Advance Search
WANG Peng, WANG Yunxuan, TIAN Jiahe, GAO Fengli. Status of diabetes distress in patients with type 2 diabetes and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2021, 25(2): 70-73. DOI: 10.7619/jcmp.20200267
Citation: WANG Peng, WANG Yunxuan, TIAN Jiahe, GAO Fengli. Status of diabetes distress in patients with type 2 diabetes and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2021, 25(2): 70-73. DOI: 10.7619/jcmp.20200267
shu

Status of diabetes distress in patients with type 2 diabetes and its influencing factors

  • 1.

    Department of Nursing, First Hospital of Peking University, Beijing, 100034

  • 2.

    School of Nursing, Capital Medical University, Beijing, 100069

  • 3.

    Department of Nursing, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, 100043

More Information
  • Received Date: October 10, 2020
  • Available Online: January 26, 2021
  • Published Date: January 27, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To investigate the status of diabetes distress of type 2 diabetes patients and analyze its influencing factors.
      Methods  Demographic and sociological data as well as disease treatment related data were collected by questionnaire survey. The Ruminative Responses Scale (RRS), Connor-Davidson Resilience Scale (CD-RISC) and Diabetes Distress Scale (DDS) were used to assess patients′ruminative responses, mental resilience and diabetes distress status.
      Results  In 223 patients, 217 patients (97.3%) had mild diabetes distress, 5 patients (2.2%) had moderate distress, and 1 patient (0.4%) had severe distress. The DDS 4-dimension results by variance analysis showed that life-related distress was the highest, followed by emotional burden-related distress, and finally interpersonal relationship-related distress and doctor-related distress (P < 0.05). Univariate analyses showed that DDS scores were higher among patients aged over 70 years, with smoking and three kinds of comorbidities or more, hypoglycemia, fasting blood glucose≥10.0 mmol/L, high ruminative responses, and low mental resilience (P < 0.05). Multivariate Logistic regression analysis showed that smoking (P=0.048) and high ruminative responses (P=0.029) were independent influencing factors for patients with moderate to severe diabetes distress.
      Conclusion  Type 2 diabetes patients with diabetes distress have higher proportion of diabetes distress, and life-related distress is the highest, followed by emotional burden-related distress. Patients with diabetes distress are affected by many factors, especially smoking and ruminative responses.
    • FullText(HTML)
    • References (19)
  • [1]
    CHO N H, SHAW J E, KARURANGA S, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045 [J]. Diabetes Research and Clinical Practice, 2018, 138(4): 271-281. http://www.sciencedirect.com/science/article/pii/S0168822718302031
    [2]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版) [J]. 中国实用内科杂志, 2018, 38(4): 292-344. https://www.cnki.com.cn/Article/CJFDTOTAL-SYNK201804009.htm
    [3]
    马丽. 改善睡眠质量对伴有睡眠障碍的2型糖尿病患者的影响[J]. 中国实用医药, 2015, 10(20): 210-211. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201520149.htm
