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The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study

PURPOSE: Many people with type 2 diabetes (T2DM) do not sustain sufficient diabetes-related self-care activities (DRSCA) in their daily lives. To provide additional information about the positive influence of DRSCA, this study was conducted to examine whether DRSCA were associated with reduced perce...

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Autores principales: Zhao, Fang-Fang, Suhonen, Riitta, Katajisto, Jouko, Leino-Kilpi, Helena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129026/
https://www.ncbi.nlm.nih.gov/pubmed/30233148
http://dx.doi.org/10.2147/PPA.S169826
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author Zhao, Fang-Fang
Suhonen, Riitta
Katajisto, Jouko
Leino-Kilpi, Helena
author_facet Zhao, Fang-Fang
Suhonen, Riitta
Katajisto, Jouko
Leino-Kilpi, Helena
author_sort Zhao, Fang-Fang
collection PubMed
description PURPOSE: Many people with type 2 diabetes (T2DM) do not sustain sufficient diabetes-related self-care activities (DRSCA) in their daily lives. To provide additional information about the positive influence of DRSCA, this study was conducted to examine whether DRSCA were associated with reduced perceived stress, anxiety, and fatigue among people with T2DM and to explore the level of DRSCA, perceived stress, anxiety, and fatigue and their association with background information. PATIENTS AND METHODS: This study was a cross-sectional survey including 251 participants aged 18 years and older recruited from two hospitals in the eastern part of China. The study utilized self-report questionnaires that consisted of background information, DRSCA, perceived stress, anxiety, and fatigue. Hierarchical multiple regression analysis was conducted to explore the association of DRSCA with perceived stress, anxiety, and fatigue while adjusting for background information. RESULTS: The results indicated that the level of self-care activities, stress, and fatigue was around middle level. The prevalence of anxiety was 19%. A high level of DRSCA was likely to reduce perceived stress but was not linked to anxiety and fatigue. Women were more susceptible to stress and anxiety, and people who had diabetes for >5 years were more likely to have anxiety. The background information included diabetes duration, standardized diabetes education, and high social support, all of which are factors that may influence DRSCA. CONCLUSION: The findings suggest that improving the level of DRSCA might effectively reduce perceived stress. The potential benefits of DRSCA can provide both motivational and evaluative data for self-care programs. In addition, the findings show that DRSCA were not linked to anxiety and fatigue, which implies that their positive influence on anxiety and fatigue may be offset by the load of frequent DRSCA. It is suggested that helping patients to make tailored plans to integrate DRSCA into their daily lives is needed. Meanwhile, in the background information, it is suggested that standardized diabetes education and high social support can benefit DRSCA; in improving psychological health, more attention should be paid to women and patients with diabetes duration <5 years.
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spelling pubmed-61290262018-09-19 The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study Zhao, Fang-Fang Suhonen, Riitta Katajisto, Jouko Leino-Kilpi, Helena Patient Prefer Adherence Original Research PURPOSE: Many people with type 2 diabetes (T2DM) do not sustain sufficient diabetes-related self-care activities (DRSCA) in their daily lives. To provide additional information about the positive influence of DRSCA, this study was conducted to examine whether DRSCA were associated with reduced perceived stress, anxiety, and fatigue among people with T2DM and to explore the level of DRSCA, perceived stress, anxiety, and fatigue and their association with background information. PATIENTS AND METHODS: This study was a cross-sectional survey including 251 participants aged 18 years and older recruited from two hospitals in the eastern part of China. The study utilized self-report questionnaires that consisted of background information, DRSCA, perceived stress, anxiety, and fatigue. Hierarchical multiple regression analysis was conducted to explore the association of DRSCA with perceived stress, anxiety, and fatigue while adjusting for background information. RESULTS: The results indicated that the level of self-care activities, stress, and fatigue was around middle level. The prevalence of anxiety was 19%. A high level of DRSCA was likely to reduce perceived stress but was not linked to anxiety and fatigue. Women were more susceptible to stress and anxiety, and people who had diabetes for >5 years were more likely to have anxiety. The background information included diabetes duration, standardized diabetes education, and high social support, all of which are factors that may influence DRSCA. CONCLUSION: The findings suggest that improving the level of DRSCA might effectively reduce perceived stress. The potential benefits of DRSCA can provide both motivational and evaluative data for self-care programs. In addition, the findings show that DRSCA were not linked to anxiety and fatigue, which implies that their positive influence on anxiety and fatigue may be offset by the load of frequent DRSCA. It is suggested that helping patients to make tailored plans to integrate DRSCA into their daily lives is needed. Meanwhile, in the background information, it is suggested that standardized diabetes education and high social support can benefit DRSCA; in improving psychological health, more attention should be paid to women and patients with diabetes duration <5 years. Dove Medical Press 2018-09-04 /pmc/articles/PMC6129026/ /pubmed/30233148 http://dx.doi.org/10.2147/PPA.S169826 Text en © 2018 Zhao et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Zhao, Fang-Fang
Suhonen, Riitta
Katajisto, Jouko
Leino-Kilpi, Helena
The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title_full The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title_fullStr The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title_full_unstemmed The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title_short The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
title_sort association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129026/
https://www.ncbi.nlm.nih.gov/pubmed/30233148
http://dx.doi.org/10.2147/PPA.S169826
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