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Heo S, Kang J, Barbé T, Kim J, Bertulfo TF, Troyan P, Streit L, Slocumb RH. Relationships of Multidimensional Factors to Diabetes Complications: A Cross-Sectional, Correlational Study. West J Nurs Res 2024:1939459241271332. [PMID: 39171415 DOI: 10.1177/01939459241271332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
BACKGROUND Diabetes complications are prevalent in people with diabetes, causing considerable individual suffering and increased health costs. However, the relationships of multidimensional, modifiable, and nonmodifiable factors to diabetes complications and the role of diabetes distress have been rarely examined. OBJECTIVE The aims of this study were to examine the associations of age, sex, knowledge, self-efficacy, self-compassion, resilience, self-esteem, depressive symptoms, diabetes distress, social support, and body mass index with diabetes complications and to investigate the mediating role of diabetes distress. METHODS In this cross-sectional, correlational study, data on all study variables were collected from 148 people with diabetes through REDCap in 2023. Multiple regression analysis and the PROCESS macro for SPSS were used to address the aims. RESULTS Older age and higher levels of diabetes distress were associated with more diabetes complications. Depressive symptoms were associated with diabetes distress; and diabetes distress, but not depressive symptoms, was associated with diabetes complications, controlling for all other variables. CONCLUSIONS Depressive symptoms and diabetes distress were directly or indirectly associated with diabetes complications, and diabetes distress was a mediator in the relationship between depressive symptoms and diabetes complications. Health care providers can target reduction of depressive symptoms and diabetes distress to reduce diabetes complications.
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Affiliation(s)
- Seongkum Heo
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - JungHee Kang
- College of Nursing, University of Kentucky, Lexington, KY, USA
| | - Tammy Barbé
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - JinShil Kim
- College of Nursing, Gachon University, Incheon, South Korea
| | - Tara F Bertulfo
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - Pattie Troyan
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - Linda Streit
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - Rhonda H Slocumb
- College of Nursing and Health Sciences, Georgia Southwestern State University, Americus, GA, USA
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Zhu X, Lee ES, Chan FHF, Lim PXH, Chen YC, Griva K. Foot self-care behaviour in primary care patients with diabetic foot ulcers: Structural equation modelling of psychological predictors. Int Wound J 2024; 21:e14897. [PMID: 38757211 PMCID: PMC11099767 DOI: 10.1111/iwj.14897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 04/18/2024] [Accepted: 04/18/2024] [Indexed: 05/18/2024] Open
Abstract
Diabetic foot ulcers (DFUs) are one of the most prevalent and costly diabetes complications, associated with diminished quality of life and poor prognosis. Management of DFUs relies heavily on patients' foot self-care behaviour. This study aims to explore psychological determinants of this important behaviour among primary care patients. A total of 186 patients with active DFUs self-reported their illness perception, diabetes distress, self-efficacy, and foot self-care behaviour. Structural equation modelling was performed to examine interrelationships among measured variables. The final model demonstrated satisfactory fit, CFI = 0.933, TLI = 0.913, RMSEA = 0.050, SRMR = 0.073, χ2(95) = 132.256 (p = 0.004), and explained 51.1% of the variance of foot self-care. Illness threat perceptions (i.e., consequence, timeline, identity, concern, and emotion) had a direct positive effect on foot self-care behaviours, but also indirectly decreased foot self-care through increasing diabetes distress. Control perceptions (i.e., personal control, treatment control, and coherence) were not directly associated with foot self-care behaviours, but indirectly improved foot self-care by reducing diabetes distress and increasing foot care confidence. These findings suggest illness perceptions, diabetes distress, and self-care confidence as modifiable predictors to be targeted in self-management interventions for patients with DFUs.
