Coping strategies and their association with diabetes specific distress, depression and diabetes self-care among people living with diabetes in Zambia.
Coping strategies and their association with diabetes specific distress, depression and diabetes self-care among people living with diabetes in Zambia.
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DOI：
10.1186/s12902-022-01131-2
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发表时间：
2022-08-28
影响因子：
2.7
通讯作者：
Hapunda, Given
中科院分区：
文献类型：
--
作者：
Hapunda, Given
关键词：
利用应对策略来减少和管理由糖尿病引起的负面和痛苦情绪的强度至关重要。然而，人们对撒哈拉以南非洲国家（如赞比亚）糖尿病患者使用应对策略的情况知之甚少。这项研究调查了赞比亚糖尿病患者使用的应对策略，以及这些策略与糖尿病特有的情绪困扰，抑郁和糖尿病自我护理之间的关系。收集了157名年龄在12岁至68岁之间的糖尿病患者的横断面数据。在这157名患者中，59%为1型糖尿病患者，37%为2型糖尿病患者。大约4%的人在他们的记录中缺失信息，但患有1型或2型糖尿病。应对方式进行了测量，使用简短版本的应对取向的问题经历（简短科普），糖尿病的具体困扰使用的问题领域在糖尿病，抑郁症使用抑郁症量表和自我护理使用糖尿病自我护理量表。数据显示，适应性应对策略，如宗教应对，接受等，是赞比亚糖尿病患者最常用的应对策略。适应不良的应对策略，例如，自责和自我分心与糖尿病特异性痛苦和抑郁的增加有关。情感支持与更好的糖尿病自我护理有关，而自责与糖尿病自我护理不良有关。有必要帮助糖尿病患者确定最适合他们的适应性策略，以提高他们的生活质量。
Utilising coping strategies to reduce and manage the intensity of negative and distressing emotions caused by diabetes is essential. However, little is known about the use of coping strategies among people living with diabetes in Sub-Saharan African countries like Zambia. This study investigates coping strategies used by people with diabetes in Zambia and how these are associated with diabetes-specific emotional distress, depression and diabetes self-care. Cross-sectional data from 157 people with diabetes aged between 12 and 68 years were collected. Of the 157, 59% were people with type 1 diabetes and 37% with type 2 diabetes. About 4% had missing information in their record but had either type 1 or type 2 diabetes. Coping styles were measured using the Brief Version of the Coping Orientation to Problems Experienced (Brief COPE), diabetes specific-distress using the Problem Areas in Diabetes, depression using the Major Depression Inventory and self-care using the Diabetes Self-Care scale. Data showed that adaptive coping strategies such as religious coping, acceptance among others, were the most frequently used coping strategies among Zambian individuals with diabetes. Maladaptive coping strategies e.g., self-blame and self-distraction were related to increased diabetes specific-distress and depression. Emotional support was related to better diabetes self-care, while self-blame was related to poor diabetes self-care. There is need to help individuals with diabetes identify adaptive strategies that work best for them in order to improve their quality of life.
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影响因子：
2.8
作者：
Chan J;DeMelo M;Gingras J;Gucciardi E
通讯作者：
Gucciardi E
影响因子：
4.5
作者：
Buessing, Arndt;Ostermann, Thomas;Heusser, Peter
通讯作者：
Heusser, Peter
影响因子：
3.6
作者：
Bronner, Madelon B.;Peeters, Marielle A. C.;van Staa, AnneLoes
通讯作者：
van Staa, AnneLoes
影响因子：
4.2
作者：
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通讯作者：
Schmitz, Norbert
影响因子：
6.7
作者：
Amadi, K. U.;Uwakwe, R.;Ohaeri, J. U.
通讯作者：
Ohaeri, J. U.