https://orcid.org/0000-0001-6944-7431
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Abstract
Background
Diabetes-related distress is a unique emotional problem that is directly related to the burden and anxieties felt by type 2 diabetes mellitus (T2DM) patients. Diabetes-related distress may lead to pessimism and lower self-efficacy which resulted in a deficiency of self-treatment compliance and can cause further bad glycemic control. Knowing the associated factors of diabetic-related distress and solving them may help T2DM patients improve their glycemic control.
Methods
This study is an analytical study with cross-sectional design conducted at Sanglah General Hospital from January to April 2021. The data were taken using the consecutive sampling method; 124 samples were collected according to inclusion and exclusion criteria. The participants filled Diabetes Distress Scale questionnaire (DDS17 Bahasa Indonesia). The data analysis was done using univariate (descriptive), bivariate (chi-square) and multivariate (logistic regression) analysis.
Results
Seventy-five subjects out of 124 (60.5%) had diabetes-related distress. The associated factors of diabetes-related distress one among others are the insulin usage as diabetic therapy (OR= 8.30, 95% CI 2.24–30.72; p = 0.002), had a hypoglycaemia in last 3 months (OR=44.59, 95% CI 4.36–455.51; p = 0.001), had diabetes-related retinopathy (OR=10.28, CI 95% 1.54–68.70; p=0.016), and lack of family support (OR=44.791, 95% CI 10.02–200.22; p < 0.001).
Conclusion
Our present study revealed that diabetes distress prevalence is predominantly and associated among in type 2 diabetes mellitus. We suggest diabetes-related distress screening and regular health promotion which focus on relationship between diabetes and psychological may be a great potential action to improve public health and patient outcomes.
Ethical Approval
This study was approved by Ethical Committee Faculty of Medicine Udayana University-Sanglah Hospital (Ethical Certification No.2079/UN14.2.2.VII.14/LT/2020).
Acknowledgment
The authors acknowledge the directors of Sanglah Hospital for allowing the study to be conducted.
Author Contributions
All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Disclosure
The authors declared no conflicts of interest in this work.