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STRESS, ANXIETY AND DEPRESSION AMONG PATIENT OF DIABETES TYPE 2 HAVE INJECTED INSULIN BY DASS-21 QUESTIONARE
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Abstract
The background: This stress, anxiety and depression in the diabetic population has been studied extensively in many countries around the world, but in Vietnam, so far, there have not been many systematic studies on this field. This. Therefore, we conducted the topic "Clinical characteristics of stress, anxiety and depression of patients with type 2 diabetes who are being treated with insulin injections using the DASS-21 questionnaire". Objective: Survey on clinical features of stress, anxiety, depression of type 2 diabetes patients being treated with insulin injections. Subjects and methods research: Cross-sectional descriptive analysis on 133 patients who visited the outpatient clinic at the Ho Chi Minh City University of Medicine and Pharmacy Hospital from April 2022 to September 2022. The research tool is the DASS -21 scale. Descriptive statistics of percentage frequencies, analyzed by Pearson correlation test. Results: The rates of stress, anxiety and depression of patients according to the DASS-21 scale were 6.77%, 37.6%, and 10.52%, respectively. There is a positive and strong correlation between stress, anxiety and depression and this is statistically significant with the correlation coefficient r 0.75 and p < 0.001. The sex of patients participating in the study is higher than that of male (57.14% versus 42.86%). The rate of patients with hypertension in our study was 64.66%. The rate of patients with dyslipidemia was very high with 81.2%. The proportion of patients with high fasting blood sugar is also quite high with 85.71%. The rate of cerebrovascular accident in our study was 5.26%. The rate of cardiovascular disease in our study was 11.28%. Regarding peripheral vascular complications, our study results recorded 6.02%. Regarding small vessel complications, we recorded that the proportion of patients with diabetic retinopathy participating in the study was 9.02%. Complications requiring amputation in our study recorded only 2.26%. Severe hypoglycemia requiring hospitalization was 3.76%. Conclusion: Most of the patients have diseases such as hypertension, dyslipidemia, not well controlled blood sugar, and have many complications of diabetes such as cerebrovascular accident, cardiovascular disease, peripheral vascular disease, etc. microvascular disease, amputation complications, and severe hypoglycemia requiring emergency hospitalization. The prevalence of stress, anxiety, and depression among people with type 2 diabetes who are taking insulin injections is concerning.
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Keywords
Stress, anxiety, depression, type 2 diabetes, insulin injections
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