Factors associated with diabetes-related distress: implications for diabetes self-management.
Factors associated with diabetes-related distress: implications for diabetes self-management.
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DOI：
10.1080/00981389.2014.884038
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发表时间：
2014
影响因子：
2.2
通讯作者：
Sun F
中科院分区：
文献类型：
--
作者：
Wardian J;Sun F
由于7.8%的美国人口受到糖尿病的影响，医疗保健提供者的任务是提供资源，以帮助患者进行自我管理。心理社会问题对糖尿病自我护理有影响。糖尿病相关的痛苦与自我管理和较低的A1C有关。这项横断面研究旨在了解人口因素、心理取向、支持和糖尿病管理行为如何预测糖尿病相关的痛苦。这项研究使用了267名2型糖尿病患者的数据。糖尿病痛苦量表（DDS）是一个17项量表，测量糖尿病相关的痛苦，包括情绪痛苦，医生相关的痛苦，方案痛苦和人际关系痛苦。分层回归分四个阶段进行。最终模型解释了DDS中48%的方差。与较低DDS相关的重要因素是年龄较大，BMI较低，自我效能较高，医疗保健提供者支持水平较高，以及健康饮食。这项研究的结果有助于医疗保健提供者知道在哪里集中精力减少糖尿病相关的痛苦。卫生保健提供者的支持在减少DDS方面具有重要意义。糖尿病教育可能需要包括提高自我效能的策略，并帮助糖尿病患者通过更健康的饮食获得健康的体重。
As 7.8% of the U.S. population is affected by diabetes, health care providers are tasked with providing resources to assist patients toward self-management. Psychosocial issues have an effect on diabetes self-care. Diabetes-related distress is associated with self-management and lower A1C. This cross-sectional study seeks to understand how demographic factors, psychological orientations, support, and diabetes management behaviors predict diabetes-related distress. This study uses data from 267 adults with Type 2 diabetes. The Diabetes Distress Scale (DDS) is a 17-item scale measuring diabetes-related distress including emotional distress, physician related distress, regimen distress, and interpersonal distress. Hierarchical regression was conducted in four stages. The final model explains 48% of the variance in DDS. Significant factors related to lower DDS were older age, lower BMI, higher self-efficacy, higher levels of health care provider support, and a healthy diet. Findings of this study help health care providers know where to focus to reduce diabetes-related distress. Health care provider support is significant in reducing DDS. Diabetes education may want to include strategies that increase self-efficacy and assist people with diabetes to obtain a healthy weight through a more healthful diet.
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影响因子：
3.1
作者：
Cherrington, Andrea;Wallston, Kenneth A.;Rothman, Russell L.
通讯作者：
Rothman, Russell L.
影响因子：
3.9
作者：
Golin, CE;DiMatteo, MR;Gelberg, L
通讯作者：
Gelberg, L
影响因子：
16.2
作者：
King DK;Glasgow RE;Toobert DJ;Strycker LA;Estabrooks PA;Osuna D;Faber AJ
通讯作者：
Faber AJ
影响因子：
16.2
作者：
Rose, M;Fliege, H;Klapp, BF
通讯作者：
Klapp, BF
影响因子：
16.2
作者：
Sarkar, U;Fisher, L;Schillinger, D
通讯作者：
Schillinger, D