越南胡志明市2型糖尿病患者的糖尿病相关困扰：患病率及相关因素
Diabetes-Related Distress Among People with Type 2 Diabetes in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors.
作者信息
Huynh Giao, Tran Thien Thuan, Do Thi Hoai Thuong, Truong Thi Thuy Dung, Ong Phuc Thinh, Nguyen Thi Ngoc Han, Pham Le An
机构信息
Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
出版信息
Diabetes Metab Syndr Obes. 2021 Feb 15;14:683-690. doi: 10.2147/DMSO.S297315. eCollection 2021.
BACKGROUND
Diabetes-related distress (DRD) refers to the condition of negative emotion as a result of living with diabetes and the burden of self-care. This study aims to evaluate the prevalence and associated factors of DRD among people with type 2 diabetes.
METHODS
A cross-sectional study was carried out on people with Type 2 Diabetes at three hospitals in Ho Chi Minh City, between April and November 2020. The study used the Vietnamese version of the Diabetes Distress Scale (DDS) which includes 17 items. The mean total distress score was calculated on the average of the 17 items. A mean score of equal to 2.0 or higher was classified as moderate to severe distress. Descriptive statistics were performed by frequency and percentage, and the multivariate Logistic Regression Analysis was used to assess information where p-value <0.05 was considered statistically significant.
RESULTS
A total of 517 participants, who were mainly over 60 years old (56.8%) with females being 65.0%, participated in the study. Results showed that 23.6% and 5.8% of them, respectively, were found as being moderately or highly distressed. Some factors that correlated with the total distress results included age, timescale of diabetes, and glycemic control level (HbA1c). The rate of total distress in those who were over 60 years old and had a HbA1c <7 were less prevalent than those who were under 60, and had a HbA1c ≥7 (OR 0.5 95% CI 0.3-0.7; OR 0.5 95% CI: 0.3-0.9, respectively, all p<0.05), whilst the timescale of diabetes between 5 and 10 years was significantly more prevalent than those who had a timescale less 5 years (OR 1.8 95% CI 1.1-2.9, p<0.05).
CONCLUSION
A high rate of distress exists in people with diabetes. Therefore, combining the evaluation of distress as part of the regular diagnostic procedures of diabetes care, and recommending physicians apply a comprehensive approach to diabetes management, is necessary.
背景
糖尿病相关困扰（DRD）是指因患糖尿病及自我护理负担而产生负面情绪的状况。本研究旨在评估2型糖尿病患者中DRD的患病率及相关因素。
方法
2020年4月至11月期间，在胡志明市的三家医院对2型糖尿病患者进行了一项横断面研究。该研究使用了越南版的糖尿病困扰量表（DDS），其中包括17个项目。平均总困扰得分是根据这17个项目的平均值计算得出的。平均得分等于或高于2.0被归类为中度至重度困扰。通过频率和百分比进行描述性统计，并使用多变量逻辑回归分析来评估信息，其中p值<0.05被认为具有统计学意义。
结果
共有517名参与者参与了该研究，他们主要为60岁以上（56.8%），女性占65.0%。结果显示，分别有23.6%和5.8%的参与者被发现处于中度或高度困扰状态。一些与总困扰结果相关的因素包括年龄、糖尿病病程和血糖控制水平（糖化血红蛋白）。60岁以上且糖化血红蛋白<7的人群中总困扰发生率低于60岁以下且糖化血红蛋白≥7的人群（OR分别为0.5，95%CI为0.3 - 0.7；OR为0.5，95%CI为0.3 - 0.9，均p<0.05），而糖尿病病程在5至10年的人群比病程少于5年的人群显著更普遍（OR为1.8，95%CI为1.1 - 2.9，p<0.05）。
结论
糖尿病患者中存在较高的困扰率。因此，将困扰评估作为糖尿病护理常规诊断程序的一部分，并建议医生采用综合方法进行糖尿病管理是必要的。
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