The relationship between depression and self-care in patients with type II diabetes
,
Abstract
Background & Aim: Depression is a common situation in patients with diabetes that may reduce the ability of individuals to engage in self-care behaviors. The present study was performed to investigate the relationship between depression and self-care in patients with type II diabetes.
Methods & Materials: This descriptive, cross-sectional study was performed with convenience sampling on 200 patients with type II diabetes who were referred to Saqqez Imam Khomeini Hospital, Sanandaj, Iran, in 2012. The data collection instrument consisted of three demographic information, depression, and self-care questionnaires. Data were analyzed by SPSS for Windows (version 16; SPSS Inc., Chicago, IL, USA) using chi-square and descriptive statistics. P values less than 0.05 were considered statistically significant.
Results: Diet in 5-7 days a week (P = 0.002) and adherence in 5-7 days a week (P = 0.03) were significantly lower in patients with diabetes and depression than in diabetic patients without depression. In the areas of exercise, foot examination, and self-monitoring of blood glucose there was no significant difference between the two groups.
Conclusion: Given the high prevalence of depression in diabetic patients, using screening methods such as HANDS scale seems to be necessary for disorder identification and promoting self-care activities.
Abdoli S, Ashktorab T, Ahmadi F, Parvizy S. Diabetes diagnosis; disrupter identity? Iran J Endocrinol Metab 2011; 13(1): 26-35. [In Persian].
Sharifirad Gh, Hazavehie SM, Mohebi S, Rahimi MA, Hasanzadeh A. The effect of educational programme based on Health Be- lief Model (HBM) on the foot care by type II diabetic patients. Iran J Endocrinol Metab 2006; 8(3): 231-9. [In Persian].
Hartayu TS, Mi MI, Suryawati S. Improving of type 2 diabetic patients' knowledge, atti- tude and practice towards diabetes self-care by implementing Community-Based Interac- tive Approach-diabetes mellitus strategy. BMC Res Notes 2012; 5: 315.
Asadzandi M, Farsi Z, Najafi Mehri S, Ka- rimizarchi AA. Educational intervention fo- cusing on health belief model in health be- liefs, awareness and behavior of diabetic pa- tients. Iran J Diabetes Lipid Disord 2006; 6(2): 169-76. [In Persian].
Abolhasani F, Tehrani MR, Tabatabaei O, Larijani B. Burden of diabetes and its compli- cations in Iran in year 2000 . Iran J Diabetes Lipid Disord 2005; 5(1): 130. [In Persian].
Baghaei P, Zandi M, Vares Z, Masoudi Ala- vi N, Adib-Hajbaghery M. Self care situa- tion in diabetic patients referring to Kashan Diabetes Center, in 2005. Feyz 2008; 12(1): 88-93. [In Persian].
Hemmati Maslakpak M, Parizad N, Khalk- hali H. The effect of tele-education by tele- phone and short message service on glycae- mic control in patient with type 2 diabetes. J Urmia Nurs Midwifery Fac 2012; 10(4): 580-88. [In Persian].
Lin EH, Katon W, Rutter C, Simon GE, Ludman EJ, Von Korff M, et al. Effects of enhanced depression treatment on diabetes self-care. Ann Fam Med 2006; 4(1): 46-53.
Vasli P, Eshghbaz F. Survey condition regard- ing self- caring of children suffering from di- abetes type 1 and It's relation with family reac- tion. J Mazandaran Univ Med Sci 2009; 19(69): 38-44. [In Persian].
Masoodi R, Khayeri F, Safdari A. Effect of self- care program based on the Orem frame work on self concept in multiple sclerosis patients. J Gorgan Uni Med Sci 2010; 12(3): 37-44. [In Persian].
Samiei S, Monjamed Z, Mehran A, Taheri Z. Investigation quality of self care in pa- tients members of families which have simp- lex and multiplex hepatitis B. Hayat 2005; 11(3-4): 62-72. [In Persian].
Haghayegh SA, Ghasemi N, Neshardoost HT, Kajbaf MB, Khanbani M. Psychometric properties of diabetes management. Iran J Endocrinol Metab 2010; 12(2): 111-5. [In Persian].
