School of Nursing and Midwifery, La Trobe University, Bundoora, Australia.
Department of Dietetics, Human Nutrition and Sport, La Trobe University, Bundoora, Australia.
J Clin Nurs. 2021 Sep;30(17-18):2453-2461. doi: 10.1111/jocn.15250. Epub 2020 May 16.
To examine the association between subthreshold depression and self-care behaviours in adults with type 2 diabetes (T2D) attending a tertiary healthcare service.
Diabetes is a global public health problem. Self-care behaviours are a fundamental element in managing diabetes as adherence to self-care activities is associated with improved glycaemic control. Depression in T2D is associated with decreased adherence to self-care behaviours. Adults with subthreshold depression in diabetes may have difficulties in achieving metabolic control. Further, people with subthreshold depression have an increased risk of developing major depression. Few studies have examined the association between subthreshold depression and self-care behaviours.
A cross-sectional study.
The study will be conducted among 384 adults diagnosed with T2D for at least a year attending their routine outpatient appointment at Tribhuvan University Teaching Hospital in Nepal. Convenience sampling will be used to recruit study participants. Data will be collected via face-to-face interviews and a medical record review. Self-care behaviours will be assessed using the Summary of Diabetes Self-care activities and subthreshold depression will be determined using the Patient Health Questionnaire- 9. Covariates in the study include sociodemographic and clinical factors, diabetes knowledge, perceived social support and self-efficacy. This paper complies with the STROBE reporting guideline for cross-sectional studies.
We will use multiple linear regression to examine the association between subthreshold depression and each self-care behaviours (i.e. diet, physical activity, foot care, blood glucose testing and medication) and total self-care behaviour.
Effective management of diabetes requires adherence to self-care behaviours. The findings of the study will help in identifying an effective way to improve diabetes self-care.
Our observations will inform nursing research and practice by providing evidence about how subthreshold depression may influence self-care behaviours.
探讨在三级医疗保健服务中接受治疗的 2 型糖尿病（T2D）成人中，亚临床抑郁与自我护理行为之间的关联。
糖尿病是一个全球性的公共卫生问题。自我护理行为是管理糖尿病的基本要素，因为坚持自我护理活动与改善血糖控制有关。T2D 中的抑郁与自我护理行为的依从性降低有关。患有糖尿病亚临床抑郁的成年人可能在实现代谢控制方面存在困难。此外，亚临床抑郁的人患重度抑郁症的风险增加。很少有研究探讨亚临床抑郁与自我护理行为之间的关系。
横断面研究。
该研究将在尼泊尔特里布万大学教学医院接受常规门诊就诊且至少被诊断出患有 T2D 一年的 384 名成年人中进行。将使用便利抽样招募研究参与者。将通过面对面访谈和病历回顾收集数据。自我护理行为将使用糖尿病自我护理活动总结进行评估，亚临床抑郁将使用患者健康问卷-9 进行确定。研究中的协变量包括社会人口统计学和临床因素、糖尿病知识、感知社会支持和自我效能。本文符合横断面研究的 STROBE 报告指南。
我们将使用多元线性回归来检验亚临床抑郁与每种自我护理行为（即饮食、身体活动、足部护理、血糖检测和药物治疗）以及总自我护理行为之间的关联。
有效的糖尿病管理需要坚持自我护理行为。该研究的结果将有助于确定改善糖尿病自我护理的有效方法。
我们的观察结果将通过提供有关亚临床抑郁如何影响自我护理行为的证据，为护理研究和实践提供信息。
