A study to assess stress and coping among diabetes patients in tertiary health centre of Udupi district, Karnataka

Sawant, Kalyan and Melita, Sheilini and Castelino, Flavia (2014) A study to assess stress and coping among diabetes patients in tertiary health centre of Udupi district, Karnataka. Asian Academic Research Journal of Multidisciplinary, 1 (28). pp. 250-260.

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Abstract

Diabetes mellitus is a chronic disorder in which a person has high blood sugar either because the body does not produce enough insulin (type1diabetes mellitus) or because cell do not respond adequately to the insulin that is produced.( type2 diabetes mellitus).It is a largest non communicable health burden faced by the world today. The worldwide prevalence of diabetes mellitus has risen dramatically over the last quarter of a century, from an estimated 30 million cases in 1985 to 285 million in 2010. Based on current trends, the International Diabetes Federation projects that this is expected to rise to 552 million by 2030. Most people with diabetes live in low and middle income countries, and these countries will also see the greatest increase over the next 19 years. Diabetes has negative impact on the world`s overall development, including economic and environmental sustainability and human development. The global health expenditure on diabetes is expected to total at least USD 490 billion or ID 561 billion in 2030. The word "stress" is used when one feels that everything seems to have become too much the patient is overloaded and wonders whether he/she will really be able to cope with the pressure placed on her/him by the diabetes mellitus. The diabetes is a chronic disease. People under stress may not take good care of themselves. They may drink more alcohol or exercise less. They may forget, or not have time, to check their glucose levels or to plan good diabetic meal. Healthy adaptive coping includes a number of related domains of psychosocial outcomes. In addition to avoiding specific psychological problems such as depressive and high levels of perceived stress and other negative emotions, and diabetes-specific distress, healthy coping also involves positive attitudes toward diabetes and its treatment and positive relationships with others. A study was conducted to assess stress and coping among the diabetes patients at a tertiary health centre Udupi district Karnataka. The objectives were to assess stress among diabetes mellitus patients, to assess coping among diabetes mellitus patients, find the relationship between stress and coping among the diabetes mellitus patients,to find the association between stress and variables,to find the association between coping and variables. The data collection tools for this study comprised of Demographic Proforma, Clinical Proforma, Standardized diabetes distress Scale (DDS 17 developed by Polanski in 2005 containing 17 items and a structured Likert scale containing 40 items to assess coping. Content validity and reliability of the tools were established and the tools were pretested. The reliability coefficient was calculated to0.888 by Chronbach’s alpha method. Permissions from authorities were obtained to conduct the study and informed consent was obtained from the participants. The study was conducted during the month of January and February 2014 at a tertiary health centre. The study sample comprised of 200 type1 and type 2 diabetes patients who were admitted to the medical and surgical wards of a tertiary health centre Manipal. The subjects under study were selected through non-probability purposive sampling. The study revealed that majority 108 (54%) were females and 152(76%) of the participants belong to the age group of 49 to 79 years. Majority of the participants 169 (84.5.0%) were married and most of the participants 100 (50%) were from urban area and 91 (45.5%) had high school education. Family income of 90 (45%) were below Rs.10,000 per month.. The clinical proforma revealed 136 (68%) were diagnosed with diabetes for last 2 to 11 years. About 97(48.5% ) used only tablets as an antiglycaemic agent. Majority of the participants 193 (96.5%) had moderate stress where as 7(3.5%) had severe stress. There was a significant association between stress and demographic variables like age (P=.001) gender (P=<0.001) and monthly income (P=.001). There was no association between stress and demographic variables like marital status (p= 0.355 ) educational qualification(p= 0.695 ) duration of diabetes mellitus(p=.468). Majority of participants 157 (78.5%) used adaptive coping. The study revealed that there was significant association between coping and educational qualification (p=0.051) and no association with gender (p=0.267) age ( p=0.785) marital status (p=0.920) monthly family income (p=.784) and duration of diabetes mellitus(P=0.833). The study also highlighted that there is a, negative (ρ= -0.151) and (p =0.033) relationship between stress and coping.

Item Type: Article
Uncontrolled Keywords: Stress; coping; diabetic patient; diabetes mellitus.
Subjects: Nursing > MCON Manipal > Medical Surgical
Depositing User: KMC Manipal
Date Deposited: 20 Dec 2014 09:26
Last Modified: 20 Dec 2014 09:26
URI: http://eprints.manipal.edu/id/eprint/141331

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