scholarly journals Comparative study of the influence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross-sectional survey in the People’s Republic of China

2013 ◽  
pp. 1289 ◽  
Author(s):  
Cuiping Xu ◽  
Zhang ◽  
Yan Li ◽  
Qing-zhi Liu ◽  
Hong-xia Wu ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Comparative Study ◽  
Treatment Adherence ◽  
Chinese Patients ◽  
Diabetes Distress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Republic Of China ◽  
The People

scholarly journals Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yanfen Hu ◽  
Lingxia Li ◽  
Jun Zhang
Keyword(s):  
Type 2 Diabetes ◽  
Young Adults ◽  
Regression Analysis ◽  
Diabetes Complications ◽  
Self Management ◽  
Diabetes Distress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Main Factors

Background. Diabetes distress is a negative emotion related to diabetes management, which can compromise self-care and management of diabetes. However, few studies on diabetes distress have focused on young adults with type 2 diabetes in China. Methods. A cross-sectional survey was conducted. Using a convenient sampling method, 98 young adults with type 2 diabetes who were admitted to our hospital from June 2017 to July 2018 were selected as research subjects. They were investigated using a basic demographic questionnaire, Diabetes Distress Scale, Summary of Diabetes Self-Care Activities Measure, and Audit of Disease Knowledge. Pearson’s correlation analysis and regression analysis were used to analyze the influencing factors of diabetic distress. Results. Among participants, 90.82% suffered from diabetes distress with an average score of 3.01±0.58. Regimen-related, emotional burden-related, and interpersonal-related distress were the most frequently reported as severe. The results of the single-factor analysis showed that gender (P=0.019), age (P=0.003), occupation (P=0.022), smoking (P<0.001), and diabetes complications (P=0.001) were the main factors affecting diabetes distress. The correlation analysis showed that diabetes distress was negatively correlated with the level of diabetic self-management (P<0.001, r=−0.377) but not with the level of diabetes knowledge (P=0.052, r=−0.197). The results of a multiple regression analysis showed that self-management level (P=0.001, 95% CI: -0.039-0.011), age (P=0.002, 95% CI: -0.463-0.104), smoking (P=0.018, 95% CI: -0.504-0.048), and complications (P=0.009, 95% CI: -0.517-0.076) accounted for 35.42% of the total variation in diabetes distress. Conclusion. Young adults with type 2 diabetes reported severe diabetes distress. Age, smoking, and diabetes complications were the main factors influencing diabetes distress in young adults with type 2 diabetes. Results of the present study are fundamental in selecting targeted measures for alleviating diabetes distress and thus improving the quality of life in these patients.

scholarly journals Breastfeeding support and barriers to women with gestational diabetes mellitus: a nationwide cross-sectional survey of hospitals in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mayumi Matsunaga ◽  
Yaeko Kataoka ◽  
Yumiko Igarashi ◽  
Toshiko Fukui ◽  
Masumi Imura ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
General Information ◽  
Breastfeeding Support ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Organizational Barriers

Abstract Background Despite the benefits of breastfeeding for women with Gestational Diabetes Mellitus (GDM) and their infants, breastfeeding is less likely to be performed by this group. This study aimed to examine the current levels of implementation of breastfeeding support to women with GDM in Japan and to clarify barriers to promoting breastfeeding among this population. Methods A 25-item questionnaire was developed by the authors to investigate the current levels of implementation of breastfeeding support for women with GDM provided in hospitals, and to explore barriers for promoting breastfeeding among these women. The questionnaire was sent to all 1046 hospitals facilitating childbirth in Japan. Descriptive statistics were used to analyze the quantitative data, and content analysis was used to analyze qualitative data from the open-ended questions. Results All 296 respondents were included in this study. Regarding breastfeeding support, 95.2% of the respondents provided general information on breastfeeding to GDM women during antenatal midwife consultations. However, the benefits of breastfeeding for preventing type 2 diabetes were addressed by only 48.0%. Likewise, although follow-up services (e.g., telephone support or breastfeeding consultations) were conducted in 88.9% of hospitals, only 50.7% of hospitals informed women that breastfeeding decreases the risk of developing type 2 diabetes after GDM. Regarding barriers, seven categories and 20 subcategories about promoting breastfeeding for women with GDM were extracted and abstracted into the following three themes: Barriers associated with mother and infant, Barriers associated with health professionals, and Organizational barriers. Conclusions In Japan, most hospitals that responded provided general breastfeeding support from the antenatal to postpartum periods. However, the benefits of breastfeeding in terms of preventing the incidence of type 2 diabetes following GDM were insufficiently communicated to women with GDM. Furthermore, there were numerous barriers to promoting breastfeeding among women with GDM.

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