Capital Health and Dalhousie University, Halifax, Nova Scotia, Canada.
University of Alberta, Edmonton, Alberta, Canada.
Can J Diabetes. 2016 Jun;40(3):234-41. doi: 10.1016/j.jcjd.2015.11.002. Epub 2016 Mar 2.
DAWN2 assessed the psychosocial impact of diabetes on persons with diabetes (PWDs), family members and healthcare professionals (HCPs) across 17 countries. This article reports on the Canadian cohort of PWDs.
PWDs completed online, validated self-report scales assessing quality of life (QOL), self-management, beliefs, social support and priorities for improving diabetes care. Analyses used unweighted data.
Of 500 participants (80 type 1, 420 type 2) positive self-reported QOL was common (64.6%) and likely depression less common (12.8%). Diabetes distress, however, was identified by almost half of PWDs with type 1 diabetes, and one-quarter of PWDs with type 2 (47.5% vs. 25.7% type 2; p<0.001). Numerous life areas were negatively impacted, particularly finances, work and emotional well-being for those with type 1 diabetes (p<0.001 vs. type 2). Most PWDs reported support from family, friends and HCPs, but few reported being asked by HCPs how diabetes affected their lives. Most PWDs participated in (type 1, 90.0%; type 2, 85.7%) and valued (type 1, 84.7%; type 2, 78.1%) diabetes education. Few PWDs relied on community supports (type 1, 17.5%; type 2, 26.9%), and discrimination was not uncommon for those with type 1 (33.8% vs. 12.4% for type 2; p<0.001).
PWDs experience psychological challenges that should be addressed within diabetes management services.
DAWN2 评估了 17 个国家的糖尿病患者（PWDs）、家庭成员和医疗保健专业人员（HCPs）的糖尿病对心理社会的影响。本文报告了加拿大 PWDs 的队列研究结果。
PWDs 通过在线完成了经过验证的自我报告量表，评估了生活质量（QOL）、自我管理、信念、社会支持以及改善糖尿病护理的重点。分析采用了未经加权的数据。
在 500 名参与者（80 名 1 型，420 名 2 型）中，积极的自我报告 QOL 较为常见（64.6%），可能患有抑郁症的情况较少（12.8%）。然而，几乎一半的 1 型糖尿病患者和四分之一的 2 型糖尿病患者（47.5% vs. 25.7%的 2 型糖尿病患者；p<0.001）出现了糖尿病困扰。许多生活领域受到负面影响，特别是财务、工作和情感健康方面，对于 1 型糖尿病患者而言（p<0.001 与 2 型糖尿病患者相比）。大多数 PWDs 表示得到了家人、朋友和 HCPs 的支持，但很少有 HCPs 询问他们糖尿病对生活的影响。大多数 PWDs 参加了（1 型，90.0%；2 型，85.7%）和重视（1 型，84.7%；2 型，78.1%）糖尿病教育。很少有 PWDs依赖社区支持（1 型，17.5%；2 型，26.9%），并且 1 型患者经常面临歧视（33.8%比 2 型患者的 12.4%；p<0.001）。
PWDs 经历了心理挑战，这些挑战应在糖尿病管理服务中得到解决。
