A1 Journal article – refereed

Factors associated with diabetes distress among adolescents with type 1 diabetes




List of Authors: Luo Jiaxin, Wang Hohguan, Li Xia, Zhou Zhiguang, Välimäki Maritta, Whittemore Robin, Grey Margaret, Guo Jia

Publisher: WILEY

Publication year: 2021

Journal: Journal of Clinical Nursing

Journal name in source: JOURNAL OF CLINICAL NURSING

Journal acronym: J CLIN NURS

Volume number: 30

Issue number: 13-14

Number of pages: 11

ISSN: 0962-1067

DOI: http://dx.doi.org/10.1111/jocn.15742


Abstract
Aims: To describe the specific domains of diabetes distress and factors associated with these domains.Background: Diabetes distress is a common problem but not well recognised in adolescents by healthcare providers or adolescents themselves. There is insufficient evidence on how specific domains of diabetes distress exist in adolescents, making it challenging to select precise components to alleviate diabetes stress.Design: A quantitative, descriptive and cross-sectional study.Methods: Data were collected on socio-demographic and clinical characteristics, diabetes distress, perceived stress, self-efficacy and diabetes self-management using established questionnaires. Multivariate linear regression was conducted to examine the associations between specific factors and four domains in diabetes distress. STROBE checklist was used as the guideline for this study.Results: A total of 100 adolescents with type 1 diabetes aged 12 to 18 years participated in this study. Adolescents experienced the highest levels of distress in the regimen-related distress [2.41 (SD =0.82)] and physician-related distress [2.40 (SD =0.80)] domains. Older age, female gender, more diabetes problem-solving and higher levels of perceived stress were associated with higher regimen-related distress (beta=0.21 similar to 0.45, p < 0.05). Older age, female gender, a lower degree of endorsement of relevant diabetes-related goals and higher levels of perceived stress were associated with higher physician-related distress (beta = -0.29 similar to 0.34, p < 0.05).Conclusions: Diabetes distress was reported more on regimen-related and physician-related domains among adolescents with type 1 diabetes in China, associating with older age, female, increased perceived stress and poor diabetes-related problem-solving.Relevance to clinical practice: Nurses need to screen the specific domains of diabetes distress among adolescents with type 1 diabetes, especially for the older adolescents and girls. This study highlighted the importance of incorporating diabetes-related problem-solving support and stress management strategies into diabetes management for adolescents with type 1 diabetes, which could help relieve diabetes distress.


Last updated on 2021-24-06 at 08:43