Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes
Aims To examine specific self‐care behaviours, depression, and diabetes‐related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control. Methods This cross‐sectional study included 171 patients with type 2 diabetes who visited an...
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| Veröffentlicht in: | International journal of nursing practice 2018-02, Vol.24 (1), p.n/a |
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| creator | Choi, Won‐Hee Seo, Yeong‐Mi Ha, Yeongmi |
| description | Aims
To examine specific self‐care behaviours, depression, and diabetes‐related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control.
Methods
This cross‐sectional study included 171 patients with type 2 diabetes who visited an endocrinology clinic. A structured questionnaire and electronic medical records were used to collect data regarding self‐care behaviours, depression, diabetes‐related distress, and glycaemic control between May 2015 and July 2015.
Results
Compared with the group with good glycaemic control, the group with poor glycaemic control had significantly lower values for medication adherence and significantly greater values for regimen‐related distress. Depression was not significantly associated with glycaemic control. In logistic regression analysis, only medication adherence was independently associated with glycaemic control.
Conclusions
Medication adherence should be continuously emphasized and monitored in clinical practice to effectively manage glycaemic control among patients with type 2 diabetes. Furthermore, consideration of diabetes‐related distress may help improve glycaemic control among patients with type 2 diabetes.
SUMMARY STATEMENT
What is already known about this topic?
To control glycaemic levels, patients with type 2 diabetes should practice self‐care (medication, diet, exercise, and blood glucose monitoring). However, patients with type 2 diabetes complain that self‐care is complicated and difficult to follow in daily life.
Many people with type 2 diabetes experience high levels of depression and distress stemming from concerns associated with diabetes and its management.
Diabetes‐related distress, depression, and self‐care behaviours have been thought to be related to glycaemic levels. However, data from cross‐sectional studies on this relationship are not consistent. There are few studies on these variables in patients with type 2 diabetes in South Korea.
What this paper adds?
Diabetes‐related distress was only associated with glycaemic control, whereas depression and self‐care behaviours were not significantly associated with glycaemic control among South Korean patients with type 2 diabetes.
We subcategorized diabetes‐related distress into emotional burden, physician‐related distress, regimen‐related distress, and diabetes‐related interpersonal distress, but only regimen‐related distress was significantly associated with glycaemic control. We su |
| doi_str_mv | 10.1111/ijn.12616 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5814914</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1973020862</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4436-e5162b9c98b9f9a4635e6b665868db5559a6bc6427b2ad3250273fd2944789d43</originalsourceid><addsrcrecordid>eNp1kU1rFTEUhkNR-mUX_QMScKOLafM9k40gpWq11IUK7kImk7nNJZPcJpmW---b662lFZpNwsnDw3t4ATjG6ATXc-qW4QQTgcUO2MeMoQa35M-r-qaENC3GbA8c5LxEqA4w3wV7RBLEhaT7wJzfaj_r4mKAcYSjNiWmDJP1utgBlggXfm20nZyBJoaSood6imEBf8a5XMPvMVkd4KoabCgZ3rk6LOuVhQQOTve22PwGvB61z_bo4T4Evz-f_zr72lz--HJx9umyMYxR0ViOBemlkV0vR6mZoNyKXgjeiW7oOedSi94IRtqe6IESjkhLx4FIxtpODowego9b72ruJzuYGihpr1bJTTqtVdROPf8J7lot4q3iHWYSbwTvHwQp3sw2FzW5bKz3Otg4Z4VlSxFBnSAVffcfuoxzCnW9SklKWkT4hvqwpUyKOSc7PobBSG2qU7U69be6yr59mv6R_NdVBU63wJ3zdv2ySV18u9oq7wE3RKMl</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1993270252</pqid></control><display><type>article</type><title>Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library All Journals</source><creator>Choi, Won‐Hee ; Seo, Yeong‐Mi ; Ha, Yeongmi</creator><creatorcontrib>Choi, Won‐Hee ; Seo, Yeong‐Mi ; Ha, Yeongmi</creatorcontrib><description>Aims
To examine specific self‐care behaviours, depression, and diabetes‐related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control.
Methods
This cross‐sectional study included 171 patients with type 2 diabetes who visited an endocrinology clinic. A structured questionnaire and electronic medical records were used to collect data regarding self‐care behaviours, depression, diabetes‐related distress, and glycaemic control between May 2015 and July 2015.
Results
Compared with the group with good glycaemic control, the group with poor glycaemic control had significantly lower values for medication adherence and significantly greater values for regimen‐related distress. Depression was not significantly associated with glycaemic control. In logistic regression analysis, only medication adherence was independently associated with glycaemic control.
Conclusions
Medication adherence should be continuously emphasized and monitored in clinical practice to effectively manage glycaemic control among patients with type 2 diabetes. Furthermore, consideration of diabetes‐related distress may help improve glycaemic control among patients with type 2 diabetes.
