Family Support Toward Adherence and Glycemic Control of Type 2 Diabetes Patient: A Systematic Review
Aini Yusra, Agung Waluyo
Poltekkes Kemenkes Padang
Fakultas Ilmu keperawatan Universitas Indonesia
Abstract
Background: The increase of diabetes epidemic, particularly type 2 diabetes in adults has occurred in the past three decades. This phenomenon happened especially in the developing countries. Patients- adherence is necessary in order to properly implement self-care management and help prevent prolonged hyperglycemia that can lead to complications. Families can provide supports to patients, which will have a good impact toward their adherence. Purpose: This study aims to analyze the relationship between family supports with the adherence of type 2 diabetes patients in diabetes management so that it can improve glycemic control. Methods: Three databases of Pubmed, Ebscho and Wiley were used to obtain relevant articles. Article searches using key words "type 2 diabetes", "family support", adherence and "compliance". The PRISMA method and PICO concept were used to determine which study was worth to be reviewed, and it was obtained 15 selected studies to be identified in the period from January 2008 – December 2018. The studies discuss about the forms of family support and their impact on the adherence and glycemic control of the patients. The designs of the 15 studies were 2 Qualitative Studies, 8 Quasi Experiments, 4 Mixed-method Studies and 1 Systematic Review. Results: The overall systematic review found that family supports improved the health of type 2 diabetes patients. Higher level of supports remained a strong factor for the success of the self-care management. Conclusion: This systematic review found that family supports can improve the health of type 2 diabetes. Further studies need to provide details of adherence and family support components that will have an impact on self management of type 2 diabetes patients. Furthermore, family knowledge and skills need to be improved in order to be a good health supporter for the patients, especially patients of type 2 diabetes.
Keywords: Keyword: type 2 diabetes, family support, adherence, compliance.
Topic: Nursing