM) patients on diabetes self-care management in Fiji.

The prevalence of diabetes has increased globally where Type 2 Diabetes Mellitus (T2DM) is more common than any other type of diabetes. Self- care management education of diabetes provides skills and information for diabetic patients to effectively perform their own self diabetic self-care for optimum glycemic index control. As T2DM is a growing health issue in Fiji, promoting diabetes self manages among patients is a need, however there is lack of evidence in this regard. Therefore, the aim of this study is to explore the perception of T2DM patients on diabetic self-care management. This study used a qualitative method among T2DM patients regarding diabetic self-care management in Central Division, Fiji in 2022. This study was conducted in SOPD (Special Out Patient Department) clinics in the three chosen governmental health centers in the central division of Fiji. The study sample inclusion criteria were only T2DM patients, and no other types of diabetes, patients who are 18years and above, patients who are attending clinic at least for more than 6 months, self-identified as Fijian participants of any ethnicity or gender. The study settings were also purposively selected but the study sample was selected using purposive sampling. In depth interview using semi-structured open-ended questionnaires was used to collect data. Thematic analysis was done, followed by reviewing themes, defining and naming them. Thirty patients participated in this study. Five major themes emerged from the in-depth interview including; patient factors that affect diabetes self-care management, behavior and attitude towards T2DM self-care management, health services delivery, challenges and barriers faced by patients to perform diabetes self-care management, and recommendations to improve patient self-care management. Patients in this study have good knowledge about T2DM and the self-care management they have to perform. It is the patients' attitude and behavior towards T2DM self-care management that affects patients to perform self-care management. The study also showed patients have gained good knowledge from Health Care Workers (HCW). Socio-economic and psychological status also played a vital part in patients' self-care management. Apart from challenges, there were opportunities to learn the difficulties patients face in order to perform self-care management. The results of this study revealed a combination of individual, cultural, and health systematic related factors as the mots influencer of diabetes self-management among patients in Fiji. Patients have to take ownership of their own health in order to improve their blood sugar reading and reduce complication of diabetes. Tailored interventions that consider patients' belief and address potential challenges would be useful. A lot is needed in terms of upgrading facilities for the comfort of patients and need to collaborate more with other multidisciplinary team and stakeholders.

Illness perception, self-esteem and self-care management of patients on continuous ambulatory peritoneal dialysis: A cross-sectional study from a Tertiary Care Hospital in South India

Background: Chronic diseases are those conditions that last for more than a year requiring ongoing medical attention and crippling the activities of daily living. End-stage kidney disease invites significant psychosocial stressors and demands routine adaptation. It cha­llenges the patient with a constant fear of death, draining them physically and mentally, making them depen­dent on the healthcare team and having to follow complicated pharmacological regimes with dietary limitations. Objective: The study was intended to assess illness perception, self-esteem, and self-care management of patients on continuous ambulatory peritoneal dialysis. Methodology: Using quantitative approach, a descriptive study was undertaken for a period of six weeks in Peritoneal Dialysis unit of the Artificial Kidney Lab (AK Lab) of Christian Medical College, Vellore. A total of 63 patients were selected using total enumeration sampling technique. Data was collected using self-administered questionnaires namely Brief Illness Perception Questionnaire (B–IPQ), Current thoughts scale and Questionnaire on self-care management. Results: Most of the subject’s illness perception were moderately (42.86%) and severely affected (41.27%). On the whole, the subjects had higher self-esteem (mean = 71.49); however, the appearance self-esteem was rather low (19.67). All subjects had adequate self-care management. Conclusion: Patients undergoing CAPD perceive their illness as a threat and they have low appearance self-esteem. On the basis of this finding, formulation of guidelines for psychological management of these patients would help them to develop coping skills.

Abstract 15239: Patient Self-Care Mediates the Relationship Between Caregiver Contributions and Symptom Burden in Heart Failure

Introduction: Patients with heart failure (HF) experience high symptom burden that can be mitigated with adequate self-care. The situation-specific theory of caregiver contribution to HF self-care suggests that caregivers have a key role in improving patient symptom burden. Hypothesis: a) caregiver contribution to self-care influences patient self-care; b) patient self-care influences symptom burden; c) patient self-care mediates the relationship between caregiver contribution to self-care and symptom burden. Methods: Secondary analysis of baseline and three-months data from the MOTIVATE-HF trial, which enrolled 510 HF patient-caregiver dyads in Italy. Data were collected using the Self-Care of HF Index v.6.2, the Caregiver Contribution to Self-Care of HF Index, and the HF Somatic Perception Scale. Autoregressive longitudinal path analysis with contemporaneous mediation was used to test study hypotheses. Results: On average, caregivers were 54 ± 15.46 years and mainly female (74.5%), while patients were 72.4 ± 12.28 years and mainly male (68%). Better caregiver contribution to self-care maintenance was associated with better patient self-care maintenance (β=0.280, p<0.001), which, in turn, was associated with lower symptom burden (β=-0.280, p<0.001). Patient self-care maintenance mediated the effect of caregiver contribution to self-care maintenance on symptom burden (β=-0.079, 95% BC bootstrapped CI: -0.130, -0.043). Better caregiver contribution to self-care management was associated with better patient self-care management (β=0.238, p=0.006). The model accounted for 37% of the variance in symptom burden (p<0.001). Conclusions: Targeting caregivers to increase their contribution to self-care can increase patient self-care and, consequently, lower patients’ HF symptom burden.

