Relationship between social support and fatigue in patients with type 2 diabetes mellitus in the east of turkey

Aylaz, Rukuye; Karadağ, Ezgi; Işık, Kevser; Yildirim, Melek

doi:10.1111/jjns.12076

Cited by 9 publications

(13 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unlike previous studies, 51 , 62 , 63 we also found that social support had no association with perceived stress, anxiety, and fatigue. The connection with social support may be mediated through other factors.…”

Section: Discussioncontrasting

confidence: 98%

The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study

Zhao¹,

Suhonen²,

Katajisto³

et al. 2018

PPA

View full text Add to dashboard Cite

PurposeMany people with type 2 diabetes (T2DM) do not sustain sufficient diabetes-related self-care activities (DRSCA) in their daily lives. To provide additional information about the positive influence of DRSCA, this study was conducted to examine whether DRSCA were associated with reduced perceived stress, anxiety, and fatigue among people with T2DM and to explore the level of DRSCA, perceived stress, anxiety, and fatigue and their association with background information.Patients and methodsThis study was a cross-sectional survey including 251 participants aged 18 years and older recruited from two hospitals in the eastern part of China. The study utilized self-report questionnaires that consisted of background information, DRSCA, perceived stress, anxiety, and fatigue. Hierarchical multiple regression analysis was conducted to explore the association of DRSCA with perceived stress, anxiety, and fatigue while adjusting for background information.ResultsThe results indicated that the level of self-care activities, stress, and fatigue was around middle level. The prevalence of anxiety was 19%. A high level of DRSCA was likely to reduce perceived stress but was not linked to anxiety and fatigue. Women were more susceptible to stress and anxiety, and people who had diabetes for >5 years were more likely to have anxiety. The background information included diabetes duration, standardized diabetes education, and high social support, all of which are factors that may influence DRSCA.ConclusionThe findings suggest that improving the level of DRSCA might effectively reduce perceived stress. The potential benefits of DRSCA can provide both motivational and evaluative data for self-care programs. In addition, the findings show that DRSCA were not linked to anxiety and fatigue, which implies that their positive influence on anxiety and fatigue may be offset by the load of frequent DRSCA. It is suggested that helping patients to make tailored plans to integrate DRSCA into their daily lives is needed. Meanwhile, in the background information, it is suggested that standardized diabetes education and high social support can benefit DRSCA; in improving psychological health, more attention should be paid to women and patients with diabetes duration <5 years.

show abstract

Section: Discussioncontrasting

confidence: 98%

The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study

Zhao¹,

Suhonen²,

Katajisto³

et al. 2018

PPA

View full text Add to dashboard Cite

show abstract

“…The prevalence and the severity of fatigue in this study were found to be higher than previous reports of fatigue in the general population of older adults [38,39]. Although it is generally acknowledged that aging itself is a risk factor for fatigue [11] and that older adults with diabetes are more vulnerable to fatigue compared to adults without diabetes [24,40], results have been inconclusive regarding the association between fatigue and aging [14,40,41]. Studies that have used the same instruments used in the current study showed mixed results regarding differences in the prevalence of fatigue between younger and older adults [14,41].…”

Section: Discussioncontrasting

confidence: 83%

“…Although it is generally acknowledged that aging itself is a risk factor for fatigue [11] and that older adults with diabetes are more vulnerable to fatigue compared to adults without diabetes [24,40], results have been inconclusive regarding the association between fatigue and aging [14,40,41]. Studies that have used the same instruments used in the current study showed mixed results regarding differences in the prevalence of fatigue between younger and older adults [14,41]. This study also did not find the presence of a significant relationship between fatigue and age in this sample of older adults, identifying no differences between the individuals aged 65–74 years and those aged 75 years or older.…”

