Family Dynamics and Chronic Disease Management A Systematic Review of Sociological Perspectives in Primary Care

Abstract

Chronic diseases are a major global health challenge, requiring long-term management and a multidisciplinary approach. Family members often serve as primary caregivers, playing a critical role in the management of chronic conditions. However, the influence of family dynamics on disease management is complex and multifaceted, shaped by social, cultural, and economic factors. This systematic review aims to examine the role of family dynamics in chronic disease management from a sociological perspective within primary care settings. The review synthesizes existing literature to explore how family structures, caregiving roles, communication patterns, and cultural norms impact the management of chronic diseases. Findings indicate that family involvement can enhance adherence to treatment, improve patient outcomes, and provide emotional support. However, caregiver burden, family stress, and communication barriers can hinder effective disease management and affect both patients and caregivers negatively. The review highlights the importance of understanding family dynamics in the context of chronic disease management, emphasizing the need for healthcare providers to integrate family support into care plans. Interventions to reduce caregiver burden and improve family communication are essential for optimizing chronic disease management. This review underscores the need for a holistic, family-centered approach in primary care to improve health outcomes for individuals with chronic conditions and their families.