Family involvement and diabetes distress across dyads for adults with type 2 diabetes.
Family involvement and diabetes distress across dyads for adults with type 2 diabetes.
复制标题
成年 2 型糖尿病患者的家庭参与和糖尿病困扰。
DOI：
10.1016/j.pec.2023.107719
复制
发表时间：
2023
影响因子：
3.5
通讯作者：
Mayberry,LindsayS
中科院分区：
文献类型：
--
作者：
Roddy,McKenzieK;Nelson,LyndsayA;Spieker,AndrewJ;GreevyJr,RobertA;Mayberry,LindsayS
目的 家人/朋友的参与和糖尿病困扰与 2 型糖尿病 (PWD) 患者的预后相关，但人们对它们之间的关系知之甚少。我们的目标是 (1) 描述 PWD 与支持者 (SP) 痛苦之间的关联； (2) 描述 PWD、SP 以及整个二人组的参与与糖尿病困扰之间的关联； (3) 探讨 PWD 和 SP 的同居关系是否存在差异。方法 PWD 和 SP 共同参加了一项评估自我护理支持干预效果的研究，并在基线时完成了自我报告措施。结果 PWD 和 SP（N = 297 组）平均年龄在 50 多岁，大约三分之一被确定为少数族裔或族裔。 PWD 和 SP 糖尿病困扰之间的关联很小（Spearman ρ = 0.25，p < 0.01）。对于残疾人来说，经历过来自家人/朋友的有害参与与更多的糖尿病困扰相关（标准化β=0.23，p<0.001），与调整模型中的有益参与无关。另外，SP 自我报告的有害参与与他们自己的糖尿病困扰（标准化 β = 0.35，p < 0.001）和残疾人的糖尿病困扰（标准化 β = 0.25，p = 0.002）相关，独立于 SP 自我报告的有益参与。结论和实践意义研究结果表明，二元干预可能需要同时解决 SP 有害参与和 SP 糖尿病 苦恼，除了PWD苦恼。
ObjectiveFamily/friend involvement and diabetes distress are associated with outcomes for persons with type 2 diabetes (PWDs), but little is known about how they relate to each other. We aim to (1) describe associations between PWD and support person (SP) distress; (2) describe associations between involvement and diabetes distress for PWDs, for SPs, and across the dyad; and (3) explore whether associations differ by PWD-SP cohabitation.MethodsPWDs and SPs co-enrolled in a study evaluating the effects of a self-care support intervention and completed self-report measures at baseline.ResultsPWDs and SPs (N = 297 dyads) were, on average, in their mid-50s and around one-third identified as racial or ethnic minorities. The association between PWD and SP diabetes distress was small (Spearman’s ρ = 0.25,p< 0.01). For PWDs, experienced harmful involvement from family/friends was associated with more diabetes distress (standardized β = 0.23,p< 0.001) independent of helpful involvement in adjusted models. Separately, SPs’ self-reported harmful involvement was associated with their own diabetes distress (standardized β = 0.35,p< 0.001) and with PWDs’ diabetes distress (standardized β = 0.25,p= 0.002), independent of SPs’ self-reported helpful involvement.Conclusion and practice implicationsFindings suggest dyadic interventions may need to address both SP harmful involvement and SP diabetes distress, in addition to PWD distress.