Emotional Journal Writing-Based Stress Management: A Control for Risk Factors of Diabetes Mellitus

Authors

  • Tati Suryati STIKes Pertamedika
  • Exsos Grend Dais STIKes Pertamedika
  • Maryati Maryati STIKes Pertamedika
  • Ratna Sari Dinaryanti STIKes Pertamedika
  • Sofyan Sofyan STIKes Pertamedika
  • Yanti Riyantini STIKes Pertamedika
  • Muhammad Ali STIKes Pertamedika

Keywords:

Diabetes Mellitus, Emotional Journal Writing, Health Promotion, Non-Pharmacological Interventions, Stress Management

Abstract

Diabetes Mellitus (DM) is a chronic disease with a steadily increasing prevalence both globally and nationally. In addition to physical factors, chronic psychological stress plays a significant role in increasing blood glucose levels through metabolic imbalance. However, practical, accessible, and independently applicable stress management interventions are still limited. Emotional journaling has the potential to be a simple, low-cost, non-pharmacological intervention alternative in controlling DM risk factors. This study aims to analyze the effect of emotional journaling-based stress management as a risk factor control measure for DM. The study used a quasi-experimental design with a pre-test and post-test approach without a control group, involving 43 respondents over 18 years of age. The sampling technique used purposive sampling with certain inclusion criteria. The intervention consisted of stress management skills based on emotional journaling, with skills measured using a checklist before and after the intervention. Data analysis was performed using the Wilcoxon signed rank test to determine differences in skills before and after the intervention. The analysis results showed a significant increase in skills after the intervention (p<0.000). These findings confirm that stress management based on emotional journal writing has a positive influence and strategic potential in controlling DM risk factors effectively, easily implemented, at low cost, and sustainably based on community empowerment.

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Author Biography

Exsos Grend Dais, STIKes Pertamedika

Lucturer of Nursing at STIKes Pertamedika Jakarta

References

Ainun Mardiah Amran, Nur Shofiyah Jafni, Nur Indah Nabila, Muhammad Taufiq Dahri, & Rohmah Rifani. (2025). Perbedaan Emotional Handling Ditinjau Dari Hasil Intervensi Emotional Experience Writing Remaja Laki-Laki Dan Perempuan Di SMP 21 Makassar. PESHUM: Jurnal Pendidikan, Sosial Dan Humaniora, 4(5), 6898–6906. https://doi.org/10.56799/peshum.v4i5.11036

Alim, M. A., Khaeroini, A. N. R., & Jamaluddin, M. (2025). Efektivitas Teknik Journaling terhadap Penurunan Stres Akademik pada Mahasiswa. Jurnal Psikologi, 2(4), 1–10. https://doi.org/https://doi.org/10.47134/pjp.v2i4.4308

Ashadi, K., Fajar, M. K., Sidik, R. M., Utami, T. S., Jatmikanto, R. S., Mubarokah, D. H., & Permatasari, D. J. (2025). Kesehatan, Gaya Hidup dan Pola Latihan. Uwais Inspirasi Indonesia.

Asmarany, A. I., Arif, M., Yuminah, Y., Aripin, Z., Arini, D. U., Marjukah, A., Putra, C., Naryanti, I., Hamka, R. A., & Syamsulbahri, S. (2024). Manajemen Stress. Yayasan Cendikia Mulia Mandiri.

Aulia, F., Utami, R. H., & Magistarina, E. (2025). Promosi Kesehatan Mental Berbasis Kampus. Get Press Indonesia.

Baidowi., Wahidaturrahmi., Kertiyani, N. M. I., & Wulandari, N. P. (2024). Statistika Dasar Teori dan Praktik (M. Suhardi, Ed.). Pusat Pengembangan Pendidikan dan Penelitian Indonesia.

