Family Empowerment to Improve Dietary Adherence Among Pregnant Women with Gestational Diabetes in the Sumbersari Community Health Center Service Area, Jember

Authors

  • Eni Subiastutik Poltekkes Kemenkes Malang Author
  • Yurissetiowati Yurissetiowati Poltekkes Kemenkes Malang Author

DOI:

https://doi.org/10.65310/0t246g18

Keywords:

Dietary Adherence, Family Empowerment, Gestational Diabetes Mellitus, Glycemic Control, Maternal Health.

Abstract

Gestational diabetes mellitus (GDM) is a growing global maternal health concern that increases the risk of adverse outcomes for both mothers and infants. In Indonesia, the prevalence of GDM continues to rise due to changes in lifestyle, dietary habits, and metabolic risk factors among pregnant women. Dietary management remains the cornerstone of GDM treatment; however, maintaining adherence to dietary recommendations is often challenging because pregnant women must consistently modify long-established eating behaviors. Family involvement is increasingly recognized as an important factor that may enhance adherence to therapeutic diets during pregnancy. This study aimed to analyze the relationship between family empowerment and dietary adherence among pregnant women with GDM in the Sumbersari Community Health Center service area, Jember. A quantitative study with an observational analytic and cross-sectional design was conducted involving 45 third-trimester pregnant women diagnosed with GDM. All eligible participants were included using a saturated sampling technique. Data were collected through validated questionnaires measuring family empowerment and dietary adherence and were analyzed using the Chi-square test. The results revealed a significant relationship between family empowerment and dietary adherence (p = 0.000; p < 0.05). Pregnant women who received greater family empowerment demonstrated higher levels of dietary adherence. Strengthening family-centered interventions may improve dietary compliance and support better glycemic control among women with GDM.

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References

American Diabetes Association Professional Practice Committee for Diabetes*; Summary of Revisions: Standards of Care in Diabetes—2026. Diabetes Care 1 January 2026; 49 (Supplement_1): S6–S12. https://doi.org/10.2337/dc26-SREV

Efriani, R., & Rokhanawati, D. (2024). Studi Kualitatif Pengalaman Ibu dalam Manajemen Diri Gestational Diabetes Mellitus di Kota Yogyakarta. Trend And Issue In Healthcare, 1(1). https://doi.org/10.5281/zenodo.16066918

Elizar, J. (2026). Inovasi Edukasi Diabetes Mellitus Gestasional (DMG) Guna Meningkatkan Literasi Kesehatan Ibu Hamil. Deepublish.

Haron, Z., Sutan, R., Zakaria, R., & Mahdy, Z. A. (2023). Self-Care Educational Guide for Mothers with Gestational Diabetes Mellitus: A Systematic Review on Identifying Self-Care Domains, Approaches, and Their Effectiveness. Belitung nursing journal, 9(1), 6. https://doi.org/10.33546/bnj.2396

He, X., Zhao, M., Wang, H., Xie, Y., & Zhao, H. (2025). Effects of group pregnancy care combined with nutritional guidance on patients with gestational diabetes mellitus: a prospective study. Clinical and Experimental Obstetrics & Gynecology, 52(3), 24123. https://www.imrpress.com/journal/CEOG/52/3/10.31083/CEOG24123

Hod, M., Melamed, N., Di Renzo, G. C., Divakar, H., de Leiva-Hidalgo, A., Poon, L. C., ... & Yogev, Y. (Eds.). (2025). Textbook of diabetes and pregnancy. CRC Press.

Julianti, R., & Zahara, E. (2025). Edukasi Skrining Faktor Resiko Diabetes Melitus Gestasional dengan Pemeriksaan Gula Darah pada Ibu Hamil di Desa Baru Samadua Aceh Selatan. OPTIMAL: Jurnal Pengabdian Kepada Masyarakat Bidang Ilmu Kebidanan. https://doi.org/10.5281/zenodo.19688352

Kasad, K., Keumalahayati, K., Azwarni, A., Harahap, M. S., & Helmi, A. (2023). The effect of the family empowerment model on the ability to managing diet and increasing hemoglobin in pregnant women. AcTion: Aceh Nutrition Journal, 8(4), 675-682. http://dx.doi.org/10.30867/action.v8i4.1327

