a Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA.
b Harvard Medical School , Boston , MA , USA.
Soc Work Health Care. 2019 Mar;58(3):304-323. doi: 10.1080/00981389.2018.1563846. Epub 2018 Dec 30.
Healthy eating is key to successful management of type 2 diabetes (T2D). As discussed in this narrative review, there are strong indications that spousal support is an important element affecting dietary adherence in T2D. To provide a synthesized review of this evidence, Google Scholar and PubMed were searched, 28 relevant studies were selected, and the results were narratively summarized. A framework for information synthesis was developed which categorized results into three major themes: how gender roles and spousal dynamics function in spousal support for dietary adherence, the role of race and ethnicity in the influence of spousal support on dietary adherence, and the extant interventional work specifically targeting spousal support for T2D. The reviewed studies indicate that gender role performance is the principal factor in the relationship between spousal support and dietary adherence in T2D, though race and ethnicity also contribute. Despite this evidence, interventions that specifically target spousal support to improve dietary adherence in T2D have had limited efficacy. A better understanding of the relationship between spousal support and dietary adherence, as well as a subsequent utilization of this information to create targeted and effective interventions, would be of great benefit to the field of diabetes management.
健康饮食是成功管理 2 型糖尿病（T2D）的关键。正如本叙事综述所讨论的，有强有力的证据表明，配偶支持是影响 T2D 患者饮食依从性的一个重要因素。为了对这一证据进行综合综述，我们在 Google Scholar 和 PubMed 上进行了搜索，选择了 28 项相关研究，并对结果进行了叙述性总结。我们制定了一个信息综合框架，将结果分为三个主要主题：性别角色和配偶关系在配偶支持饮食依从性中的作用、种族和民族在配偶支持对饮食依从性影响中的作用，以及专门针对 T2D 配偶支持的现有干预工作。综述研究表明，在 T2D 中，配偶支持与饮食依从性之间的关系中，性别角色表现是主要因素，但种族和民族也有影响。尽管有这些证据，但专门针对配偶支持以提高 T2D 患者饮食依从性的干预措施效果有限。更好地了解配偶支持与饮食依从性之间的关系，并利用这些信息来制定有针对性和有效的干预措施，将极大地有益于糖尿病管理领域。
