Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?:
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TLDR
Family members are highly involved in the self-care of higher functioning patients with diabetes or heart failure, and both barriers and family support were associated with patients’ self-management adherence.Abstract:
Objectives: Among functionally independent patients with diabetes or heart failure, we examined family member support and family-related barriers to self-care. We then identified patient characteristics associated with family support and family barriers and how each was associated with self-management adherence.Methods: Cross-sectional survey of 439 patients with diabetes or heart failure (74% response rate).Results: 75% of respondents reported supportive family involvement in self-care; however, 25% reported frequent family-related barriers to self-care. Women reported family support less often (64% v. 77%) and family barriers to self-care more often (30% v. 21%) than men. 78% of respondents reported involved family members nagged or criticized them about illness care. In multivariate models, low health literacy, partnered status and higher family function were associated with higher family support levels, while female gender, older age, higher education, and more depression symptoms were associated with...read more
Citations
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[Self-management: a comprehensive approach to management of chronic conditions].
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