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首页> 外文期刊>International Journal of Research in Medical Sciences >Predictors of diabetes distress in patients with type 2 diabetes mellitus
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Predictors of diabetes distress in patients with type 2 diabetes mellitus

机译：2型糖尿病患者的糖尿病困扰预测指标

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Background: Diabetes distress is a condition distinct from depression that is related to diabetes outcomes. This study intends to identify the predicting risk factors of diabetes distress in Bangladeshi type 2 diabetes mellitus patients. Methods: A cross sectional study was conducted from January to June, 2012 in Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka. Data were collected through interview and reviewing documents. Results: Among 165 respondents, the proportion of diabetes distress was 48.5% (n=80) which include 22.4% (n=37) high distress and 26.1% (n=43) moderate distress. Glycemic status measured by HbA1c was the best predictor of diabetes distress [Adjusted odds ratio (AOR) 1.56; 95% Confidence Interval (CI) 1.16 to 2.10]. Insulin users were five times more likely to develop distress [Adjusted odds ratio (AOR) 5.05; 95% Confidence Interval (CI) 1.20 to 21.19] than users of oral anti-diabetic agents. Other predictors of diabetes distress were duration of DM [Adjusted odds ratio (AOR) 1.27; 95% Confidence Interval (CI) 1.06 to 1.52], Diabetic complications [Adjusted odds ratio (AOR) 3.92; 95% Confidence Interval (CI) 1.09 to 14.19], Average monthly family income [Adjusted odds ratio (AOR) 1.00; 95% Confidence Interval (CI) 1.00 to 1.00]. Conclusion: HbA1c, treatment modalities, duration of DM, diabetic complications and average monthly family income appeared to be significant predicting factors of diabetes distress among the type 2 diabetes mellitus patients. This should be taken into consideration for effective management of patient.
机译：背景：糖尿病困扰是一种与抑郁有关的疾病，与糖尿病结局有关。本研究旨在确定孟加拉国2型糖尿病患者中糖尿病困扰的预测危险因素。方法：2012年1月至2012年6月在达卡的孟加拉国糖尿病，内分泌和代谢紊乱研究与康复研究所（BIRDEM）进行了横断面研究。通过访谈和审查文件收集数据。结果：在165名受访者中，糖尿病困扰的比例为48.5％（n = 80），其中22.4％（n = 37）高度困扰和26.1％（n = 43）中度困扰。 HbA1c测得的血糖状态是糖尿病困扰的最佳预测指标[校正比值比（AOR）1.56; 95％置信区间（CI）1.16至2.10]。胰岛素使用者患病的几率高五倍[调整比值比（AOR）5.05; [95％置信区间（CI）1.20至21.19]高于口服抗糖尿病药的使用者。糖尿病困扰的其他预测因素是DM的持续时间[校正比值比（AOR）1.27; 95％置信区间（CI）为1.06至1.52]，糖尿病并发症[调整后的优势比（AOR）为3.92; 95％置信区间（CI）1.09至14.19]，家庭平均每月收入[调整后的优势比（AOR）1.00; 95％置信区间（CI）1.00至1.00]。结论：HbA1c，治疗方式，糖尿病的持续时间，糖尿病并发症和家庭平均每月收入似乎是2型糖尿病患者糖尿病困扰的重要预测因素。为了有效管理患者，应考虑到这一点。

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