The importance of social support for people with type 2 diabetes – a qualitative study with general practitioners, practice nurses and patients

Goetz, Katja; Szécsényi, Joachim; Campbell, Stephen; Rosemann, Thomas; Rueter, Gernot; Raum, Elke; Brenner, H; Miksch, Antje

doi:10.3205/psm000080

Cited by 23 publications

(12 citation statements)

References 32 publications

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“…Family environment was identi ed as both facilitator and barrier of self-management engagement, which was also proven by other previous studies [43,[54][55]. This study found that family members' attitudes and perceptions on diabetes management and healthy habits in uenced self-management engagement.…”

Section: Discussionsupporting

confidence: 76%

“…Concerning the barrier of changing unhealthy behaviors, changing the unhealthy behaviors was considered as the core value and critical component of diabetes self-management, while behavior change is challenging [54]. Given this situation, behavior change technologies were widely used in diabetes management, and the effects of blood glucose control has been proven [46,52].…”

Section: Discussionmentioning

confidence: 99%

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Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: A descriptive qualitative study

Liu

Jiang

You

et al. 2022

Preprint

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Background: Blood glucose is poorly controlled and self-management engagement is inadequate in Chinese people with type 2 diabetes. This study aimed to explore facilitators and barriers to self-management engagement of Chinese people with poorly controlled type 2 diabetes.Methods: Patients wit poorly controlled type 2 diabetes were recruited from National Metabolic Management Center. Purposive sampling method was used for recruitment. Semi-structured interview and thematic analysis was used for data collection and analysis. Results: 26 semi-structured interviews were conducted. Poor blood glucose increased awareness of susceptibility to complications, which motivated self-management engagement. However, emotional burdens could be concomitant. General knowledge about lifestyle management was useless for successful lifestyle management engagement. Unhealthy habits impeded lifestyle management engagement. Temporary remission of hyperglycemia and no perceived physical symptoms interfered engagement of medication therapy and regular blood glucose monitoring. Family and work environment could impact self-management engagement. Accessibility to reliable diabetes-related information could also influence self-management engagement.Conclusions: Increasing patients’ awareness of poor blood glucose status and susceptibility to complications is essential. However, concomitant emotional burdens could be concomitant. Formulating customized lifestyle management plans should be considered to replace providing general knowledge. Behavior change technologies should integrate in current Chinese diabetes services. Diabetes educators should emphasize the natural progression of diabetes and the importance of medication therapy continuity. Furthermore, the value of blood glucose monitoring should be clarified. Policies on building diabetes-friendly family and work environments should be considered. Building a channel that provides reliable diabetes-related information and is accessible in routine life is essential.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: A descriptive qualitative study

Liu

Jiang

You

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Concerning the barrier of changing unhealthy behaviors, changing the unhealthy behaviors was considered as the core value and critical component of diabetes self-management, while behavior change is challenging [ 51 , 54 ]. Given this situation, behavior change technologies were widely used in diabetes management, and the effects of blood glucose control has been proven [ 43 , 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: a descriptive qualitative study

Liu¹,

Jiang²,

You

et al. 2022

BMC Endocr Disord

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Aims To explore facilitators and barriers to self-management engagement of Chinese people with poorly controlled type 2 diabetes. Methods Purposive sampling method was used for recruitment. Semi-structured interview and thematic analysis was used for data collection and analysis. Results Twenty-six semi-structured interviews were conducted. Poor blood glucose control introduced awareness of susceptibility to complications, while mental disorders could be concomitant. General knowledge about healthy lifestyle and unhealthy habits impeded lifestyle management. Temporary remission of hyperglycemia and no perceived symptoms interfered engagement of medication therapy and regular blood glucose monitoring. Family and work environments could impact self-management engagement. Accessibility to reliable diabetes-related information influenced self-management engagement. Conclusions Awareness of susceptibility to complications motivated self-management engagement, while the awareness could cause mental disorders that need to be addressed. Customized lifestyle plans and behavior change technologies were crucial for lifestyle management. The progression of diabetes, importance of continuity of medication therapy, and the value of blood glucose monitoring should be clarified in diabetes education. Building diabetes-friendly social environments and providing reliable diabetes-related information were essential.

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“…Social support has been defined as “a social network’s provision of psychological and material resources intended to benefit an individual’s ability to cope with stress” by Cohen [ 16 ]. Literature shows that social support plays a pivotal role in patients with diabetes [ 17 ] and provides support for the necessary physical and dietary changes [ 18 ]. Besides, previous study has reported that poorer social support was associated with greater levels of depression in DR patients [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of depression and anxiety among Chinese diabetic retinopathy patients: A cross-sectional study

et al. 2022

PLoS ONE

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The purposes of this study were to evaluate the mental health among patients with diabetic retinopathy (DR) and to explore its’ influencing factors. A cross-sectional survey was conducted in Liaoning Province, China. A total of 200 patients volunteered to participate in the survey. Psycho-social variables included stress, self-efficacy, resilience, and social support. logistic regression analysis was used to explore the effect of psycho-social factors on depression and anxiety in DR patients. The prevalence of depression and anxiety was 25% and 13.5% among DR patients. Regression analysis showed that social support had a significant protective effect on depression (95%CI 0.931–0.997) and anxiety (95%CI 0.900–0.995). Stress had a significant acceleration of depression (95%CI 1.055–1.253) and anxiety (95%CI 1.120–1.457). Family history of diabetes (95%CI 1.856–18.057) and other chronic diseases (95%CI 1.485–12.508) were risk factors for anxiety. The high prevalence of depression (25.0%) and anxiety (13.5%) among DR patients should receive more attention in Chinese medical settings. Stress, social support, family history of diabetes and other chronic diseases seemed to be crucial in relation to depressive symptoms. Efficient interventions such as improving social support and decreasing stress with patients should be considered by health administrators aiming at alleviating depressive and anxiety among Chinese DR patients.

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The importance of social support for people with type 2 diabetes – a qualitative study with general practitioners, practice nurses and patients

Cited by 23 publications

References 32 publications

Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: A descriptive qualitative study

Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: A descriptive qualitative study

Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: a descriptive qualitative study

Prevalence and associated factors of depression and anxiety among Chinese diabetic retinopathy patients: A cross-sectional study

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