The Relationship between Diabetes Family Conflict and Parental Conflict on Problem Recognition in Illness Self-Management among Individuals with Type 1 Diabetes Mellitus

Abstract

We investigated the relationship between diabetes family conflict and parental conflict on problem recognition in illness self-management (PRISM) among individuals with type 1 diabetes mellitus (T1DM). We employed a descriptive research design. Participants were 243 individuals with T1DM who completed online questionnaires. Data were analyzed with descriptive statistics, correlations, and multiple regression analyses. Results revealed that barriers were felt in all areas (understanding and organizing care, regimen pain and bother, healthcare team interaction, family interaction, and peer interaction), especially peer interaction. The significant influencing factors in the regression model for the total PRISM score of individuals with T1DM were conflict behavior toward mothers (t = 4.44, p < 0.001), diabetes family conflict (t = 5.77, p < 0.001), conflict behavior toward fathers (t = 2.58, p = 0.011), women (t = 2.67, p = 0.008), non-religious (t = −2.33, p = 0.020), and diabetic complications (t = 2.17, p = 0.031). The explanatory power of the constructed regression model for PRISM was 42.0% (F = 30.12, p < 0.001). To promote self-management among individuals with T1DM, the development of interventions that promote improved peer interactions, a family-centered approach, and a program that can minimize conflicts between families and parents are required.

Factors Affecting Depression and Its Relation to Sleep Quality among Parents of Type 1 Diabetes Patients

“…Moreover, patients with glycated hemoglobin levels ≥ 8.0% show a higher degree of depression than those with lower glycated hemoglobin. This finding is consistent with that of a previous study [ 29 ], which found that parents’ quality of life was significantly lower when they did not receive education on diabetes, had only one child, or their child with the disease was the oldest. This finding suggests that education on diabetes is essential.…”

Differences in Glucose Control of Diabetic Patients with Family Care Support Interventions

“…Involving the family as the closest source of care is included in the FCS intervention. Good self-management of people with diabetes will be well described by the most effective family support (Cho & Kim, 2021). Family members must participate in every care activity to actively manage DM risk factors experienced by another family member (Vinsalia & Handajani, 2021).…”