scholarly journals Attitudes in patients with diabetes mellitus type 1 and type 2

2012 ◽  
Vol 15 (4) ◽  
pp. 51-58 ◽  
Author(s):  
Oleg Gennad'evich Motovilin ◽  
Olga Vital'evna Lunyakina ◽  
Elena Viktorovna Surkova ◽  
Yulia Andreevna Shishkova ◽  
Olga Georgievna Mel'nikova ◽  
...  

Aims. To compare disease attitudes in patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM) and to evaluate relationship between attitudes and psychological welfare of these groups. Materials and Methods. We examined 140 patients with T1DM and 70 patients with T2DM on insulin therapy (mean age 22.6?3.2 and 60.1?7.8 years; male/female ratio 47/93 and 15/55; duration of diabetes 12.1?5.7 and 11.4?6.5 years, HbA1c 9.3?2.2 и 9.0?1.4%, respectively). Psychological parameters were assessed by following methods: Bekhterev Disease Attitude Typing (DAT), Colour Attitude Test (CAT), SF-36 (36-Item Short Form Health Survey), Spielberger Anxiety Inventory (SAI), CES-D Depression Scale, Dembo-Rubinstein (DR) technique for self-esteem assessment. Results. DAT showed increased sensitive attitude to their disease in patients with T1 and T2DM, being significantly higher in T2DM. According to CAT, T2DM patients perceive DM as a disease, associated with severe manifestations and complications, while T1DM patients tend to incorporate the notion of diabetes with lifestyle. Cluster analysis showed negative disease attitude to be associated independently of diabetes type with decrease in quality of life and emotional deterioration (higher anxiety and depression score, as measured by SF-36, SAI and CES-D). Conclusion. Disease attitude typing and correction is important in management of DM. Emotional acceptance allows improvement in quality of life and promotes psychological welfare. Also, despite the absence of direct relationship between HbA1c and disease attitudes (which, is plausibly non-linear), emotional acceptance may favour glycemic compensation due to increase in compliance.

2018 ◽  
Vol 10 (7) ◽  
pp. 136
Author(s):  
Hasanul K. Al-Kayyis ◽  
Dyah A. Perwitasari

AIMS: The aim of this study was to determine the correlation between illness perception and QoL in Type 2 Diabetes Mellitus (T2DM) patients.MATERIAL & METHODS: We used cross-sectional design. The subjects were recruited from the Pringsewu Government Hospital in Lampung, Indonesia, and underwent T2DM treatment from May-July 2016. The subjects have met the inclusion and exclusion criteria. The inclusion criteria were patients age 15-65 with a diagnosis of T2DM with complications for more than 3 months prior and who consented to participate in the study. Participants used the self-reported questionnaire BIPQ (Brief Illness Perception Questionnaire) to measure illness perception and the SF-36 (Short Form-36) questionnaire to measure QoL. Statistical analysis used in this study were Pearson correlation and multivariate linear regression to test between illness perception and quality of life (QoL) domains. The correlation between variable were statistically significant if p value < 0.05.RESULTS: The domain of treatment management had the highest score among all BIPQ domains (mean: 8.55; SD: 1.99). Emotional well-being had the highest scores among the SF-36 domains (mean: 72.69; SD: 17.33). The energy domain in QoL was significantly predicted by consequence, personal management, and identity in the BIPQ illness perception components (p <0.0001). Moreover, the role limitation component was significantly predicted by emotional response, coherence and random blood glucose levels (p <0.0001).CONCLUSIONS: This study significantly showed weak positive correlations between illness perception and QoL in T2DM patients. An education strategy aimed at changing these negative emotional responses to improve patients’ role limitations due to emotional function should be considered.


2020 ◽  
Vol 9 (8) ◽  
pp. 2505
Author(s):  
Zenon Brzoza ◽  
Katarzyna Nabrdalik ◽  
Lukasz Moos ◽  
Hanna Kwiendacz ◽  
Karina Badura-Brzoza ◽  
...  

