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Acute Respiratory Infection (ARI) is one of the diseases that frequently affects children under five years old and is a major cause of high disease rates in Indonesia. In the working area of the Bukit Hindu Health Center in Palangka Raya, cases of Acute Respiratory Infection (ARI) in toddlers tend to increase every year. This study was conducted to determine the relationship between family roles and their attitudes in preventing Acute Respiratory Infections (ARI) in children under five years old. The study aimed to determine the relationship between family roles and attitudes in preventing ARI in children under five years old within the working area of the Bukit Hindu Palangka Raya Public Health Center. This research is quantitative research with a correlational design and a cross-sectional approach. Samples were taken from 40 respondents using a purposive sampling technique. Data was collected using questionnaires and analyzed with the Spearman Rank statistical test. The research results showed that most respondents had a good family role and attitude toward preventing ARI. The results of the Spearman Rank test showed a significance value of p = <0.001 and a correlation coefficient value of 0.941*, indicating a very strong relationship between family role and attitudes in efforts to prevent ARI in toddlers. There is a significant relationship between family roles and attitudes in the effort to prevent ARI in toddlers within the working area of the Bukit Hindu Health Center Palangka Raya.

Urinary incontinence is a common medical condition among older women, characterized by the involuntary leakage of urine due to impaired bladder control. This condition not only affects physical health but also has significant psychosocial impacts, including reduced self-confidence and quality of life. Non-pharmacological interventions, particularly pelvic floor muscle exercises, have been recognized as effective strategies to strengthen the bladder sphincter and pelvic floor muscles, thereby enhancing urinary retention. The present study aimed to evaluate the effectiveness of pelvic floor muscle exercises in reducing the frequency of urinary incontinence among elderly women. An experimental design with a one-group pretest–posttest approach was employed. The study population consisted of 64 elderly women receiving care at the Gunung Pati Public Health Center in Semarang, from which 45 participants were selected through purposive sampling based on inclusion criteria. Data were collected using structured questionnaires and clinical observation to assess the frequency of urinary incontinence episodes before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test, and the results indicated a significant reduction in urinary incontinence episodes following the exercise program, with a p-value of <0.001. These findings suggest that pelvic floor muscle exercises are a simple, cost-effective, and non-invasive intervention to manage urinary incontinence in elderly women. Implementing such exercises in community health programs can play a vital role in promoting the well-being and independence of older women. The study recommends incorporating pelvic floor muscle training into routine elderly care services and encourages further research with larger samples and longer follow-up periods to confirm the long-term benefits.

Introduction: Back pain during pregnancy is a problem that is often experienced by pregnant women and is complex because it involves not only physical changes, but also psychological aspects. Changes in body biomechanics, weight gain, and shifting of the center of gravity due to uterine enlargement are the main factors that trigger pain complaints, especially in the lower back area. This condition can have a negative impact on the quality of life of pregnant women, interfere with daily activities, and even worsen emotional states due to the emergence of anxiety, fear, and stress if not managed properly. Treatment of back pain in pregnant women can be done through safe non-pharmacological methods, one of which is prenatal yoga. Yoga practice for pregnant women has been proven to provide benefits in the form of relaxation, posture improvement, and increased muscle elasticity. One of the effective movements is the Angry Cat Pose because it is able to stretch the back muscles, improve blood circulation, and reduce pressure on the lower spine. Objective: This study aims to analyze the effect  of Angry Cat Pose  exercise on the intensity of back pain in pregnant women in the third trimester. Methods: This study used a quasi-experimental design with a one group pretest-posttest design. The study sample consisted of 31 pregnant women in the third trimester with complaints of back pain who visited the Gunungpati Health Center. The research instrument was in the form of a questionnaire, while the data analysis was carried out using the Wilcoxon test with a significance level of <0.05. Results: The results showed a significant effect of the Angry Cat Pose  exercise on the reduction of back pain in pregnant women in the third trimester with p=0.000. After the intervention, the majority of respondents experienced a decrease in pain to the mild category on a scale of 1–3. Conclusion: The Angry Cat Pose  exercise has been shown to be effective in reducing back pain in third trimester pregnant women, so it can be recommended as a safe, simple, and routine nonpharmacological intervention under the supervision of health workers.