Madani H, Navipour H, Roozbayani P, Mou- savinasab N. Effects of self- care program education of patients on complications of mul- tiple sclerosis. J Birjand Univ Med Sci 2008; 15(2): 54-9. [In Persian].
Sajjadi M, Akbari A, Kianmehr M, Atarodi AR. The relationship between self-care and depression in patients undergoing hemodia- lysis. Ofogh-e- Danesh 2008; 14(1): 13-7. [In Persian].
Katon W, Russo J, Lin EH, Heckbert SR, Karter AJ, Williams LH, et al. Diabetes and poor disease control: is comorbid depression associated with poor medication adherence or lack of treatment intensification? Psycho- som Med 2009; 71(9): 965-72.
Sepehrmanesh Z, Sarmast H, Sadr S. Preva- lence and severity of depression in diabetic subjects. Feyz 2003; 7(23): 69-75. [In Persian].
Mahmodi A, Sharifi A. Comparison frequen- cy and factors associated with depression in diabetics and non diabetic’s patients. J Urmia Nurs Midwifery Fac 2008; 6(2): 88-93. [In Persian].
McHale M, Hendrikz J, Dann F, Kenardy J. Screening for depression in patients with di- abetes mellitus. Psychosom Med 2008; 70(8): 869-74.
Behnam B, Ghorbani R. Epidemiologic fea- tures of depression in non-insulin dependent diabetic patients in Semnan. Pejouhesh 2005; 29(1): 45-9. [In Persian].
Rahimian-Boogar E, Mohajeri-Tehrani MR. Risk factors associated with depression in type 2 diabetics. Feyz 2012; 16(3): 261-72. [In Persian].
Gonzalez JS, Safren SA, Delahanty LM, Cagliero E, Wexler DJ, Meigs JB, et al. Symptoms of depression prospectively pre- dict poorer self-care in patients with Type 2 diabetes. Diabet Med 2008; 25(9): 1102-7.
de Groot M, Kushnick M, Doyle T, Merrill J, McGlynn M, Shubrook J, et al. Depression among adults with diabetes: prevalence, im- pact, and treatment options. Diabetes Spectr 2010; 23(1): 15-8.
Baer L, Jacobs DG, Meszler-Reizes J, Blais M, Fava M, Kessler R, et al. Development of a brief screening instrument: the HANDS. Psychother Psychosom 2000; 69(1): 35-41.
Gonzalez JS, Safren SA, Cagliero E, Wexler DJ, Delahanty L, Wittenberg E, et al. De- pression, self-care, and medication adhe- rence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care 2007; 30(9): 2222-7.
Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care 2000; 23(7): 943-50.
Tellez-Zenteno JF, Cardiel MH. Risk factors associated with depression in patients with type 2 diabetes mellitus. Arch Med Res 2002; 33(1): 53-60.
Bell RA, Stafford JM, Arcury TA, Snively BM, Smith SL, Grzywacz JG, et al. Comple- mentary and alternative medicine use and di- abetes self-management among rural older adults. Complement Health Pract Rev 2006; 11(2): 95-106.
Lin EH, Katon W, Von KM, Rutter C, Simon GE, Oliver M, et al. Relationship of depres- sion and diabetes self-care, medication adhe- rence, and preventive care. Diabetes Care 2004; 27(9): 2154-60.
Vosoghi Karkazloo N, Abootalebi Daryasari G, Farahani B, Mohammadnezhad E, Sajjadi A. The study of self-care agency in patients with diabetes (Ardabil). Modern Care 2012; 8(4): 197-204. [In Persian].
Wynn NS, Howteerakul N, Suwannapong N, Rajatanun T. Self-efficacy, self-care beha- viors and glycemic control among type-2 di- abetes patients attending two private clinics in Yangon, Myanmar. Southeast Asian J Trop Med Public Health 2010; 41(4): 943-51.
Gopichandran V, Lyndon S, Angel MK, Ma- nayalil BP, Blessy KR, Alex RG, et al. Di- abetes self-care activities: a community- based survey in urban southern India. Natl Med J India 2012; 25(1): 14-7.
| Files | ||
| Issue | Vol 1 No 1 (2014): Winter | |
| Section | Original Article(s) | |
| Keywords | ||
| diabetes self-care depression | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
