Exploring factors predicting Diabetes Distress in patients with type 2 diabetes
DOI: https://doi.org/10.33024/minh.v8i1.769
Diabetes Distress Diabetes Mellitus Dominant Factors
Abstract
Background: Diabetes mellitus, a chronic disease resulting from an impaired endocrine system, disrupts glucose regulation and leads to elevated blood glucose levels. Individuals with diabetes may develop complications such as hyperglycemia. Persistent hyperglycemia can negatively affect mental well-being, potentially causing depression, anxiety, and diabetes distress. While numerous studies have explored predictors of diabetes distress, their findings have been inconsistent, and a comprehensive understanding of the contributing risk factors remains elusive.
Purpose: To identify the dominant factors influencing the occurrence of diabetes distress.
Method: This quantitative descriptive study involved a sample of 150 respondents. Participants were included if they had a diagnosis of type 2 diabetes mellitus, were male or female, and were over 20 years of age, regardless of whether they had diabetes-related complications. Patients with unstable hemodynamic status or those unable to communicate effectively were excluded. The study took place at the Surakarta Islamic Hospital between July and September 2024. Data collection utilized demographic questionnaires, the Diabetes Distress Scale, the Hensarling Diabetes Family Support Scale, and the Medication Adherence Rating Scale. Pearson's test and multiple linear regression were used for data analysis.
Results: The study found that the majority of respondents had a mean age of 56 years and were male. The analysis revealed four factors influencing diabetes distress in patients with Type 2 Diabetes Mellitus including treatment regimen (p-value = 0.001, B = -10.792), education level (p-value = 0.042, B = -3.779), age (p-value = 0.015, B = -0.404), and family support (p-value = 0.034, B = -0.333).
Conclusion: The treatment regimen emerged as the most significant factor influencing diabetes distress; consistent adherence to the prescribed treatment plan was associated with lower levels of distress among individuals with type 2 diabetes mellitus. Furthermore, education level, age, and family support were identified as additional factors contributing to diabetes distress.
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References
Anggraeni, N. C., Widayati, N., & Sutawardana, J. H. (2020). Peran Perawat Sebagai Edukator Terhadap Persepsi Sakit Pada Pasien Diabetes Mellitus Tipe 2 Kabupaten Jember. Jurnal Pendidikan Keperawatan Indonesia, 6(1), 66-76.
Arifin, B., Van Asselt, A. D., Setiawan, D., Atthobari, J., Postma, M. J., & Cao, Q. (2019). Diabetes Distress In Indonesian Patients With Type 2 Diabetes: A Comparison Between Primary And Tertiary Care. Bmc Health Services Research, 19, 1-11.
Asshiddiqi, M. I. N., Yodchai, K., & Taniwattananon, P. (2021). Predictors Of Diabetes Distress Among Older Persons With Type 2 Diabetes Mellitus In Indonesia. Journal Of Research In Nursing, 26(4), 307-317.
Batais, M. A., Alfraiji, A. F., Alyahya, A. A., Aloofi, O. A., Almashouq, M. K., Alshehri, K. S., & Alosaimi, F. D. (2021). Assessing The Prevalence Of Diabetes Distress And Determining Its Psychosocial Predictors Among Saudi Adults With Type 2 Diabetes: A Cross-Sectional Study. Frontiers In Psychology, 12, 759454.
Bhaskara, G., Budhiarta, A. A. G., Gotera, W., Saraswati, M. R., Dwipayana, I. M. P., Semadi, I. M. S., & Suastika, K. (2022). Factors Associated With Diabetes-Related Distress In Type 2 Diabetes Mellitus Patients. Diabetes, Metabolic Syndrome And Obesity: Targets And Therapy, 2077-2085.
Cahyani, P. A., Rasfayanah, R., Abdullah, R. P. I., Natsir, P., & Irmayanti, I. (2024). Pengaruh Kadar Hba1c Pada Penderita Diabetes Melitus Tipe 2 Dengan Komplikasi Makrovaskular Dan Mikrovaskular Di Rumah Sakit Ibnu Sina Yw Umi Makassar. Prepotif: Jurnal Kesehatan Masyarakat, 8(2), 4274-4281.
Ducat, L., Rubenstein, A., Philipson, L. H., & Anderson, B. J. (2015). A Review Of The Mental Health Issues Of Diabetes Conference. Diabetes Care, 38(2), 333-338.
