Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
College of Nursing, University of Tennessee, Knoxville, TN, United States of America.
Appl Nurs Res. 2024 Oct;79:151843. doi: 10.1016/j.apnr.2024.151843. Epub 2024 Aug 30.
Identify the relationship between a sense of belonging and psychosocial well-being in individuals with type 1 diabetes (T1D) in Iran.
Understanding this relationship is vital for tailored nursing interventions to enhance individual's sense of belonging and improve diabetes outcomes.
This cross-sectional study included 205 participants selected via multi-stage cluster and simple random sampling from health centers in Iranian. Electronic surveys designed on Google Forms, using valid and reliable scales and compliant with HIPAA, assessed sense of belonging, distress, and burnout. Data were analyzed using SPSS (version 25).
Participants reported high sense of belonging with varying levels of diabetes distress and burnout. Multiple regression analysis of 205 participants showed that sense of belonging index (SOBI) scores significantly predicted diabetes distress (F(2,203) = 39.71, p < 0.001) and burnout (F(2, 203) = 42.319, p < 0.001). Sense of Belonging Instrument-Psychological (SOBI-P) scores were negatively correlated with both distress (r = -0.52, p < 0.001) and burnout (r = -0.53, p < 0.001), indicating higher belonging is linked to lower distress and burnout. Sense of Belonging Instrument-Antecedents (SOBI-A) scores had positive but non-significant correlations (distress: r = 0.07, p = 0.27; burnout: r = 0.10, p = 0.13). SOBI-P accounted for ∼30 % of the variance in distress (R = 0.275) and burnout (R = 0.288), with significant contributions to both models (t = -8.8, p < 0.001; t = -9.02, p < 0.001). Anticipated belonging showed no significant correlations with distress or burnout.
The negative correlations between personal belonging, self-reported distress, and burnout suggest that enhancing the psychological sense of belonging may be an effective strategy to mitigate diabetes-related distress and burnout Stigmatization and financial strain in Iran may exacerbate emotional burden, regimen related distress, and burnout. The lack of association between anticipated belonging and psychosocial well-being underscores differences in present and future perceptions of support, emphasizing the need for culturally sensitive nursing interventions.
在伊朗的 1 型糖尿病（T1D）患者中，确定归属感与心理社会健康之间的关系。
了解这种关系对于制定针对个体的护理干预措施至关重要，可增强个体的归属感，改善糖尿病结局。
这是一项横断面研究，共纳入 205 名参与者，采用多阶段聚类和简单随机抽样法，来自伊朗的医疗中心。使用有效的和可靠的量表，基于 HIPAA 准则设计的电子问卷，评估了归属感、苦恼和倦怠。采用 SPSS（版本 25）进行数据分析。
参与者报告了较高的归属感，同时存在不同程度的糖尿病苦恼和倦怠。对 205 名参与者的多元回归分析表明，归属感指数（SOBI）评分显著预测了苦恼（F（2,203）=39.71，p<0.001）和倦怠（F（2,203）=42.319，p<0.001）。归属感量表-心理成分（SOBI-P）评分与苦恼（r=-0.52，p<0.001）和倦怠（r=-0.53，p<0.001）呈负相关，表明归属感越强，苦恼和倦怠越低。归属感量表-前因成分（SOBI-A）评分与苦恼呈正相关但无统计学意义（r=0.07，p=0.27；倦怠：r=0.10，p=0.13）。SOBI-P 可解释苦恼（R2=0.275）和倦怠（R2=0.288）变异的 30%左右，对两个模型都有显著贡献（t=-8.8，p<0.001；t=-9.02，p<0.001）。预期归属感与苦恼或倦怠无显著相关性。
个人归属感与自我报告的苦恼和倦怠之间的负相关表明，增强心理归属感可能是减轻与糖尿病相关的苦恼和倦怠的有效策略。伊朗的污名化和经济压力可能会加剧情绪负担、治疗相关的苦恼和倦怠。预期归属感与心理社会健康之间缺乏关联，突显了当前和未来对支持的看法存在差异，强调需要进行文化敏感的护理干预。
