Perceived quality of life and acceptance of illness in people with type 2 diabetes mellitus

Abstract

ObjectivesType 2 diabetes exerts a significant impact on the patient’s quality of life. Its chronic nature, incurability and complications weaken the motivation of patients to fight the disease and its acceptance. The aim of research was to determine whether and to what extent diabetes modulates the quality of life of patients and in particular which domain of the patient’s life is most limited. In addition, we looked at whether the quality of life perceived by patients is determined by gender and whether and to what extent they accept their illness.Material and methodsA study on 100 patients with type 2 diabetes from the Wielkopolska region in Poland was carried out at the end of 2013/beginning of 2014 using a diagnostic survey, and the research techniques were a standardized questionnaire – ADDQoL19 (Audit of Diabetes-Dependent Quality of Life 19) and the AIS questionnaire (Acceptance of Illness Scale) developed by Felton and modified by Juczyński.ResultsThe results suggest that the quality of life of the patients was “neither good nor bad”, whereby women perceive it as being lower than men. While analysing the impact of diabetes on the different domains of the lives of men and women, it should be stressed that most affected were diet, satisfying appetite, independence, financial position, feelings about the future, sex life, and freedom in the consumption of drinks. More than half of men and women did not accept their illness; however, younger persons unlike older accepted diabetes to a much greater degree.ConclusionsType 2 diabetes negatively affects the quality of life of patients and its impact is felt more by women. In both sexes, the most affected domain of quality of life is the lack of nutritional freedom. The acceptance of illness is dependent upon age.

The Relationship Between Health-Related Quality of Life, Acceptance of Illness and Characteristics of Pregnant Women with Hyperglycemia

“…The mean illness acceptance score in our group was 31.37 points, which was near the lower boundary of "moderate". A comparison with reports by other authors demonstrates that the mean acceptance level was higher in hyperglycemic pregnant women than in diabetic patients [17,25].…”

“…Due to the continuously growing interest in patients' QoL during illness and treatment, numerous studies have been published on the adverse impact of such conditions as type 1 or type 2 diabetes on QoL in adults and children [22][23][24][25]. However, research on the impact of hyperglycemia on the QoL of women during pregnancy is still lacking [11,14,[26][27][28].…”

The relationship between health-related quality of life, acceptance of illness and characteristics of pregnant women with hyperglycemia

“…The QoL of these women may be adversely affected by the resulting changes in mood and perceived health, and a partial loss of control over one's own body [11,14,22]. Due to the continuously growing interest in patients' QoL during illness and treatment, numerous studies have been published on the adverse impact of such conditions as type 1 or type 2 diabetes on QoL in adults and children [23][24][25][26]. However, research on the impact of hyperglycemia on the QoL of women during pregnancy is still lacking [11,14,[27][28][29].…”

Tip 2 diyabetli bireylerde hastalığı kabul düzeyinin glisemik kontrol ile ilişkisi

“…Ayrıca, çalışmada yer alacak her bireyden, çalışmanın içeriği ve katılımın gönüllü olması hususunda bilgilendirme sonrası gönüllü olur formu ile izin alınmıştır. 10 çalışma bulgusu ile benzerlik gösterirken; Türkiye'de ve diğer ülkelerde yapılan çalışmalardan düşük bulunmuştur 7,9,18,25,26 . Bununla birlikte, başka bir çalışmada diyabetli bireylerin bilişsel ve duyuşsal olarak hastalığı kabul oranının %20'nin altında olduğu belirtilmiştir 20 .…”

“…Hastalığını kabul eden bireylerin, hastalıkla birlikte günlük yaşantılarına daha rahat devam edilebildiği ve hastalığın neden olduğu bireysel, ailevi, mesleki ve toplumsal sorunların üstesinden rahatlıkla gelebildiği ve yaşama karşı iyimser ve umutlu bir tutum geliştirdiği belirtilmektedir 8,9 . Bununla birlikte literatürde, diyabetli bireylerde hastalığı kabul düzeyinin yaşam kalitesini ve yaşamdan doyumu önemli derecede etkilediği vurgulanmaktadır 10,11 .…”