Back pain is a common complaint among pregnant women, especially in the third trimester, caused by hormonal changes, uterine enlargement, and poor postural balance. If untreated, this pain can disrupt sleep quality and daily activities. The pelvic tilt technique, a non-pharmacological intervention, strengthens abdominal and pelvic muscles, maintains posture, and relieves back pain. This study examined the effect of the pelvic tilt technique on back pain intensity in third-trimester pregnant women at Karangdoro Public Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of all third-trimester pregnant women with physiological back pain (without comorbid conditions or a history of premature rupture of membranes). Using a total sampling technique, 34 respondents were included. The intervention was conducted for seven consecutive days. Data collection employed observation sheets and the Numeric Rating Scale (NRS). Data analysis used the Wilcoxon test because the normality test yielded p < 0.05. Statistical results showed p = 0.000 (< 0.05), indicating that the pelvic tilt technique significantly reduced back pain intensity. These findings suggest that pelvic tilt exercises can serve as a safe, simple, and effective non-pharmacological alternative therapy to alleviate bapain in third-trimester pregnant women.

This paper aims to explore the legal basis and ethical reasoning for the revocation of parental rights due to domestic violence by placing the child's best interests as a compass and mapping the gap between norms and judicial practices. The method used is normative-doctrinal legal research based on a literature review of the Domestic Violence Law, the Marriage Law, the Child Protection Law, selected jurisprudence, and scientific literature, analyzed qualitatively through systematic interpretation, argument construction, and linking to the facts of the impact of domestic violence on children. The results show that positive law provides a firm basis for sanctions and protections including restrictions on interaction and revocation of custody rights, but implementation is often hampered by vague evidence of psychological violence, the victim's economic dependence, and weak execution of alimony; revocation effectively breaks the cycle when accompanied by a protection order, a post-decision parenting plan, and ongoing psychosocial support. Policy implications include guidelines for proving coercive control, expanding access to timely protection orders, integrating trauma-informed services in religious courts, and a mechanism for executing alimony that does not burden victims, with schools, community health centers, and communities as early detection nodes. Ultimately, legal work and social networks converge in one simple goal: that home again means a safe place for children to return.

he fatherless phenomenon in Bandung City affects family communication patterns and influences how adult women determine partner criteria. This study aims to examine the conversation and conformity orientations in the family communication of fatherless adult women when choosing a life partner. The research employed a qualitative case study approach using purposive sampling, involving four key informants and eight supporting informants. The findings indicate that conversation orientation is more focused on the mother, but is limited by feelings of awkwardness and inequality in speaking positions, reducing openness in discussing life values. The conformity orientation, centered on the mother as the dominant figure, does not always reach the child due to emotional differences and the indirect delivery of expectations, which create emotional distance and tension. The mother assumes a dual role as the source of values, moral guidance, and understanding of family life; however, communication tends to be one-sided and less balanced. The study recommends that individuals who have experienced the loss of a father figure develop self-awareness regarding the influence of past experiences in partner selection, understand the relationship values they believe in, and foster healthy communication to build more stable and meaningful relationships. In addition, the study highlights the importance of creating safe spaces for dialogue within the family, so that openness and equality in communication can emerge. Strengthening social support systems, including peer and community support, can also complement family communication, thereby helping fatherless adult women establish healthier relationship choices in the future.

The elderly is among the most vulnerable groups in society due to progressive biological decline that weakens physical resistance, making them prone to chronic diseases such as hypertension. Hypertension is one of the most common multifactorial disorders in older adults, and its severity may be influenced by anxiety, which stimulates the sympathetic nervous system and increases blood pressure. This study aimed to examine the relationship between anxiety levels and hypertension among the elderly in the working area of Andalas Health Center, Padang City. An analytic study with a cross-sectional design was conducted involving 81 elderly participants diagnosed with hypertension, selected through accidental sampling based on inclusion and exclusion criteria. The Geriatric Anxiety Scale (GAS) was employed as the research instrument, while data analysis used the Chi-square test. Results showed that the majority of respondents experienced mild anxiety (67 respondents, 82.7%) and uncontrolled hypertension (54 respondents, 66.6%). Statistical analysis revealed a p-value of 0.534, indicating no significant association between anxiety levels and hypertension in the elderly population studied. These findings are consistent with several previous studies reporting that the relationship between anxiety and blood pressure in the elderly is often inconsistent, largely due to other risk factors including age, gender, low physical activity, comorbidities, and poor adherence to antihypertensive treatment. The implication of this study highlights the necessity of a holistic approach to hypertension management in the elderly, addressing not only psychological aspects but also lifestyle modification, treatment adherence education, and strengthening public health programs. Therefore, this research is expected to serve as input for health workers at community health centers to improve strategies for preventing and controlling hypertension in elderly populations.

