The relationship between marital quality and adherence to the diabetes care regimen
The relationship between marital quality and adherence to the diabetes care regimen
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DOI：
10.1207/s15324796abm2703_2
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发表时间：
2004-06-01
影响因子：
3.8
通讯作者：
Weinstock, RS
中科院分区：
文献类型：
--
作者：
Trief, PM;Ploutz-Snyder, R;Weinstock, RS
背景资料：糖尿病是一种慢性疾病，需要通过坚持和维持复杂的医疗保健方案来改变行为。社会支持已被发现是一个因素，影响遵守。目的：本文报告了对婚姻质量（即，亲密度和调整）和自我报告的对糖尿病护理方案的坚持。研究方法：78名接受胰岛素治疗的糖尿病成人在时间1（T1）进行了评估，当时他们完成了两项婚姻质量指标和一项糖尿病护理方案依从性指标。2年后（时间2; T2）联系了60名参与者，自我护理措施为readininadmissible。通过血红蛋白A1 c评估血糖（糖）控制。从图表和问卷中收集人口统计学数据（年龄、性别类型和糖尿病持续时间、结婚年限、其他医疗问题、糖尿病家族史、受教育年限）。线性回归分析用于评估T1时两项婚姻测量指标预测T2时自我护理依从性的能力，控制混杂基线变量。结果：结果表明，这两个婚姻质量的措施预测在T1的自我照顾的许多方面。饮食自我护理与婚姻亲密度和调整有关，坚持锻炼和医生的建议也是如此。无论是坚持血糖检测还是血糖控制都与婚姻质量无关。前瞻性分析表明，在TI的婚姻质量的措施是一个前瞻性的预测方面的坚持自我护理在T2。结论：未来的努力，以提高自我保健应探讨的干预措施，针对配偶和/或夫妇的关系的价值。
Background: Diabetes is a chronic illness that requires significant behavior change through adherence to, and maintenance of a complex health care regimen. Social support has been found to be a factor that influences adherence. Purpose: This article reports a cross-sectional and prospective assessment of the relationship between marital quality (i.e., intimacy and adjustment) and self-reported adherence to the diabetes care, regimen. Methods: Seventy-eight insulin-treated adults with diabetes were assessed at Time 1 (T1) when they completed two marital quality measures and a measure of adherence to the diabetes care regimen. Sixty participants were contacted 2 years later (Time 2; T2), and the self-care measure was readininistered. Blood glucose (sugar) control was assessed by hemoglobin A1c. Demographic data (age, gender type and duration of diabetes, years married, other medical problems, family history of diabetes, years of education) were gathered from charts and questionnaires. Linear regression analyses were used to assess the ability of the two marital measures at T1 to predict adherence to self-care at T2, controlling for confounding baseline variables. Results: Results showed that both of the marital quality measures predicted many aspects of self-care at T1. Dietary self-care related to marital intimacy and adjustment, as did adherence to exercise and to doctor's recommendations. Neither adherence to blood glucose testing nor blood glucose control was related to marital quality. Prospective analyses showed that neither marital quality measure at TI was a prospective predictor of aspects of adherence to self-care at T2. Conclusions: Future efforts to improve self-care should explore the value of interventions that target the spouse and/or the couple's relationship.