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Affiliation(s)
- Xiaoli Zhu
- National Healthcare Group PolyclinicsSingaporeSingapore
- Population/Global Health, Lee Kong Chian School of MedicineNanyang Technological UniversitySingaporeSingapore
| | - Eng Sing Lee
- National Healthcare Group PolyclinicsSingaporeSingapore
- Lee Kong Chian School of MedicineNanyang Technological UniversitySingaporeSingapore
| | - Frederick H. F. Chan
- Population/Global Health, Lee Kong Chian School of MedicineNanyang Technological UniversitySingaporeSingapore
| | - Phoebe X. H. Lim
- Population/Global Health, Lee Kong Chian School of MedicineNanyang Technological UniversitySingaporeSingapore
| | - Yee Chui Chen
- National Healthcare Group PolyclinicsSingaporeSingapore
| | - Konstadina Griva
- Population/Global Health, Lee Kong Chian School of MedicineNanyang Technological UniversitySingaporeSingapore
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Kusnanto K, Pradipta RO, Arifin H, Gusmaniarti G, Handiyani H, Klankhajhon S. What I felt as a diabetes fatigue survivor: a phenomenology study. J Diabetes Metab Disord 2022; 21:1753-1762. [PMID: 36281230 PMCID: PMC9581546 DOI: 10.1007/s40200-022-01147-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 10/10/2022] [Indexed: 11/25/2022]
Abstract
Purpose Diabetes has resulted in an increase in diabetic fatigue syndrome, which has a negative influence on health, particularly the risk of worsening quality of life (QoL) due to physical and mental limitations. The purpose of this study was to evaluate the experiences of patients with unregulated type 2 diabetes mellitus (T2DM) and diabetes fatigue syndrome. Methods This study used a qualitative phenomenological design and focused on patients from four primary health centers (PHCs) in Surabaya, Indonesia with higher incidents of unregulated T2DM. Thirty participants were recruited using purposive sampling with the following inclusion criteria: adult T2DM patients, willing to participate in the study, and able to recount experiences associated with their illness. Data collection took place between April and June 2020 across 36 interview sessions. Semi-structured interviews were carried out face-to-face with each participant with the principles of social distancing applied due to the COVID-19 pandemic. Results Analysis identified five themes and thirteen subthemes. The first theme was participants’ experiences during blood glucose imbalance. Other themes included experiences of boredom with diet, physical and psychological distress, financial problems during treatment, and sexual problems. Conclusion Participants with T2DM who experienced diabetes fatigue reported negative effects on their life, especially on health, functional daily activity, and finances. The results of this study can provide information for nurses and other healthcare providers to promote interventions for patients with T2DM, such as modifying lifestyle, self-acceptance, and self-efficacy.
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Affiliation(s)
- Kusnanto Kusnanto
- Department of Fundamental Nursing Care, Faculty of Nursing, Universitas Airlangga, Campus C Universitas Airlangga, Surabaya, Indonesia
| | - Rifky Octavia Pradipta
- Department of Fundamental Nursing Care, Faculty of Nursing, Universitas Airlangga, Campus C Universitas Airlangga, Surabaya, Indonesia
| | - Hidayat Arifin
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
- Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
- Palembang MediRose Publisher, Palembang, Indonesia
| | - Gusmaniarti Gusmaniarti
- Early Childhood Teacher Education Study Program, Faculty of Teacher Training and Education, Universitas Muhammadiyah Surabaya, Surabaya, Indonesia
| | - Hanny Handiyani
- Department of Basic Science and Fundamental of Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
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The Application of Nurse Stratified Management in Nursing Management. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:6368765. [PMID: 35911152 PMCID: PMC9337920 DOI: 10.1155/2022/6368765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 06/20/2022] [Accepted: 06/25/2022] [Indexed: 11/17/2022]
Abstract
Objective To explore the application value of nurse stratified management in nursing management. Methods One hundred nurses who worked in our hospital from June 2019 to September 2021 were recruited and assigned via the random number table method to an observation group (n = 50) and the control group (n = 50). The control group received routine nursing management, and the experimental group received stratified nursing management. The nursing quality, practice happiness, error rate, patient complaint, and patient satisfaction were compared between the two groups. Results The experimental group showed a significantly higher nursing quality than the control group (P < 0.05). The experimental group had significantly higher practice happiness among nurses than the control group (P < 0.05). Stratified nursing management mode resulted in a significantly lower error rate and patient complaint versus routine nursing management mode (P < 0.05). Patients were more satisfied with stratified nursing management than with the routine nursing management (P < 0.05). Conclusion The nurse stratified management method effectively improves the nursing quality and practice happiness of nurses, reduces the error rate of nursing and patient complaint, and increases nursing satisfaction.