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of Aedes aegypti mosquitoes. In 2023, 48 cases of DHF were reported in the Kebun Lada Public Health Center area, reflecting a high incidence rate and limited medical resources in managing the cases. This situation emphasizes the need for an alternative solution that can support a fast and accurate diagnostic process. This study aims to develop an expert system for diagnosing DHF using the Case-Based Reasoning (CBR) method. CBR functions by comparing the symptoms experienced by patients with previous cases stored in the knowledge base, thereby producing relevant diagnostic recommendations. The proposed system is implemented as a web-based application using PHP as the programming language and MySQL as the database management system. The expected outcomes of this study are to assist medical personnel in reducing diagnostic time, improving the accuracy of decision-making, and increasing the effectiveness of health services in primary healthcare facilities. In addition, the system is designed to provide wider access for the community to recognize early symptoms of DHF, which can contribute to preventive actions and reduce the risk of severe complications. Thus, the developed expert system has the potential to become a practical solution to overcome the shortage of medical personnel and enhance public health awareness.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

This study examines the application of systems thinking in modern healthcare organizations, with a particular focus on Peter Senge’s Fifth Discipline. Using a systematic literature review of 20 selected articles, the study investigates the potential and challenges of applying systems thinking across key areas such as patient safety, service integration, resource management, and innovation. Findings indicate that systems thinking provides a holistic framework to better understand and address the inherent complexity of healthcare systems. By fostering interconnections among organizational components, it enhances the capacity to improve performance, ensure patient-centered care, and support sustainable change. Nevertheless, implementation is hindered by obstacles such as resistance to change, lack of shared understanding, and difficulties in measuring systemic outcomes. To address these barriers, the study highlights strategies including leadership development, staff training, and the establishment of appropriate evaluation tools. These measures strengthen organizational readiness and support a culture of continuous learning. The study concludes that systems thinking offers valuable insights for healthcare organizations to adapt to evolving challenges, but its success requires long-term commitment, supportive leadership, and systematic implementation. Future research should further explore the integration of systems thinking with emerging digital health technologies and assess its long-term impact on health outcomes and organizational resilience.

Background : Nausea and vomiting are common physiological complaints during the first trimester of pregnancy, caused mainly by increased levels of hCG, estrogen, and progesterone. Although considered normal, these symptoms can disrupt daily activities and decrease quality of life. If excessive, they may result in complications such as dehydration, electrolyte imbalance, weight loss, and hyperemesis gravidarum, which threaten maternal and fetal health. Management can involve pharmacological and non-pharmacological strategies. One safe, simple, and widely applied non-pharmacological approach is acupressure at the Pericardium 6 (PC6) point, believed to regulate the nausea center in the brain. Objective : This study aimed to determine the effectiveness of acupressure at the PC6 point in reducing nausea and vomiting among first-trimester pregnant women at PMB Ariyawati Susiandari, S.Tr.Keb., Central Lampung Regency. Method : This pre-experimental study used a one-group pretest–posttest design. Acupressure was performed at the PC6 point for 30 seconds, twice daily (morning and evening). Data were collected by observing changes in the intensity of nausea and vomiting before and after the intervention.The assessment was conducted by observing changes in the intensity of nausea and vomiting before and after the intervention. Result : Before acupressure, all respondents experienced moderate nausea and vomiting. After the intervention, most reported improvement, with symptoms reduced to the mild category. Statistical analysis with the Wilcoxon test showed a significance value of p=0.000, indicating a significant difference between pre- and post-intervention scores. Conclusion : Acupressure at the PC6 point effectively reduced nausea and vomiting in first-trimester pregnant women. This method can be recommended as a complementary non-pharmacological therapy that is safe, practical, and easily integrated into midwifery care.

A 37-year-old woman, G3P2A0, at 16 weeks of gestation, came to the community health center for her first antenatal check-up. The patient had no characteristic clinical symptoms, but the triple elimination screening results showed reactivity for HBsAg, with negative HIV and syphilis results. An ultrasound examination revealed a viable intrauterine fetus with normal findings. The patient had not received Hepatitis B immunization or vitamin supplements previously, and the patient's partner had not undergone Hepatitis B screening despite having a work-related risk factor. The patient was given iron and vitamin supplements and referred to the hospital for further evaluation. Comprehensive education was provided regarding modes of transmission, risks of maternal and fetal infection, prevention of vertical transmission, as well as the importance of Hepatitis B immunization and the administration of HBIG to the newborn within 12 hours after birth. This case emphasizes the importance of early antenatal screening, comprehensive education, psychosocial support, and collaboration between the patient, family, and healthcare providers to prevent vertical transmission of Hepatitis B. The education provided included essential preventive measures and infection control steps to protect both the mother and the baby. Proper management and follow-up monitoring are necessary to ensure the health of the mother and baby and prevent further complications.