    [4]
    POLONSKY W H, FISHER L, EARLES J, et al. Assessing Psychosocial Distress in Diabetes: Development of the Diabetes Distress Scale [J]. Diabetes Care, 2005, 28(3): 626-631. doi: 10.2337/diacare.28.3.626
    [5]
    PARSA S, AGHAMOHAMMADI M, ABAZARI M. Diabetes distress and its clinical determinants in patients with type Ⅱ diabetes [J]. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2019, 13(2): 1275-1279. http://www.sciencedirect.com/science/article/pii/S1871402119300335
    [6]
    CHENG L, SIT J W H, CHOI K C, et al. The effects of an empowerment-based self-management intervention on empowerment level, psychological distress, and quality of life in patients with poorly controlled type 2 diabetes: A randomized controlled trial [J]. International Journal of Nursing Studies, 2019: 103407. doi: 10.1016/j.ijnurstu.2019.103407
    [7]
    CRAVEN M, SIMONS Z, DE GROOT M. Diabetes distress among healthcare providers: A qualitative study [J]. Diabetes Research and Clinical Practice, 2019, 150: 211-218. doi: 10.1016/j.diabres.2019.03.018
    [8]
    NOLEN-HOEKSEMA S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms[J]. J Abnorm Psychol, 2000, 109(3): 504-511. doi: 10.1037/0021-843X.109.3.504
    [9]
    CONNOR K M, DAVIDSON J R T. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82. doi: 10.1002/da.10113
    [10]
    FISHER L, HESSLER D M, POLONSKY W H, et al. When Is Diabetes Distress Clinically Meaningful: Establishing cut points for the Diabetes Distress Scale [J]. Diabetes Care, 2012, 35(2): 259-264. doi: 10.2337/dc11-1572
    [11]
    AZADBAKHT M, TAHERI TANJANI P, FADAYEVATAN R, et al. The prevalence and predictors of diabetes distress in elderly with type 2 diabetes mellitus [J]. Diabetes Research and Clinical Practice, 2020, 163: 108133. doi: 10.1016/j.diabres.2020.108133
    [12]
    刘维维, 林琳, 刘小娟. 2型糖尿病患者糖尿病痛苦的现状及影响因素分析[J]. 护士进修杂志, 2019, 34(5): 398-401. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201905004.htm
    [13]
    秦秀宝. 2型糖尿病患者糖尿病痛苦和疾病不确定感的调查研究[D]. 大连: 大连医科大学, 2017.
    [14]
    CHAN C K Y, COCKSHAW W, SMITH K, et al. Social support and self-care outcomes in adults with diabetes: The mediating effects of self-efficacy and diabetes distress. Results of the second diabetes MILES - Australia (MILES-2) study[J]. Diabetes Res Clin Pract, 2020, 166: 108314. doi: 10.1016/j.diabres.2020.108314
    [15]
    中华医学会糖尿病学分会, 国家基层糖尿病防治管理办公室. 国家基层糖尿病防治管理手册(2019) [J]. 中华内科杂志, 2019, 58(10): 713-735. doi: 10.3760/cma.j.issn.0578-1426.2019.10.003
    [16]
    PAN A, WANG Y, TALAEI M, et al. Relation of active, passive, and quitting smoking with incident type 2 diabetes: a systematic review and meta-analysis [J]. Lancet Diabetes Endocrinol, 2015, 3(12): 958-967. doi: 10.1016/S2213-8587(15)00316-2
    [17]
    于欢, 徐刚, 司捷, 等. 吸烟对2型糖尿病患者抑郁状态的影响[J]. 临床荟萃, 2015, 30(7): 825-827. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFC201507028.htm
    [18]
    李涛. 吸烟对于精神分裂症患者一级亲属认知功能的影响[D]. 天津: 天津医科大学, 2017.
    [19]
    LONG C, DUNGAN K. Hypoglycemia awareness and burden among hospitalized patients at high risk for hypoglycemia[J]. J Diabetes Complicat, 2020, 34(4): 107521. doi: 10.1016/j.jdiacomp.2019.107521
    • Related Articles

