Caregiving Behaviors of Family Caregivers for Diabetes Mellitus Patients

Authors

  • Theranun Wannasiri College of Nursing , Christian University of Thailand

Keywords:

caregiving behaviors, caregivers, diabetes mellitus patients

Abstract

Diabetes mellitus is a multifactorial disease that requires long-term care since it involves major changes in both physical and psychosocial dimension of patients. It is a major problem leading to complications affecting both small and large blood vessels. To reduce the chances of developing long-term complications, patients need quality self-care activities involvement providing supportive behaviors. This qualitative research aims to study the effect of provision of family support for diabetes mellitus-affected patients with regard to self-medication. Thirty (30) families consisting of diabetes mellitus-diagnosed patients and their caregivers were selected using purposive sampling. In-depth interview and non-participatory observation were also used in collecting data. Data were characterized using descriptive statistics and content analysis.

The caregiving behaviors examined fell into 6 main areas: 1) Dependence on companions to meet doctor appointments or to drive and pick-up patients; 2) Caregivers assistance in activities for patients with health limitations; 3) Caregivers warnings to patients of potential danger; 4) Management of self-care of diabetic patients which included cooking food such as raw food with local ingredients, mostly involving vegetables with an absolute abstinence of sweets, exercise to maintain proper physical weight and strength of the body, medication monitoring of the timely intake of medicines, and emotional support and love from other family members; 5) Acceptance of realities and adaptation to them and 6) Most of the caregivers were female; they were the patient’s spouse or daughter who was responsible enough to provide care according to gender roles in Thai tradition. In addition to caregiving, Thai females have many other family responsibilities.

Health care providers should support building capacities for diabetes mellitus patients together with family members to control the disease. Moreover, health care providers should assist men with diabetes mellitus to practice self-care to reduce the women’s burden in the family and support men and women’s access to the caregiving role.

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References

Aekplakorn W. Report Thai Health by the 5th Physical in 2014. In: Diabetes Association of Thailand, The Endocrine Society of Thailand, Department of Medical Services, and National Health Security office (NHSO). Clinical Practice Guideline for Diabetes [internet]. 2014 [cited in 2018 April 2]. Available from https://www.hsri.or.th/researcher/research/new-release/detail/7711.

Anderson RM. Patient Empowerment and The Traditional Medical Model. A case of Irreconcilable Difference?. Diabetes care 1995; 18: 412-5.

American Diabetes Association. Standards of medical care in diabetes - 2009. Diabetes Care 2009; 32 (Suppl1): S13-S61.

Jiamcharasrungsi W. Chronic Care Model. Health Systems Research Institute [internet]. 2008 [cited in 2018 April 2]. Available from http//hdl.handle.net/123456789/2100

Fowler MJ. Microvascular and Macrovascular Complications of Diabetes. Clinical Diabetes 2008; 26(2): 77-80.

Sasat S. Gerontological Nursing: Common Problems and Caring Guideline. Bangkok, Chulalongkorn University; 2008.

American Association for Marriage and Family Therapy (AAMFT). Diabetes [internet]. 2015 [cited 2016 April 16]. Available from http://www.aamft.org/immis15.

Grey M, Knafl K, Mc R. A framework for the study-and family management of chronic conditions. Nurs Outlook 2006; 54: 278-86.

Morse JM, Solberg SM, Neander WL, Bottorff JL, Johnson JL. Concepts of caring and caring as a concept. ANS Adv Nurs Sci 1990; 13(1): 1-14.

Kasemkitwattana S, Prison P. Chronic Patients’ Family Caregivers: A Risk Group That Must Not Be Overlooked. Thai Journal of Nursing Council 2014; 29(4): 22-31. (in Thai)

Supachaipanichpong P, Attasopon L, Chumchuen P. Effectiveness of Social Support to Change Health Behavior in Glycemic control for Diabetic Patients type II in Phaengphuai Sup-district, Damnoensaduak District, Ratchaburi Province. Mahasarakham Hospital Journal 2016; 13(2): 36-46. (in Thai)

Karlsen B, Idsoe T, Hanestad BR, Murberg T, Bru E. Perceptions of support, diabetes- related coping and psychological well-being in adults with type 1 and type 2 diabetes. Journal Psychol Health Med 2004; 9(1): 53-70.