SUMMARY STATEMENT
What is already known about this topic?
To control glycaemic levels, patients with type 2 diabetes should practice self‐care (medication, diet, exercise, and blood glucose monitoring). However, patients with type 2 diabetes complain that self‐care is complicated and difficult to follow in daily life.
Many people with type 2 diabetes experience high levels of depression and distress stemming from concerns associated with diabetes and its management.
Diabetes‐related distress, depression, and self‐care behaviours have been thought to be related to glycaemic levels. However, data from cross‐sectional studies on this relationship are not consistent. There are few studies on these variables in patients with type 2 diabetes in South Korea.
What this paper adds?
Diabetes‐related distress was only associated with glycaemic control, whereas depression and self‐care behaviours were not significantly associated with glycaemic control among South Korean patients with type 2 diabetes.
We subcategorized diabetes‐related distress into emotional burden, physician‐related distress, regimen‐related distress, and diabetes‐related interpersonal distress, but only regimen‐related distress was significantly associated with glycaemic control. We subcategorized self‐care behaviours into medication, diet, exercise, and blood glucose monitoring, but only medication was significantly associated with glycaemic control.
Our findings suggest that among patients with type 2 diabetes, glycaemic control was only associated with medication adherence among the self‐care behaviours that we evaluated.
The implications of this paper:
In the clinical setting, health‐care providers, including nurses, should assess and address regimen‐related distress as this is a known barrier to accomplishment of optimal glycaemic control.
Health‐care providers, including nurses, should explain the need for medication adherence to patients so that they can manage type 2 diabetes, and they should continuously reassess adherence to medications.
Future research in diabetes should include assessment of specific domains of diabetes‐related distress and specific domains of self‐care, along with measures of blood glucose control.</description><identifier>ISSN: 1322-7114</identifier><identifier>EISSN: 1440-172X</identifier><identifier>DOI: 10.1111/ijn.12616</identifier><identifier>PMID: 29205693</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Activities of daily living ; Adherence ; Aged ; Asian Continental Ancestry Group ; Behavior ; Blood Glucose ; Clinical medicine ; Cross-Sectional Studies ; Depression - psychology ; Diabetes ; diabetes mellitus ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Diabetics ; Diet ; Disease management ; Drug therapy ; Drugs ; Female ; Glucose ; glycaemic index ; Glycated Hemoglobin A ; Glycemic control ; Health Behavior ; Humans ; Male ; Medication Adherence ; Mental depression ; Middle Aged ; nurses ; Nursing ; Patient compliance ; Psychological distress ; Republic of Korea ; Research Paper ; Research Papers ; Self Care ; Socioeconomic Factors ; Stress ; Surveys and Questionnaires ; Type 2 diabetes mellitus</subject><ispartof>International journal of nursing practice, 2018-02, Vol.24 (1), p.n/a</ispartof><rights>2017 The Authors. Published by John Wiley & Sons Australia, Ltd.</rights><rights>2017 The Authors. International Journal of Nursing Practice Published by John Wiley & Sons Australia, Ltd.</rights><rights>2018 John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4436-e5162b9c98b9f9a4635e6b665868db5559a6bc6427b2ad3250273fd2944789d43</citedby><cites>FETCH-LOGICAL-c4436-e5162b9c98b9f9a4635e6b665868db5559a6bc6427b2ad3250273fd2944789d43</cites><orcidid>0000-0002-9778-4328</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijn.12616$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijn.12616$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1416,27922,27923,30997,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29205693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Won‐Hee</creatorcontrib><creatorcontrib>Seo, Yeong‐Mi</creatorcontrib><creatorcontrib>Ha, Yeongmi</creatorcontrib><title>Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes</title><title>International journal of nursing practice</title><addtitle>Int J Nurs Pract</addtitle><description>Aims
To examine specific self‐care behaviours, depression, and diabetes‐related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control.
Methods
This cross‐sectional study included 171 patients with type 2 diabetes who visited an endocrinology clinic. A structured questionnaire and electronic medical records were used to collect data regarding self‐care behaviours, depression, diabetes‐related distress, and glycaemic control between May 2015 and July 2015.
Results
Compared with the group with good glycaemic control, the group with poor glycaemic control had significantly lower values for medication adherence and significantly greater values for regimen‐related distress. Depression was not significantly associated with glycaemic control. In logistic regression analysis, only medication adherence was independently associated with glycaemic control.
Conclusions
Medication adherence should be continuously emphasized and monitored in clinical practice to effectively manage glycaemic control among patients with type 2 diabetes. Furthermore, consideration of diabetes‐related distress may help improve glycaemic control among patients with type 2 diabetes.
SUMMARY STATEMENT
What is already known about this topic?