Background and aims: Chronic spontaneous urticaria (CSU) and diabetes mellitus type 1 (T1DM) may compromise the quality of life (QoL). We decided to compare the QoL of T1DM patients to those suffering from CSU. Materials and methods: Sixty-six patients with well-controlled T1DM (male 52%) in the mean age of (SD) 36.3 (11.09) years and 51 patients with CSU (male 33%) in the mean age of (SD) 35.8 (8.53) years were enrolled in this observational study. All the participants completed a Short-Form 36 (SF-36) QoL. Results: The QoL related to social functioning was significantly worse among CSU patients. There were differences related to gender found in the group of patients with T1DM—where men tended to declare a better quality of life than women (p = 0.015)—especially in the area of energy/fatigue and pain. It appeared that due to physical and emotional problems occurring in married patients, the QoL is lower in T1DM group in comparison to the CSU one. Conclusions: The patients with CSU presented significantly worse social functioning compared to the ones with T1DM. This fact proves the QoL impairment level is not always related to the level of health danger. The differences in the QoL related to gender and marital status found among T1DM patients point to the necessity for further exploration in a larger group of patients. Due to the fact that optimal disease management should ensure patient’s good emotional well-being, there is a need for additional psychological and social care for patients from those two groups.


2014 ◽  
Vol 31 (3) ◽  
pp. 193-200 ◽  
Author(s):  
Ana Spasić ◽  
Radmila Veličković Radovanović ◽  
Aleksandra Catić Đorđević ◽  
Nikola Stefanović ◽  
Tatjana Cvetković

Summary The presence of diabetes mellitus leads to a decrease in life quality in all domains. The aim of our study was to evaluate the quality of life (QOL) in diabetic patients and the factors affecting it in type 2 diabetic mellitus patients. We conducted a cross-sectional study that included 86 patients with type 2 diabetes mellitus, in the territory of the City of Niš. Health-related QOL of patients was measured using the short form survey (SF-36) that produces an 8-scale health profile. The average duration of diabetes was 12.76±8.08 years. The best QOL in all areas was observed in patients diagnosed with diabetes less than 10 years ago p<0.05) and younger than 65 years. Male respondents perceived a better QOL compared to women, especially in the vitality and pain domains. The patients with comorbidity (93.64%) had lower QOL score in all domains. There was no significant difference in the QOL of patients with diabetes compared to the level of education. High QOL represents an ultimate goal and an important outcome of all medical interventions in diabetic patients. Factors related to lower QOL included: older age, female gender, and existence of comorbidities. Uncontrolled diabetic patients had a lower QOL than controlled diabetics.


2020 ◽  
Vol 17 (2) ◽  
pp. 165-173
Author(s):  
Nurul Mutmainah ◽  
Muhammad Al Ayubi ◽  
Anggie Widagdo

Diabetes mellitus is a chronic disease that requires treatment for a long period of time. Adherence to consuming drugs is one of the most important things in achieving treatment goals. This study aims to determine the level of adherence and quality of life and determine the relationship to the quality of life of patients with type 2 DM in hospitals in Central Java. This study uses analytic design by asking cross-sectional. Samples were taken at two hospitals in Central Java. Sampling was purposive sampling with the criteria of type 2 diabetes mellitus patients who are undergoing outpatient care in the hospital, have undergone therapy for at least 3 months, and can communicate well. As a measurement used the Medication Adherence Rating Scale (MARS) questionnaire while the quality of life measure used the Short Form 36 (SF-36) questionnaire. Score data received and quality of life that has been obtained was processed with the SPSS (Product Statistics and Service Solutions) chi-square test. Research results in 200 respondents found 9 people (4.5%) had low adherence, 46 people (23%) were moderately related and 145 people (72.5%) have high adherence. While the quality of life found 41 people (20.5%) had a poor quality of life and 159 people (79.5%) had a good quality of life. The lowest aspect of quality of life is physical limitations and the highest aspect of quality of life is mental health. From the results of the analysis on the chi square test, the p value was obtained: 0.00. This shows that there is a significant relationship between adherence and quality of life in patients with Type 2 diabetes mellitus at the hospitals and a Prevalence Ratio value of 23.47.


