International Archives of Medicine and Medical Sciences (IAMMS), pISSN: 2705-1404; eISSN: 2705-1412
November to December 2019 Vol 1(3): pp.1-7    DOI: https://doi.org/10.33515/iamms/2019.027/27

Copyright © 2019 C-International Archives

Original Article

Relationship between family dynamics and glycemic control among adults with type 2 diabetes mellitus presenting at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Latifatu B. Abdulsalam1*, Simon Pitmang2, Anas S. Sabir3, Lawal K. Olatunji4

1Department of Family Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

2Department of Family Medicine, Jos University Teaching Hospital, Jos, Nigeria

3Department of Internal Medicine, Usmanu Danfodiyo University, Sokoto, Nigeria

4Sokoto State Ministry of Health, Sokoto, Nigeria

*Corresponding Author’s Email: bolanleabdulsalam@yahoo.com

Published December 23, 2019


ABSTRACT

Background: The incidence of diabetes mellitus, especially type 2, is rapidly growing in the world, and the family dynamics is believed to play major roles in the adequacy of glycemic management in diabetic patients. Aim: This study aimed to determine the relationship between family dynamics and glycemic control among patients with type 2 diabetes mellitus in Sokoto, Nigeria. Materials and Methods: A cross-sectional study was conducted among 271 adults with type 2 diabetes mellitus (selected by systematic sampling technique) attending the Family Medicine Department clinics of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Blood samples were collected and analyzed for glycosylated hemoglobin in addition to questionnaire administration. Data were analyzed using IBM SPSS version 20 statistical computer software package. Results: The ages of the participants ranged from 26 to 80 years with a median age of 50.00 years, and majority of them (55.4%) were males. Most of the participants were married (81.5%), and majority of them (61.7%) were in a polygamous family setting. Majority of participants had balanced families as they scored high marks in the cohesion, communication, flexibility, and satisfaction scales, but low marks in the enmeshed, chaotic and disengaged scales. Only a few, 23 (8.5%) of the 271 participants had good glycemic control, and it was associated (p < 0.05) with high scores on balanced cohesion and family communication scales, and low score on disengagement scale. Conclusion: Although, majority of the participants in this study had balanced families, only a few of them had good glycemic control, and it was associated with high scores on balanced cohesion and family communication scales, and low score on disengagement scale. Care providers should routinely assess the family dynamics of diabetic patients and also involve their family members in the management of their disease conditions.

Keywords: Family dynamics, glycemic control, type 2 diabetes mellitus, patients

 

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