Tóm tắt

Objective: This study aims to evaluate the prevalence of anxiety, stress and distress in T2DM outpatients during the period of the COVID-19 pandemic by using SAVE-6 and DDS-2 questionnaires to identify associated factors that affected these psychometric disorders. Method: A cross-sectional study was conducted at a medical center in South Central Coast Vietnam. 108 eligible T2DM outpatients accomplished the questionnaire utilized in this analysis. Anxiety and stress were assessed using the SAVE-6 and distress was assessed by DDS-2 scales. The sociodemographic, clinical information and behavioral changes during the pandemic were obtained through direct interviews and medical records. Identifying independent factors associated with these psychometric disorders by using multivariate logistic regression. Result: 51.9% of patients had good HbA1c control; the mean score of SAVE-6 and DDS-2 in T2DM was 8.9 ± 6.3 and 2.25 ± 1.11, respectively. According to the SAVE-6 scale, 25.9% of patients experienced anxiety and stress while approximately 63% of the participants witnessed diabetes distress based on the DDS-2 scale. Associated factors of stress and anxiety are education status (p=0.021) and hypoglycemia events (p=0.034). Education (p=0.01), abdominal obesity (p=0.01), stress and anxiety of COVID-19 (p<0.001) are related to diabetes distress. After dismissing confounding variables by multivariate logistic regressions, the result showed that low education and lack of positive behavior      during      the      pandemic     were independent factors of stress, anxiety and distress    in    T2DM    patients    (p     <   0.05). Conclusion: A quarter of T2DM patients had anxiety and stress due to the COVID-19 epidemic and diabetes distress significantly increased during the viral pandemic. The information and medical supports are necessary to maintain a healthy lifestyle, positive emotions, and quality of life.