Komariyah, S. (2025). Peran Sumber Informasi, Keluarga, Pola Makan, Aktivitas Fisik, dan Status Gizi dalam Pencegahan Diabetes Mellitus Gestasional pada Ibu Hamil di Rumah Sakit Umum Daerah Kabupaten Kediri (RSKK). Judika (Jurnal Nusantara Medika), 9(1), 46-55. https://doi.org/10.29407/judika.v9i1.25870

Kusbandiyah, J., & Maghfiroh, D. O. (2026). The Relationship Between Family Support and Dietary Adherence Among Mothers with Gestational Diabetes Mellitus. Media Husada Journal of Midwifery Science, 4(1), 7-13. https://doi.org/10.33475/mhjms.v4i1.36

Lamadah, S. M., Ibrahim, H. A. F., Elgzar, W. T., El-Sayed, H. A., Sayed, S. H., & El-Houfey, A. (2022). Gestational diabetes self-care behavior: an empowerment educational intervention based on BASNEF model. Iranian Journal of Nursing and Midwifery Research, 27(6), 538-546. 10.4103/ijnmr.ijnmr_46_21

Modzelewski, R., Stefanowicz-Rutkowska, M. M., Matuszewski, W., & Bandurska-Stankiewicz, E. M. (2022). Gestational diabetes mellitus—recent literature review. Journal of clinical medicine, 11(19), 5736. https://doi.org/10.3390/jcm11195736

Nasution, A. S., Afifah, E., Huriyati, E., Paramashanti, B. A., & Siswati, T. (2023). Hubungan Asupan Magnesium, Seng, dan Mangan dengan Diabetes Melitus Gestasional pada Ibu Hamil di Wilayah Kabupaten Bantul. Media Gizi Mikro Indonesia, 15(1), 30-44. https://e-journal.poltekkesjogja.ac.id/index.php/MGMI/article/view/2258

Pribadi, T. R. P., Jamil, K. F., Maulana, T., Nurjannah, N., & Saputra, I. (2024). How Hypertension Disease Relates to Various Risk Factors as an Effort to Prevent Hypertension AND Its Complications Applied. International Journal of Medical Science and Dental Health, 11(11), 80-110. https://doi.org/10.55640/ijmsdh-11-11-08

Stefanus, K., Kurniati, I., & Sari, R. D. P. (2023). Literature Review HbA1c Sebagai Prediktor Diabetes Pasca Diabetes Melitus Gestasional. Jurnal Agromedicine Unila: Jurnal Kesehatan Dan Agromedicine, 9(1), 46–48. Retrieved from https://juke.kedokteran.unila.ac.id/index.php/agro/article/view/3084

Umiyah, A. (2023). Analisis kejadian diabetes melitus gestasional di wilayah kerja Puskesmas Banyuputih. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 14(02), 317-323. https://doi.org/10.34305/jikbh.v14i02.824

Wijayanti, A., & Rahayuningsih, FB (2025). Faktor Risiko Diabetes Gestasional Pada Ibu Hamil di RSUD Moewardi Surakarta Dari Tahun 2021 – 2024 . Jurnal Ners , 9 (2), 1819–1828. https://doi.org/10.31004/jn.v9i2.41247

Widiyanti, I. K., Fikri, Z., Setyowati, L., Sunardi, S., & Mu'jizah, K. (2025). An Overview of Family Support for Treatment Adherence Among Patients with Diabetes Mellitus. Adi Husada Nursing Journal, 11(2), 94-106. https://doi.org/10.37036/ahnj.v11i2.634

World Health Organization. (2013). Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. World Health Organization.

Yang, L., Hua, X., & Liu, Y. (2025). Application effect of self-family-environment empowering diet management intervention in patients with gestational diabetes mellitus. Journal of Clinical Nursing in Practice, 11(6). 10.11997/nitcwm.202506016

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Published

2026-04-29

How to Cite

Family Empowerment to Improve Dietary Adherence Among Pregnant Women with Gestational Diabetes in the Sumbersari Community Health Center Service Area, Jember. (2026). International Journal of Applied Research and Innovation, 1(2), 146-158. https://doi.org/10.65310/0t246g18