Psychology Research and Behavior Management (Dec 2020)
Diabetes-Related Distress and Its Associated Factors Among Patients with Diabetes in Vietnam
Abstract
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 Toan3 1Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam; 2Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam; 3Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue City, VietnamCorrespondence: Chi Van LeDepartment of Internal Medicine, Hue University of Medicine and Pharmacy, Hue University, No. 06 Ngo Quyen Str., Hue City, VietnamTel +84 913426457Email [email protected]: 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.Keywords: diabetes mellitus, diabetes-related distress, diabetes distress scale
