PMID- 38412362
OWN - NLM
STAT- MEDLINE
DCOM- 20240416
LR  - 20240416
IS  - 1460-2229 (Electronic)
IS  - 0263-2136 (Linking)
VI  - 41
IP  - 2
DP  - 2024 Apr 15
TI  - Effects of family support system on the self-management behaviour of patients 
      with T2DM: a multi-centre cross-sectional study in community settings.
PG  - 114-122
LID - 10.1093/fampra/cmae010 [doi]
AB  - BACKGROUND: The burden of type 2 diabetes mellitus (T2DM) in China continues to 
      escalate. OBJECTIVE: To investigate the impact of family support system on the 
      self-management behaviour of patients with T2DM. METHODS: In this cross-sectional 
      study, 1,042 participants were sampled using a multistage stratified 
      probability-proportionate-to-size method. On-site interviews were conducted using 
      a structured questionnaire administered by 122 family doctors from 13 community 
      health service centres in 8 administrative districts. A structural equation model 
      was established to investigate the impact of individual factors and family 
      support system on the self-management behaviour of T2DM patients. Statistical 
      analysis was performed using the SPSS 25.0 software. RESULTS: The self-management 
      behaviour pass rate among individuals with T2DM was 40.9%. In terms of individual 
      factors, those with a high school education level or above demonstrated higher 
      self-management behaviour scores than those with a junior high school education 
      level or lower. The structural equation model revealed a path of interactions 
      among individual factors, family support system-related factors, and the 
      self-management behaviour of patients with T2DM: Family function --> Family support 
      --> Patients' self-management behaviour --> Quality of life. The coefficient of the 
      direct path from family function to family support was 0.74 (P < 0.001), while 
      the coefficient of the direct path from family support to self-management 
      behaviour was 0.68 (P = 0.001). CONCLUSION: There is significant room for 
      improvement in the self-management behaviour of T2DM patients in China. Family 
      function can enhance the self-management behaviour of T2DM patients by promoting 
      family support.
CI  - (c) The Author(s) 2024. Published by Oxford University Press. All rights reserved. 
      For permissions, please e-mail: journals.permissions@oup.com.
FAU - Zhu, Lan
AU  - Zhu L
AUID- ORCID: 0009-0009-8308-111X
AD  - Department of General Practice, Zhongshan Hospital Affiliated to Fudan 
      University, Shanghai, China.
AD  - Xietu Street Community Health Service Center, Xuhui District, Shanghai, China.
FAU - Pan, Zhigang
AU  - Pan Z
AUID- ORCID: 0000-0002-9733-6170
AD  - Department of General Practice, Zhongshan Hospital Affiliated to Fudan 
      University, Shanghai, China.
FAU - Shen, Fulai
AU  - Shen F
AUID- ORCID: 0009-0008-9573-3157
AD  - Research Center of Strengthening Foundation of Health, Institute of Healthy 
      Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China.
FAU - Shen, Yi
AU  - Shen Y
AUID- ORCID: 0009-0004-6587-9439
AD  - New Exploration Project Team, Diabetes Management Community, Zhongshan Hospital 
      Affiliated to Fudan University, Shanghai, China.
FAU - Zhang, Wei
AU  - Zhang W
AUID- ORCID: 0000-0002-9601-4823
AD  - School of Public Health, Fudan University, Shanghai, China.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - England
TA  - Fam Pract
JT  - Family practice
JID - 8500875
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Cross-Sectional Studies
MH  - Family Support
MH  - Quality of Life
MH  - *Self-Management
OTO - NOTNLM
OT  - family function
OT  - family support system
OT  - self-management behaviour
OT  - structural equation model
OT  - type 2 diabetes mellitus
EDAT- 2024/02/27 18:42
MHDA- 2024/04/16 12:43
CRDT- 2024/02/27 15:43
PHST- 2024/04/16 12:43 [medline]
PHST- 2024/02/27 18:42 [pubmed]
PHST- 2024/02/27 15:43 [entrez]
AID - 7614997 [pii]
AID - 10.1093/fampra/cmae010 [doi]
PST - ppublish
SO  - Fam Pract. 2024 Apr 15;41(2):114-122. doi: 10.1093/fampra/cmae010.