Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Int J Environ Res Public Health. 2020 Mar 30;17(7):2329. doi: 10.3390/ijerph17072329.
This study aimed to investigate prevalence and factors potentially associated with diabetes-related distress (DRD) among type 2 diabetes mellitus (T2DM) patients in a primary health care center in Thailand. This cross-sectional study was conducted with a total of 370 patients with T2DM. Data were collected at primary health care centers in Hang Dong District, Chiang Mai Province, Thailand. DRD was assessed using the Diabetes Distress Scale (DDS-17). The association between sociodemographic characteristics and other factors with DRD was analyzed using the Fisher t-test, Chi-square test, and Pearson's correlation coefficient test. The association between Hemoglobin A1c (HbA1c) and DRD was analyzed using multiple linear regression analysis. The participants had a mean age of 60.95 ± 7.96, and most were female (68.1%). Of the participants with DRD, 8.9% had moderate to high levels of distress. Education level and family support were significantly associated with the overall level of DRD. Additionally, HbA1c and co-morbidity were also significantly associated with DRD, as were emotional burden and regimen distress. Multiple linear regression analysis found that increased HbA1c was positively associated with increased DRD after adjusting for age, sex, education, duration of T2DM, co-morbidity, diabetic complications, and family support. Screening with DRD may be beneficial in T2DM patients.
本研究旨在调查泰国某初级保健中心 2 型糖尿病（T2DM）患者中与糖尿病相关困扰（DRD）相关的患病率和潜在因素。这是一项横断面研究，共纳入了 370 名 T2DM 患者。数据来自泰国清迈府杭东县的初级保健中心。采用糖尿病困扰量表（DDS-17）评估 DRD。采用 Fisher t 检验、卡方检验和 Pearson 相关系数检验分析社会人口统计学特征和其他因素与 DRD 的关系。采用多元线性回归分析分析糖化血红蛋白（HbA1c）与 DRD 的关系。参与者的平均年龄为 60.95±7.96 岁，大多数为女性（68.1%）。有 DRD 的参与者中，8.9%有中重度困扰。教育水平和家庭支持与整体 DRD 水平显著相关。此外，HbA1c 和合并症也与 DRD 显著相关，情绪负担和治疗方案困扰也与 DRD 相关。多元线性回归分析发现，在调整年龄、性别、教育程度、T2DM 病程、合并症、糖尿病并发症和家庭支持后，HbA1c 升高与 DRD 升高呈正相关。对 DRD 进行筛查可能对 T2DM 患者有益。
