Background: To explore the tendency of the effects of anxiety and depression that occur in
type 2 diabetes patients, especially poor patients who live in the urban areas with poor economic conditions,
who do not have health access from the government, and live away from the hospitals.
Methods: It is a cross-sectional study which aimed to determine the number of patients who experienced
anxiety and depression problems due to the declining health conditions caused by diabetes. A
sample size of 98 diabetics experiencing anxiety and depression when the treatment was carried out was
included. The study design included a qualitative study with in-depth interviews with respondents who
were at risk of diabetes, as well as to determine the level of anxiety and depression that occurred when
medical care was provided and the feelings experienced by the respondents after the completion of
Results: Diabetic patients are generally unaware that their illness is a chronic disease that takes a long
time to treat. When the patients are sick, most of them do not immediately go to the hospital or a specialist
to get their health examination and treatment, because the hospital is far from the patients’ residence.
Furthermore, some patients still use traditional medicine and non-medical treatment, so when the
patients with critical conditions are taken to the hospital, they already have chronic diabetes.
Conclusion: The lack of access to health for chronic patients with poor economic conditions who live
far from the hospitals and the scarcity of medical staff to carry out treatment of chronic diseases such as
diabetes for poor patients in urban areas certainly have an impact on increasing the number of patients
with chronic diseases. Therefore, the government is expected to be able to provide easy health policies
to remote rural communities in order to achieve optimal community welfare and health.