Abstract
Type 2 diabetes mellitus (T2DM) requires long-term self-management, which places patients at risk of psychological distress and poor medication adherence. Family support is believed to be a key protective factor. This study aimed to analyze the influence of family support on mental health and medication adherence among T2DM patients. A quantitative cross-sectional study was conducted on 68 T2DM patients, examining individual characteristics (age, sex, occupation) and family support (categorized Good/Less Good) in relation to mental health (Good/Disturbed, based on the DASS-21 total score) and medication adherence (Adherent/Non-adherent). Bivariate analysis used the Chi-Square test, while multivariate analysis used binary logistic regression controlling for age and sex. Family support was significantly associated with both mental health (p<0.001; OR=26.05; 95%CI=3.19-213.07) and medication adherence (p<0.001; OR=20.45; 95%CI=2.51-166.65) in bivariate analysis. Multivariate analysis confirmed family support as the dominant factor for mental health (aOR=25.19; 95%CI=3.06-207.05; p=0.003) and medication adherence (aOR=19.57; 95%CI=2.38-160.69; p=0.006) after controlling for age and sex. Good family support is strongly associated with better mental health and higher medication adherence among T2DM patients. These findings, derived from simulated data for methodological training purposes, should be confirmed using primary field data.
