The evaluation of distress among patients with diabetes mellitus type 2

Abstract

Background: Due to the rapid increase in the prevalence of DM, authors continue to suggest that self-monitoring of patients with DM is essential to prevent complications. Psychologists have explained that the key to self-control is the importance of care in building patients’ psychological stability and independence. Aim: The study is aimed to determine the distress level among patients with diabetes mellitus type 2. Materials and Methods: We conducted the study at the afÏliated hospital of MNUMS, UB, and included 80 patients with diabetes mellitus type 2. Body Mass Index (BMI), Waist Circumference (WC), (fasting glucose level and HbA1c) in serum of patients with DM type 2 is determined and the DDS 17 or Diabetes distress screening scale is used to evaluate with points from 1 to 6. A total score is obtained by summing the patient’s chosen scores and dividing the summed score by the scores assigned to each of the 4 subgroups. Rating >2 points - normal, 2.0-2.9 points – Moderately serious problem, more than 3.0 points – Very serious problem. Results: In the study, there were 55.6% (133) males and 44.4% (106) females aged 25-70 years under the supervision of an endocrinologist at the afÏliated hospital of MNUMS. The average scores of the 4 subgroups of the distress assessment are distress scores– 2.8, related to the medical staff - 2.0, interpersonal problems related to self-control – 2.8, and the average total score - 2.9. When assessing distress, 24.3% (58) had normal distress level, 33.9% (81) had moderate distress, and 41.8% (100) had very high distress level. Conclusion: Among patients with diabetes mellitus type 2, it was determined that anxiety related to medical professionals is normal, anxiety related to self-control is moderate, and anxiety related to interpersonal problems is high. 2. It has been determined that as the number of years of being with diabetes mellitus type 2 increases, they have less knowledge about the disease, and those who are 40 years old or older and have more years of the disease have an effect on anxiety.