Diabetes-related Distress and Self-care Practices among Patients attending two Secondary Care Hospitals in Lagos – A strategy for tailored Interventions
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Date
2019-06-23
Authors
Onwuchuluba, E.E.
Aina, B.A.
Ngolube, P.
Ogbonna, B.
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Abstract
Background: The challenges of diabetes mellitus are huge. Keeping up with the daily requirements of a life-long chronic illness is rigorous. Objectives: This study assessed diabetes-related distress and self-care practices and determined the extent to which they impact each other. Methods: This was a cross-sectional descriptive study carried out among patients attending follow-up diabetic clinic of two secondary health care facilities in Lagos over a three-month period. One hundred and seventy-six type 2 diabetes patients that met the inclusion criteria were consecutively recruited. Patients’ diabetes-related distress and self-care practices were assessed using a interviewer-administered questionnaire that incorporated two validated measures - The Diabetes Distress Scale (DDS17) and the Summary of Diabetes Self-care Activities (SDSCA: 11 items). Data were analyzed using descriptive and inferential statistics. P-values of < 0.05 was considered significant. Results: Of the 176 respondents, 70% were females, 73.9% were 51 years and above and 67% had poor glycaemic control (FBS=135.7 ± 47.48mg/dl). The mean score for Total Diabetes Distress (TDD) is 2.89 ± 0.90. Majority (64%) viewed emotional burden (3.30± 1.38) and regimen-related distress (3.35± 1.45) as moderate distress. Dieting was adequate among respondents with “Special diet” being the most frequently practiced (3.58±1.73 days/week). Dieting is associated with total diabetes distress, emotional burden, regimen-related distress and physician-related distress (˂0.001). Regimen-related distress is also associated with glycaemic control (p=0.037). Conclusion: Diabetes distress and low self-care practices are common and impact each other. Targeted interventions incorporating emotional support and effective communication is critical.
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Scholarly articles
Keywords
Diabetes distress , Emotional Burden , Self-care , Glycemic control , Research Subject Categories::PHARMACY
Citation
Onwuchuluba, E.E; Aina, B.A; Ngolube, C.P; Ogbonna, B.O. (2019). Diabetes-related Distress and Self-care Practices among Patients attending two Secondary Care Hospitals in Lagos – A strategy for tailored Interventions.