Ullas Anju, Adhikari Mr Prabha, Leena K C, Sasikumar S
Department of Medical Surgical Nursing, Yenepoya Nursing College, Yenepoya (Deemed to be University), Mangaluru, IND.
Department of Geriatric Medicine, Yenepoya Medical College Hospital, Yenepoya (Deemed to be University), Mangaluru, IND.
Cureus. 2024 Mar 31;16(3):e57328. doi: 10.7759/cureus.57328. eCollection 2024 Mar.
Diabetes-related distress and glycemic indicators are the most common concerns for patients with diabetes mellitus and have a major impact on diabetic patients' lifestyle, mental well-being, and healthcare access. The principal aim of research in this field is to ascertain the correlation between distress associated with diabetes and glycemic indicators. this helps in developing interventions that can enhance the overall physical and mental well-being of individuals with diabetes.
The objective is to assess the diabetes distress and glycemic indicators among patients with foot ulcers and to find the correlation between diabetes distress and glycemic parameters.
A descriptive correlational study was conducted among 159 patients with foot ulcers who were admitted to the hospital by using a non-probability purposive sampling method. The severity of diabetes distress was evaluated utilizing the four-subscale Diabetes Distress Scale (DDS-17). Glycemic indicators are calculated through the assessment of random blood sugar, fasting blood sugar (FBS), and glycosylated hemoglobin (HbA1c).
The study revealed that most participants were above 60 years old and were male. Of the samples, 52% had moderate distress. All the subscales of diabetes distress are correlated to the overall DDS score. A negative correlation (r= -0.162, p < 0.041) was found between emotional burden and FBS which was statistically significant, whereas FBS is positively related to HbA1c (r=0.194, p=0.015).
The significant correlation between DDS scores, the subscales of diabetes distress, and glycemic indicators highlights the criticality of incorporating diabetes distress management into comprehensive strategies for managing diabetes. Moreover, the research underscores the necessity of employing multidisciplinary strategies when attending to diabetic patients to prevent complications.
糖尿病相关困扰和血糖指标是糖尿病患者最常见的担忧，对糖尿病患者的生活方式、心理健康和医疗保健获取有重大影响。该领域研究的主要目的是确定糖尿病相关困扰与血糖指标之间的相关性。这有助于制定能够提高糖尿病患者整体身心健康的干预措施。
评估足部溃疡患者的糖尿病困扰和血糖指标，并找出糖尿病困扰与血糖参数之间的相关性。
采用非概率立意抽样法，对159例入院的足部溃疡患者进行描述性相关性研究。使用四分量表糖尿病困扰量表（DDS - 17）评估糖尿病困扰的严重程度。通过评估随机血糖、空腹血糖（FBS）和糖化血红蛋白（HbA1c）来计算血糖指标。
研究显示，大多数参与者年龄在60岁以上，且为男性。在样本中，52%有中度困扰。糖尿病困扰的所有分量表均与DDS总分相关。发现情绪负担与FBS之间存在负相关（r = -0.162，p < 0.041），具有统计学意义，而FBS与HbA1c呈正相关（r = 0.194，p = 0.015）。
DDS评分、糖尿病困扰分量表与血糖指标之间的显著相关性凸显了将糖尿病困扰管理纳入糖尿病综合管理策略的重要性。此外，该研究强调在护理糖尿病患者时采用多学科策略以预防并发症的必要性。
