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2型糖尿病患者疾病初期阶段依从性相关的家庭与夫妻变量

Family and Couple Variables Regarding Adherence in Type 2 Diabetes Patients in the Initial Stages of the Disease.

作者信息

Pereira M Graça, Pedras Susana, Ferreira Gabriela, Machado José C

机构信息

University of Minho, School of Psychology.

出版信息

J Marital Fam Ther. 2019 Jan;45(1):134-148. doi: 10.1111/jmft.12281. Epub 2017 Sep 25.

Abstract

This study analyzed which family and couple variables predicted adherence to standard care treatment, in patients recently diagnosed with type 2 diabetes. The sample comprised 224 dyads assessed during the first year of diagnosis (T1) and 4 months later (T2). The results showed that family stress, dyadic adjustment, family coping, and positive support assessed by patients at T1 predicted medication adherence and glucose monitoring at T2. Positive support and dyadic adjustment, assessed by partners at T1, predicted patients' adherence to glucose monitoring and diet at T2. This study highlights the important role of the partner in patient`s adherence. Therefore, standard care in type 2 diabetes should be offered in the context of the dyad.

摘要

本研究分析了哪些家庭和夫妻变量能够预测近期诊断为2型糖尿病患者对标准护理治疗的依从性。样本包括在诊断第一年(T1)及4个月后(T2)评估的224对研究对象。结果显示,患者在T1时评估的家庭压力、二元调适、家庭应对和积极支持能够预测T2时的药物依从性和血糖监测情况。伴侣在T1时评估的积极支持和二元调适能够预测患者在T2时对血糖监测和饮食的依从性。本研究强调了伴侣在患者依从性方面的重要作用。因此,2型糖尿病的标准护理应在二元关系的背景下提供。

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