The Relationship Between Diabetes Knowledge and Diabetes Self-Care Behaviors in Relation to Diabetes Distress in Type 2 Diabetes Mellitus: A Cross-Sectional Study in Eastern Taiwan.

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Yi-Chien Chen, Yi-Hua Huang, Chao-Hsien Lee
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引用次数: 0

Abstract

Introduction: Diabetes is a highly prevalent metabolic disease worldwide. In Taiwan, healthcare services emphasize self-management strategies and interventions focusing on self-care. However, there is a lack of literature on diabetes distress (DD). Therefore, this study aims to explore the relationship between demographic characteristics, diabetes knowledge, and diabetes self-care behaviors with diabetes distress among Type 2 diabetes mellitus (T2DM) patients and identify predictive factors.

Methods: This study employs a cross-sectional survey, targeting T2DM patients from the internal medicine outpatient clinic of a regional hospital in eastern Taiwan. Participants were recruited through purposive sampling from April 11, 2023, to May 16, 2023. The study examines the correlation between diabetes knowledge, diabetes self-care behaviors, and diabetes distress, as well as other influencing factors. The data analysis methods include (1) differences in diabetes knowledge, diabetes self-care behaviors, and diabetes distress scores, analyzed using t-tests or ANOVA, (2) Scheffe's tests for significant differences identified by ANOVA to locate group differences in means, and (3) multiple regression analysis to identify key predictive factors of diabetes distress.

Results: The findings reveal that both diabetes knowledge (β=-0.046, p=0.029) and diabetes self-care behaviors (β=-0.186, p=0.006) significantly predict diabetes distress. Additionally, gender (β=0.251, p=0.004), family history of diabetes (β=0.213, p=0.017), and diabetes complications (β=0.228, p=0.018) are significant predictors of diabetes distress. The overall F-test reached significance (F=7.61, p<0.001), and the explanatory power of the regression model (R²=0.17) is statistically significant, indicating that diabetes knowledge, diabetes self-care behaviors, gender, family history of diabetes, and diabetes complications are important predictors of diabetes distress in T2DM patients. These findings can provide valuable insights for clinicians in identifying risk factors for diabetes distress and understanding the factors that influence diabetes distress in T2DM patients.

Conclusion: It is crucial to integrate the assessment and management of diabetes distress into routine diabetes care and even implement distress screening during the health promotion stage. Strengthening the ability of healthcare professionals to identify diabetes distress through early detection of risk factors and providing individualized interventions and care plans tailored to T2DM patients is of great importance.

台湾东部地区2型糖尿病患者糖尿病知识与糖尿病自我照护行为与糖尿病困扰关系之横断面研究
糖尿病是世界范围内高度流行的代谢性疾病。在台湾,医疗保健服务强调自我管理策略和自我护理干预。然而,缺乏关于糖尿病窘迫(DD)的文献。因此,本研究旨在探讨2型糖尿病(T2DM)患者人口学特征、糖尿病知识、糖尿病自我护理行为与糖尿病窘迫的关系,并找出预测因素。方法:本研究采用横断面调查,以台湾东部某地区医院内科门诊的2型糖尿病患者为研究对象。参与者于2023年4月11日至2023年5月16日通过有目的抽样招募。本研究探讨糖尿病知识、糖尿病自我护理行为、糖尿病困扰及其他影响因素之间的关系。数据分析方法包括(1)糖尿病知识、糖尿病自我护理行为和糖尿病困扰得分的差异,采用t检验或方差分析进行分析;(2)采用方差分析确定显著差异的Scheffe检验,确定组间均值差异;(3)采用多元回归分析确定糖尿病困扰的关键预测因素。结果:糖尿病知识(β=-0.046, p=0.029)和糖尿病自我护理行为(β=-0.186, p=0.006)对糖尿病焦虑有显著预测作用。此外,性别(β=0.251, p=0.004)、糖尿病家族史(β=0.213, p=0.017)和糖尿病并发症(β=0.228, p=0.018)是糖尿病困扰的重要预测因素。结论:在健康促进阶段,将糖尿病窘迫的评估与管理纳入糖尿病常规护理,甚至实施窘迫筛查至关重要。通过早期发现危险因素,加强医疗保健专业人员识别糖尿病困扰的能力,并为2型糖尿病患者提供个性化的干预和护理计划是非常重要的。
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来源期刊
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
5.90
自引率
6.10%
发文量
431
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.
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