부산대학교 도서관

Mengyue Zhang,1 Xiaoxian Zhang,1 Yingrui Yang,2 Yu Weng,3 Xiaojun Chen,1 Yanyan Chen,3 Yinghui Shi3 1School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, People’s Republic of China; 2Department of Nursing, Henan Provincial People’s Hospital, Zhengzhou, People’s Republic of China; 3Department of Nursing, The Eye Hospital of Wenzhou Medical University, Wenzhou, People’s Republic of ChinaCorrespondence: Yanyan Chen; Yinghui Shi, The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, 270 West Xueyuan Road, Wenzhou, Zhejiang, 325027, People’s Republic of China, Tel +86 138 5885 5689 ; +86 138 6844 0966, Email cyy@eye.ac.cn; syh@eye.ac.cnBackground: Diabetes distress (DD) is a negative emotion related to diabetes management and a predictor of depression; it affects diabetic retinopathy (DR) patients’ quality of life and disease outcomes. The prevalence of DD was higher in patients undergoing surgery for DR. However, few studies have been conducted on DD in DR surgery patients. The present study aims to investigate the status of DD in DR surgery patients and identify factors associated with DD.Methods: Using a convenience sampling method, 210 DR surgery patients who were admitted to 2 tertiary-level hospitals in Wenzhou City (Zhejiang Province) and Zhengzhou City (Henan Province) from February to June 2023 were selected as research subjects. A questionnaire collecting demographic and disease-related information, the Diabetes Distress Scale, the Summary of Diabetes Self-Management Activities, the Family Care Index Scale, and the Social Support Rating Scale were used to collect data. Statistical analyses included descriptive statistics, t tests, ANOVAs, Pearson’s correlation analyses and stepwise multiple linear regression. This study is reported according to the STROBE guidelines.Results: In total, 156 out of 210 (74.29%) DR surgery patients experienced DD, with an average score of 2.13± 0.63. The results of the stepwise multiple regression analysis showed that residential location, employment status, self-management level, family support, and social support were significantly associated with DD. These variables accounted for 30.6% of the total variation in DD.Conclusions: DR surgery patients exhibit moderate levels of distress. Health care professionals should pay attention to DD in DR surgery patients and develop targeted interventions to improve the self-management ability of these patients, increase their family support and social support to reduce their DD levels.Keywords: diabetic retinopathy, diabetes distress, self-management, family support, social support