Naik Bijaya N, Rao Rajath, Verma Manisha, Nirala Santosh K, Pandey Sanjay, Gera Mounica, Ramalingam Anuvarshini
Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.
Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
J Family Med Prim Care. 2024 Aug;13(8):3275-3281. doi: 10.4103/jfmpc.jfmpc_96_24. Epub 2024 Jul 26.
Diabetes is a chronic disease associated with many complications. Approximately 20% of people living with diabetes suffer from some form of depression. "Diabetes distress" (DD) is used to describe the significant negative psychological reactions related to emotional burdens and worries specific to an individual's experience to manage severe, complicated chronic disease such as diabetes.
To determine the proportion having DD and to identify the sociodemographic and morbidity related factors associated with the presence of DD among adults with Type2DM who are being treated at PHC Naubatpur, Bihar.
This facility based cross-sectional analytical study was done over 3 months among 260 Type2DM patients attending PHC Naubatpur. Sociodemographic details and morbidity related details were collected followed by PAID questionnaire to assess DD.
Around 60% of the participants were of age ≤60 years. Majority (63.8%) of the participants were having diabetes from past 1-10years. One-fourth (24.6%) of them were having score of ≥40, therefore having DD. Alcohol consumption and presence of diabetes complications in the participants were found to be independent predictors of DD.
This study showed a high (24.6%) prevalence of DD. It is essential to identify high-risk patients with different mental health needs. Healthcare providers should focus on reducing DD and devise ways to increase self-care practices and coping skills.
糖尿病是一种与多种并发症相关的慢性疾病。大约20%的糖尿病患者患有某种形式的抑郁症。“糖尿病困扰”(DD)用于描述与个体应对严重、复杂的慢性疾病(如糖尿病)时的情绪负担和担忧相关的显著负面心理反应。
确定患有糖尿病困扰的比例,并确定在比哈尔邦瑙巴特布尔初级卫生保健中心接受治疗的2型糖尿病成年患者中,与糖尿病困扰存在相关的社会人口统计学和发病相关因素。
这项基于机构的横断面分析研究在3个月内对260名前往瑙巴特布尔初级卫生保健中心就诊的2型糖尿病患者进行。收集社会人口统计学细节和发病相关细节,随后使用PAID问卷评估糖尿病困扰。
约60%的参与者年龄≤60岁。大多数(63.8%)参与者患糖尿病已有1至10年。其中四分之一(24.6%)的参与者得分≥40,因此患有糖尿病困扰。参与者的饮酒情况和糖尿病并发症的存在被发现是糖尿病困扰的独立预测因素。
本研究显示糖尿病困扰的患病率很高(24.6%)。识别有不同心理健康需求的高危患者至关重要。医疗保健提供者应专注于减少糖尿病困扰,并设计方法来提高自我护理实践和应对技能。