2018 ◽  
Vol 1 (3) ◽  
pp. 177-181
Author(s):  
Agus Triyono ◽  
Widhi Astana ◽  
Fajar Novianto

Diabetes mellitus (DM) merupakan penyakit degenerative dengan murbiditas dan mortalitas yang terus meningkat. Herbal medicine telah banyak digunakan untuk mengontrol kadar glukosa darah (KGD) pasien DM. Penelitian ini bertujuan untuk menganalisis efek penggunaan ramuan jamu hiperglikemia terhadap kualitas hidup atau quality of life (QoL) pasien DM. Penelitian ini merupakan studi kohort dengan menggunakan kuesioner Short Form-36 (SF-36) sebagai alat pengukuran kualitas hidup 40 subjek penelitian dengan KGD sewaktu 200 – 300 mg/dl. Pasien diberi ramuan jamu temulawak ,kunyit, dan meniran tiga kali sehari selama 56 hari. Kualitas hidup subjek diukur pada hari ke 0, 28, dan 56. Pengaruh penggunaan jamu terhadap QoL dianalisis menggunakan uji t berpasangan.Sebanyak 58% dari subjek penelitian adalah perempuan. Hasil penelitian membuktikan terdapat perbedaan yang signifikan antara QoL sebelum dan setelah pemberian jamu selama 56 hari, (p=<0,05). Ramuan jamu batang brotowali, herba sambiloto, rimpang temulawak, rimpang kunyit, dan herba meniran dapat meningkatkan QoL pasien DM.   Diabetes mellitus (DM) is a degenerative disease with increased morbidity and mortality. Herbal medicine has been widely used to control blood glucose levels in DM patients. This study aimed to analyze the effect of consumehyperglycemic jamu formula on quality of life (QoL) in DM patients. This study was a cohort study using a Short Form-36 (SF-36) questionnaire as a quality of life measurement tool of 40 subjects with blood gluces levels at 200 - 300 mg / dl. The patient received a jamu fomula of ginger, turmeric, and meniran three times a day for 56 days. The quality of life of the subjects was measured on days 0, 28 and 56. The effect of the admintration of jamu on QoL was analyzed using paired t test. A total of 58% of the research subjects were women.  The results showed that there were significant differences of QoL before and after administration of jamu for 56 days (p = <0.05). Jamu formlua of brotowali stems, bitter herbs, curcuma rhizomes, turmeric rhizomes, and meniran herbs can increase the QoL of DM patients