Farm, B. A. S., Perwitasari, D. A., Thobari, J. A., Cao, Q., Krabbe, P. F., & Postma, M. J. (2017). Translation, Revision, And Validation Of The Diabetes Distress Scale For Indonesian Type 2 Diabetic Outpatients With Various Types Of Complications. Value In Health Regional Issues, 12, 63-73.
German, J., Kobe, E. A., Lewinski, A. A., Jeffreys, A. S., Coffman, C., Edelman, D., & Crowley, M. J. (2023). Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes. Journal Of The Endocrine Society, 7(5), Bvad031.
Guo, X., Wong, P. N. F., Koh, Y. L. E., & Tan, N. C. (2023). Factors Associated With Diabetes-Related Distress Among Asian Patients With Poorly Controlled Type-2 Diabetes Mellitus: A Cross-Sectional Study In Primary Care. Bmc Primary Care, 24(1), 54.
Hasanah, L., Yulia, Y., & Edison, C. (2023). Peran Perawat Dalam Mengatasi Diabetes Distress. Journal Of Telenursing, 5(2), 3797-3804.
Hiasat, D. A., Salih, M. B., Jaber, A. H. A., Abubaker, O. F., Qandeel, Y. A., Saleem, B. A., & Hyassat, D. (2023). The Prevalence Of Diabetes Distress Among Patients With Type 2 Diabetes In Jordan. Journal Of Taibah University Medical Sciences, 18(6), 1237-1243.
Hudiyawati, D., & Maulana Prakoso, A. (2019). Effectiveness Of Cognitive Behavioral Therapy To Reduce Depression, Anxiety And Stress Among Hospitalized Patients With Congestive Heart Failure In Central Java.
Hudiyawati, D., Ainunnisa, K., & Riskamala, G. (2021). Self-Care And Its Related Factors Among Patients With Congestive Heart Failure In Surakarta, Indonesia. Journal Of Medicinal And Chemical Sciences, 4(4), 364-373.
Lestari, L., & Zulkarnain, Z. (2021, November). Diabetes Melitus: Review Etiologi, Patofisiologi, Gejala, Penyebab, Cara Pemeriksaan, Cara Pengobatan Dan Cara Pencegahan. In Prosiding Seminar Nasional Biologi (Vol. 7, No. 1, Pp. 237-241).
Pardhan, S., Siddique, A. B., Motahara, U., & Islam, M. S. (2024). Investigating The Prevalence And Associated Factors Of Depression, Anxiety, And Loneliness Among People With Type-2 Diabetes In Bangladesh: A Community-Based Study. Scientific Reports, 14(1), 25129.
Parviniannasab, A. M., Faramarzian, Z., Hosseini, S. A., Hamidizadeh, S., & Bijani, M. (2024). The Effect Of Social Support, Diabetes Management Self-Efficacy, And Diabetes Distress On Resilience Among Patients With Type 2 Diabetes: A Moderated Mediation Analysis. Bmc Public Health, 24(1), 477.
Polonsky, W. H., Fisher, L., Hessler, D., Stuckey, H., Snoek, F. J., Tang, T., & Perez-Nieves, M. (2019). Identifying Solutions To Psychological Insulin Resistance: An International Study. Journal Of Diabetes And Its Complications, 33(4), 307-314.
Pujiwati, P., Hadiyanto, H., & Basri, B. (2023). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Penderita Diabetes Mellitus Tipe 2. Jurnal Kesehatan Tambusai, 4(4), 4581-4587.
Rabrinan, S. A., & Wahyuin, C. U. (2024). Pengaruh Diabetes Distress Dan Dukungan Keluarga Terhadap Kualitas Hidup Pasien Diabetes Mellitus Tipe 2 Di Kecamatan Jereweh. Jurnal Kesehatan Tambusai, 5(3).
Retnowati, N., & Satyabakti, P. (2015). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Penderita Diabetes Melitus Di Puskesmas Tanah Kalikedinding. Jurnal Berkala Epidemiologi, 3(1), 57-68.
Sayed Ahmed, H. A., Fouad, A. M., Elotla, S. F., Joudeh, A. I., Mostafa, M., Shah, A., & Mohamed, S. F. (2022). Prevalence And Associated Factors Of Diabetes Distress, Depression And Anxiety Among Primary Care Patients With Type 2 Diabetes During The Covid-19 Pandemic In Egypt: A Cross-Sectional Study. Frontiers In Psychiatry, 13, 937973.
Siburian, C. H., Gulo, C. T., & Naibaho, E. N. V. (2024). Hubungan Kadar Gula Darah Dengan Diabetes Distress Pada Pasien Diabetes Melitus. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 3(4), 265-273.
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