Section: Discussionmentioning

confidence: 99%

Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model

Kim

Son

2019

IJERPH

View full text Add to dashboard Cite

Older adults with diabetes appear more susceptible to fatigue compared to younger adults with diabetes or healthy older adults, since aging and diabetes independently and synergistically influence fatigue. Few studies have investigated fatigue in older adults with diabetes using a multidimensional approach. This study explored the influences of physical, psychological, interpersonal, and contextual factors on diabetes fatigue using a dynamic biopsychosocial model. Face-to-face surveys were administered to community-dwelling older adults with diabetes and included variables across four domains (i.e., physical, psychological, interpersonal, and contextual factors). Univariate analyses and multiple linear regression were used. The mean fatigue score was 3.94 (standard deviation (SD) = 1.81) out of 7, and the prevalence of fatigue was 48.8%. Significant differences in fatigue severity by psychological, interpersonal, and contextual factors were found. Comorbidity and psychological factors were significant predictors of fatigue in the model, explaining 31.9% of the variance. As nearly half the sample experienced moderate or severe fatigue, which was significantly influenced by both comorbidity and psychological factors, including depression, sleep quality, and diet-related psychological characteristics, assessing patients’ psychological status may be important. Awareness of fatigue could be incorporated into dietary interventions for older adults with diabetes.

show abstract

“…The DSC‐R, FSS, FAS, PROMIS: Fatigue CAT, and VAFS surveys measured the intensity of fatigue, but they use different response scales. The average ranges of fatigue intensity were 1.53–2.24 using the DSC‐R (on a scale of 0 to 5, a higher score indicates higher fatigue intensity; Miquelon & Castonguay, 2016; Park et al, 2015; Zhu, Quinn, Kapella, et al, 2018; Zhu et al, 2019), 3.80 – 5.69 out of 7 points using the FSS (Aylaz et al, 2015; Cuellar & Ratcliffe, 2008; Singh & Kluding, 2013), 21.4–25.1 out of 50 points using the FAS (Nefs et al, 2015; Singh & Kluding, 2013), a standardised t score of 51–51.64 on the PROMIS Fatigue CAT where the average standardised t score for the United States general population was 50 (Fritschi et al, 2017, 2020; Kim et al, 2020; Zhu, Quinn, & Fritschi, 2018), and 4.61 out of 10 points on the VAFS (Singh & Kluding, 2013).…”

Section: Resultsmentioning

confidence: 99%

An integrative review of fatigue in adults with type 2 diabetes mellitus: Implications for self‐management and quality of life

Kuo

Huang

García

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To synthesise empirical studies on factors related to fatigue and its impact on diabetes self‐management (DSM) and quality of life (QOL) in adults with type 2 diabetes mellitus (T2DM). Background Fatigue is commonly reported in people with T2DM, a chronic condition that is highly prevalent worldwide. However, a holistic understanding of the consequences and factors related to fatigue in adults with T2DM is not well synthesised. Design This integrative review used Whittemore and Knafl's methodology and was reported according to the Preferred Reporting for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines and checklist. Methods The theory of unpleasant symptoms (TOUS) was used as a conceptual model to guide the review. The PubMed, PsychINFO and CINAHL databases were searched to identify studies that recruited adults with T2DM, were peer‐reviewed, written in English and investigated fatigue as a primary or secondary outcome. Two investigators independently appraised the quality of the studies and extracted the data. Results Twenty‐nine articles met the inclusion criteria: 23 observational studies, two randomised controlled trials, one quasi‐experimental study and three qualitative studies. All articles were of high quality. Physiological (e.g. T2DM duration, complications and inflammatory biomarkers), psychological (e.g. diabetes distress, depression and sleep quality) and situational factors (e.g. race/ethnicity, education and social support) were related to fatigue. Studies reported fatigue as a barrier to physical activity, healthy eating behaviours and the physical aspect of QOL. Conclusions Multiple factors are related to fatigue in adults with T2DM. Gaps in the literature include the multiple dimensions of fatigue, the effectiveness of interventions to alleviate fatigue and fatigue experiences in under‐represented populations. Relevance to clinical practice This integrative review supports the complex origin of fatigue and its impact on adults with T2DM. Nurses should evaluate modifiable factors related to fatigue and provide support to help improve DSM and QOL in this population.

show abstract

Relationship between social support and fatigue in patients with type 2 diabetes mellitus in the east of turkey

Cited by 9 publications

References 24 publications

The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study

The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study

Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model

An integrative review of fatigue in adults with type 2 diabetes mellitus: Implications for self‐management and quality of life

Contact Info

Product

Resources

About