PSYCHOEMOTIONAL FEATURES OF PATIENTS WITH DIABETES MELLITUS

2021 ◽  
pp. 19-22
Author(s):  
У.Т. БАГЫСБАЕВА ◽  
Г.А. ТУРСЫНБАЕВА
Keyword(s):  
Diabetes Mellitus ◽  
Metabolic Disorders ◽  
External Environment ◽  
Psychological Status ◽  
Psychoemotional State ◽  
Patients With Diabetes ◽  
Treatment Of Diabetes ◽  
Somatic State ◽  
Diagnosis Of Diabetes Mellitus

В наше время сахарный диабет является одним из наиболее распространенных хронических заболеваний. Он существенно влияет на качество жизни пациента. По данным литературы известно, что в лечении сахарного диабета акцент ставится на коррекцию соматического состояния пациентов. Психологический статус пациентов остается недостаточно изученным. У больных с сахарным диабетом часто выявляются изменения в психоэмоциональном состоянии. На фоне метаболических расстройств такие пациенты более подвержены воздействию стрессовых ситуаций, эмоциональному перенапряжению и негативным компонентам внешней среды, что существенно влияет на снижение ресурсов организма. Психоэмоциональные проблемы могут сыграть большую роль в течении и исходе данного заболевания. Поэтому можно утверждать, что изучение эмоционального и психического состояния пациентов с диагнозом «сахарный диабет» является важным аспектом в работе врача, т.к. от этого зависит успешность адаптации больного к условиям жизни, связанным с болезнью. In our time, diabetes is one of the most common chronic diseases. It significantly affects the quality of life of the patient. According to the literature, it is known that in the treatment of diabetes mellitus, the emphasis is placed on the correction of the somatic state of patients. The psychological status of patients remains poorly understood. In patients with diabetes mellitus, changes in the psychoemotional state are often detected. Against the background of metabolic disorders, such patients are more susceptible to stressful situations, emotional overstrain and negative components of the external environment, which significantly affects the reduction of the body's resources. Psychoemotional problems can play a big role in the course and outcome of this disease. Therefore, it can be argued that the study of the emotional and mental state of patients with a diagnosis of diabetes mellitus is an important aspect in the work of a doctor, since The success of the patient's adaptation to the living conditions associated with the disease depends on this.

scholarly journals Dynamics of Psychological Status and Quality of Life Indicators in Patients with Diabetes Mellitus Type 2 and Chronic Gastritis Before and After the Treatment

2020 ◽  
Vol 27 (1) ◽  
pp. E2020110
Author(s):  
Yelizaveta Sirchak ◽  
Silviya Patskun
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Stress Resistance ◽  
Diabetes Mellitus Type 2 ◽  
Diabetes Mellitus Type ◽  
Psychological Status ◽  
Patients With Diabetes ◽  
Dm Type 2

Depression increases the risk of diabetes mellitus type 2 development and the subsequent risks of hyperglycemia, insulin resistance, micro- and macro-vascular complications. The association between depression and diabetes mellitus type 2 may include autonomic and neurohormonal dysregulation, weight gain, inflammation, and structural changes in the hippocampus. Objective of the work. To evaluate the psychological status and quality of life indicators in patients with diabetes mellitus type 2 and chronic gastritis before and after the treatment with the use of medicine Magnicum-Antistress. Materials and methods. Based on the Endocrinology Department of the Transcarpathia Regional Clinical hospital named after A.Novak there were examined 40 patients, whose average age was to 53.7±4.1 years.  All patients with diabetes mellitus type 2 and chronic gastritis were assessed for quality of life, psychological status, and stress levels using questionnaires, namely using the SF-36, “PSM-25 Psychological Stress Scale methodology”, Holmes and Rahe stress test. After the survey, all patients were treated with Magnicum-Antistress medicine on the background of pathogenetic treatment. Results. Thus, after the course of treatment during 1 month, the level of stress decreased, so in the male patients the high level of stress was observed in 58.3% of patients, and among female patients – 35.8%. Also, the level of stress-resistance increased, so in male patients, the low stress-resistance level was observed in 66.7% of patients, and among female patients – 25%. After the course of treatment according to the Quality of Life Assessment Scale (SF-36), patients showed a positive tendency in the indicators of the psychological and physical health components. Conclusions. The level of chronic stress in patients with DM type 2 and CG is mostly high (52.5%). The level of stress-resistance in the vast majority of patients with DM type 2 and CG is low (52.5%). Complex therapy with the use of the medicine Magnicum-Antistress in patients with DM type 2 and CG is pathogenetically justified, and also leads to an improvement in the quality of life and stress-resistance in these patients.

