Abstract
BackgroundPrevious studies confirmed that the control of diabetes is related to family functioning, but the validity of the tools used to assess family functioning in these studies is questionable. Few studies have focused on family issues. In this study, we used a new assessment tool to evaluate family functioning and family issues of patients with type 2 diabetes.MethodsA cross-sectional questionnaire was given to outpatients with type 2 diabetes at a community hospital in Aichi, Japan, between August 2001 and March 2002. First, the patients were asked to answer FACESKGIV-16, which measures cohesion and adaptability, questions regarding family issues, daily lifestyle, and HAD. Physical and serological data were measured. Family functioning, family issues, and relationships between each parameter and family functioning or family issues were analyzed.ResultsOf the 133 participants, 121 (33.3%) had some sort of family issue. Family issues included “Health problems of family members” (40.9%), “Family life cycle issues” (22.7%), and others.The best fit multiple regression model (Adjusted R2: 0.494, p = 0.020) included Plasma Glucose as an independent variable, and the squared value of cohesion score, depression score of HAD, Total calorie intake, Exercise time, Housekeeping time, and BMI were dependent variables. The results show that extremes of family cohesion with either too many or too few issues related to family functioning are correlated with the plasma glucose level.ConclusionsFamily issues were common among patients with type 2 diabetes, and the extremes of family cohesion were associated with the glucose level, in contrast to the common wisdom that a well balanced family leads to good control of diabetes.
Highlights
Type 2 diabetes is one of the most common diseases in Japan, affecting approximately 7 million Japanese
Family issues were common among patients with type 2 diabetes, and the extremes of family cohesion were associated with the glucose level, in contrast to the common wisdom that a well balanced family leads to good control of diabetes
Because total calorie intake, Body Mass Index (BMI), blood pressure, eating behavior, daily lifestyle, and mental status are well known to be related with glycemic control, we investigated the relationship between these parameters and family functioning or family issues
Summary
Type 2 diabetes is one of the most common diseases in Japan, affecting approximately 7 million Japanese. Many clinicians believe that diabetic control is related family functioning, and some studies have supported it. The validity of the assessment tools used in those studies is questionable. Few studies have focused on the family issues of diabetic patients. With regard to family issues, other than our two studies, no one has studied them deeply in a single clinical setting number of patients was too small in each disease category to analyze. Previous studies confirmed that the control of diabetes is related to family functioning, but the validity of the tools used to assess family functioning in these studies is questionable. Few studies have focused on family issues. We used a new assessment tool to evaluate family functioning and family issues of patients with type 2 diabetes
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