Liew Jia Yii, Vanoh Divya
Dietetics Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Malays J Med Sci. 2022 Apr;29(2):94-101. doi: 10.21315/mjms2022.29.2.9. Epub 2022 Apr 21.
Diabetics experienced distress due to the disease. This distress may impact the quality of life and adherence to treatment by the diabetics. Thus, this study is aimed at identifying the factors affecting diabetes-related distress (DRD) among diabetic patients.
A total of 100 diabetic subjects aged 18 years old and above were recruited. Data on socio-demographic data, anthropometry, hand grip strength (HGS) and body fat percentage were obtained. DRD was assessed using the Malay version of the 17-item diabetes distress scale (MDDS-17) questionnaire. Multiple linear regression was employed to identify the predictors of DRD and the significance value was set at < 0.05.
The majority of the subjects had low DRD (93%). Univariate analysis revealed that higher DRD scores were correlated with being single, never exercising and having lower education level, body weight, body fat percentage, body mass index (BMI) as well as HGS ( < 0.05). However, further multivariate regression analysis revealed that only smoking and being single/divorced/widow were the predictors of DRD.
Predictors of DRD in this study were smoking and being either single/divorced/widow. These factors must be taken into consideration during the medical management of diabetics in order to ensure more holistic management of the disease and the distress it caused.
糖尿病患者因疾病而经历痛苦。这种痛苦可能会影响糖尿病患者的生活质量和对治疗的依从性。因此，本研究旨在确定影响糖尿病患者糖尿病相关痛苦（DRD）的因素。
共招募了100名18岁及以上的糖尿病受试者。获取了社会人口统计学数据、人体测量学、握力（HGS）和体脂百分比的数据。使用马来语版的17项糖尿病痛苦量表（MDDS-17）问卷评估DRD。采用多元线性回归来确定DRD的预测因素，显著性值设定为<0.05。
大多数受试者的DRD较低（93%）。单因素分析显示，较高的DRD得分与单身、从不运动以及教育水平较低、体重、体脂百分比、体重指数（BMI）和HGS较低相关（<0.05）。然而，进一步的多因素回归分析显示，只有吸烟和单身/离婚/丧偶是DRD的预测因素。
本研究中DRD的预测因素是吸烟和单身/离婚/丧偶。在糖尿病的医疗管理过程中必须考虑这些因素，以确保对疾病及其所造成的痛苦进行更全面的管理。
