Publication: The association between diabetes-self care activites and distress with glycaemic control among type 2 diabetes mellitus (T2DM) patients in Hospital Pakar Universiti Sains Malaysia (HPUSM)
| dc.contributor.author | Herman, Nur Hanisya Hikmah | |
| dc.date.accessioned | 2026-09-08T03:11:11Z | |
| dc.date.available | 2026-09-08T03:11:11Z | |
| dc.date.issued | 2026-06 | |
| dc.description.abstract | Type 2 diabetes mellitus (T2DM) is a major public health burden in Malaysia, with poor glycaemic control contributing to high rates of complications. Behavioural and psychological factors such as diabetes self-care activities and diabetes-related distress (DRD) are increasingly recognized as important in diabetes management. This study intended to determine the relationship between diabetes self-care activities and DRD with glycaemic control among patients with T2DM at Hospital Pakar Universiti Sains Malaysia (HPUSM). A cross-sectional design with convenience sampling was employed, involving 116 patients using the Summary of Diabetes Self-Care Activities (SDSCA) and the Malay Diabetes Distress Scale-17 (MDDS-17). HbA1c levels in the last 3–6 months were obtained from medical records. Data analysis was conducted using Spearman’s correlation. Overall, 24.1% of patients achieved good glycaemic control (HbA1c < 7%), while 75.9% had poor glycaemic control (HbA1c ≥ 7%). For diabetes self-care activities, the highest level of adherence was observed for general healthful eating (57.9%), with more than half of participants reporting compliance for at least five days per week. In contrast, adherence to specific dietary recommendations such as fruit and vegetable intake was the lowest (<4%). Regarding diabetes-related distress, 94.8% of patients reported no distress, 4.3% reported moderate distress, and 0.9% reported high distress. Findings showed that SDSCA did not have a statistically significant relationship with HbA1c (p = 0.34), while DRD also did not show a significant correlation with HbA1c (p = 0.41). Although no statistical significance was observed, DRD remains clinically relevant as it may indirectly influence adherence behaviours and long-term outcomes. These findings highlight the importance of routine psychosocial screening and patient-centred interventions that emphasize adherence support and emotional management. Such approaches have the potential to improve long-term glycaemic control and reduce complications among patients with T2DM in Malaysia. | |
| dc.identifier.uri | https://erepo.usm.my/handle/123456789/24958 | |
| dc.language.iso | en | |
| dc.subject | - | |
| dc.title | The association between diabetes-self care activites and distress with glycaemic control among type 2 diabetes mellitus (T2DM) patients in Hospital Pakar Universiti Sains Malaysia (HPUSM) | |
| dc.type | Resource Types::text::thesis::bachelor thesis | |
| dspace.entity.type | Publication | |
| oairecerif.author.affiliation | Universiti Sains Malaysia |