A Qualitative Study of Patients’ Perspectives on Family Support in Diabetes Management at a Rural Primary Health Center in South India
J Vanvaguladevi, J C Helen Shaji, Ciby JoseBackground:
Family support significantly enhances adherence to diabetes self-care practices. Self-care encompasses managing diet, engaging in physical activity, routinely monitoring blood glucose levels, consistently taking medication, and foot care. Insufficient self-care can negatively impact the well-being of individuals with diabetes. Family members play a crucial role in providing support and care for individuals living with diabetes.
Objective:
To explore patients’ lived experiences and perspectives on family support in diabetes management.
Materials and Methods:
A qualitative descriptive design was employed to gather data from 13 patients who have been living with diabetes for 12 months or longer and are receiving treatment at an upgraded primary health center in South India. Participants were selected using purposive sampling. Individual interviews were carried out utilizing voice recorders, and observations of nonverbal cues were documented through field notes. Data were analyzed using Braun and Clarke’s thematic analysis.
Results:
Thirteen participants, most aged >60 years with long-term diabetes, were included. Three themes emerged: Lack of problem-solving skills, lack of communication and lack of encouragement. Participants described inadequate family knowledge, poor communication, and limited emotional and practical support, leading to independent self-management and emotional distress.
Conclusion:
Patients with diabetes often experience inconsistent and limited family support, which affects their ability to manage the condition effectively. Creating awareness and family-centered interventions in primary care settings are recommended to improve patient outcomes.