Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Education & Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Can J Diabetes. 2022 Jun;46(4):353-360. doi: 10.1016/j.jcjd.2021.11.007. Epub 2021 Nov 27.
Our aim in this study was to assess the moderating role of patient-centred communication as a source of social support in the relationship between burden of diabetes and diabetes distress.
Individuals with type 2 diabetes (N=1,267) completed validated tools of diabetes distress and multiple aspects of patient-centred communication. A path approach was used to evaluate the moderating role of patient-centred communication in the relationship between diabetes burden, as indicated by prescription of insulin and presence of complications, and distress.
Lower Hurried Communication, higher Elicited Concerns/Responded, higher Explained Results/Medications, greater Patient-centred Decision-making and Compassionate/Respectful were significantly associated with lower distress after controlling for burden. Hurried Communication, Explained Results/Medications and Patient-centred Decision-making moderated the relation between insulin and diabetes distress.
Our findings support the stress-buffering hypothesis of patient-centred communication and imply that aspects of patient-centred communication may protect against diabetes-related distress.
本研究旨在评估以患者为中心的沟通作为社会支持来源在糖尿病负担与糖尿病困扰之间关系中的调节作用。
2 型糖尿病患者（N=1267）完成了糖尿病困扰和多个以患者为中心的沟通方面的有效工具。采用路径方法来评估以患者为中心的沟通在糖尿病负担（由胰岛素处方和并发症的存在表示）与困扰之间关系中的调节作用。
在控制负担后，沟通时显得不匆忙、引出更多关注/回应、解释治疗结果/药物时更详尽、更以患者为中心的决策以及更具同情心/尊重，这些因素与较低的困扰显著相关。匆忙沟通、解释治疗结果/药物和以患者为中心的决策调节了胰岛素与糖尿病困扰之间的关系。
我们的研究结果支持以患者为中心的沟通的应激缓冲假说，并暗示以患者为中心的沟通的某些方面可能有助于预防与糖尿病相关的困扰。