Mayberry lS, Osborn CY. Family support, medication adherence and glycemic control among adults with type 2 diabetes. Diabetic care 2012; 35: 1239-45.

Bureau of Non Communicable, Department of Disease Control Ministry of Public Health. Data and statistics. [Internet]. 2013 [cited 2017 December 20 ]. Available from http://www.thaincd.com/information-statistic/non-communicable-disease-data.php.

Wannasiri T, Sriphuthorn A, Wuttayaakul P. Situation of Diabeties Mellitus: Problems and Needs of Diabetes Mellitus Patients in Nakhon Pathom. Full research report. Nakhonpathom Province: Nakhonpathom Rajaphat University; 2013.

Prongmaduae Sub Distric Admin. Organization Office. Data of Diabetes Mellitus register in 2011.

Orem DE. Nursing: Concepts of Practices (6th ed) St.Louis: Mosby Year Book; 2001.

House JS. Work, stress and social support reading. Addison-Wesley, House; 1981.

Knodel J, Chayovan N. Population Ageing and the Well-being of Olders in Thailand: Past Trends, Current; 2008.

Institute for Population and Social Research; Mahidol University. Thai Health 2007: The Scent of the Lamduan Flower: Preparing for an Aging Society. Amarin Printing and Publishing Ltd.: Bangkok; 2007.

Bandura A. Social-foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice- hall; 1986.

Campbell A. 5 Common Food Myths for People with Diabetes Debunked [Internet]. 2011 [Cited 2018 April 25]. Available from http://www.joslin.org

Pradidthaprecha A, Muktabhant B. Dietary Factors Affecting Type 2 Diabetes Mellitus in People of Naklang District, Nongbualumpho Province. KKU RES J (GS) 2012; 12(3): 61-9.

National Statistic Office, Ministry of Information and Communication. Primary Report of Economy and society in Family [Internet]. 2015 [cited 2017 October 14]. Available from http://service.nso.go.th/nso/nsopublish/themes/files/SocioSum58M6.pdf

Odume BB, Ofoegbu OS, Aniwada EC, Okechukwu EF. The influence of family characteristics on glycemic control among adult patients with type 2 diabetes mellitus attending the general outpatient clinic, National Hospital, Abuja, Nigeria. S Afr Fam Pract 2015; 57(6): 347-53.

Wannasiri T. Family relationship in self-care promotion for controlling blood sugar in type 2 diabetes. Kuakarun Journal of Nursing 2016; 20(2): 31-50. (in Thai)

Suphanee S. Model of Care for Diabetic Patients through Families Community and Organization Participation; A Case Study in Pundon Subdistrict Udonthani Provinces. [ An Independent study Report for the Master of Nursing Subject Family Nursing]. Khon Khaen: Faculty of Nursing, Khon Khaen University; 2007.

Garrett C, Doherty A. Diabetes and mental health. Clinical Medicine 2014; 14(6): 669–72.

Reantippayasakul O, Boonsatean W. A Comparison of Illness Perception and Self-Management among Adults and Elderly with Type 2 Diabetes in Pathum Thani Province. Thai Red Cross Nursing Journal 2017; 10(1): 110-25. (in Thai)

Niyomthai N, Tonmukayaku O, Wonghongkul T, Panya P, Chanprasit C. Family strength in caring for a stroke survivor at home. Pacific Rim Int J Nurs Res 2010; 14(1): 17-31.

Wanlaoo S, Malathum P, Siripitayakunkit A. Family Support Perceived by Older Persons with Controlled Type 2 Diabetes. Rama Nurs J 2012; 18(3): 372-88.

Thai Family link Association. Gender role in Family [Internet]. 2014 [cited 2017 October 14]. Available from http://www.thaifamilylink.net/web/node/11.

Koonnarong O, Thaniwatananont P, Kitrungrote L. Caregiving Preparedness, Family Relationships and Role Strain among Caregivers of Muslim Stroke Patients. Princess of Naradhiwas University Journal 2012; 4(1): 14–27. (in Thai)

Published

2019-08-01

How to Cite

Wannasiri, T. (2019). Caregiving Behaviors of Family Caregivers for Diabetes Mellitus Patients. Journal of Public Health Nursing, 33(2), 77–95. Retrieved from https://he01.tci-thaijo.org/index.php/phn/article/view/241815

Issue

Section

Research Articles