Relationship among Family Support, Mental Resilience and Diabetic Distress in Patients with Type 2 Diabetic Mellitus during COVID-19

Background: to promote the treatment effects and self-management behaviors of the patients with type 2 diabetes mellitus (t2dm) during the covid-19 pandemic, this study empirically investigated the relationship among family support (fms), mental resilience (mr) and diabetic distress (dd) in patients with t2dm. method: overall, 256 patients with t2dm from the department of endocrinology, jinhua people’s hospital, zhejiang, china were selected and measured for their perceptions of fms, mr and dd from 2019-2020. based on the measurements, the difference and correlation matrix under different background variables were studied by one-way variance and correlation analysis. a structural equation was used to analyze the causal path among the measurements. results: patients that differ in marital status, annual family income, medical insurance level, number of complications, and with/without insulin injection therapy were significantly different in their perception of fms, mr and dd. fms and mr had a significant negative correlation with dd. fms used mr as an intermediary variable that affected dd. conclusion: diabetes education, improved medical insurance levels, and targeted psychological consultation for patients could effectively improve their mr and alleviate dd.