在资源有限的环境中，2 型糖尿病患者的糖尿病相关困扰及其对自我护理的影响：一项基于社区的横断面研究。
Diabetes-related distress and its impact on self-care of diabetes among people with type 2 diabetes mellitus living in a resource-limited setting: A community-based cross-sectional study.
机构信息
Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
出版信息
Diabetes Res Clin Pract. 2022 Sep;191:110070. doi: 10.1016/j.diabres.2022.110070. Epub 2022 Sep 5.
AIM
To assess the a) prevalence, b) factors associated, and c) effect on self-care practices (SCP) of diabetes related distress (DRD) among patients with Type 2 Diabetes Mellitus (T2DM) in rural Punjab, India.
METHODS
Amongst the cohort of 700 patients, the Diabetes Distress Scale-17 (DDS-17) was used to assess DRD and the Summary of Diabetes Self Care Activities scale (SDSCA) for diabetes SCP. Multivariable logistic regression identified the factors associated with DRD.
RESULTS
DRD was universal [severe or moderate in 391 (56%) and 309 (44%) patients, respectively]. Hypertension increased the odds of severe DRD [aOR 3.47; 95% CI:2.48-4.87, p-<0.01] whereas living in a joint family reduced the odds of severe DRD [aOR 0.68; 95% CI: 0.47-0.97, p- 0.03]. Patients with severe DRD were less likely to perform DM SCPs [aOR 0.53; 95% CI:0.32-0.85, p-0.01].
CONCLUSIONS
The burden of DRD was alarmingly high. There is an urgent need to screen, prevent and treat DRD to improve selfcare in T2DM.
目的
评估印度旁遮普邦农村地区 2 型糖尿病患者（T2DM）中糖尿病相关困扰（DRD）的 a）流行率、b）相关因素和 c）对自我护理实践（SCP）的影响。
方法
在 700 名患者队列中，使用糖尿病困扰量表-17（DDS-17）评估 DRD，使用糖尿病自我护理活动综合量表（SDSCA）评估糖尿病 SCP。多变量逻辑回归确定与 DRD 相关的因素。
结果
DRD 普遍存在[分别有 391 名（56%）和 309 名（44%）患者为严重或中度 DRD]。高血压增加严重 DRD 的几率[aOR 3.47；95%CI：2.48-4.87，p-<0.01]，而居住在联合家庭中则降低严重 DRD 的几率[aOR 0.68；95%CI：0.47-0.97，p-0.03]。患有严重 DRD 的患者进行糖尿病 SCP 的可能性较小[aOR 0.53；95%CI：0.32-0.85，p-0.01]。
结论
DRD 的负担高得惊人。迫切需要筛查、预防和治疗 DRD，以改善 T2DM 的自我护理。
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