Choi Eujin, Kim Sooyeon, Cho Juhee, Kim Min-Sun, Kwon Eun Kyung, Kim Youngha, Kang Danbee, Cho Sung Yoon
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Department of Clinical Research Design and Evaluation, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Diabetes Ther. 2023 Apr;14(4):737-748. doi: 10.1007/s13300-023-01383-8. Epub 2023 Mar 1.
Glucose monitoring-related problems affect the social and psychological distress experienced by patients with diabetes, and this distress leads to low compliance. Consequently, it is important to be able to comprehensively assess distress due to glucose monitoring in these patients. We have developed and validated a distress of self-glucose monitoring (DSGM) scale instrument to assess patient distress from glucose monitoring.
Following an extensive literature review and qualitative study, we selected 21 items for assessing the DSGM, including physical, psychosocial, and process domains. We conducted a cross-sectional study in patients with insulin-treated diabetes aged 10-40 years at Samsung Medical Center, Seoul, Korea, from April 2021 to September 2021. Exploratory and confirmatory factor analyses (CFA) were performed to confirm the structural validity of the DSGM scale. To confirm construct and criterion validity, we assumed that the Korean version of the Problem Areas in Diabetes (PAID-K) instrument, life interference, and stress due to glucose monitoring might moderately correlate with the total score and scores of all domains of the DSGM scale except for the physical domain.
Cronbach's alpha coefficients for the DSGM scale were 0.92, and Cronbach's alpha coefficients of the three subscales ranged from 0.69 to 0.92, indicating satisfactory internal consistency. The DSGM scale was evaluated using CFA, and the fit indices for this model were good. The PAID-K total score, life interference, and stress due to glucose monitoring were moderately correlated with the total score of the DSGM scale and with the scores of the psychosocial and process domains, and were weakly correlated with the score of the physical domain of the DSGM scale.
The DSGM scale is a valid and reliable tool to evaluate distress due to glucose monitoring in adults, adolescents, and children with diabetes.
与血糖监测相关的问题会影响糖尿病患者所经历的社会和心理困扰，而这种困扰会导致依从性降低。因此，能够全面评估这些患者因血糖监测而产生的困扰非常重要。我们开发并验证了一种自我血糖监测困扰（DSGM）量表工具，以评估患者因血糖监测而产生的困扰。
在广泛的文献综述和定性研究之后，我们选择了21个项目来评估DSGM，包括身体、心理社会和过程领域。2021年4月至2021年9月，我们在韩国首尔三星医疗中心对10至40岁接受胰岛素治疗的糖尿病患者进行了一项横断面研究。进行探索性和验证性因素分析（CFA）以确认DSGM量表的结构效度。为了确认结构效度和标准效度，我们假设糖尿病问题领域韩国版（PAID-K）工具、生活干扰以及血糖监测引起的压力可能与DSGM量表除身体领域外的所有领域的总分及分数呈中度相关。
DSGM量表的Cronbach's alpha系数为0.92，三个子量表的Cronbach's alpha系数在0.69至0.92之间，表明内部一致性令人满意。使用CFA对DSGM量表进行评估，该模型的拟合指数良好。PAID-K总分、生活干扰以及血糖监测引起的压力与DSGM量表的总分以及心理社会和过程领域的分数呈中度相关，与DSGM量表身体领域的分数呈弱相关。
DSGM量表是评估糖尿病成人、青少年和儿童因血糖监测而产生困扰的有效且可靠的工具。