scholarly journals Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus

2011 ◽  
Vol 57 (6) ◽  
pp. e1-e47 ◽  
Author(s):  
David B Sacks ◽  
Mark Arnold ◽  
George L Bakris ◽  
David E Bruns ◽  
Andrea Rita Horvath ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Laboratory Analysis ◽  
Published Data ◽  
Expert Committee ◽  
Evidence Based ◽  
Hb A1c ◽  
Written Comments ◽  
Patients With Diabetes ◽  
Practice Committee

BACKGROUND Multiple laboratory tests are used to diagnose and manage patients with diabetes mellitus. The quality of the scientific evidence supporting the use of these tests varies substantially. APPROACH An expert committee compiled evidence-based recommendations for the use of laboratory testing for patients with diabetes. A new system was developed to grade the overall quality of the evidence and the strength of the recommendations. Draft guidelines were posted on the Internet and presented at the 2007 Arnold O. Beckman Conference. The document was modified in response to oral and written comments, and a revised draft was posted in 2010 and again modified in response to written comments. The National Academy of Clinical Biochemistry and the Evidence Based Laboratory Medicine Committee of the AACC jointly reviewed the guidelines, which were accepted after revisions by the Professional Practice Committee and subsequently approved by the Executive Committee of the American Diabetes Association. CONTENT In addition to long-standing criteria based on measurement of plasma glucose, diabetes can be diagnosed by demonstrating increased blood hemoglobin A1c (Hb A1c) concentrations. Monitoring of glycemic control is performed by self-monitoring of plasma or blood glucose with meters and by laboratory analysis of Hb A1c. The potential roles of noninvasive glucose monitoring, genetic testing, and measurement of autoantibodies, urine albumin, insulin, proinsulin, C-peptide, and other analytes are addressed. SUMMARY The guidelines provide specific recommendations that are based on published data or derived from expert consensus. Several analytes have minimal clinical value at present, and their measurement is not recommended.

Quality of Life and Suicide Risk in Patients With Diabetes Mellitus

2009 ◽  
Vol 50 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Maurizio Pompili ◽  
David Lester ◽  
Marco Innamorati ◽  
Eleonora De Pisa ◽  
Mario Amore ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Suicide Risk ◽  
Patients With Diabetes

scholarly journals Quality of life of patients with diabetes mellitus: Social domain of health

SANAMED ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. 151-159
Author(s):  
Dragana Grujic-Vujmilovic ◽  
Zivana Gavric
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Social Domain ◽  
Patients With Diabetes

scholarly journals Quality of care for patients with diabetes mellitus type 2 in ‘model practices’ in Slovenia – first results

2016 ◽  
Vol 55 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Davorina Petek ◽  
Mitja Mlakar
Keyword(s):  
Diabetes Mellitus ◽  
Quality Of Care ◽  
Quality Indicators ◽  
Diabetes Mellitus Type 2 ◽  
Process Quality ◽  
Diabetes Mellitus Type ◽  
Before And After ◽  
Patients With Diabetes

