Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA.
College of Nursing, University of Kentucky, Lexington, KY, USA.
West J Nurs Res. 2024 Sep;46(9):664-673. doi: 10.1177/01939459241271332. Epub 2024 Aug 22.
Diabetes complications are prevalent in people with diabetes, causing considerable individual suffering and increased health costs. However, the relationships of multidimensional, modifiable, and nonmodifiable factors to diabetes complications and the role of diabetes distress have been rarely examined.
The aims of this study were to examine the associations of age, sex, knowledge, self-efficacy, self-compassion, resilience, self-esteem, depressive symptoms, diabetes distress, social support, and body mass index with diabetes complications and to investigate the mediating role of diabetes distress.
In this cross-sectional, correlational study, data on all study variables were collected from 148 people with diabetes through REDCap in 2023. Multiple regression analysis and the PROCESS macro for SPSS were used to address the aims.
Older age and higher levels of diabetes distress were associated with more diabetes complications. Depressive symptoms were associated with diabetes distress; and diabetes distress, but not depressive symptoms, was associated with diabetes complications, controlling for all other variables.
Depressive symptoms and diabetes distress were directly or indirectly associated with diabetes complications, and diabetes distress was a mediator in the relationship between depressive symptoms and diabetes complications. Health care providers can target reduction of depressive symptoms and diabetes distress to reduce diabetes complications.
糖尿病并发症在糖尿病患者中普遍存在，给患者带来了极大的痛苦和增加了医疗费用。然而，多维、可改变和不可改变的因素与糖尿病并发症的关系以及糖尿病困扰的作用很少被研究。
本研究旨在探讨年龄、性别、知识、自我效能、自我同情、韧性、自尊、抑郁症状、糖尿病困扰、社会支持和体重指数与糖尿病并发症的关系，并探讨糖尿病困扰的中介作用。
在这项横断面相关性研究中，2023 年通过 REDCap 从 148 名糖尿病患者中收集了所有研究变量的数据。采用多元回归分析和 SPSS 的 PROCESS 宏来解决研究目的。
年龄较大和糖尿病困扰程度较高与更多的糖尿病并发症有关。抑郁症状与糖尿病困扰有关；在控制所有其他变量的情况下，糖尿病困扰与糖尿病并发症有关，但抑郁症状与糖尿病并发症无关。
抑郁症状和糖尿病困扰与糖尿病并发症直接或间接相关，糖尿病困扰是抑郁症状与糖尿病并发症之间关系的中介。医疗保健提供者可以针对减轻抑郁症状和糖尿病困扰来减少糖尿病并发症。