Hypertension or high blood pressure is a medical condition that can cause serious complications, such as stroke and heart disease. The causes of hypertension are very diverse, ranging from unhealthy diet, lack of physical activity, stress, to genetic factors. The phenomenon that occurs at the UPTD Menteng Palangka Raya Health Center, namely that there are still many families who have not carried out their role as the right family members and have not been able to overcome family health problems, for example, such as compliance with taking hypertension medication in family members who suffer from hypertension. The purpose of this study is to determine the relationship between family roles and medication adherence in family members with hypertension. This type of research is correlational using a cross-sectional  approach using a spearman rank statistical test. The sampling technique used in consecutive sampling at the Menteng Palangka Raya Health Center. Sampling in this study is based on the inclusion criteria set. Data collection in this study used questionnaires on family roles and medication adherence that had gone through validity and reliability tests with Cronbach's alpa for family role 0.89 and Cronbach's alpa for medication adherence 0.92. Based on statistical tests using  Spearman's rank , a correlation coefficient value of 0.812 with a significance value of <0.001 was obtained. It can be concluded that there is a significant relationship between the role of the family and medication compliance at the Menteng Palangka Raya Health Center. The relationship between family roles and medication adherence in family members with hypertension at the Menteng Palangka Raya Health Center.”

VIA is a simple test. The VIA test is a method for early detection of cervical cancer by applying 3-5% acetic acid or vinegar. It has a 96% accuracy rate; abnormal areas will turn white. If there is no color change, it can be assumed that there is no cervical infection. This VIA test is important for fertile couples, including preconception women with PUS. To determine the relationship between knowledge and family role with compliance with VIA testing in preconception women with PUS at the Ajangale Community Health Center (UPT). This study used an observational research method with a cross-sectional approach. The population in this study were all PUS women aged 20-35 years at the UPT Ajangale Community Health Center. Sampling was carried out using a total sampling technique, obtaining 30 respondents. Data collection was carried out using a questionnaire. The collected data were then processed and analyzed using the SPSS statistical program and analyzed using the chi-square test. The study showed a relationship between compliance with VIA testing and two variables studied: knowledge (p=0.000) and family role (0.000). Compliance with VIA testing in preconceptional women with PUS is influenced by both knowledge and family role. This study focused on preconception women with PUS at the Ajangale Community Health Center, aiming to understand the factors that influence their compliance with VIA testing. By analyzing the relationship between knowledge and family role with VIA compliance, the study highlights the importance of educating women about the benefits of early cervical cancer detection and the pivotal role families play in supporting health-seeking behaviors.

A high-sodium and low-potassium consumption pattern can increase the risk of hypertension. Excess sodium can cause fluid retention and increase blood volume, while potassium plays a role in regulating fluid balance and blood pressure. This study aims to determine the relationship between high-sodium and high-potassium consumption patterns and the incidence of hypertension at the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The research method used was quantitative analytic with a cross-sectional study approach. The study population was all 278 patients visiting the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The sample size was 74 residents of the community at the City Community Health Center (UPT Puskesmas). Purposive sampling was used. The research instrument used was a questionnaire, which was distributed to respondents. The Food Frequency Questionnaire (FFQ) was used for sodium and potassium consumption. The results showed a relationship between sodium consumption and the incidence of hypertension (p=0.003 meaning Ha was accepted.The results showed a relationship between potassium consumption and the incidence of hypertension (p=0.001) meaning Ha was accepted. Researchers hope that this research can be used as a support or source of information to develop knowledge in the field of community health, especially in nursing, related to sodium and potassium consumption in reducing blood pressure in hypertension patients.

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.

Introduction: Repurchase intention is one of the important indicators in the world of health services, especially in hospitals. XYZ General Hospital must evaluate the services provided to patients by understanding patient perceptions, particularly through patient experience, as 50% of respondents expressed unwillingness to recommend or reuse the hospital’s services. This highlights a potential gap between service delivery and patient expectations. Method The purpose of this study was to analyze the influence of patient experience, brand image, and trust on repurchase intention at XYZ Hospital, with attitude as an intervening variable. This study employed a quantitative explanatory research design, involving 182 patients from outpatient and inpatient units who had visited more than once. Data were collected through structured questionnaires and analyzed using the Structural Equation Model (SEM) with the Partial Least Square (PLS) method, supported by the SmartPLS software. Results: The results revealed that patient experience, brand image, and trust significantly affect patient attitudes, which in turn directly influence repurchase intention. Attitude serves as a mediating variable between patient experiences, brand image, trust, and repurchase intention. Simultaneous testing confirmed that all independent variables have a joint effect on repurchase intention. Among the variables tested, attitude showed the strongest direct influence on repurchase intention, while patient experience had the highest indirect effect through attitude. Conclusion: These findings underscore the critical role of patient experience in shaping positive perceptions of service quality, which contribute to strengthening brand image, increasing trust, and fostering patient attitudes that support future service utilization. Therefore, healthcare providers must prioritize improving communication, staff responsiveness, and patient-centered care to enhance overall experience, build loyalty, and ensure long-term sustainability of healthcare services.

