Journal List > J Korean Diabetes Assoc > v.31(5) > 1062469

Kim, Lee, Ryu, Lee, Yun, and Choi: The Relationship of Family Support with Blood Glucose Control in Elderly Type 2 Diabetic Patients

Abstract

Background

With the extension of human life span, the prevalence of diabetes in elderly population is increasing. The glycemic control is also important in elderly diabetics because the life expectancy in elderly is steadily increased. In this study, we investigated the role of family support on glycemic control in elderly type diabetic patients.

Methods

This study was conducted with 126 type 2 diabetic patients over 60 years of age who were enrolled between March and December, 2005. The data for glycemic control, family characteristics, and family support were collected by structured questionnaire, personal interview, and medical record review. We used total supportive index scores to evaluate family support. We evaluated the relationship between family support and glycemic control.

Results

Fasting plasma glucose was positively correlated with duration of diabetes (r = 0.277, P = 0.003). Postprandial 2 hour plasma glucose was negatively correlated with monthly incomes (r = -0.357, P = 0.002), assessment support (r = -0.201, P = 0.029). Hemoglobin A1c was positively correlated with duration with diabetes (r = 0.294, P = 0.002) and insulin use (r = 0.259, P = 0.004), but it was negatively correlated with diabetic self-management education (r = -0.190, P = 0.036). Adjusted for age, sex, duration of diabetes, and monthly incomes, there were no significant associations between glycemic control and family support.

Conclusion

In this study, there were no significant associations between glycemic control and family support. More large prospective studies will be followed to exactly evaluate the role of family support in diabetic patients.

Figures and Tables

Table 1
Subordinate index of family support, contents, and questionnaire numbers
jkda-31-435-i001
Table 2
General characteristics of the study patients (n = 126)
jkda-31-435-i002
Table 3
The characteristics of diabetes in the study patients
jkda-31-435-i003

*Diabetic complication means diabetic nephropathy, neuropathy, and retinopathy.

Data are mean ± standard deviation.

Table 4
Family characteristics of the study patients
jkda-31-435-i004
Table 5
Correlation between the characteristics of study patients and glycemic control (r*)
jkda-31-435-i005

*r means Spearman correlation coefficient. P < 0.05

Table 6
Correlation between family support and glycemic control (r*)
jkda-31-435-i006

*r means Spearman correlation coefficient. P < 0.05.

References

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4. Cole I, Chesla CA. Interventions for the family with diabetes. Nurs Clin North Am. 2006. 41:625–639.
5. Kaplan BH, Cassel JC, Gore S. Social support and health. Med Care. 1977. 15:47–58.
6. Kan CF. Family social support: toward a conceptual model. Adv Nurs Sci. 1988. 2:18–25.
19. La Greca AM, Bearman KJ. The diabetes social support questionnaire-family version: Evaluating adolescents' diabetes-specific support from family members. J Pediatr Psychol. 2002. 27:665–676.
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