Volume 10, Issue 1 (4-2020)                   PCNM 2020, 10(1): 18-25 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bahramy F, Namadian M, Nezamdiba M, ghahremani Z. Status of Psychological Adjustment and Associated Factors in Patients with Type 2 Diabetes in Zanjan University of Medical Sciences - 2019. PCNM 2020; 10 (1) :18-25
URL: http://nmcjournal.zums.ac.ir/article-1-669-en.html
Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , ghahremani@zums.ac.ir
Abstract:   (4834 Views)
Background: Diabetes is one of the major health issues worldwide and a challenge for health care providers.
Objectives: The aim of this study was to determine the status of psychological adjustment and associated factors in patients with type 2 diabetes in Zanjan University of Medical Sciences.
Methods: This descriptive cross-sectional study was carried out on 350 patients with type 2 diabetes referred to Vally-e-Asr Medical Center in Zanjan and Special Endocrinology Clinic in 2019. These patients were included in the study by the Poisson distribution method. Demographic and clinical factors questionnaires and valid Diabetes Adjustment Assessment Scale (DAAS) were used in this study. Data analysis was conducted using SPSS22 software. Also, Pearson correlation coefficient, independent t-tests, and analysis of variance were applied.
Results: The mean of total adjustment in this study was 162.79± 18.06. The highest mean of adjustment was related to advanced self-management (4.15± 0.84) and the lowest mean of adjustment was about the initial imaging of illness (3.23± 0.67). Patients' adjustment had a statistically significant relationship with hospitalization history, family history of diabetes, HbA1C level, history of physical, psychological, and social problems caused by diabetes, place of residence, marital status, education, occupation, age, duration of illness, and income.
Conclusion: In this study, patients had an acceptable adjustment. Because adjustment varies among individuals and is influenced by demographic, clinical, and social factors, it is recommended that diabetic caregivers include individual-oriented diabetes education and promotion of adjustment to the disease in their program.
Full-Text [PDF 534 kb]   (2212 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2020/08/5 | Accepted: 2020/04/29 | Published: 2020/04/29

References
1. Ebrahimi H, Karimi Moonaghi H, Asghari Jafarabadi M, Namdar Areshtanab H, Jouybari L. Development and Preliminary Validation of Diabetes Adjustment Assessment Scale (DAAS): a New Measure of Adjustment with Type 2 Diabetes. J caring sci. 2016; 5(2): 145- 52. [Crossref]
2. Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res clin pract. 2017; 128: 40- 50. [Crossref]
3. World Health Organization. Diabetes Country Profiles 2016 [Cited 2019]; Available From: URL: https://www.who.int/diabetes/country-profiles/en.
4. Rangraz Jeddi F, Nabovati E, Hamidi R, Sharif R. Mobile phone usage in patients with type II diabetes and their intention to use it for self-management: a cross-sectional study in Iran. BMC Med Inform Decis Mak. 2020; 20(1): 24. [Crossref]
5. Xu G, Liu B, Sun Y, et al. Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. BMJ. 2018; 362: k1497. [Crossref]
6. Papatheodorou K, Banach M, Bekiari E, Rizzo M, Edmonds M. Complications of Diabetes 2017. J Diabetes Res. 2018; 2018: 3086167. [Crossref]
7. Freeman-Hildreth Y, Aron D, Cola PA, Wang Y. Coping with diabetes: Provider attributes that influence type 2 diabetes adherence. PloS one. 2019; 14(4): e0214713. [Crossref]
8. Yazdi-Ravandi S, Taslimi Z, Ahmadpanah M, Ghaleiha A. Adjustment to diabetes among diabetic patients: the roles of social support and self-efficacy. Avicenna J Neuro Psych Physiol. 2016; 3(1): 17- 21. [Crossref]
9. Gois CJ, Ferro AC, Santos AL, et al. Psychological adjustment to diabetes mellitus: highlighting self-integration and self-regulation. Acta Diabetol. 2012; 49: S33- 40. [Crossref]
10. Bonab FA, Mohammadi R, Balegh Z. Adjustment comparison of diabetic and normal people. European J Exp Biol. 2013; 3(2): 631- 34.
11. De Ridder D, Geenen R, Kuijer R, van Middendorp H. Psychological adjustment to chronic disease. Lancet. 2008; 372(9634): 246- 55. [Crossref]
12. Akca AT, Cinar S. Comparison of psychosocial adjustment in people with diabetes with and without diabetic foot ulceration. Aust J Adv Nurs. 2008; 25(4): 87- 96.
13. Türten Kaymaz T, Akdemir N. Psychosocial Adjustment of Diabetic Patients To Their Disease. J Psychiatr Nurs. 2016; 7(2): 61- 67.
14. Pollock SE, Christian BJ, Sands D. Responses to chronic illness: analysis of psychological and physiological adaptation. Nurs Res. 1990; 39(5): 300- 4. [Crossref]
15. Feghhi H, Saadatjoo A, Dastjerdi R. Psychosocial adaptation in patients with Type 2 diabetes referring to Diabetes Research Center of Birjand in 2013. Modern Care J. 2014;10(4):249-56. [In persian]
16. Tol A, Majlessi F, Rahimi FA, Mohebbi B, Shojaeezadeh D, Salehi NA. Cognitive Adaptation among Type II Diabetic Patients Referring to Tehran University of Medical Sciences Hospitals in Adherence to Treatment. Health Syst Res. 2012; 8(6): 1068- 77. [In Persian]
17. Baradaran HR, Mirghorbani SM, Javanbakht A, Yadollahi Z, Khamseh ME. Diabetes distress and its association with depression in patients with type 2 diabetes in iran. Int J prev Med. 2013; 4(5): 580- 84.
18. Hammond LD, Hirst-Winthrop S. Proposal of an integrative model of adjustment to chronic conditions: An understanding of the process of psychosocial adjustment to living with type 2 diabetes. J Health psychol. 2018; 23(8): 1063- 74. [Crossref]
19. Ramkisson S, Pillay BJ, Sibanda W. Social support and coping in adults with type 2 diabetes. Afr J prim Health care Fam Med. 2017; 9(1): e1-e8. [Crossref]
20. Tol A, Mohebbi B, Sadeghi R, et al. Assessing The Related Factors To Self-Efficacy Predictors Among Patients With Type 2 Diabetes. J Diabetes Metab Disord. 2016; 16(1): 39- 48.[In Persian]
21. Tol A, Majlessi F, Rahimi FA, Shojaeezadeh D, Mohebbi B. Factors associated with supportive and coping obstacles of adjustment with type II diabetes. J Health Syst Res. 2012; 8(6): 1088- 97. [In Persian]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Preventive Care in Nursing & Midwifery Journal

Designed & Developed by : Yektaweb