Mediation by Fatalism of the Association Between Symptom Burden and Self-care Management in Patients With Heart Failure.

Clinicians and researchers often assume that symptom burden is associated with self-care management (SCM) in patients with heart failure (HF). However, that association is often not borne out in simple regression analyses and may be because another variable mediates the association. Fatalism is an appropriate candidate for mediation and is the belief that circumstances are predetermined without opportunity for control by individuals. Our objective was to determine whether fatalism mediated the relationship of symptom burden with SCM among adults with HF. We conducted a secondary analysis (N = 95) from a clinical trial. We used Self-care of HF Index to measure SCM, the Memorial Symptom Assessment Scale-HF for symptom burden, and the Cardiovascular Disease Fatalism Instrument to measure fatalism. We used the PROCESS macro to evaluate mediation. Symptom burden was not directly associated with SCM (effect coefficient [ C '] = 0.0805; 95% confidence interval, -0.048 to 0.209; P = .217). There was, however, an indirect pathway between symptom burden and SCM through fatalism ( ab = -0.040; 95% confidence interval, -0.097 to -0.002). Those with higher symptom burden were more fatalistic ( a = 0.004, P = .015), and greater fatalism was associated with worse SCM ( b = -9.132, P = .007). Symptom burden, not directly associated with SCM, is associated through the mediator of fatalism. Interventions to improve SCM should include strategies to mitigate fatalistic views. Self-care management interventions should focus on promoting internal locus of control or increasing perceptions of perceived control to decrease fatalism and improve engagement in self-care.

Faktor-faktor yang Berhubungan dengan Self-Care Management pada Pasien Penyakit Ginjal Kronik

This research aims to summarize the factors related to self-care management in chronic kidney disease (CKD) patients. A literature search was conducted using six databases: Pubmed, Scopus, EBSCOhost, Wiley Online Library, Taylor & Francis, and Garuda. The keywords used were "chronic kidney disease" AND "self-care management" OR "self-care behaviors" OR "self-care practices." The quality of the articles was assessed using the Critical Appraisal Skill Program (CASP) instrument. The search yielded 11 articles included in the review. We identified factors related to self-care management in CKD patients, including individual characteristics, health literacy, self-efficacy, CKD stages, family and peer support, healthcare facility support, and psychological factors. In conclusion, understanding the factors related to self-care management in CKD patients can assist healthcare professionals in comprehending the variables that contribute to CKD patient self-care management from various aspects, leading to improved quality of life, cost savings in treatment, and reduced hospitalization rates.
 Keywords: Chronic Kidney Disease, Self-Care Behaviors, Self-Care Management, and Self-Care Practices.

The Influence of Caregiver Contribution to Self-care on Symptom Burden in Patients With Heart Failure and the Mediating Role of Patient Self-care: A Longitudinal Mediation Analysis.

Patients with heart failure experience high symptom burden, which can be mitigated with adequate self-care. Caregiver contribution to self-care has been theorized to improve patient symptom burden. The mediating role of patient self-care in this relationship has not been tested yet. The aim of this study was to test whether (a) caregiver contribution to self-care influences patient self-care, (b) patient self-care influences symptom burden, and (c) patient self-care mediates the relationship between caregiver contribution to self-care and symptom burden. In this study, the authors conducted a secondary analysis of the baseline and 3-month data from the MOTIVATE-HF trial, which enrolled 510 dyads (patient with heart failure and caregiver) in Italy. Multigroup confirmatory factor analysis was used to test measurement invariance. Autoregressive longitudinal path analysis with contemporaneous mediation was used to test our hypotheses. On average, caregivers were 54 years old and mainly female, whereas patients were 72.4 years old and mainly male. Better caregiver contribution to self-care maintenance was associated with better patient self-care maintenance (β = 0.280, P < .001), which, in turn, was associated with lower symptom burden (β = -0.280, P < .001). Patient self-care maintenance mediated the effect of caregiver contribution to self-care maintenance on symptom burden (β = -0.079; 95% bias-corrected bootstrapped confidence interval, -0.130 to -0.043). Better caregiver contribution to self-care management was associated with better patient self-care management (β = 0.238, P = .006). The model significantly accounted for 37% of the total variance in symptom burden scores (P < .001). This study expands the situation-specific theory of caregiver contribution to heart failure self-care and provides new evidence on the role of caregiver contribution to self-care and patient self-care on symptom burden in heart failure.

