فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Self‑care activities are associated with prognosis of type‑II diabetes mellituspatients and include medication adherence, dietary adherence, physical activity, self‑monitoring ofblood glucose (SMBG), and appropriate foot care. The behaviors of a patient’s family members caninfluence the patient’s self‑care activities, but little data exist on this association. The objective of thisstudy was to assess the extent of the association between behaviors of family members of Type‑IIdiabetes patients and the patients’ self‑care activities.MATERIALS AND METHODS: We conducted a cross‑sectional study at a teaching hospitalin Kathmandu, Nepal, and interviewed 411 outpatients with Type‑2 diabetes mellitus. We usedexploratory factor analysis to group family members’ behaviors into 3 domains (“authoritarian,”“supportive,” and “planning” behaviors) and graded the level of the behavior into 3 categories (“high”vs. “medium” vs. “low”) according to its ranking distribution in each domain. We assessed theassociation between domains of family behavior and self‑care activities using multivariate logisticregression with Bonferroni correction.RESULTS: High (vs. low) level of supportive behavior was associated with compliance to SMBG (58%vs. 11%; adjusted odds ratio [OR] =7.44; 95% confidence interval [CI] =2.41, 23.01). High (vs. low)level of planning behavior was associated with high level of foot care adherence (64% vs. 21%;adjusted OR = 6.03; 95% CI = 3.01, 12.11).CONCLUSIONS: We found associations between behaviors of diabetes patients’ family membersand the patients’ own self‑care behaviors. However, the incongruence between the family behaviormeasurement questions and the self‑care of interest limited the implications of the findings.