Sendhilkumar Muthappan, Tripathy Jaya Prasad, Harries Anthony D, Dongre Amol R, Deepa Mohan, Vidyulatha Ashok, Poongothai Subramanian, Venkatesan Ulaganathan, Anjana Ranjit Mohan, Mohan Viswanathan
Madras Diabetes Research Foundation, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India.
International Union Against Tuberculosis and Lung Disease, The Union South-East Asia Office, New Delhi, India.
Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):56-63. doi: 10.4103/2230-8210.196006.
We aimed to determine perceived stress levels among adults aged >20 years with type 2 diabetes mellitus (DM) in a tertiary care diabetes center, Chennai, Tamil Nadu, India, assess their association with sociodemographic and clinical characteristics and assess the possible risk factors for stress and coping strategies.
A mixed-methods (triangulation design) study with quantitative methodology (survey) and qualitative methodology (interviews) was carried out. Stress levels were assessed among type 2 DM patients attending a diabetes clinic using a 5-point perceived stress scale-10. One-on-one interviews were carried out with 376 participants with DM having high/very high stress levels to understand the reasons for perceived stress and explore their coping mechanisms.
The prevalence of high/very high stress was 35% among DM patients. Age 30-40 years, working in professional jobs, and lack of physical activity were factors significantly associated with stress. The perceived major stress inducers were related to family, work, financial issues, and the disease itself.
This study showed high levels of stress in more than one-third of DM patients. Potential solutions include regular, formal assessment of stress levels in the clinic, providing integrated counseling and psychological care for DM patients, and promoting physical activity.
我们旨在确定印度泰米尔纳德邦金奈一家三级护理糖尿病中心中年龄大于20岁的2型糖尿病（DM）成年患者的感知压力水平，评估其与社会人口统计学和临床特征的关联，并评估压力的可能风险因素及应对策略。
开展了一项采用定量方法（调查）和定性方法（访谈）的混合方法（三角测量设计）研究。使用5分制感知压力量表-10对在糖尿病诊所就诊的2型糖尿病患者的压力水平进行评估。对376名压力水平高/非常高的糖尿病患者进行一对一访谈，以了解感知压力的原因并探索他们的应对机制。
糖尿病患者中高/非常高压力的患病率为35%。30-40岁、从事专业工作以及缺乏体育活动是与压力显著相关的因素。感知到的主要压力诱导因素与家庭、工作、财务问题以及疾病本身有关。
本研究显示超过三分之一的糖尿病患者压力水平较高。潜在的解决方案包括在诊所定期、正式地评估压力水平，为糖尿病患者提供综合咨询和心理护理，以及促进体育活动。