To control glycaemic levels, patients with type 2 diabetes should practice self‐care (medication, diet, exercise, and blood glucose monitoring). However, patients with type 2 diabetes complain that self‐care is complicated and difficult to follow in daily life.
Many people with type 2 diabetes experience high levels of depression and distress stemming from concerns associated with diabetes and its management.
Diabetes‐related distress, depression, and self‐care behaviours have been thought to be related to glycaemic levels. However, data from cross‐sectional studies on this relationship are not consistent. There are few studies on these variables in patients with type 2 diabetes in South Korea.
What this paper adds?
Diabetes‐related distress was only associated with glycaemic control, whereas depression and self‐care behaviours were not significantly associated with glycaemic control among South Korean patients with type 2 diabetes.
We subcategorized diabetes‐related distress into emotional burden, physician‐related distress, regimen‐related distress, and diabetes‐related interpersonal distress, but only regimen‐related distress was significantly associated with glycaemic control. We subcategorized self‐care behaviours into medication, diet, exercise, and blood glucose monitoring, but only medication was significantly associated with glycaemic control.
Our findings suggest that among patients with type 2 diabetes, glycaemic control was only associated with medication adherence among the self‐care behaviours that we evaluated.
The implications of this paper:
In the clinical setting, health‐care providers, including nurses, should assess and address regimen‐related distress as this is a known barrier to accomplishment of optimal glycaemic control.
Health‐care providers, including nurses, should explain the need for medication adherence to patients so that they can manage type 2 diabetes, and they should continuously reassess adherence to medications.
Future research in diabetes should include assessment of specific domains of diabetes‐related distress and specific domains of self‐care, along with measures of blood glucose control.</description><subject>Activities of daily living</subject><subject>Adherence</subject><subject>Aged</subject><subject>Asian Continental Ancestry Group</subject><subject>Behavior</subject><subject>Blood Glucose</subject><subject>Clinical medicine</subject><subject>Cross-Sectional Studies</subject><subject>Depression - psychology</subject><subject>Diabetes</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - drug therapy</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetics</subject><subject>Diet</subject><subject>Disease management</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Female</subject><subject>Glucose</subject><subject>glycaemic index</subject><subject>Glycated Hemoglobin A</subject><subject>Glycemic control</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Male</subject><subject>Medication Adherence</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>nurses</subject><subject>Nursing</subject><subject>Patient compliance</subject><subject>Psychological distress</subject><subject>Republic of Korea</subject><subject>Research Paper</subject><subject>Research Papers</subject><subject>Self Care</subject><subject>Socioeconomic Factors</subject><subject>Stress</subject><subject>Surveys and Questionnaires</subject><subject>Type 2 diabetes mellitus</subject><issn>1322-7114</issn><issn>1440-172X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kU1rFTEUhkNR-mUX_QMScKOLafM9k40gpWq11IUK7kImk7nNJZPcJpmW---b662lFZpNwsnDw3t4ATjG6ATXc-qW4QQTgcUO2MeMoQa35M-r-qaENC3GbA8c5LxEqA4w3wV7RBLEhaT7wJzfaj_r4mKAcYSjNiWmDJP1utgBlggXfm20nZyBJoaSood6imEBf8a5XMPvMVkd4KoabCgZ3rk6LOuVhQQOTve22PwGvB61z_bo4T4Evz-f_zr72lz--HJx9umyMYxR0ViOBemlkV0vR6mZoNyKXgjeiW7oOedSi94IRtqe6IESjkhLx4FIxtpODowego9b72ruJzuYGihpr1bJTTqtVdROPf8J7lot4q3iHWYSbwTvHwQp3sw2FzW5bKz3Otg4Z4VlSxFBnSAVffcfuoxzCnW9SklKWkT4hvqwpUyKOSc7PobBSG2qU7U69be6yr59mv6R_NdVBU63wJ3zdv2ySV18u9oq7wE3RKMl</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Choi, Won‐Hee</creator><creator>Seo, Yeong‐Mi</creator><creator>Ha, Yeongmi</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9778-4328</orcidid></search><sort><creationdate>201802</creationdate><title>Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes</title><author>Choi, Won‐Hee ; Seo, Yeong‐Mi ; Ha, Yeongmi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4436-e5162b9c98b9f9a4635e6b665868db5559a6bc6427b2ad3250273fd2944789d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activities of daily living</topic><topic>Adherence</topic><topic>Aged</topic><topic>Asian Continental Ancestry Group</topic><topic>Behavior</topic><topic>Blood Glucose</topic><topic>Clinical medicine</topic><topic>Cross-Sectional Studies</topic><topic>Depression - psychology</topic><topic>Diabetes</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetics</topic><topic>Diet</topic><topic>Disease management</topic><topic>Drug therapy</topic><topic>Drugs</topic><topic>Female</topic><topic>Glucose</topic><topic>glycaemic index</topic><topic>Glycated Hemoglobin A</topic><topic>Glycemic control</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Medication Adherence</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>nurses</topic><topic>Nursing</topic><topic>Patient compliance</topic><topic>Psychological distress</topic><topic>Republic of Korea</topic><topic>Research Paper</topic><topic>Research Papers</topic><topic>Self Care</topic><topic>Socioeconomic Factors</topic><topic>Stress</topic><topic>Surveys and Questionnaires</topic><topic>Type 2 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Won‐Hee</creatorcontrib><creatorcontrib>Seo, Yeong‐Mi</creatorcontrib><creatorcontrib>Ha, Yeongmi</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of nursing practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Won‐Hee</au><au>Seo, Yeong‐Mi</au><au>Ha, Yeongmi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes</atitle><jtitle>International journal of nursing practice</jtitle><addtitle>Int J Nurs Pract</addtitle><date>2018-02</date><risdate>2018</risdate><volume>24</volume><issue>1</issue><epage>n/a</epage><issn>1322-7114</issn><eissn>1440-172X</eissn><abstract>Aims
To examine specific self‐care behaviours, depression, and diabetes‐related stress among South Korean patients with type 2 diabetes and to evaluate whether these factors are related to glycaemic control.
