School of Nursing & Midwifery, Faculty of Medicine, Dentistry and Health, The University of Sheffield, Sheffield, UK.
Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain.
J Adv Nurs. 2023 Oct;79(10):3652-3677. doi: 10.1111/jan.15689. Epub 2023 May 7.
Synthesize a review of reviews of the family's role in supporting adherence to diabetes self-care management practices (DSMP) for adults with type 2 diabetes (DM2).
An umbrella review.
Scopus, Web of Science including MEDLINE, CINAHL via EBSCO, PubMed and Science Direct were searched for systematic reviews from their year of establishment until June 2021.
The review followed the Joanna Briggs Institute (JBI) guidelines for umbrella reviews. The JBI data extraction form for systematic reviews and research syntheses was used for data extraction. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Systematic reviews and Research Syntheses.
Nineteen reviews met the inclusion criteria. The key findings were summarized using a narrative and thematic analysis methods. Four main themes were identified: family interactions and diabetes self-management, family support as informal social support, factors affecting families' roles, and tailoring culturally sensitive family-based interventions.
There appears to be a consensus regarding the impact of family on adults' self-management of DM2. Additional research is needed to comprehend the role of the family in underrepresented populations and examine what constitutes a family and the diverse family functions in different groups.
Enhancing adherence to self-care management practices is crucial for the well-being of adults with DM2. Family support is a key to successful self-care management at home. However, understanding the unique needs of adults with DM2 and their families can help healthcare professionals plan appropriate support strategies and sustainable family-based interventions.
This review did not incorporate direct patients or public input as it summarizes evidence from previously published systematic reviews.
综合评价家庭在支持 2 型糖尿病（DM2）成人坚持自我护理管理实践（DSMP）方面的作用的综述。
伞式评价。
从成立年份到 2021 年 6 月，在 Scopus、Web of Science（包括 MEDLINE、EBSCO 的 CINAHL）、PubMed 和 Science Direct 上搜索了系统评价，以获取系统评价。
该评价遵循乔安娜·布里格斯研究所（JBI）伞式评价指南。使用 JBI 系统评价和研究综合数据提取表进行数据提取。使用 JBI 系统评价和研究综合批判性评价清单评估方法学质量。
19 项综述符合纳入标准。使用叙述性和主题分析方法总结了主要发现。确定了四个主要主题：家庭互动和糖尿病自我管理、家庭支持作为非正式社会支持、影响家庭角色的因素以及调整基于家庭的文化敏感性干预措施。
似乎就家庭对成人 2 型糖尿病自我管理的影响达成了共识。需要进一步的研究来了解家庭在代表性不足的人群中的作用，并研究家庭的作用以及不同群体中不同的家庭功能。
增强对自我护理管理实践的依从性对 2 型糖尿病成人的健康至关重要。家庭支持是成功进行家庭自我护理管理的关键。然而，了解 2 型糖尿病成人及其家庭的独特需求可以帮助医疗保健专业人员规划适当的支持策略和可持续的基于家庭的干预措施。
由于该综述总结了先前发表的系统评价的证据，因此未纳入直接的患者或公众意见。
