Exploring the correlation of social networks, family support, health worker assistance, and health education using the precede-proceed model: impact on emotional responses in diabetes mellitus patients

Abstract

Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.