Effect of an Educational Intervention on Self Care Management of Patients with Retinopathy

Effect of an Educational Intervention on Self Care Management of Patients with Retinopathy

The association between physical symptoms and self-care behaviours in heart failure patients with inadequate self-care behaviours: a cross-sectional study

BackgroundPatients with heart failure frequently report inadequate self-care behaviours. Physical symptoms can impact patients’ ability to perform self-care behaviours. However, studies investigating the association between physical symptoms and heart failure self-care behaviours have produced inconsistent findings, potentially due to variations in the determinants of self-care behaviours among patients with differing levels of self-care proficiency. Understanding the association between physical symptoms and self-care behaviours in heart failure patients with inadequate self-care behaviours could improve care for this subpopulation. The study aimed to explore the association between physical symptoms and self-care behaviours in Chinese heart failure patients with inadequate self-care behaviours.MethodsThis analysis was based on primary data from a cross-sectional study that aimed to investigate factors associated with self-care in heart failure patients. Physical symptoms were measured using the Heart Failure Somatic Perception Scale. Self-care behaviours (i.e., self-care maintenance and management) of heart failure were measured using the Self-Care of Heart Failure Index (version 6.2). Patients who reported scores < 70 on both self-care maintenance and management behaviours were eligible and included in the analysis. Hierarchical regression analysis was performed to explore the association between physical symptoms and self-care behaviours.ResultsA total of 189 patients were included in the analysis, with a mean age of 65 years and a median duration of living with heart failure of 24 months. Most participants were classified as New York Heart Association class III or IV. Dyspnoea symptoms were the most frequently reported physical symptoms. The results of the hierarchical regression analysis showed that the severity of physical symptoms was positively associated with self-care management behaviours (β = 0.157, 95% CI: 0.010, 0.368, p = 0.039) but not significantly associated with self-care maintenance behaviours (β = -0.133, 95% CI: -0.316, 0.026, p = 0.097).ConclusionsBased on the data collected in Changsha, China, we found that patients with HF with poor self-care experienced more dyspnoea symptoms. Severe HF physical symptoms might serve as drivers for better self-care management in patients with inadequate self-care behaviours. Effective care and support should be provided when physical symptoms worsen to facilitate patients’ engagement in self-care behaviour in this subpopulation.

Description of self care management in hypertension patients

Hypertension or high blood pressure is often referred to as the silent killer because the patient does not know that he or she has hypertension. Hypertension is also known as heterogeneous group disease because it can affect anyone and various age, social, and economic groups. Hypertension is also the third biggest risk factor that causes premature death because it can trigger congestive heart failure and cerebrovascular disease. Self care management is an activity carried out by patients with the intention of improving one's well-being, because of their awareness of the time frame for maintaining life, continuing personal development and living a healthy functional life. The purpose of this study was to identify self care management in hypertensive patients at Santa Elisabeth Hospital Medan. This type of research is a descriptive research design with a cross sectional approach. Sampling in this study used a total sampling technique, the number of samples was 136 people. The results showed that self-care management in hypertensive patients was based on self-integrity with a sufficient category of 90 people (72.7%), self-care management in hypertensive patients based on self-regulation with a sufficient category of 66 people (48.5%), self-care management in hypertension patients based on interaction with other health workers with sufficient category as many as 77 people (56.6%), self care management in patients with hypertension based on monitoring other health workers sufficient category as many as 74 people (54.4%), self care management in hypertension patients based on compliance with the recommended rules category enough for 66 people (48.5%). It is hoped that health workers will improve the provision of health education for hypertensive patients, provide information to improve the quality of life of hypertensive patients by doing good self care management.

