Family support, medication adherence, and glycemic control among adults with type 2 diabetes.
Family support, medication adherence, and glycemic control among adults with type 2 diabetes.
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DOI：
10.2337/dc11-2103
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发表时间：
2012-06
期刊：
影响因子：
16.2
通讯作者：
Osborn CY
中科院分区：
文献类型：
--
作者：
Mayberry LS;Osborn CY
我们采用混合方法探讨了受试者对家庭成员糖尿病自我护理知识的认知、家庭成员特定于糖尿病的支持和不支持行为与受试者服药依从性和血糖控制(A1C)之间的关系。成年2型糖尿病患者参加焦点小组会议，讨论糖尿病管理的障碍和促进者(n=45)和/或完成的调查(n=61)，以收集人口统计学信息、糖尿病用药依从性的测量、家庭成员对糖尿病自我护理知识的感知以及对家庭成员特定于糖尿病的支持性和不支持性行为的看法。最近的A1C是从医疗记录中提取的。感知家庭成员对糖尿病的了解更多与感知家庭成员表现出更多针对糖尿病的支持行为有关，但与感知家庭成员表现出更少的不支持行为无关。感觉到家庭成员表现出更多的不支持行为与对糖尿病药物治疗方案的依从性较低有关，而依从性较差与血糖控制较差相关。在焦点小组中，参与者讨论了家庭成员的支持，并列举了被告知糖尿病但进行破坏或不支持行为的家庭成员的例子。参与者报告说，家庭成员的不支持行为与不太坚持自己的糖尿病药物治疗方案有关。参与者强调了工具性帮助对糖尿病自我护理行为的重要性，并报告说，不支持的家庭行为破坏了他们执行这些行为的努力。干预措施应该让家庭成员了解糖尿病，增强他们的动力和行为技能，不要干扰一个人的糖尿病自我护理努力。
We used a mixed-methods approach to explore the relationships between participants’ perceptions of family members’ diabetes self-care knowledge, family members’ diabetes-specific supportive and nonsupportive behaviors, and participants’ medication adherence and glycemic control (A1C). Adults with type 2 diabetes participated in focus group sessions that discussed barriers and facilitators to diabetes management (n = 45) and/or completed surveys (n = 61) to collect demographic information, measures of diabetes medication adherence, perceptions of family members’ diabetes self-care knowledge, and perceptions of family members’ diabetes-specific supportive and nonsupportive behaviors. Most recent A1C was extracted from the medical record. Perceiving family members were more knowledgeable about diabetes was associated with perceiving family members performed more diabetes-specific supportive behaviors, but was not associated with perceiving family members performed fewer nonsupportive behaviors. Perceiving family members performed more nonsupportive behaviors was associated with being less adherent to one’s diabetes medication regimen, and being less adherent was associated with worse glycemic control. In focus groups, participants discussed family member support and gave examples of family members who were informed about diabetes but performed sabotaging or nonsupportive behaviors. Participant reports of family members’ nonsupportive behaviors were associated with being less adherent to one’s diabetes medication regimen. Participants emphasized the importance of instrumental help for diabetes self-care behaviors and reported that nonsupportive family behaviors sabotaged their efforts to perform these behaviors. Interventions should inform family members about diabetes and enhance their motivation and behavioral skills around not interfering with one's diabetes self-care efforts.
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影响因子：
5.4
作者：
Mayberry, Lindsay S.;Kripalani, Sunil;Osborn, Chandra Y.
通讯作者：
Osborn, Chandra Y.
影响因子：
3.2
作者：
Osborn, Chandra Y.;Amico, K. Rivet;Fisher, Jeffrey D.
通讯作者：
Fisher, Jeffrey D.
影响因子：
5.9
作者：
WING, RR;MARCUS, MD;JAWAD, A
通讯作者：
JAWAD, A
影响因子：
8.1
作者：
Kang, Chun-Mei;Chang, Shu-Chuan;Chang, Wen-Yin
通讯作者：
Chang, Wen-Yin
影响因子：
3.9
作者：
Tillotson, LM;Smith, MS
通讯作者：
Smith, MS