Bassi, G., Gabrielli, S., Donisi, V., Carbone, S., Forti, S., & Salcuni, S. (2021). Assessment of Psychological Distress in Adults with Type 2 Diabetes Mellitus Through Technologies: Literature Review. Journal of Medical Internet Research, 23(1), e17740. https://doi.org/10.2196/17740

Bistara, D. N., Setiawan, A. H., Ikwan, M., Savitri, A. D., & Susanti, S. (2025). Optimalisasi Manajemen Diabetes Mellitus melalui Edukasi Kesehatan Berbasis Komunitas dan Pendekatan Spiritual. Community Development in Health Journal, 3(2), 92. https://doi.org/10.37036/cdhj.v3i2.639

BKPK Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka: Data Akurat Kebijakan Tepat.

Daud, I., Okvitasari, Y., Mira, M., Hadrianti, D., Heriani, N., Wulan, D. R., & Anwari, M. (2024). MINDFUL LIVING: Membangun Kesehatan dan Kesejahteraan Holistik dalam Kehidupan Sehari-hari. PT Nawala Gama Education.

Elisa, I. (2022). 10 Pengertian Keterampilan Menurut Para Ahli. Deepublish Store. Deepublish Store. https://deepublishstore.com/blog/pengertian-keterampilan/?srsltid=AfmBOoo6slvEJj9oppSU3zhoTKZtVg2_nijYPujbhHXdg39A5NqA8mYV

Eshete, A., Mohammed, S., Deresse, T., Kifleyohans, T., & Assefa, Y. (2023). Association of Stress Management Behavior and Diabetic Self-Care Practice Among Diabetes Type II Patients in North Shoa Zone: a Cross-Sectional Study. BMC Health Services Research, 23(1), 767. https://doi.org/10.1186/s12913-023-09752-6

Ethica, S. N., & Larasaty, N. D. (2025). Promosi Kesehatan Komunitas: Integrasi Edukasi dan Pemeriksaan Kesehatan. Deepublish Digital.

Fatih, H. A., Tania, M., & Aprillia, D. (2023). Hubungan Tingkat Stres dengan Kadar Gula Darah Penderita Diabetes Mellitus di Kota Bandung. Jurnal Keperawatan BSI, 11(1), 40–51. https://ejurnal.ars.ac.id/index.php/keperawatan/article/view/1089

IDF. (2025a). About Diabetes. International Diabetes Federation. https://idf.org/about-diabetes/what-is-diabetes/

IDF. (2025b). The Diabetes Atlas. International Diabetes Federation. https://diabetesatlas.org/

Ifansyah, M. N., Waluya, J. G., Suhartono, S., Supriadi, S., & Idyawati, S. (2024). Keperawatan Komunitas: Pendekatan Holistik untuk Perlindungan, Pemberdayaan, dan Intervensi Strategis. PT Nuansa Fajar Gemilang.

Irdi, I., Az-Zahra, A. F., Meidynita Kadir, A., Harfinah, & Renaldi. (2024). Melatih Regulasi Emosi Melalui Jurnal Cognitive Reappraisal. Science and Technology: Jurnal Pengabdian Masyarakat, 1(2), 106–112. https://doi.org/10.69930/scitech.v1i2.38

Kotarumalos, S. S., & Hermanses, S. S. (2024). Studi Kasus: Faktor Pemicu Sering Buang Air Kecil dan Dampaknya terhadap Kualitas Tidur Ibu Hamil Trimester III. Jurnal Kebidanan, 4(2), 79–81. https://doi.org/10.32695/jbd.v4i2.562

Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer Publishing Company.

Mahyuddin, M. J., Sura’, H., Suryani, A., Kamil, A., Sulaiman, F., & Nadya, N. U. (2025). Kecerdasan Emosi dalam Bimbingan Konseling: Mengelola Stres dan Konflik. PT Nawala Gama Education.

Manoppo, A. J. (2024). Profil Demografi dan Efikasi Diri pada Penderita DM Tipe II. Klabat Journal of Nursing, 6(2), 120. https://doi.org/10.37771/kjn.v6i2.1188

Monica, R. D., Nursifa, N., Meidiawati, Y., Hasnah, F., Ningsih, D. A. W. S., Hidayati L, S., Maryati, S., Adji, T. P., Anggita, R., Wahyuni, S., & Putri, U. S. (2024). Pengantar Ilmu Kesehatan Masyarakat. CV Gita Lentera.

