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Diabetes-Related Distress and Its Associated Factors Among Patients with Diabetes in Vietnam
Psychology Research and Behavior Management ( IF 3.974 ) Pub Date : 2020-12-14 , DOI: 10.2147/prbm.s285291 Van Bang Nguyen 1 , Tam Thi Tran 1 , Thi Ly Dang 1 , Van Vy Hau Nguyen 1 , Binh Thang Tran 2 , Chi Van Le 3 , Nguyen Dinh Toan 3
Psychology Research and Behavior Management ( IF 3.974 ) Pub Date : 2020-12-14 , DOI: 10.2147/prbm.s285291 Van Bang Nguyen 1 , Tam Thi Tran 1 , Thi Ly Dang 1 , Van Vy Hau Nguyen 1 , Binh Thang Tran 2 , Chi Van Le 3 , Nguyen Dinh Toan 3
Affiliation
Background: Psychometric properties are regarded as one of the significant contributors related to diabetes treatment efficacy. Diabetes-related distress (DD) is one of the emotional burdens. The aims of this study were to investigate the prevalence of DD and to determine its associated factors among Vietnamese diabetic patients.
Methods: A cross-sectional study was conducted at a single medical center in the central of Vietnam. A total of 138 eligible DM outpatients were invited and a total of 112 patients who completed the questionnaire were utilized in this analysis using convenience sampling. DD was assessed using the diabetes distress scale (DDS). The participant’s sociodemographic and clinical information was obtained through face-to-face interviews and medical records. Multivariate logistic regression was used to determine independent factors associated with the presence of DD.
Results: Approximately, 12.5% of the patients experienced DD based on DDS self-administered questionnaire. The rates of mild/moderate and high distress were 8.0% and 4.5%, respectively. DD was found to be significantly higher in type 1 DM (p=0.04), insulin only in treatment regime (p=0.04), physical inactivities (p=0.02), times of mild hypoglycemia (time/month) (p=0.01), and fasting plasma glucose (mmol/l) (p=0.04). The occurrence of distress among DM patients was negatively correlated with their age and amount of physical exercise. Meanwhile, poor HbA1c control (HbA1c≥ 7%) was associated with an increased occurrence of diabetes distress.
Conclusion: The findings of single medical center in Vietnam highlights that DD is prevalent among DM patients. It should be of marked concerns, particularly the type 1 diabetic patients, younger age, and poor glycemic control patients.
中文翻译：
越南糖尿病患者的糖尿病相关痛苦及其相关因素
背景：心理测量特性被认为是与糖尿病治疗效果相关的重要因素之一。糖尿病相关的痛苦（DD）是一种情绪负担。本研究的目的是调查 DD 的患病率并确定越南糖尿病患者的相关因素。
方法：在越南中部的一个医疗中心进行了一项横断面研究。共邀请了 138 名符合条件的 DM 门诊患者，共有 112 名完成问卷的患者被用于使用便利抽样的分析。DD 使用糖尿病窘迫量表 (DDS) 进行评估。参与者的社会人口学和临床信息是通过面对面访谈和医疗记录获得的。多变量逻辑回归用于确定与 DD 存在相关的独立因素。
结果：根据 DDS 自我问卷调查，大约 12.5% 的患者经历了 DD。轻度/中度和重度痛苦的发生率分别为 8.0% 和 4.5%。发现 DD 在 1 型糖尿病（p=0.04）、仅在治疗方案中使用胰岛素（p=0.04）、身体不活动（p=0.02）、轻度低血糖的次数（时间/月）（p=0.01）显着更高, 和空腹血糖 (mmol/l) (p=0.04)。DM患者痛苦的发生与年龄和体育锻炼量呈负相关。同时，HbA1c 控制不佳（HbA1c ≥ 7%）与糖尿病困扰的发生率增加有关。
结论：越南单一医疗中心的调查结果表明，DD 在 DM 患者中普遍存在。应引起显着关注，尤其是 1 型糖尿病患者、年龄较小和血糖控制不佳的患者。
更新日期：2020-12-14
Methods: A cross-sectional study was conducted at a single medical center in the central of Vietnam. A total of 138 eligible DM outpatients were invited and a total of 112 patients who completed the questionnaire were utilized in this analysis using convenience sampling. DD was assessed using the diabetes distress scale (DDS). The participant’s sociodemographic and clinical information was obtained through face-to-face interviews and medical records. Multivariate logistic regression was used to determine independent factors associated with the presence of DD.
Results: Approximately, 12.5% of the patients experienced DD based on DDS self-administered questionnaire. The rates of mild/moderate and high distress were 8.0% and 4.5%, respectively. DD was found to be significantly higher in type 1 DM (p=0.04), insulin only in treatment regime (p=0.04), physical inactivities (p=0.02), times of mild hypoglycemia (time/month) (p=0.01), and fasting plasma glucose (mmol/l) (p=0.04). The occurrence of distress among DM patients was negatively correlated with their age and amount of physical exercise. Meanwhile, poor HbA1c control (HbA1c≥ 7%) was associated with an increased occurrence of diabetes distress.
Conclusion: The findings of single medical center in Vietnam highlights that DD is prevalent among DM patients. It should be of marked concerns, particularly the type 1 diabetic patients, younger age, and poor glycemic control patients.
中文翻译：
越南糖尿病患者的糖尿病相关痛苦及其相关因素
背景：心理测量特性被认为是与糖尿病治疗效果相关的重要因素之一。糖尿病相关的痛苦（DD）是一种情绪负担。本研究的目的是调查 DD 的患病率并确定越南糖尿病患者的相关因素。
方法：在越南中部的一个医疗中心进行了一项横断面研究。共邀请了 138 名符合条件的 DM 门诊患者，共有 112 名完成问卷的患者被用于使用便利抽样的分析。DD 使用糖尿病窘迫量表 (DDS) 进行评估。参与者的社会人口学和临床信息是通过面对面访谈和医疗记录获得的。多变量逻辑回归用于确定与 DD 存在相关的独立因素。
结果：根据 DDS 自我问卷调查，大约 12.5% 的患者经历了 DD。轻度/中度和重度痛苦的发生率分别为 8.0% 和 4.5%。发现 DD 在 1 型糖尿病（p=0.04）、仅在治疗方案中使用胰岛素（p=0.04）、身体不活动（p=0.02）、轻度低血糖的次数（时间/月）（p=0.01）显着更高, 和空腹血糖 (mmol/l) (p=0.04)。DM患者痛苦的发生与年龄和体育锻炼量呈负相关。同时，HbA1c 控制不佳（HbA1c ≥ 7%）与糖尿病困扰的发生率增加有关。
结论：越南单一医疗中心的调查结果表明，DD 在 DM 患者中普遍存在。应引起显着关注，尤其是 1 型糖尿病患者、年龄较小和血糖控制不佳的患者。
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