Psychological distress and its effects on glycemic control in patients with type 2 diabetes
10.3760/cma.j.issn.1674-2907.2016.35.007
- VernacularTitle:2型糖尿病患者心理痛苦现状及其对血糖控制的影响
- Author:
Qiyun ZHANG
1
;
Wei GU
Author Information
1. 710061 西安交通大学医学院第一附属医院急诊科
- Keywords:
Diabetes,type 2;
Psychological distress;
Glycemic control
- From:
Chinese Journal of Modern Nursing
2016;22(35):5056-5059
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diabetes distress and its effects on glycemic control in patients with type 2 diabetes ( T2DM) , and provide guidance for the promotion of psychophysical wellbeing and disease management. Methods This is a correlational study that enrolled 87 patients with T2DM by using convenience sampling method. The diabetes distress and glycemic control were evaluated by using the diabetes distress scale (DDS) and glycosylated hemoglobin HbA1c. DDS score and general information was compared between participants who had a good glycemic control ( HbA1c<7%) and those who had a poor glycemic control ( HbA1c≥7%) , and the relationship between diabetes distress and glycemic control was analysised. Results The mean total distress score was (2.29±1.10). HbA1c level was positively correlated with total DDS score, emotional distress, regimen-related distress, and inter-personal distress(r=0.46,0.45,0.48,0.25;P<0.05). Multiple linear regression analysis indicated that, if age, gender, BMI, and diabetes duration were controlled, DDS total score was a significant influencing factor of HbA1c level.Conclusions The level of psychological distress is an important factor for glycemic control in people with T2DM. This underscores the importance of assessment and intervention of diabetes distress in clinical practice. Meanwhile, experimental study should be designed to examine the effects of psychologicaldistress on glycemic control.
