Family Support Toward Adherence and Glycemic Control of Type 2 Diabetes Patient: A Systematic Review

Abstract

The increase in diabetes epidemic, particularly type 2 diabetes in adults has occurred in the past three decades. This phenomenon happened especially in the developing countries. Patients' compliance is required in order to properly adopt self-care management and assist prevent consequences from persistent hyperglycaemia. Families can help patients by providing care, which has a positive impact on their adherence. This study intends to investigate the association between family support and type 2 diabetes patients' adherence to diabetes therapy in order to improve glycaemic control. Materials and methods. Three databases of Pubmed, Ebscho and Wiley were used to obtain relevant articles. Article searches using key words “type 2 diabetes”, “family support”, “adherence” and “compliance”. The PRISMA method and PICO concept were used to determine which study was worth to be reviewed, and it was obtained 15 selected studies to be identified in the period from January 2008 – December 2018. The studies discuss about the forms of family support and their impact on the adherence and glycaemic control of the patients. The designs of the 15 studies were 2 qualitative studies, 8 quasi experiments, 4 mixed-method studies and 1 systematic review. Conclusion. The findings revealed that family support enhanced the health of patients with type 2 diabetes mellitus in a comprehensive study. Higher levels of support remained a key feature in the self-care management's success.