Abstract Background A new organisation at the primary level, called model practices, introduces a 0.5 full-time equivalent nurse practitioner as a regular member of the team. Nurse practitioners are in charge of registers of chronic patients, and implement an active approach into medical care. Selected quality indicators define the quality of management. The majority of studies confirm the effectiveness of the extended team in the quality of care, which is similar or improved when compared to care performed by the physician alone. The aim of the study is to compare the quality of management of patients with diabetes mellitus type 2 before and after the introduction of model practices. Methods A cohort retrospective study was based on medical records from three practices. Process quality indicators, such as regularity of HbA1c measurement, blood pressure measurement, foot exam, referral to eye exam, performance of yearly laboratory tests and HbA1c level before and after the introduction of model practices were compared. Results The final sample consisted of 132 patients, whose diabetes care was exclusively performed at the primary care level. The process of care has significantly improved after the delivery of model practices. The most outstanding is the increase of foot exam and HbA1c testing. We could not prove better glycaemic control (p>0.1). Nevertheless, the proposed benchmark for the suggested quality process and outcome indicators were mostly exceeded in this cohort. Conclusion The introduction of a nurse into the team improves the process quality of care. Benchmarks for quality indicators are obtainable. Better outcomes of care need further confirmation.

scholarly journals INTERRELATION BETWEEN THE CHANGES IN QUALITY OF LIFE AND ARTERIAL STIFFNESS IN PATIENTS WITH DIABETES MELLITUS TYPE 2 AND CONCOMITANT OBESITY

2018 ◽  
Vol 18 (4) ◽  
pp. 71-75
Author(s):  
I.M. Fushtey ◽  
Ye.A. Solovyuk ◽  
A.O. Solovyuk
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Emotional State ◽  
Eating Behaviour ◽  
Overweight And Obesity ◽  
Healthy Individuals ◽  
Patients With Diabetes

The purpose of this work was to study the general characteristics of quality of life (QoL), the effect of overweight on QoL, the nature of eating behaviour in patients with diabetes mellitus (DM) type 2 and   concomitant overweight (OW) and obesity, as well as to establish the correlation with indicators of functional state of the arterial vessels. 64 people (34 women and 30 men) with DM and concomitant  overweight and obesity (average age 56.3 ± 10.23 years) formed the 1 group, 34 people (19 women and 15 men), whose average age was 55.6 ± 11.92 years constituted the 2 group, and  28 healthy individuals formed the control group. SF-36v2 questionnaires were used to evaluate QoL. The effect of overweight on QoL was analyzed according to the IWQOL-Lite questionnaire data, the patterns of eating behaviour were determined by the COEQ4 for 7 days using FPRS questionnaire. The functional state of the arterial vessels was assessed by estimating the pulse wave velocity using the automated rheographic complex ReoCom (KhAI Medika (Ukraine)). The patients with DM and concomitant overweight and obesity were found to experience some changes in QoL according to the SF-36v2 questionnaire. The changes were primarily characterized by a decrease in physical activity, as well as in social and emotional status. These changes differed not only from the QoL assessment by healthy individuals, but also from those of patients with DM and normal body weight. The nature of eating behaviour in overweight or obese patients with DM was characterized by an increased hunger in parallel with a worsened emotional state and an increased desire to eat certain types of foods that can contribute to weight gain. Structural changes in arterial vessels that typically are indicative of arterial stiffness correlate with indicators of emotional state and physical activity in patients with DM and comorbid overweight and obesity.

scholarly journals Scheduling rules for patients with diabetes mellitus that facilitate split-dosing improve the quality of bowel preparation for colonoscopy

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0182225 ◽  
Author(s):  
Robert J. Hilsden ◽  
Ronald Bridges ◽  
Catherine Dube ◽  
Steven J. Heitman ◽  
Alaa Rostom
Keyword(s):  
Diabetes Mellitus ◽  
Bowel Preparation ◽  
Patients With Diabetes ◽  
Split Dosing

scholarly journals Diabetes-dependent quality of life (ADDQOL) and affecting factors in patients with diabetes mellitus type 2 in Greece

2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Athanasia K. Papazafiropoulou ◽  
Florentia Bakomitrou ◽  
Aikaterini Trikallinou ◽  
Asimina Ganotopoulou ◽  
Chris Verras ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Diabetes Mellitus Type 2 ◽  
Diabetes Mellitus Type ◽  
Affecting Factors ◽  
Patients With Diabetes
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