%0 Journal Article
%T Identification of Family Factors That Affect Self
%A Karen V. Lamb
%A Peng Yue
%A Shuqin Xiao
%A Xiangyun Chen
%A Xinwei Feng
%A Ying Wu
%A Yongli Wang
%J Journal of Transcultural Nursing
%@ 1552-7832
%D 2019
%R 10.1177/1043659618793713
%X Introduction: In the past 30 years, the prevalence of diabetes in China has increased from 0.67% to 11.6%. Self-management behaviors (SMBs) are significant to improve health outcomes for diabetics. However, little is known about self-management experiences of Chinese diabetic patients. The purpose of this study was to explore family factors affecting SMBs. Methodology: A qualitative descriptive study was used. Purposive samples were recruited from Chinese communities. Semistructured interviews were conducted, and audio-recordings transcripts were analyzed using content analysis methods. Results: Twenty participants were interviewed, including 8 with well-controlled HbA1c while 12 were poorly controlled. Facilitators that promote patients¡¯ SMBs were responsibility toward children and commitment to spouse; barriers that hinder patients¡¯ SMBs were family experiences about starvation, seeking harmony-eating in a big family, living in an ¡°empty nest,¡± and family financial burden. Discussion: This study provides insight into SMBs of Chinese diabetic patients. Professionals can develop tailored interventions in a Chinese cultural context according to patients¡¯ perceptions of family responsibility, early experience, activities, and resources
%K family
%K self-management behaviors
%K type 2 diabetes mellitus
%K Chinese culture
%K qualitative approaches
%U https://journals.sagepub.com/doi/full/10.1177/1043659618793713