Experiences of Productive-Age Diabetes Mellitus Patients in Maintaining Kidney Function through Healthy Lifestyle Changes
Keywords:
Diabetes Mellitus, healthy lifestyle, patient experiences, qualitative, phenomenologyAbstract
Diabetes Mellitus (DM) in productive-age patients is a public health challenge. One of the serious complications of DM is impaired kidney function. Healthy lifestyle changes have the potential to help maintain kidney function, but understanding of patient experiences in maintaining kidney function through a healthy lifestyle is still limited. This study aims to explore the experiences of productive-age DM patients in their efforts to maintain kidney function through healthy lifestyle changes. Methods: This study used a qualitative research method with a phenomenological approach. A purposive sample of productive-age DM patients aged 20–45 who had undergone DM therapy for at least 2 years was selected. Data were collected through in-depth interviews, recorded, transcribed, and then analyzed using thematic analysis. The results of this study examined patient experiences in terms of knowledge about kidney risks, motivation to make lifestyle changes, challenges and barriers, adaptation strategies, the role of family/environmental support, and perceptions about efforts to maintain kidney function. Conclusion: A thorough understanding of patient experiences can assist nurses and healthcare teams in designing educational interventions and healthy lifestyle support tailored to the needs of productive-age DM patients.
References
Alfina Imanissa S. (2021). Bab I Pendahuluan 1. Journal of Chemical Information and Modeling, 1–7.
Bengkulu, P. K. P. (2023). Bengkulu, Profil Kesehatan Provinsi. 7(2).
Collins, S. P., Storrow, A., Liu, D., Jenkins, C. A., Miller, K. F., Kampe, C., & Butler, J. (2021)..
Greco, C. W., & Hall, J. M. (2023). Diabetic Kidney Disease: Goals for Management, Prevention, and Awareness. Encyclopedia, 3(3), 1145–1156. https://doi.org/10.3390/encyclopedia3030083
International, K. (2022). KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease. Kidney International, 102(5), S1–S127. https://doi.org/10.1016/j.kint.2022.06.008
Kesehatan, K. (2024). Profil Kesehatan Profil Kesehatan. In Buku.
Lu, Y., Huang, K., Fu, Y., Huang, X., Chen, K., Zheng, Q., Xiang, G., & Yue, L. (2025). Dietary and lifestyle oxidative balance score was negatively associated with the risk of diabetic kidney disease: NHANES 2005–2020. Acta Diabetologica, 62(6), 819–829. https://doi.org/10.1007/s00592-024-02399-7
Reutens, A. T., Prentice, L., & Atkins, R. C. (2008). The Epidemiology of Diabetic Kidney Disease. The Epidemiology of Diabetes Mellitus: Second Edition, 499–517. https://doi.org/10.1002/9780470779750.ch31
Rosyadi, A., Hapsari, I., & Utami, P. I. (2021). The Effect of Lifestyle, Spiritual, and Family Support on Diabetic Mellitus Patient with Chronic Kidney Disease Complication. PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia), 18(2), 422. https://doi.org/10.30595/pharmacy.v18i2.13255
Shelton, R. C., Philbin, M. M., & Ramanadhan, S. (2022). Qualitative Research Methods in Chronic Disease: Introduction and Opportunities to Promote Health Equity. Annual Review of Public Health, 43, 37–57. https://doi.org/10.1146/annurev-publhealth-012420-105104
Zhang, L., Jiang, L., Xu, R., Zhang, X., Zhang, B., & Yue, R. (2025). Epidemiological research on diabetic nephropathy at global, regional, and national levels from 1990 to 2021: an analysis derived from the global burden of disease 2021 study. Frontiers in Endocrinology, 16(August), 1–10. https://doi.org/10.3389/fendo.2025.1647064
Zhou, S. S., Wei, L. Z., Hua, W., He, X. C., & Chen, J. (2022). A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice. BMC Nursing, 21(1), 1–11. https://doi.org/10.1186/s12912-022-00846-w
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