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Factors associated with diabetes distress among adolescents with type 1 diabetes.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Jul2021, Vol. 30 Issue 13/14, p1893-1903, 11p
- Publication Year :
- 2021
-
Abstract
- Aims: To describe the specific domains of diabetes distress and factors associated with these domains. Background: Diabetes distress is a common problem but not well recognised in adolescents by healthcare providers or adolescents themselves. There is insufficient evidence on how specific domains of diabetes distress exist in adolescents, making it challenging to select precise components to alleviate diabetes stress. Design: A quantitative, descriptive and cross‐sectional study. Methods: Data were collected on socio‐demographic and clinical characteristics, diabetes distress, perceived stress, self‐efficacy and diabetes self‐management using established questionnaires. Multivariate linear regression was conducted to examine the associations between specific factors and four domains in diabetes distress. STROBE checklist was used as the guideline for this study. Results: A total of 100 adolescents with type 1 diabetes aged 12 to 18 years participated in this study. Adolescents experienced the highest levels of distress in the regimen‐related distress [2.41 (SD =0.82)] and physician‐related distress [2.40 (SD =0.80)] domains. Older age, female gender, more diabetes problem‐solving and higher levels of perceived stress were associated with higher regimen‐related distress (β = 0.21 ~ 0.45, p < 0.05). Older age, female gender, a lower degree of endorsement of relevant diabetes‐related goals and higher levels of perceived stress were associated with higher physician‐related distress (β = −0.29 ~ 0.34, p < 0.05). Conclusions: Diabetes distress was reported more on regimen‐related and physician‐related domains among adolescents with type 1 diabetes in China, associating with older age, female, increased perceived stress and poor diabetes‐related problem‐solving. Relevance to clinical practice: Nurses need to screen the specific domains of diabetes distress among adolescents with type 1 diabetes, especially for the older adolescents and girls. This study highlighted the importance of incorporating diabetes‐related problem‐solving support and stress management strategies into diabetes management for adolescents with type 1 diabetes, which could help relieve diabetes distress. [ABSTRACT FROM AUTHOR]
- Subjects :
- PROBLEM solving
RESEARCH methodology
CROSS-sectional method
MULTIPLE regression analysis
PHYSICIAN-patient relations
AGE distribution
ONE-way analysis of variance
TYPE 1 diabetes
QUANTITATIVE research
RISK assessment
SELF-efficacy
SOCIOECONOMIC factors
SEX distribution
RESEARCH funding
PSYCHOSOCIAL factors
QUESTIONNAIRES
DRUGS
INTERPERSONAL relations
PATIENT compliance
DATA analysis software
PSYCHOLOGICAL distress
HEALTH self-care
PSYCHOLOGICAL stress
PEOPLE with diabetes
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 30
- Issue :
- 13/14
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 150719218
- Full Text :
- https://doi.org/10.1111/jocn.15742