  • Related Articles

    [1]YANG Mei, PEI Bo, CHEN Dian. Effect of selenium yeast on short-term efficacy in concurrent chemoradiotherapy for cervical cancer[J]. Journal of Clinical Medicine in Practice, 2021, 25(22): 35-37. DOI: 10.7619/jcmp.20211191
    [2]YANG Junxia. Effect of rehabilitation nursing intervention on the improvement of quality of life in patients with cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2019, 23(12): 96-98, 102. DOI: 10.7619/jcmp.201912028
    [3]MAO Jianjie, XU Bing, WANG Qing. Effect of total knee arthroplasty on the clinical efficacy and quality of life in elderly patients with knee osteoarthritis[J]. Journal of Clinical Medicine in Practice, 2018, (1): 84-87. DOI: 10.7619/jcmp.201801026
    [4]WEI Donghua. Effect of high quality nursing intervention on psychological status and quality of life for carcinoma patients[J]. Journal of Clinical Medicine in Practice, 2017, (2): 69-72. DOI: 10.7619/jcmp.201702022
    [5]JIE Yanghua, PATIMA·Abulimiti, XIE Xinmei, ZHANG Hongliang. Short-term efficacy of capecitabine combined with oxaliplatin in treatment of patients with progressive gastric cancer and its influence on quality of life[J]. Journal of Clinical Medicine in Practice, 2016, (19): 37-39,47. DOI: 10.7619/jcmp.201619011
    [6]TIAN Ying. The effect of unprotected midwifery nursing on lateral perineal resection rate and life quality of primiparae[J]. Journal of Clinical Medicine in Practice, 2016, (12): 123-126. DOI: 10.7619/jcmp.201612039
    [7]ZHAO Junwen. Effects of depression on heart rate variability and life quality of elderly patients with hypertension[J]. Journal of Clinical Medicine in Practice, 2016, (3): 15-17. DOI: 10.7619/jcmp.201603005
    [8]FAN Wenxia, XIAO Qiong, ZHOU Ke. Clinical observation on the effect of nursing intervention on psychologyand quality of life in patients with hemodialysis[J]. Journal of Clinical Medicine in Practice, 2015, (14): 36-38. DOI: 10.7619/jcmp.201514012
    [9]ZENG Xiaomei, ZHAO Yi, DENG Hongqu. Application effect of targeted nursing intervention in gastric cancer patients with chemotherapy and its impact on short-term quality of life of patients[J]. Journal of Clinical Medicine in Practice, 2015, (4): 32-35. DOI: 10.7619/jcmp.201504011
    [10]SU Qin. Effects of systematic nursing measures on life quality of senile patients after total hip replacement[J]. Journal of Clinical Medicine in Practice, 2015, (2): 50-52. DOI: 10.7619/jcmp.201502016

  • Cited by

    Periodical cited type(8)

    1. 朱江伟，那利，刘聪瑞，孙洋. 脑损伤足月新生儿aEEG特点与新生儿神经功能的关系研究. 深圳中西医结合杂志. 2024(05): 23-25 .
    2. 孟康康，龚向英，应超. 振幅整合脑电图与NSE在早产儿脑损伤诊断及神经发育预测中的应用. 中国妇幼保健. 2023(04): 744-747 .
    3. 喻聪，陈丽萍，李琳，张婧，蒋文星. 振幅整合脑电图联合胆红素/白蛋白比值及胆红素致神经功能障碍评分对急性胆红素脑病诊断价值探讨. 中国医疗器械信息. 2023(13): 89-91 .
    4. 马丽丽，孙文佳，胡芳，程伟，李海燕，岳梦琦，冯小敏，王国琴，魏巍，张士发. 早产儿振幅整合脑电图改变的临床意义及影响因素分析. 皖南医学院学报. 2023(05): 431-435 .
    5. 杨倩，张永芳，赵继华，蒲元林，于新桥. 同步视频脑电图联合振幅整合脑电图对新生儿高胆红素血症脑损伤病情及预后的评估价值. 中国医师进修杂志. 2022(06): 506-509 .
    6. 付亚楠. 高胆红素血症新生儿脑干听觉诱发电位参数和振幅整合脑电图评分变化与脑损伤的关系. 实用医技杂志. 2022(07): 714-717 .
    7. 吴红举，贾东佩，胡科，李春雷. 振幅整合脑电图评分系统对胶质瘤患者预后的评估价值. 实用癌症杂志. 2021(05): 762-764+771 .
    8. 杨莉. 探究自制鸟巢在新生儿振幅整合脑电监护中的应用及对患儿睡眠-觉醒周期的影响. 中国医学创新. 2020(29): 98-102 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (361) PDF downloads (25) Cited by(8)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return