Arif Mohammad Ali, Syed Fibhaa, Javed Muhammad Usman, Arif Saba Ali, Hyder Gul-E-Lala
Department of Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan Institute of Medical Sciences, Islamabad.
Post Graduate Trainee, Shaheed Zulfiqar Ali Bhutto Medical University, Pakistan Institute of Medical Sciences, Islamabad.
J Pak Med Assoc. 2018 Nov;68(11):1590-1596.
To assess diabetes distress and its associated factors in Pakistani population..
The cross-sectional study was conducted at Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from July to December 2017, and comprised patients of diabetes type 2. After noting down demographic and clinical parameters, diabetes distress of the subjects was measured by applying the 17-item diabetes distress scale which also assesses sub domains like emotional burden, physicianrelated distress, regimen-related distress and interpersonal distress. SPSS 20 was used to analyse data.
There were 349 subjects with a mean age of 53.14±11.77 years, mean diabetes duration of 8.36±6.64 years and a mean glycated haemoglobin value of 9.05±1.93%. Mean overall diabetes distress score was 2.55±0.75, signifying moderate distress. Overall, prevalence of diabetes distress was found among 266(76.2%) subjects;164(47%) moderate and 102(29.2%) high level distress. Emotional burden was most substantially elevated, with 296(84.8%) patients reporting moderate to high levels. Total diabetes distress was significantly related to demographic background (p<0.0001), education level (p=0.015), monthly income, frequency of administration of medication, adherence to medical treatment (p<0.05), number of complications (p<0.05) and overall glycaemic control (p<0.001).
Modifiable factors, such as frequency of medication and compliance to treatment, should be addressed with the aim of decreasing diabetes distress and improve glycaemic control..
评估巴基斯坦人群中的糖尿病困扰及其相关因素。
这项横断面研究于2017年7月至12月在巴基斯坦伊斯兰堡的巴基斯坦医学科学研究所进行，研究对象为2型糖尿病患者。记录人口统计学和临床参数后，采用17项糖尿病困扰量表对受试者的糖尿病困扰进行测量，该量表还评估情感负担、医生相关困扰、治疗方案相关困扰和人际困扰等子领域。使用SPSS 20分析数据。
共有349名受试者，平均年龄为53.14±11.77岁，平均糖尿病病程为8.36±6.64年，平均糖化血红蛋白值为9.05±1.93%。糖尿病总体困扰平均得分为2.55±0.75，表明为中度困扰。总体而言，266名（76.2%）受试者存在糖尿病困扰；164名（47%）为中度困扰，102名（29.2%）为高度困扰。情感负担升高最为显著，296名（84.8%）患者报告为中度至高度。糖尿病总体困扰与人口统计学背景（p<0.0001）、教育水平（p=0.015）、月收入、用药频率、坚持治疗情况（p<0.05）、并发症数量（p<0.05）和总体血糖控制情况（p<0.001）显著相关。
应关注可改变的因素，如用药频率和治疗依从性，以减少糖尿病困扰并改善血糖控制。
