Perceived Family Support and Treatment Adherence in Older Adults With Type 2 Diabetes.

IF 2.5 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2026-09-01 Epub Date: 2026-04-29 DOI:10.1097/NNR.0000000000000914
Simge Kalav, Arife Altin Çetin
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引用次数: 0

Abstract

Background: Evidence regarding the association between family support and treatment adherence among older adults with type 2 diabetes (T2D) remains limited.

Objectives: The purpose of this study was to examine the association between perceived family support and treatment adherence among older adults with T2D.

Methods: This cross-sectional study included 233 older adults with T2D from an endocrinology outpatient clinic in southern Turkey. Data were collected using a personal information form, Hensarling's Diabetes Family Support Scale (HDFSS), and the Type 2 Diabetes Mellitus Treatment Patient Compliance Scale.

Results: Older adults with T2D reported moderate-to-high levels of perceived family support, alongside moderate overall patient compliance. Some participants reported T2D-related complications and a history of hospitalization. Regression analysis indicated that the model accounted for a substantial proportion of the variance in patient adherence. Although total HDFSS was not significantly associated with compliance, the encouragement subscale showed a positive association, whereas the facilitative support subscale showed a negative association with patient compliance.

Discussion: The results highlighted that facilitative support was associated with better treatment adherence among older adults, suggesting the importance of considering patient-centered and family-centered approaches in diabetes care. Encouraging initiatives, when carried out entirely under family control, seemed to be linked to lower self-management skills among older adults.

老年2型糖尿病患者的家庭支持和治疗依从性
背景:关于家庭支持与老年2型糖尿病(T2D)患者治疗依从性之间关系的证据仍然有限。目的:本研究的目的是检查老年T2D患者感知到的家庭支持与治疗依从性之间的关系。方法:这项横断面研究包括来自土耳其南部一家内分泌门诊的233名老年T2D患者。数据采用个人信息表、亨萨林糖尿病家庭支持量表(HDFSS)和2型糖尿病治疗患者依从性量表收集。结果:老年T2D患者报告了中等至高水平的感知家庭支持,同时患者总体依从性中等。一些参与者报告了与t2d相关的并发症以及住院史。回归分析表明,该模型占患者依从性方差的很大比例。虽然总HDFSS与依从性无显著相关,但鼓励分量表与患者依从性呈正相关,而促进支持分量表与患者依从性呈负相关。讨论:结果强调,促进性支持与老年人更好的治疗依从性相关,这表明在糖尿病护理中考虑以患者和家庭为中心的方法的重要性。在完全由家庭控制的情况下,鼓励的举措似乎与老年人较低的自我管理技能有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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