Quality of life among patients with type 2 diabetes after insulin therapy introduction: A prospective study

Health Qual Life Outcomes

2020

Background The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia. Methods The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire. Results Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05).The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors associated with illness acceptance in women with hyperglycemia include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05). Conclusion Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains. General Quality of Life is positively correlated with reported living conditions and self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations. AIS is positively correlated with living conditions, self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations, and self-reported knowledge on possible pregnancy complications and infant health impact associated with glucose tolerance disorders.

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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

Health Qual Life Outcomes

2020

“…These ndings are corroborated by most studies on the QoL of women with hyperglycemia in pregnancy [11,13,14,27] and on QoL of non-pregnant diabetic patients [12,30,34]. Similar results were reported in studies on type 2 diabetes patients [23] and on pregnant women in Austria [35], though in these cases, poorer QoL was only found at the beginning of insulin therapy. The authors emphasize that the increase in reported QoL in the subsequent months of insulin therapy is associated with education provided to the patients, which reduces their fear of injections and concerns about the insulin administration technique.…”

Section: Discussionsupporting

confidence: 78%

“…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].…”

Section: Discussionmentioning

confidence: 99%

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

2020

Preprint

Background: The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia.Methods: The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire.Results: Factors that affect hyperglycemic women’s quality of life include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05). The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors with an impact on illness acceptance include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05).Conclusion: Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains.

“…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].…”

Section: Discussionmentioning

confidence: 99%

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

2020

Preprint

Background: The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia.Methods: The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire.Results: Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05).The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors associated with illness acceptance in women with hyperglycemia include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05).Conclusion: Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains. General Quality of Life is positively correlated with reported living conditions and self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations. AIS is positively correlated with living conditions, self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations, and self-reported knowledge on possible pregnancy complications and infant health impact associated with glucose tolerance disorders.