Abstract
Background Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods A cross-sectional survey was conducted. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects. They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. Pearson's correlation analysis and regression analysis were used to analyze the influencing factors of diabetic distress. Results Among participants, 90.82% suffered from diabetes distress with an average score of 3.01 ± 0.58. Regimen-related, emotional burden-related, and interpersonal-related distress were the most frequently reported as severe. The results of the single-factor analysis showed that gender (P = 0.019), age (P = 0.003), occupation (P = 0.022), smoking (P < 0.001), and diabetes complications (P = 0.001) were the main factors affecting diabetes distress. The correlation analysis showed that diabetes distress was negatively correlated with the level of diabetic self-management (P < 0.001, r = −0.377) but not with the level of diabetes knowledge (P = 0.052, r = −0.197). The results of a multiple regression analysis showed that self-management level (P = 0.001, 95% CI: -0.039-0.011), age (P = 0.002, 95% CI: -0.463-0.104), smoking (P = 0.018, 95% CI: -0.504-0.048), and complications (P = 0.009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Conclusion Young adults with type 2 diabetes reported severe diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and thus improving the quality of life in these patients.
Highlights
Diabetes distress is a negative emotion related to diabetes management
We found no significant correlation between knowledge of diabetes and diabetes distress (r = −0:197, P = 0:052, Table 4)
We found that diabetes distress among young adults with type 2 diabetes has psychological characteristics related to family and social roles
Summary
Diabetes distress is a negative emotion related to diabetes management. This distress can compromise self-care and management of diabetes [1]. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. The results of a multiple regression analysis showed that self-management level (P = 0:001, 95% CI: -0.039-0.011), age (P = 0:002, 95% CI: -0.463-0.104), smoking (P = 0:018, 95% CI: -0.504-0.048), and complications (P = 0:009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and improving the quality of life in these patients
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