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Maiello A, Auriemma E, De Luca Picione R, Pacella D, Freda MF. Giving Meaning to Non-Communicable Illness: Mixed-Method Research on Sense of Grip on Disease (SoGoD). Healthcare (Basel) 2022; 10:healthcare10071309. [PMID: 35885835 PMCID: PMC9320476 DOI: 10.3390/healthcare10071309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 07/07/2022] [Accepted: 07/12/2022] [Indexed: 11/16/2022] Open
Abstract
When people receive a diagnosis of chronic or non-communicable disease, they need to reorganize their lives to understand and accommodate the changes associated with the new health condition. This reorganization, which involves the activation of a process through which meaning is given to the illness, could be fostered by narrative methods also in the context of Primary Care. The Sense of Grip on Disease (SoGoD) model intends to focus on the role of sense-meaning-making processes in the psychological adjustment to non-communicable illness, emphasizing the patients’ role in managing their own health condition. In this study, the authors propose a mixed-method research method which implies the adaptation of the narrative interview on the Sense of Grip on Disease. The interview was administered to 31 adults suffering from non-communicable diseases and has been analyzed with a theory-driven approach, which aims to explore the modalities of five narrative functions: organization of temporality, integration of illness, expression of emotions, social sharing and orientation to action. Through a Multiple Correspondence Analysis and a Cluster Analysis, the authors have identified two different ‘Grip Profiles’, called “Dynamic Profile” and “Compliant Profile”, representative of different degrees of flexibility, integration and adjustment to disease.
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Affiliation(s)
- Assunta Maiello
- Department of Humanities, University of Naples Federico II, 80138 Naples, Italy; (A.M.); (M.F.F.)
| | - Ersilia Auriemma
- Department of Humanities, University of Naples Federico II, 80138 Naples, Italy; (A.M.); (M.F.F.)
- Correspondence:
| | | | - Daniela Pacella
- Department of Public Health, University of Naples Federico II, 80138 Naples, Italy;
| | - Maria Francesca Freda
- Department of Humanities, University of Naples Federico II, 80138 Naples, Italy; (A.M.); (M.F.F.)
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Lee SL, Wu LM, Chou YY, Lai FC, Lin SY. Developing the Chinese version problem areas in diabetes-teen for measuring diabetes distress in adolescents with type 1 diabetes. J Pediatr Nurs 2022; 64:143-150. [PMID: 35241357 DOI: 10.1016/j.pedn.2022.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 01/27/2022] [Accepted: 02/17/2022] [Indexed: 01/09/2023]
Abstract
PURPOSE To translate the 26-item English version Problem Areas in Diabetes-Teen (PAID-T) into a Chinese version and then to examine its psychometrical properties for measuring diabetes distress in adolescents with type 1 diabetes (T1D). DESIGN AND METHODS The 26-item English version PAID-T was translated into a Chinese version guided by the translation model for cross-cultural research. A cross-sectional design was used and 203 adolescents with T1D were recruited from four hospitals in Taiwan. Content validity, exploratory factor analysis, and item analysis were used to ensure the item quality and build the factor structure of the Chinese version PAID-T. Confirmatory factor analysis, concurrent validity, and reliability testing were also used to examine its psychometric properties. RESULTS The three second-order factors of the 18-item Chinese version PAID-T were developed. The correlation coefficients of the three-factor Chinese version PAID-T with self-management and glycosylated hemoglobin levels were all significant and ranged from -0.32 to -0.45 and 0.18 to 0.33 respectively. Cronbach's α and the test-retest reliability of the three-factor Chinese version PAID-T ranged from 0.85 to 0.93 and from 0.89 to 0.94 respectively. CONCLUSIONS The Chinese version PAID-T with good translation quality was a reliable and valid scale to screen and assess diabetes distress for adolescents with T1D. PRACTICE IMPLICATIONS Nurses could use the Chinese version PAID-T to track diabetes distress and tailor interventions for adolescents with T1D; also, the Chinese version PAID-T could facilitate the conducting of research on diabetes distress for adolescents with T1D.
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Affiliation(s)
- Shu-Li Lee
- School of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., San-Ming District, Kaohsiung city 80708, Taiwan.
| | - Li-Min Wu
- School of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., San-Ming District, Kaohsiung city 80708, Taiwan; Adjunct Research Fellow, Department of Medical Research, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd, San-Ming District, Kaohsiung city 80708, Taiwan.
| | - Yen-Yin Chou
- Department of Pediatrics, National Cheng Kung University Hospital, No. 138, Sheng Li Road, North District, Tainan 704, Taiwan.
| | - Fei-Chen Lai
- Director, Department of Nursing, Changhua Christian Children's Hospital, No.320, Xuguang Rd., Changhua City 50006, Taiwan.
| | - Shu-Yuan Lin
- School of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., San-Ming District, Kaohsiung city 80708, Taiwan.
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