Based on data from the South Nias District Health Office, the number of hypertension cases at Bawomataluo Public Health Center increased steadily from 2022 to 2024. This condition posed a high risk of leading to severe complications such as heart disease, stroke, kidney failure, and damage to other organs. This study aimed to examine the factors influencing compliance with blood pressure control among hypertensive patients within the working area of Bawomataluo Public Health Center in the year 2025. This research employed a quantitative method using an analytic survey design with a cross-sectional approach. The population consisted of 185 individuals who had been diagnosed with hypertension over the past six months (from July to December 2024). A purposive sampling technique was used to select 127 participants. Data analysis included univariate, bivariate, and multivariate analyses. Using logistic regression with the forward method, the results showed that knowledge had a significance value of 0.002 with an Exp(B) of 5.680; family support had a significance value of 0.000 with an Exp(B) of 6.740; motivation had a significance value of 0.000 with an Exp(B) of 6.947; and self-confidence had a significance value of 0.001 with an Exp(B) of 5.706. Among these, motivation was identified as the most dominant factor due to having the highest odds ratio (Exp(B)). The findings indicated that knowledge, family support, motivation, and self-confidence significantly affected compliance with blood pressure control among hypertensive patients at Bawomataluo Public Health Center. Motivation emerged as the most influential factor. It was recommended that the health center actively provide support and encouragement to patients suffering from hypertension.

Hypertension in the elderly is one of the common and significant health problems. The purpose of this study was to determine the effect of elderly exercise on hypertension in the working area of ​​the Krueng Barona Jaya Aceh Besar Community Health Center. The study method applied was a quasi-experimental design through a pre-test-post-test approach with a total population of 413 hypertension sufferers and a total sample of 15 people. The sample collection method was through Snowball Sampling. This research was conducted on April 20-24, 2025 in Meunasah Village, Papeun, with the research instrument in the form of an observation sheet with a measuring instrument using a sphygmomanometer. First, blood pressure was measured before the intervention, using a blood pressure monitor. Next, the elderly were given 20 minutes of exercise, followed by another 30-minute evaluation to assess changes in blood pressure. The results showed that before being given elderly exercise activities, the average systolic blood pressure of respondents was 179.60 mmHg and diastolic blood pressure was 102.73 mmHg, while after being given elderly exercise activities, the average systolic blood pressure of respondents was 170.80 mmHg and diastolic pressure was 92.80 mmHg with a difference of 8.8 mmHg systolic blood pressure and 10.13 mmHg diastolic blood pressure using a paired t-test of ρ value 0.000 (ρ <0.05). The conclusion is that there is an effect of elderly exercise on hypertension. It is hoped that hypertension sufferers and researchers will carry out routine elderly exercise activities, educational institutions will provide books on hypertension and complementary materials to increase students' knowledge and insight, and further research will be able to use the findings of this study as reference material and can improve this study through different variables.

Background: Diabetes mellitus (DM) is a chronic disease and a global health problem with an increasing prevalence that often leads to serious complications if not well controlled. Optimal self-care behavior, including diet regulation, physical activity, blood glucose monitoring, and adherence to medication, plays a crucial role in maintaining stable blood glucose levels and improving quality of life. Objective: This study aims to investigate the relationship between self-care behavior and blood glucose levels among individuals diagnosed with diabetes mellitus who are receiving treatment at Kedungwuni 1 Public Health Center. Methods: This research employed an observational analytical design with a cross-sectional approach. A total of 109 respondents diagnosed with DM were selected through total sampling. Data on self-care behavior were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire, while blood glucose levels were measured using a glucometer. Data were analyzed using the Spearman correlation test with a significance level of α = 0.05. Results: The findings showed that most respondents demonstrated poor self-care behavior (72.5%) and almost half were within the diabetes range of blood glucose levels (49.5%). Bivariate analysis revealed a significant positive correlation between self-care behavior and blood glucose levels (p = 0.000; r = 0.547). Conclusion: Better self-care behavior is associated with better blood glucose control. These results emphasize the importance of strengthening health education and self-management programs to improve self-care practices in diabetic patients.