2013 ◽  
Author(s):  
Αθανασία Παπαθανασίου

Σκοπός της έρευναςΗ εκτίμηση της ποιότητας ζωής των ασθενών με ΣΔ στην ΠρωτοβάθμιαΦροντίδα Υγείας στην Ελλάδα και η συγκριτική της μελέτη με την ποιότητα ζωήςτων ασθενών ενός εξειδικευμένου διαβητολογικού κέντρου.Πληθυσμός μελέτηςΗ μελέτη εφαρμόσθηκε στους ασθενείς του Κέντρο Υγείας Στυλίδας στονομό Φθιώτιδας και στους ασθενείς του διαβητολογικού κέντρου στο ΤζάνειοΝοσοκομείο του Πειραιά.Στη μελέτη περιλαμβάνονται ασθενείς με σακχαρώδη διαβήτη τύπου 2που παρακολοθούνται τακτικά στα παραπάνω κέντρα. Οι 818 πρώτοι ασθενείςπου πληρούσαν τα παραπάνω κριτήρια και προσήλθαν στα παραπάνω κέντρα από τον Δεκέμβριο του 2006 αποτελούν τον πληθυσμό της μελέτης.ΜέθοδοιΜετά από μία συστηματική αναζήτηση στη διεθνή και ελληνικήβιβλιογραφία για τον εντοπισμό εργαλείων που εκτιμούν τη σχετιζόμενη με τοσακχαρώδη διαβήτη ποιότητα ζωής στην Ελλάδα και τη διαπίστωση της έλλειψηςμιας ειδικής κλίμακας στη χώρα μας, η κλίμακα PAID μεταφράστηκε καισταθμίστηκε σύμφωνα με τις αρχές του Medical Outcomes Trust Bulletin 1997.Στη μελέτη χρησιμοποιήθηκαν οι εξής κλίμακες: Short Form- 36 version 2(SF-36 v2), Problem Areas In Diabetes (PAID) Scale και Diabetes TreatmentSatisfaction Questionnaire status version(DTSQ-s).Για την καταχώρηση και ανάλυση των δεδομένων δημιουργήθηκε έναηλεκτρονικό σύστημα καταχώρησης ασθενών χρησιμοποιώντας FileMaker Pro από τον Δεκέμβριο του 2006 αποτελούν τον πληθυσμό της μελέτης.ΜέθοδοιΜετά από μία συστηματική αναζήτηση στη διεθνή και ελληνικήβιβλιογραφία για τον εντοπισμό εργαλείων που εκτιμούν τη σχετιζόμενη με τοσακχαρώδη διαβήτη ποιότητα ζωής στην Ελλάδα και τη διαπίστωση της έλλειψηςμιας ειδικής κλίμακας στη χώρα μας, η κλίμακα PAID μεταφράστηκε καισταθμίστηκε σύμφωνα με τις αρχές του Medical Outcomes Trust Bulletin 1997.Στη μελέτη χρησιμοποιήθηκαν οι εξής κλίμακες: Short Form- 36 version 2(SF-36 v2), Problem Areas In Diabetes (PAID) Scale και Diabetes TreatmentSatisfaction Questionnaire status version(DTSQ-s).Για την καταχώρηση και ανάλυση των δεδομένων δημιουργήθηκε έναηλεκτρονικό σύστημα καταχώρησης ασθενών χρησιμοποιώντας FileMaker Pro κέντρου υγείας Στυλίδας και 39.67 (±16.29) για τους ασθενείς του ΤζάνειουΝοσοκομείου του Πειραιά. Σχετικά με τα αποτελέσματα της κλίμακας DTSQ-s, τοτελικό αποτέλεσμα ήταν 26.81 (±8.2) για τους ασθενείς του κέντρου υγείαςΣτυλίδας και 22.13 (±8.9) για τους ασθενείς του Τζάνειου Νοσοκομείου τουΠειραιά (p< 0.0001).ΣυμπεράσματαΈνα σημαντικό αποτέλεσμα της μελέτης είναι η μετάφραση και στάθμιση στηνελληνική γλώσσα της κλίμακας Problem Areas In Diabetes (PAID) Scale, ενόςσημαντικού και πολυχρησιμοποιημένου στις διεθνείς μελέτες εργαλείου, πουαξιολογεί τις συναισθηματικές και διαπροσωπικές δυσκολίες των ασθενών μεΣΔ, που σχετίζονται με τη δίαιτα ή τη σχέση του με το γιατρό. Από τον πληθυσμό της μελέτης προέκυψε ότι οι ασθενείς πουπαρακολουθούνται στο διαβητολογικό τακτικό ιατρείο του Τζάνειου ΝοσοκομείουΠειραιά (αστικός πληθυσμός) είχαν συστηματικά χαμηλότερα αποτελέσματα σε όλες τις υποκατηγορίες της κλίμακας Short Form-36 version 2 (MCS και PCSscores) καθώς και στις κλίμακες PAID και DTSQ σε σχέση με τον πληθυσμό τουΚέντρου Υγείας Στυλίδας (αγροτικός πληθυσμός).Τα ευρήματα αυτής της μελέτης θα μπορούσαν να αξιοποιηθούν στηνπρακτική διαχείριση των ασθενών με σακχαρώδη διαβήτη, αλλά και στοναποτελεσματικό σχεδιασμό των προσφερόμενων υπηρεσιών υγείας.


