Purpose: This study is aimed to determine the correlation
among distress, adherence and quality of life of diabetic
patients.
Methods: We used a cross-sectional design. Data were
collected from diabetec patients at RSUD Abdul Azis
Singkawang, West Kalimantan, Indonesia, RSUD Meranti
and RSUD DOK II Jayapura during 2017 and 2018.
Subjects were patients diagnosed with Type 2 Diabetes
mellitus (T2DM), aged over 18, and under outpatient
treatment at the hospitals in the aforementioned period.
We used Diabetes-Distress Scale (DDS), Morisky
Medication Adherence Scale-4 (MMAS-4) and EQ-5D to
measure distress, adherence and quality of life,
respectively. The Structural Equation Modelling (SEM)
was used to define the structure of distress, adherence and
quality of life.
Results: We recruited 231 patients. The average of blood
sugars were high (> 150 mg/dl). The four dimensions of
DDS were moderate (< 3.0), most of the patients were in
moderate risk of not adherence (55.76%), the index of
EQ-5D was around 0.7 and the VAS was around 70%.
The deterioration of quality of life is significantly
influenced by moderate risk of non- adherence and
moderated distress. The deterioration of quality of life is dominantly influenced by the moderate distress level. The moderate risk of non-adherence is correlated with
moderate distress.
Conclusion: Patients’ distress has significant correlation
with adherence. Distress and adherence have significant
correlation with quality of life. The moderate risk of non- adherence of diabetic patients can cause the worse of
clinical data, whereas can be the risk of diabetic
complications. The psychological intervention can push
the patients to cope with the disease and disease treatment.
Keywords: distress, adherence, QoL, diabetes, Indonesi