Nina, N., Purnama, H., Adzidzah, H. Z. N., Solihat, M., Septriani, M., & Sulistiani, S. (2023). Determinan Risiko dan Pencegahan terhadap Kejadian Penyakit Diabetes Melitus Tipe 2 pada Usia Produktif di Wilayah DKI Jakarta. Journal of Public Health Education, 2(4), 377–385. https://doi.org/10.53801/jphe.v2i4.148

Nurhayati, A., Hasyim, D. M., & Arduani, F. (2025). Peran Gizi pada Upaya Pencegahan Penyakit Tidak Menular. PT Nawala Gama Education.

Putri, S. A. (2025). Diabetes. Afdan Rojabi Publisher.

Riza, M., & Sutajaya, M. (2024). Integrasi Teori Behavioral dalam Edukasi Kesehatan untuk Perubahan Perilaku pada Sekolah Tinggi Kesehatan Mataram. PRIMA: Jurnal Ilmiah Ilmu Kesehatan, 10(1), 232–241. https://doi.org/https://doi.org/10.47506/e9res528

Sekarbumi, A., Olipia, J., Issyakirawahyu, K., Khairan, Moch. A. D., Hafiza, N., Meilani, R., Safarina, R. P. A., Irmawati, S. P., Qolbi, S., & Sopiah, P. (2025). Literature Review: Peran Manajemen Stres dan Pola Hidup Sehat dalam Mencegah Diabetes Mellitus Tipe 2 pada Remaja. Jurnal Penelitian Inovatif, 5(2), 2219–2228. https://doi.org/10.54082/jupin.1456

Septiani, P. A. A., & Andriyani, I. N. (2025). Writing Therapy sebagai Media Refleksi Diri dalam Pembentukan Konsep Diri Positif Anak Berkonflik Hukum. Jurnal Penelitian Inovatif, 5(2), 1597–1606. https://doi.org/10.54082/jupin.1503

Septiano, N. M., & Sutrisno. (2025). Efektivitas Terapi Menulis Emosional dalam Mereduksi Stres Adaptasi pada Mahasiswa Tahun Pertama. Jurnal Ilmu Pendidikan Dan Psikologi (JIPP), 3(3), 70–76. https://doi.org/https://doi.org/10.61116/jipp.v3i3.535

Septriani, M., Nina, N., Adzidzah, H. Z. N., Solihat, M., & Sulistiani, S. (2023). Analisis Perilaku Aktivitas Fisik terhadap Kejadian Diabetes Melitus Tipe 2 pada Usia Produktif di Wilayah DKI Jakarta. Journal of Public Health Education, 3(1), 392–399. https://doi.org/10.53801/jphe.v3i1.153

Sulianta, F. (2025). Journaling untuk Pengembangan Diri: Panduan Praktis dengan Menulis Tangan dan Digital. Feri Sulianta.

Titis Nurhandayani, Retno Setyawati, & Erna Melastuti. (2025). Hubungan Efikasi Diri dan Tingkat Stres dengan Manajemen Perawatan Diri pada Pasien Diabetes Mellitus Tipe 2. Journal of Medical Practice and Research, 1(2), 407–421. https://doi.org/10.65310/6fcsj263

WHO. (2024). Diabetes. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/diabetes

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Published

2026-04-15

How to Cite

Suryati, T., Dais, E. G., Maryati, M., Dinaryanti, R. S., Sofyan, S., Riyantini, Y., & Ali, M. (2026). Emotional Journal Writing-Based Stress Management: A Control for Risk Factors of Diabetes Mellitus. Faletehan Health Journal, 13(01), 109–117. Retrieved from https://journal.lppm-stikesfa.ac.id/index.php/FHJ/article/view/915