To Examine Relationships Between Diabetes Distress and Performance of Diabetes Self-Care
DOI:
https://doi.org/10.52783/jns.v14.2709Keywords:
Patients with diabetes, Diabetes Distress, Self-care activitiesAbstract
Introduction : Diabetes mellitus (DM) is a main, highly prevalent, and challenging public health issue. Suboptimal self-care for type II diabetes can lead to poor glycemic control, complications, and even death.
Objective: This study investigated the relationships between diabetes distress and performance of diabetes self-care activities.
Methods: A correlational, cross-sectional design with a convenient sample of 450 participants was chosen from the population of Dehradun was used to conduct this study. Two questionnaires were administered: (A) the demographic and medical data questionnaire; (B) the diabetes distress scale.
Results: Most of the participants were employed (49.8%), gender distribution was relatively balanced, with 48.7% male and 51.3% female participants. Regarding age, 48.4% of the participants were 50 years older. The HbA1c readings showed that 42.4% of participants fell within the 7-8.9% range, suggesting a significant proportion with suboptimal glycemic control. The mean difference between pre- and post-DDS scores is 0.406 (SD = 0.122), indicating a reduction in diabetes distress following the intervention.
Conclusion: Diabetes-specific self-efficacy and distress may be important mechanisms linking social support with diabetes self-care and clinical outcomes. Social support interventions could explore whether improving diabetes self-efficacy and decreasing diabetes distress could help improve self-care.
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Padma, K.; Bele, S.; Bodhare, T.; Valsangkar, S.: evaluation of knowledge and self-care practices in diabetic patients and their role in disease management, National Journal of Community Medicine, 2012, 3(1), p.p.: 3- 6.
Ayele, K.; Tesfa, B.; Abebe, L.; Tilahun,T.; Girma, E.: Self Care Behavior among Patients with Diabetes in Harari, Eastern Ethiopia: The Health Belief Model Perspective, PLoS ONE , 2012, 7(4): p.p. : 1-6.
CHEAH CH. Financial catastrophe from non-communicable diseases: a case study on the economic burden of diabetes on households in Malaysia (Doctoral dissertation, Monash University).
International Diabetes Federation Diabetes Atlas. IDF Diabetes Atlas, 7th edn Brussels, Belgium: International Diabetes Federation, 2015 http://www.diabetesatlas.org.
Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med. 2008;6(3):246-252.
Fisher L, Mullan JT, Arean P, Glasgow RE, Hessler D, Masharani U. Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care. 2010;33(1):23-28.
Indelicato L, Dauriz M, Santi L, et al. Psychological distress, self-efficacy and glycemic control in type 2 diabetes. Nutr Metab Cardiovasc Dis. 2017;27(4):300-306.
Strandberg RB, Graue M, Wentzel-Larsen T, Peyrot M, Rokne B. Relationships of diabetes-specific emotional distress, depression, anxiety, and overall well-being with HbA1c in adult persons with type 1 diabetes. J Psychosom Res. 2014;77(3):174-179.
Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabet Med. 2008;25:1096–101.
Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Dia Care. 2016;39:2126–40.
Tareen RS, Tareen K. Psychosocial aspects of diabetes management: dilemma of diabetes distress. Transl Pediatr. 2017;6:383–96.
Bellary S, Kyrou I, Brown JE, Bailey CJ. Type 2 diabetes mellitus in older adults: clinical considerations and management. Nature Reviews Endocrinology. 2021 Sep;17(9):534-48.
Okereke M, Ukor NA, Adebisi YA, Ogunkola IO, Favour Iyagbaye E, Adiela Owhor G,
Lucero‐Prisno III DE. Impact of COVID‐19 on access to healthcare in low‐and middle‐income countries: current evidence and future recommendations. The International journal of health planning and management. 2021 Jan;36(1):13-7.
Singh K, Kondal D, Mohan S, Jaganathan S, Deepa M, Venkateshmurthy NS, Jarhyan P, Anjana RM, Narayan KV, Mohan V, Tandon N. Health, psychosocial, and economic impacts of the COVID-19 pandemic on people with chronic conditions in India: a mixed methods study. BMC public health. 2021 Dec;21:1-5.
Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, Wang H, Wan J, Wang X, Lu Z. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA cardiology. 2020 Jul 1;5(7):811-8.
Bassi G, Gabrielli S, Donisi V, Carbone S, Forti S, Salcuni S. Assessment of psychological distress in adults with type 2 diabetes mellitus through technologies: literature review. Journal of medical Internet research. 2021 Jan 7;23(1):e17740.
Hoogendoorn CJ, Schechter CB, Llabre MM, Walker EA, Gonzalez JS. Distress and type 2 diabetes self-care: putting the pieces together. Annals of Behavioral Medicine. 2021 Oct 1;55(10):938-48.
Marshall AP, Takefala T, Williams LT, Spencer A, Grealish L, Roberts S. Health practitioner practices and their influence on nutritional intake of hospitalised patients. International journal of nursing sciences. 2019 Apr 10;6(2):162-8.
Peimani M, Nasli-Esfahani E, Sadeghi R. Patients’ perceptions of patient–provid e r communication and diabetes care: A systematic review of quantitative and qualitative studies. Chronic illness. 2020 Mar;16(1):3-22.
Liu Y, Jiang J, You W, Gong D, Ma X, Wu M, Li F. Exploring facilitators and barriers to self- management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: a descriptive qualitative study. BMC endocrine disorders. 2022 Nov 26;22(1):294.
Alhuseen OA, Ismail NA, Hasan L, Embarak F. A comprehensive review of modern methods to improve diabetes self-care management systems. International Journal of Advanced Computer Science and Applications. 2023(9).
Lambrinou E, Hansen TB, Beulens JW. Lifestyle factors, self-management and patient empowerment in diabetes care. European journal of preventive cardiology. 2019 Dec;26(2_suppl):55-63.
Kontoangelos K, Raptis A, Lambadiari V, Economou M, Tsiori S, Katsi V, Papageorgiou C, Martinaki S, Dimitriadis G, Papageorgiou C. Burnout related to diabetes mellitus: a critical analysis. Clinical practice and epidemiology in mental health: CP & EMH. 2022;18.
Costa PD, Oliveira-Neta MS, Azevedo TF, Cavalcanti LT, Rocha SR, Nogueira MF. Emotional distress and adherence to self-care activities in older adults with diabetes mellitus. Rev. Rene. 2022;23:72264-.
Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS one. 2019 Aug 1;14(8):e0220116.
Misra R, Shawley-Brzoska S, Khan R, Kirk BO, Wen S, Sambamoorthi U. Addressing diabetes distress in self-management programs: results of a randomized feasibility study. Journal of Appalachian health. 2021;3(3):68.
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