The relationship between health literacy and self-care management in patients with hypertension attending primary healthcare centers

The relationship between health literacy and self-care management in patients with hypertension attending primary healthcare centers

The association between Electronic Health Literacy and Self-care Management in Adults with Type-2 Diabetes

Purpose: E-health illiteracy has disadvantages including misevaluation of medical information displayed on the internet. Both effective self care management and e-health literacy are important terms in order to control of the chronic diseases. The aim of this study is to determine the relationship between e-health literacy and the self-care management of patients with Type-2 diabetes. Materials and Methods: The type of the study is descriptive. A questionnaire was applied to individuals who have been diagnosed with Type-2 diabetes in the endocrine policlinic of the internal medicine clinic of a tertiary state hospital in Istanbul, Turkey. The sample size was calculated as 384 by accepting the adequate e-health literacy rate among Type-2 diabetes patients as 50%, the margin of error 5%, and the confidence level as 95%. In addition to sociodemographical questions; our questionnaire contains two scales: Self-Care Management Protection scale and the E-health Literacy Scale. Number (n) and percentage (%) values were used in the expression of descriptive data. Mean, standard deviation, median and minimum, maximum values were given. For data comparison; Mann-Whitney U test was used for non-normally distributed variables. The Spearman correlation used to measure the linear relation between two numeric variables. Significance level has been accepted as p&lt;0.05. Results: Totally 330 patients were included our study by a participation rate of 85.9 %. The mean age of the participants was 57.74±13.83 and 52.4% were female. A positive correlation was observed between scores of e-health literacy scale and self-care management scale (r=0.235, p&lt;0.001) and self- protection subscale of self-care management scale (r= 0.345, p&lt;0.001). A negative correlation exists between age and e-health literacy (r= -0.419, p&lt;0.001). Conclusions: The results support the claim that individuals with a higher e-health literacy can better able to control their disease through self- management.

Peningkatan Self Management Melalui Program Telemonitoring Terhadap Kepatuhan Medikasi Pasien Congestive Heart Failure (CHF): A Literatur Review

Congestive Heart Failure (CHF) is a chronic complex syndrome characterized by the inability of the heart to support Congestive Heart failure is a clinical syndrome characterized by shortness of breath, swelling of the ankles, and fatigue. One of the actions taken for the treatment is to improve self-management and patient medication adherence through a telemonitoring program. The study review's purpose was to identify the effect of a telemonitoring program in improving the self-management of congestive heart failure patients on medication adherence. The literature review used some electronic databases including Pubmed, Google Scholar, and ScienceDirect, and obtained seven articles that meet the inclusion criteria. The results showed that the telemonitoring program was effective in increasing medication adherence, blood pressure control adherence, improving medication regimens, reducing treatment costs, and improving self-management of patients with congestive heart failure. The telemonitoring program becomes an appropriate solution to enhance patient self-management on medication adherence as prevention and management of this disease. Telemonitoring programs were also known to reduce readmission of congestive heart failure patients to hospitals or clinics, reduce treatment costs, increase adherence to treatment regimens, and patient self-care management.

How is the SelfCare Management of Patients with Type II Diabetes Mellitus ?- Characteristics and Knowledge

Background: Diabetes mellitus is a long-term disease characterized by increased blood sugar levels. The number of people with diabetes mellitus in Indonesia continues to increase from year to year. Diabetes control can be done with self care management which can be influenced by the characteristics of diabetics, knowledge, attitudes and behavior. Objective: To find out about the relationship between characteristics and knowledge with self care management in patients with type II diabetes mellitus. Research Methods: Quantitative research with analytical descriptive type and using a cross sectional approach. The population of this study was all patients with type II diabetes mellitus in the Kemyoran District Health Center aged 45 years and over with a sample of 93 respondents and using purposive sampling technique. The instrument used was a questionnaire and analyzed using the Chi-Square test. Results: In this study, the results of the Chi-Square test showed that the variables of age (p=0.013), gender (p=0.764), education (p=0.003), duration of diabetes mellitus (p=0.012) and knowledge (p= 0.005 Conclusion: there is a relationship between age, education, duration of diabetes mellitus and knowledge with self care management of patients with type II diabetes mellitus.&#x0D;

UPAYA PENINGKATAN SELF CARE MANAGEMENT MELALUI PENDEKATAN PEER GROUP SUPPORT PADA PASIEN DIABETES MELLITUS

One of the efforts to improve self care management in Patients with Diabetes Mellitus is to provide social support that can provide long-term support in Patients with Diabetes Mellitus. This social support can be provided in the form of peer group support. Objectives: This research aims to improve the self-care management abilities of diabetic mellitus patients and families in the community order. This research is a qualitative study with a grounded theory approach involving 10 people with diabetes mellitus. Data collection uses interview, observation and focus group discussion methods. Results: From the results of thematic analysis, four research themes were found, namely the benefits obtained from participating in peer group, changes in self care, barriers and motivation to join peer group . Conclusions: The application of peer group can increase the motivation of self care management of patients with diabetes mellitus. This study can be applied as one form of health care puskesmas by involving families and people with diabetes mellitus.&#x0D; &#x0D; Keywords: peer group, self care, grounded theory, motivation