2019 ◽  
Vol 11 (1) ◽  
pp. 199-204
Author(s):  
Delmo de Carvalho Alencar ◽  
Patriotino Fontinele Lages Filho ◽  
Maria de Jesus Lopes Mousinho Neiva ◽  
Ana Maria Parente Garcia Alencar ◽  
Wanderson Carneiro Moreira ◽  
...  

Objetivo: Avaliar a qualidade de vida relacionada à saúde de pessoas com diabetes mellitus tipo 2 atendidas pela Atenção Primária à Saúde. Métodos: Estudo descritivo, transversal realizado com 50 pacientes diabéticos. Os dados foram coletados por meio da aplicação de um formulário para informações socioeconômicas e clínicas e do Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Os dados foram expressos como frequências absolutas e relativas e medidas de tendência central e dispersão. Resultados: As maiores médias dos escores do SF-36 foram verificadas nos domínios "Capacidade Funcional, Vitalidade e Aspectos Sociais", enquanto as menores concentraram-se nos domínios "Estado Geral da Saúde e Aspecto Físico". Conclusão: A funcionalidade das atividades diárias e a percepção sobre a saúde foram os principais aspectos comprometidos pelo diabetes mellitus tipo 2.


Author(s):  
Okta Muthia Sari ◽  
Ginanjar Zukhruf Saputri ◽  
Akrom .

Background:  For chronic disease patients, pharmacist counselling with motivating reminder messages has been developed throughout time to promote the success of patient treatment. Diabetes mellitus is a long-term condition. Blood sugar control and an improved quality of life are therapeutic goals in the treatment of diabetes mellitus. The objective of this study was to determine whether changes in fasting blood sugar and quality of life occurred in individuals with diabetes mellitus who received pharmacist counselling coupled by motivating reminder messages.Methods: This quasi-experimental study used a pre-test-post-test design with control and intervention groups. Data on patients with type 2 diabetes were obtained prospectively at Jetis 1 primary health care in Bantul, Yogyakarta, Indonesia. Seventy-two respondents who met the inclusion criteria were separated into two groups: the control group (36 participants) and the intervention group (36 participants). The patients’ quality of life was assessed using the 36-item Short Form (SF-36) questionnaire.Results: Following pharmacist counselling coupled by motivating reminder messages, patients’ mean fasting blood sugar reduced significantly (∆ 34.85±63.36), while their mean quality of life score increased considerably (∆ 13.73±9.22).Conclusions: Pharmacist counselling combined with motivating reminder messages can help patients with type 2 diabetes lower their fasting blood sugar and enhance their quality of life. The provision of pharmacist counselling followed by brief reminders and motivational messages may be considered to improve type 2 diabetes patient management.


2021 ◽  
Vol 26 (3) ◽  
pp. 535-538
Author(s):  
Ruhsen Öcal ◽  
Ilkin Iyigündogdu ◽  
Nazli Gursoy Kirnap ◽  
Irem Talu ◽  
Defne Alkislar ◽  
...  

Background & Objective: Headache is a common symptom in the general population. The aim of this study was to investigate the frequency of headache among a university students population in Ankara, Turkey; and to evaluate the factors affecting the headache and the effect of headache on students’ quality of life. Methods: A face-to-face questionnaire was applied to all participants in the study. In the questionnaire, demographic data, personal background and family history of the participants as well as the presence of headache were collected. The characteristic features of the headache, accompanying symptoms and medication use for the headache were evaluated. The 36-Item Short Form Survey (SF-36), Beck depression and Beck anxiety scales were administered to all participants. Results: Three hundred and sixty six university students participated in the study. Three hundred and thirty one participants (90.4%) had experienced headache at least once in their lifetime. Headache was more common in women (p˂0.01). Depression was found in 135 (36.9%) students with the Beck depression scale, and anxiety was found in 236 (64.5%) students with the Beck anxiety scale. There was no relationship between depression or anxiety and the presence of headache (p>0.05). Emotional role difficulties, social function, pain and general health scores were significantly lower on SF-36 in the group with headache (p˂0.05) than without headache. Conclusion: Headache adversely affects the quality of life and is a common symptom among university students, independent of depression and anxiety.


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