Qualitative Analysis of Family`s Role in Increasing Resilience Among Patients with Type ۲ Diabetes

Introduction: Diabetes is one of the leading global causes of disability, and patients with type ۲ diabetes require lifelong care. Positive resilience is a psychological issue that increases people's ability to deal with stressful situations. Resilience depends on a person's response to stress and problematic situations, including social ability, self-management, purposefulness, belief in a bright future, and the type of interactions in the family. The role of the family in increasing resilience is important.Methodology: This research is a qualitative phenomenological approach and uses purpose-based sampling. ۱۵ patients with a ۱۰-year history of type ۲ diabetes make up the statistical population.Data Collection: A deep semi-structured interview was used for data collection, which continued until the saturation stage, when no new theme was raised by the participants. The findings of each interview were repeated, and their accuracy was measured. Then, schematic analysis, which is a method for analyzing the intra-data themes, was used.Main Question: How does the family provide the context for the patient to face challenges more effectively?Findings: The findings include five main themes (effective verbal interaction, family emotional atmosphere, perception of justice in the family, family frameworks and rules, and communication networks) and ۲۶ sub-themes related to patient resilience.Discussion: Verbal interaction has a positive and significant relationship between family communication patterns, dialogue orientation, and resilience. Stopping or reducing it has a significant relationship with the increase in emotional distress in the family. Resilience increases the positive emotional atmosphere of the family. Benefiting from different support networks in family and friends plays an important role in the process of accepting disease conditions and caring behaviors. Family rules play a role in determining the ability of crisis prediction, problem solving, and the logical expectations of members from each other. A fair division of tasks and assets, a feeling of respect and dignity, and decision-making and responsibility in the family increase resilience in patients. It is suggested that the findings of this study be tested with quantitative methods and for other communities of patients.