Emotional burden and its effects on disease control in patients with adults type 2 diabetes mellitus in Hospital Serdang

Yahya, Mohammad Asyraf and Choo, Shze Yee (2013) Emotional burden and its effects on disease control in patients with adults type 2 diabetes mellitus in Hospital Serdang. [Project Paper] (Submitted)

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Abstract

BACKGROUND: In Malaysia, every 1 in 5 adult is having diabetes mellitus. Researches in controlling Type 2 diabetes mellitus (T2DM) were more focus in term of medication, procedure in handling patient and doctor factor. Local data on the patients' emotional factors was scarce. OBJECTIVE: To study patients' emotional burden and their effect on disease control in adult T2DM in Hospital Serdang. METHOD: This was a cross-sectional study. Our sampling population was T2DM patients eighteen years old and above attending to Hospital Serdang. Diabetes Distress Scale (DDS) and Patient Health Questionnaire 9 (PHQ) were used to measure distress and depression level respectively. Higher score indicate higher distress and depression. Proforma was used to record patients' HbA1c, blood pressure and LDL level. RESULT: Most of the respondents were normal in distress level (87.5%) and had minimal depression (48.1 %). HbA1c level (p=0.034, r5=-0.226) and diastolic blood pressure (p<0.001, rs=-0.397) had significant indirect correlation with age of respondents. Chinese had lower diastolic blood pressure compared to Indian. PHQ scores correlated with LDL cholesterol level (p=0.034, r5=-0.212). Patients with clinically significant distress (DDS score 2: 3) were more likely to achieve blood pressure control (p<0.001). Patients with more complications and on more medications were associated with higher depression and distress but these associations did not reach statistical significance. There was significant correlation and significant association between distress and depression level (p<0.001, r=0.423) (X= 4.46, p=0.035). CONCLUSION: T2DM patients with higher depression and distress levels could have been receiving more medical attention and medicine due to having more complications and could have facilitated them to have lower LDL cholesterol level and achieved BP control. Depression and distress might be of different psychological domains as they showed different association with disease control. Keyword: Type 2 diabetes mellitus, emotional burden, distress, depression, disease control, HbAlc level, blood pressure, LDL cholesterol level.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Ms Norafizah Radzuan
Date Deposited:	15 Nov 2022 03:27
Last Modified:	16 Feb 2023 06:34
URI:	http://psaspb.upm.edu.my/id/eprint/121

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