Preventive Care in Nursing and Midwifery Journal
Volume 12, Issue 4 (10-2022)
Prev Care Nurs Midwifery J 2022, 12(4): 9-18 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Bahramy F, Gahremani Z, Namadian M. Diabetic Distress and its Relationship with Demographic and Clinical Characteristics of patients with Type 2 Diabetes in Zanjan University of Medical Sciences in 2019. Prev Care Nurs Midwifery J 2022; 12 (4) :9-18
URL: http://nmcjournal.zums.ac.ir/article-1-808-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-808-en.html
Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , ghahremani@zums.ac.ir
Abstract: (3502 Views)
Background: Diabetes is a chronic and progressive metabolic disease with profound effects on mental health.
Objectives: This study aimed to determine diabetic distress status and its relationship with some demographic characteristics and clinical outcomes in patients with type 2 diabetes.
Methods: This study was part of a larger study on psychological adjustment and diabetic distress. Data were collected using a demographic questionnaire and a standard 17-item tool for measuring diabetic distress and were analyzed using descriptive and analytical statistics, including mean (standard deviation), independent t-test, analysis of variance, and Pearson correlation coefficient, in SPSS version 22 software.
Results: The mean (SD) of distress score in patients with type 2 diabetes was 2.12 (0.75). The prevalence of distress worthy of clinical attention was 11.4%. Regarding distress dimensions, the highest mean distress score was related to the emotional burden dimension 2.82 (1.06), and the lowest mean score was obtained in the dimension of interpersonal distress 1.48 (0.84). The overall distress score was significantly associated with hospitalization history (P ≤0.001) and history of diabetes-related problems (P=0.001). Also, the total distress score was significantly related to physical complications of diabetes (P=0.001), type of treatment (P=0.001), and occupation (P=0.018). The overall distress score significantly correlated with monthly income (r=-0.171, P=0.001), disease duration (r=0.268, P=0.001), and HbA1c level (r=0.115, P=0.032).
Conclusion: Since the level of distress shows interindividual variations and is influenced by demographic, clinical, and social features, it is recommended that those in charge of providing care to diabetic patients consider individualized distress coping training for patients with diabetes.
Objectives: This study aimed to determine diabetic distress status and its relationship with some demographic characteristics and clinical outcomes in patients with type 2 diabetes.
Methods: This study was part of a larger study on psychological adjustment and diabetic distress. Data were collected using a demographic questionnaire and a standard 17-item tool for measuring diabetic distress and were analyzed using descriptive and analytical statistics, including mean (standard deviation), independent t-test, analysis of variance, and Pearson correlation coefficient, in SPSS version 22 software.
Results: The mean (SD) of distress score in patients with type 2 diabetes was 2.12 (0.75). The prevalence of distress worthy of clinical attention was 11.4%. Regarding distress dimensions, the highest mean distress score was related to the emotional burden dimension 2.82 (1.06), and the lowest mean score was obtained in the dimension of interpersonal distress 1.48 (0.84). The overall distress score was significantly associated with hospitalization history (P ≤0.001) and history of diabetes-related problems (P=0.001). Also, the total distress score was significantly related to physical complications of diabetes (P=0.001), type of treatment (P=0.001), and occupation (P=0.018). The overall distress score significantly correlated with monthly income (r=-0.171, P=0.001), disease duration (r=0.268, P=0.001), and HbA1c level (r=0.115, P=0.032).
Conclusion: Since the level of distress shows interindividual variations and is influenced by demographic, clinical, and social features, it is recommended that those in charge of providing care to diabetic patients consider individualized distress coping training for patients with diabetes.
Type of Study: Letter to editor |
Subject:
Nursing
References
1. Delshad H. Zero to One Hundred Diseases of Diabetes and Methods of Diagnosing and Treating Diabetes: Research Institute for Endocrine Science [cited 2022]. [https://endocrine.ac.ir/article/]
2. Aljuaid MO, Almutairi AM, Assiri MA, Almalki DM, Alswat K. Diabetes-Related Distress Assessment among Type 2 Diabetes Patients. Journal Of Diabetes Research. 2018; 2018: 7328128. [https://doi.org/10.1155/2018/7328128] [PMID]
3. Vidya K, Lohit K, Roopashree S. Diabetes Distress and Disease-Related Factors in Patients with Type 2 Diabetes Attending a Tertiary Care Hospital. National Journal Of Physiology, Pharmacology And Pharmacy. 2021; 11(8): 880-5. [https://doi.org/10.5455/njppp.2021.11.06194202115062021]
4. Dan Longi DK, Larry Jameson, Antoni Fawosi, Anthony Jameson. Endocrine Diseases and Metabolism in Principles of Harrison Internal Medicine. Tehran: Tehran Andisheh Rafi Pub; 2018: 434-5.
