Effect of Diabetes Distress and Self-care Activities on the Quality of Life of Type 2 Diabetic Patients: A Structural Equation ModelModel

Background: Diabetes has debilitating and dangerous effects on any of the vital organs in body. Its impact quality life, as well variables that it, is great importance. Objectives: This study was conducted to design a structural equation model effect diabetes distress self-care activities life type 2 mellitus (T2DM) patients. Methods: descriptive cross-sectional included 398 patients with T2DM referred medical centers affiliated Ahvaz Jundishapur University Medical Sciences 2020; they were selected by convenience sampling method. Data collection tools Problem Areas Scale (PAID) used identify depression emotional stress associated diabetes, Audit Diabetes-Dependent Quality Life 19 (ADDQoL-19) assess physical, mental, social status patients, Summary Self-care Activities evaluate behaviors diabetic analyzed using SPSS version 26, Hayes PROCESS macro 3.5, path analysis regression. Results: The mean scores distress, activities, 3.69 ± 12.39, 65.57 12.11, 56.94 18.62, respectively. Path regression showed for every 1-unit increase score decreased 0.249, increased 0.183 (P < 0.001). Also, 0.138 0.006). Conclusions: who engaged more had higher health-related life. levels diabetes-specific have lower Training identifying reducing factors affecting those promoting highly recommended.