Patra Suravi, Acharya Swati Priyadarshini, Taywade Manish, Bandyopadhyay Debapriya, Patro Binod Kumar
Department of Psychiatry, AIIMS, Bhubaneswar, Odisha, India.
Indian Council of Medical Research.
Curr Med Issues. 2021 Jul-Sep;19(3):157-161. doi: 10.4103/cmi.cmi_39_21. Epub 2021 Jul 5.
Patients with diabetes are more prone to psychosocial problems which are known to adversely impact clinical outcomes of diabetes. COVID-19 is understood to further worsen the psychosocial problems of patients with diabetes.
We carried out this cross-sectional telephonic survey of COVID-19-related worries in patients with diabetes mellitus to understand the prevalence and correlates of COVID-19-related worries.
This was a telephonic survey of patients seeking care from noncommunicable disease clinic of a tertiary care medical center.
We used a structured questionnaire to assess sociodemographic, clinical, psychological variables and COVID-19-related worries.
We used SPSS 20.0 for descriptive statistics keeping significance levels at 0.05. Between-group comparisons of continuous variables were made with independent -test and two-way ANOVA; correlations were carried out with Pearson correlation test.
Two hundred and nine patients completed the telephonic survey conducted from September to November 2020. The prevalence of diabetes-related worries in our sample was 80%. Younger age ( < 0.001), unemployment ( = 0.029), and the presence of mental disorder ( < 0.001) were associated with higher diabetes-related worries. Poor glycemic control (0.008) and symptoms of COVID-19 (0.03) were associated with diabetes-related worries. Diabetes-related worries correlated with diabetes distress (ρ =0.441, < 0.001), social isolation (ρ =0.401, < 0.001), and perception of social support (ρ = -0.158, < 0.001).
A large proportion of our patients with diabetes are at high risk to experience COVID-19-related worries especially, younger people, unemployed and those with mental illness. Furthermore, the presence of diabetes distress and the perception of social isolation increase COVID-19 worries.
糖尿病患者更容易出现社会心理问题，而这些问题已知会对糖尿病的临床结局产生不利影响。据了解，新型冠状病毒肺炎（COVID-19）会进一步加剧糖尿病患者的社会心理问题。
我们对糖尿病患者中与COVID-19相关的担忧进行了这项横断面电话调查，以了解与COVID-19相关担忧的患病率及其相关因素。
这是一项对在三级医疗中心的非传染性疾病诊所就诊的患者进行的电话调查。
我们使用一份结构化问卷来评估社会人口学、临床、心理变量以及与COVID-19相关的担忧。
我们使用SPSS 20.0进行描述性统计，显著性水平设定为0.05。连续变量的组间比较采用独立样本t检验和双向方差分析；相关性分析采用Pearson相关检验。
209名患者完成了于2020年9月至11月进行的电话调查。在我们的样本中，与糖尿病相关的担忧患病率为80%。年龄较小（<0.001）、失业（=0.029）以及存在精神障碍（<0.001）与更高的与糖尿病相关的担忧有关。血糖控制不佳（0.008）和COVID-19症状（0.03）与与糖尿病相关的担忧有关。与糖尿病相关的担忧与糖尿病困扰（ρ=0.441，<0.001）、社会隔离（ρ=0.401，<0.001）以及社会支持感知（ρ=-0.158，<0.001）相关。
我们的大部分糖尿病患者尤其在以下方面有很高风险经历与COVID-19相关的担忧，即年轻人、失业者以及患有精神疾病者。此外，糖尿病困扰的存在和社会隔离感会增加对COVID-19的担忧。