5. Al-Khaledi M, Al-Dousari H, Al-Dhufairi S, Al-Mousawi T, Al-Azemi R, Al-Azimi F, et al. Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes. Medical Principles And Practice. 2018; 27(4): 323-31. [https://doi.org/10.1159/000489310] [PMID]
6. Pourhosein R, Dorri N. Principles and Methods of Diabetes Adaptation: Review Article. Rooyesh-e-Ravanshenasi Journal. 2020; 9(7): 179-96. [In Persian]
7. Chew BH, Vos RC, Metzendorf MI, Scholten RJ, Rutten GE. Psychological Interventions for Diabetes-Related Distress in Adults with Type 2 Diabetes Mellitus. Cochrane Database Of Systematic Reviews. 2017; 9(9): Cd011469. [https://doi.org/10.1002/14651858.CD011469.pub2] [PMID]
8. Skinner T, Joensen L, Parkin T. Twenty‐five Years of Diabetes Distress Research. Diabetes Medicine. 2020; 37(3): 393-400. [https://doi.org/10.1111/dme.14157] [PMID]
9. Mizokami-Stout K, Choi H, Richardson CR, Piatt G, Heisler M. Diabetes Distress and Glycemic Control in Type 2 Diabetes: Mediator and Moderator Analysis of a Peer Support Intervention. JMIR Diabetes. 2021; 6(1): e21400. [https://doi.org/10.2196/21400] [PMID]
10. Ratnesh K, Kannan S, Khadilkar KS, Sravani GV, Raju R. Identifying the Burden and Predictors of Diabetes Distress among Adult Type 2 Diabetes Mellitus Patients. Indian Journal Of Community Medicine. 2020; 45(4): 497-500. [https://doi.org/10.4103/ijcm.IJCM_533_19] [PMID]
11. Onyenekwe BM, Young EE, Nwatu CB, Okafor CI, Ugwueze CV. Diabetes Distress and Associated Factors in Patients with Diabetes Mellitus in South East Nigeria. Dubai Diabetes Endocrinology Journal. 2020; 26(1): 31-7. [https://doi.org/10.1159/000508706]
12. Baradaran HR, Mirghorbani S-M, Javanbakht A, Yadollahi Z, Khamseh ME. Diabetes Distress and Its Association with Depression in Patients with Type 2 Diabetes in Iran. International Journal Of Preventive Medicine. 2013; 4(5): 580-4.
13. 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. Prevention Care Nursing Midwifery Journal. 2020; 10(1): 18-25. [https://doi.org/10.52547/pcnm.10.1.18]
14. Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, et al. Assessing Psychosocial Distress in Diabetes: Development of the Diabetes Distress Scale. Diabetes Care. 2005; 28(3): 626-31. [https://doi.org/10.2337/diacare.28.3.626] [PMID]
15. Golshaian A. Validation of Diabetes Distress Questionnaire (DDS17); Persian Version; A Useful Tool for Assessing the Emotional Distress of Diabetes [dissertation]. Tehran: Shahid Beheshti University of Medical Sciences and Health Services; 2017. [In Persian]
16. Wong EM, Afshar R, Qian H, Zhang M, Elliott TG, Tang TS. Diabetes Distress, Depression and Glycemic Control in a Canadian-Based Specialty Care Setting. Canadian Journal Of Diabetes. 2017; 41(4): 362-5. [https://doi.org/10.1016/j.jcjd.2016.11.006] [PMID]
17. Zanchetta FC, Trevisan DD, Apolinario PP, Silva JB, Lima MH. Clinical and Sociodemographic Variables Associated with Diabetes-Related Distress in Patients with Type 2 Diabetes Mellitus. Einstein (Sao Paulo). 2016; 14(3): 346-51. [https://doi.org/10.1590/S1679-45082016AO3709] [PMID]
18. Zhou H, Zhu J, Liu L, Li F, Fish AF, Chen T, et al. Diabetes-Related Distress and Its Associated Factors among Patients with Type 2 Diabetes Mellitus in China. Psychiatry Research. 2017; 252: 45-50. [https://doi.org/10.1016/j.psychres.2017.02.049] [PMID]
19. Tol A, Baghbanian A, Sharifirad G, Shojaeizadeh D, Eslami A, Alhani F, et al. Assessment of Diabetic Distress and Disease Related Factors in Patients with Type 2 Diabetes in Isfahan: A Way to Tailor an Effective Intervention Planning in Isfahan-Iran. Journal Of Diabetes Metabolism And Disorders. 2012; 11(1): 20. [https://doi.org/10.1186/2251-6581-11-20] [PMID]
20. Morowatisharifabad MA, Rouhani Tonekaboni N. Social support and Self-care Behaviors in Diabetic Patients Referring to Yazd Diabetes Research Center. Zahedan Journal Of Research In Medical Sciences. 2007; 9(4): e94760.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |