Diabetes Management Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Diabetes Care. 2019 May;42(5):797-803. doi: 10.2337/dc18-1426. Epub 2019 Feb 14.
The aim was to explore relationships between work-related factors, work-related diabetes distress (WRDD), diabetes distress (measured by Problem Areas in Diabetes [PAID]-5 scale), intentional hyperglycemia at work (IHW), and glycemic control.
A cross-sectional survey was conducted with 1,030 working adults with type 1 diabetes and linked with electronic health record data from a specialist diabetes clinic in Denmark. With use of structural equation modeling, two alternative models were compared, based on fit indices, statistical significance, and theoretical meaningfulness.
A combined model provided the best fit to the data. WRDD was more strongly affected by work ability, opportunity to self-manage at work, being treated differently, and job demands. PAID-5 was more strongly affected by identity concern and blame and judgment. Both PAID-5 and WRDD were associated with more frequent IHW, which was associated in turn with worse glycemic control.
Work-related factors are associated with WRDD and PAID-5. Distress increases the frequency of IHW, which is, in turn, associated with worse glycemic control. Future studies should investigate ways to balance diabetes management and work life without compromising diabetes care.
旨在探讨与工作相关的因素、与工作相关的糖尿病困扰（WRDD）、糖尿病困扰（通过糖尿病问题领域量表 [PAID]-5 衡量）、工作中故意高血糖（IHW）和血糖控制之间的关系。
对丹麦一家专科糖尿病诊所的电子健康记录数据进行了横断面调查，共纳入了 1,030 名患有 1 型糖尿病的在职成年人，并对其进行了调查。通过结构方程模型，根据拟合指数、统计学意义和理论意义比较了两种替代模型。
综合模型最符合数据。WRDD 受工作能力、在工作中自我管理的机会、受到不同待遇和工作要求的影响更大。PAID-5 受身份关注、责备和判断的影响更大。PAID-5 和 WRDD 均与更频繁的 IHW 相关，而 IHW 又与血糖控制更差相关。
与工作相关的因素与 WRDD 和 PAID-5 相关。困扰会增加 IHW 的频率，而 IHW 又与血糖控制更差相关。未来的研究应探讨在不影响糖尿病护理的情况下平衡糖尿病管理和工作生活的方法。