Methods
This cross‐sectional study included 171 patients with type 2 diabetes who visited an endocrinology clinic. A structured questionnaire and electronic medical records were used to collect data regarding self‐care behaviours, depression, diabetes‐related distress, and glycaemic control between May 2015 and July 2015.
Results
Compared with the group with good glycaemic control, the group with poor glycaemic control had significantly lower values for medication adherence and significantly greater values for regimen‐related distress. Depression was not significantly associated with glycaemic control. In logistic regression analysis, only medication adherence was independently associated with glycaemic control.
Conclusions
Medication adherence should be continuously emphasized and monitored in clinical practice to effectively manage glycaemic control among patients with type 2 diabetes. Furthermore, consideration of diabetes‐related distress may help improve glycaemic control among patients with type 2 diabetes.
SUMMARY STATEMENT
What is already known about this topic?
To control glycaemic levels, patients with type 2 diabetes should practice self‐care (medication, diet, exercise, and blood glucose monitoring). However, patients with type 2 diabetes complain that self‐care is complicated and difficult to follow in daily life.
Many people with type 2 diabetes experience high levels of depression and distress stemming from concerns associated with diabetes and its management.
Diabetes‐related distress, depression, and self‐care behaviours have been thought to be related to glycaemic levels. However, data from cross‐sectional studies on this relationship are not consistent. There are few studies on these variables in patients with type 2 diabetes in South Korea.
What this paper adds?
Diabetes‐related distress was only associated with glycaemic control, whereas depression and self‐care behaviours were not significantly associated with glycaemic control among South Korean patients with type 2 diabetes.
We subcategorized diabetes‐related distress into emotional burden, physician‐related distress, regimen‐related distress, and diabetes‐related interpersonal distress, but only regimen‐related distress was significantly associated with glycaemic control. We subcategorized self‐care behaviours into medication, diet, exercise, and blood glucose monitoring, but only medication was significantly associated with glycaemic control.
Our findings suggest that among patients with type 2 diabetes, glycaemic control was only associated with medication adherence among the self‐care behaviours that we evaluated.
The implications of this paper:
In the clinical setting, health‐care providers, including nurses, should assess and address regimen‐related distress as this is a known barrier to accomplishment of optimal glycaemic control.
Health‐care providers, including nurses, should explain the need for medication adherence to patients so that they can manage type 2 diabetes, and they should continuously reassess adherence to medications.
Future research in diabetes should include assessment of specific domains of diabetes‐related distress and specific domains of self‐care, along with measures of blood glucose control.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29205693</pmid><doi>10.1111/ijn.12616</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9778-4328</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1322-7114 |
| ispartof | International journal of nursing practice, 2018-02, Vol.24 (1), p.n/a |
| issn | 1322-7114 1440-172X |
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| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5814914 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals |
| subjects | Activities of daily living Adherence Aged Asian Continental Ancestry Group Behavior Blood Glucose Clinical medicine Cross-Sectional Studies Depression - psychology Diabetes diabetes mellitus Diabetes Mellitus, Type 2 - drug therapy Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Diabetics Diet Disease management Drug therapy Drugs Female Glucose glycaemic index Glycated Hemoglobin A Glycemic control Health Behavior Humans Male Medication Adherence Mental depression Middle Aged nurses Nursing Patient compliance Psychological distress Republic of Korea Research Paper Research Papers Self Care Socioeconomic Factors Stress Surveys and Questionnaires Type 2 diabetes mellitus |
| title | Evaluation of factors related to glycaemic control among South Korean patients with type 2 diabetes |
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