Relationship Between Family Coping Strategies and Caregiver Burden Among Family Caregivers of Patients with Diabetes Mellitus

Abstract

Introduction: Diabetes mellitus is a chronic disease requiring long-term care, making family members primary caregivers. Continuous caregiving demands may contribute to caregiver burden, particularly when coping strategies are inadequate. Evidence regarding the relationship between family coping strategies and caregiver burden among family caregivers in primary healthcare remains limited. This study aimed to analyze the relationship between family coping strategies and caregiver burden among family caregivers of patients with diabetes mellitus.

Method: This quantitative study employed a descriptive correlational design with a cross-sectional approach. A total of 70 respondents were selected using cluster random sampling. Family coping strategies were measured using the Family Crisis Oriented Personal Evaluation Scales (F-COPES), while caregiver burden was assessed using the Zarit Burden Interview (ZBI). Data were analyzed using the Spearman Rank correlation test with α = 0.05.

Result: Most respondents demonstrated high family coping strategies (64.3%), whereas severe caregiver burden was experienced by 45.7%. Statistical analysis revealed a significant strong negative correlation between family coping strategies and caregiver burden (p < 0.001; r = -0.717). Higher family coping strategies were associated with lower caregiver burden among family caregivers of patients with diabetes mellitus.

Conclusion: Effective family coping strategies may help reduce caregiver burden among families caring for patients with diabetes mellitus. Strengthening adaptive coping through family nursing interventions and primary healthcare programs may support families in managing caregiving challenges.