The association between patients' dietary nonadherence and spouses' involvement in patients' diabetes diet was examined, with spouses' anxiety about nonadherence considered as a mediator of this association. Daily diary data from 128 older adult patients with type 2 diabetes and their spouses were analyzed using multilevel models. Results revealed that on days when patients reported less adherence to their diabetes diet than usual, spouses reported greater anxiety about patients' diabetes management, which, in turn, was related to greater spousal persuasion and pressure the same day. The association between patients' nonadherence and diet‐related support on the same day was not mediated, however, through spouses' anxiety. The findings contribute to an understanding of spouses' responses to patients' nonadherence to their diabetes regimen.

中文翻译：

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配偶对伴侣治疗糖尿病饮食不坚持的反应

研究了患者饮食不依从性与配偶参与糖尿病患者饮食之间的关联，配偶对不依从性的焦虑被认为是这种关联的中介。使用多层次模型分析了128位2型糖尿病老年患者及其配偶的每日日记数据。结果显示，在患者报告对糖尿病饮食的依从性较往常少的日子里，配偶对患者对糖尿病管理的忧虑更大，这又与当天的配偶说服力和压力更大有关。但是，患者的不依从与饮食相关的支持之间的关联并未通过配偶的焦虑进行调节。这些发现有助于了解配偶对患者的反应