PMID- 37340624
OWN - NLM
STAT- MEDLINE
DCOM- 20230921
LR  - 20230921
IS  - 1365-2702 (Electronic)
IS  - 0962-1067 (Linking)
VI  - 32
IP  - 19-20
DP  - 2023 Oct
TI  - The role of family support in diabetes self-management among rural adult 
      patients.
PG  - 7238-7246
LID - 10.1111/jocn.16786 [doi]
AB  - AIMS AND OBJECTIVES: This study aimed to investigate the role of the family in 
      supporting diabetes self-management and explore the possible mechanisms between 
      family and diabetes self-management among rural patients in China. BACKGROUND: 
      The prevalence of Type 2 diabetes mellitus (T2DM) is growing rapidly in rural 
      areas of China, where healthcare resources remain relatively poor and family 
      members play an important role in chronic disease self-management. DESIGN: This 
      was a multicentre cross-sectional study. METHODS: A total of 276 adults with T2DM 
      were recruited from nine county hospitals in China. Diabetes self-management, 
      family support, family function, and family self-efficacy were evaluated using 
      the mature scales. A theoretical model was built based on the social learning 
      family model and previous studies and then verified using a structural equation 
      model. The STROBE statement was used to standardise the study procedure. RESULTS: 
      Family support and general family factors, including family function and 
      self-efficacy, were positively correlated with diabetes self-management. Family 
      support fully mediates the relationship between family function and diabetes 
      self-management and partially mediates the relationship between family 
      self-efficacy and diabetes self-management. The model explained 41% of the 
      variability in diabetes self-management and had a good model fit. CONCLUSION: 
      General family factors can explain nearly half of the change in diabetes 
      self-management in rural areas of China, while family support is a mediator 
      between general family factors and diabetes self-management. Family 
      self-efficacy, a potential intervention point of family based diabetes 
      self-management education, can be improved by building special lessons for family 
      members. RELEVANCE TO CLINICAL PRACTICE: This study emphasises the role of family 
      in diabetes self-management and proposes suggestions for diabetes self-management 
      intervention among patients with T2DM in rural areas of China. PATIENT OR PUBLIC 
      CONTRIBUTION: Patients and their family members completed the questionnaire which 
      was used for data collection.
CI  - (c) 2023 John Wiley & Sons Ltd.
FAU - Tang, Rongsong
AU  - Tang R
AUID- ORCID: 0000-0003-4546-950X
AD  - Nursing Department, Peking University Third Hospital, Beijing, China.
FAU - Luo, Dan
AU  - Luo D
AD  - School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
FAU - Li, Baohua
AU  - Li B
AD  - Nursing Department, Peking University Third Hospital, Beijing, China.
FAU - Wang, Jingpin
AU  - Wang J
AD  - Nursing Department, Peking University Third Hospital, Beijing, China.
FAU - Li, Mingzi
AU  - Li M
AD  - School of Nursing, Peking University, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20230620
PL  - England
TA  - J Clin Nurs
JT  - Journal of clinical nursing
JID - 9207302
MH  - Humans
MH  - Adult
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Family Support
MH  - *Self-Management/methods
MH  - Cross-Sectional Studies
MH  - Health Behavior
MH  - China
OTO - NOTNLM
OT  - diabetes self-management
OT  - family
OT  - structural equation model
OT  - type 2 diabetes
EDAT- 2023/06/21 06:42
MHDA- 2023/09/21 06:42
CRDT- 2023/06/21 01:12
PHST- 2023/03/07 00:00 [revised]
PHST- 2022/09/14 00:00 [received]
PHST- 2023/05/29 00:00 [accepted]
PHST- 2023/09/21 06:42 [medline]
PHST- 2023/06/21 06:42 [pubmed]
PHST- 2023/06/21 01:12 [entrez]
AID - 10.1111/jocn.16786 [doi]
PST - ppublish
SO  - J Clin Nurs. 2023 Oct;32(19-20):7238-7246. doi: 10.1111/jocn.16786. Epub 2023 Jun 
      20.