Emotional and quality-of-life aspects of diabetes management

ArticleinCurrent Diabetes Reports 2(2):153-9 · May 2002with34 Reads
DOI: 10.1007/s11892-002-0075-5 · Source: PubMed
Abstract
Patients with diabetes commonly feel overwhelmed, frustrated, or “burned out” by the daily hassles of disease management and by the unending, often burdensome self-care demands. Many report feeling angry, guilty, or frightened about the disease, and often are unmotivated to complete diabetes self-care tasks. The toll of short- and long-term complications can make the disease even more burdensome. Not surprisingly, it is a consistent finding across studies that diabetes is associated with impaired health-related quality of life (HRQOL), measured in a variety of different ways. Importantly, the relationship between HRQOL and diabetes appears to be bidirectional. Both medical and psychosocial aspects of diabetes may negatively affect HRQOL; in turn, impaired HRQOL may negatively influence diabetes self-management. Unfortunately, the concept of HRQOL in diabetes remains unclear, making precise evaluation and intervention difficult. There is growing agreement that the focus of HRQOL assessment should be on the subjective burden of symptoms, not merely on the presence of objectively identifiable problems. Proper evaluation should include both generic and diabetes-specific elements of HRQOL. In this article, a comprehensive multidimensional model of HRQOL in diabetes involving six major components is introduced and described. Representative self-report questionnaires that may be valuable in assessing these components are also presented. Once the patient's most important HRQOL issues have been identified and prioritized, appropriate intervention becomes possible. The good news is that there are now a growing number of research-based interventions available for addressing almost all of the HRQOL impairments that may occur.
    • "Along with above mentioned treatment protocols patients with diabetes are advised to maintain their physical activity as much as they can in form of activities of daily living (ADL) or exercises ( Lamonte et al ;). Patients suffering from DM have low quality of life due to long term complications, social and financial burden, low glycaemia control and daily precautions to manage the disease (Polonsky ; 2002). Therefore there is a need to look for certain treatments protocols that help patients suffering from DM to improve quality of life and de-burden themselves. "
    Full-text · Article · Dec 2015
    • "Despite these interventions, the incidence of diabetes complications is remained high; this could be due to failure in following the therapeutic regimen and engaging in self-care behaviors (Tan, 2004), as most patients lack sufficient motivation to undertake self-care and exercise meticulous control over the disease. Some of the factors which decrease the motivation for self-care are feelings of failure, hopelessness, and disorders of psychosocial health (Polonsky, 2002). Nonetheless, the level of hope and the fostering thereof are effective methods for coping and improving the self-care behaviors (Faller, Bülzebruck, Schilling, Drings, & Lang, 1997). "
    [Show abstract] [Hide abstract] ABSTRACT: Background & purpose: Globally, diabetes is one of the most common non-contagious diseases resulting in severe complications. Fostered hope facilitates coping and improves self-care and one of the Factors affecting hope is religious beliefs. This research investigated the level of hope and its relationship with religious coping among Type 2 diabetes patients. Material & methods: This correlation, cross-sectional study was conducted on 150 patients with Type 2 diabetes, who had been referred to the Karaj Diabetes Association during the period, March-June 2011, and selected through purposive sampling. A three-part questionnaire including demographic data, the Herth Hope Index, and a short form of religious coping, was used for data collection. The data were analyzed using descriptive and analytic statistics, including Pearson's correlation coefficient, the t-test, a one-way ANOVA, and a multiple regression analysis. The set significance level was p<0.05. Results: The mean hope score was 34.89 (SD±8.75); most of the subjects (46.7%) showed high levels of hope. Positive religious coping, marital status, and social support significantly affected hope fostering(r=0.897, p =0.000). A significant negative relationship was found between hope and age (r=-0.373, p=0.000), and between hope and negative religious coping (r=-0.749, p=0.000). Conclusion: Positive religious coping, married life, and social support significantly affected the development of hope. Moreover, there was a significant positive relationship between positive religious coping and social support. So, strengthening social support could lead to increased levels of positive religious coping and fostering of hope.
    Full-text · Article · May 2015
    • "Studies have shown that important aspects of treatment are achieving patientcentred interaction and sharing patients' personal understanding of living with diabetes (Boströ m, Isaksson, Lundman, Graneheim, & Hö rnsten, 2014; Hörnsten, Sandströ m, & Lundman, 2004). Medical advances have made possible active selfcare and control, as well as influence over treatment (Polonsky, 2002). Experience of balancing biomarkers in relation to the quality of life in the long term has been described by people with type 2 diabetes in the study (Frost, Garside, Cooper, & Britten, 2014). "
    [Show abstract] [Hide abstract] ABSTRACT: Research shows that people with diabetes want their lives to proceed as normally as possible, but some patients experience difficulty in reaching their desired goals with treatment. The learning process is a complex phenomenon interwoven into every facet of life. Patients and healthcare providers often have different perspectives in care which gives different expectations on what the patients need to learn and cope with. The aim of this study, therefore, is to describe the experience of learning to live with diabetes. Interviews were conducted with 12 patients afflicted with type 1 or type 2 diabetes. The interviews were then analysed with reference to the reflective lifeworld research approach. The analysis shows that when the afflicted realize that their bodies undergo changes and that blood sugar levels are not always balanced as earlier in life, they can adjust to their new conditions early. The afflicted must take responsibility for balancing their blood sugar levels and incorporating the illness into their lives. Achieving such goals necessitates knowledge. The search for knowledge and sensitivity to changes are constant requirements for people with diabetes. Learning is driven by the tension caused by the need for and dependence on safe blood sugar control, the fear of losing such control, and the fear of future complications. The most important responsibilities for these patients are aspiring to understand their bodies as lived bodies, ensuring safety and security, and acquiring the knowledge essential to making conscious choices.
    Full-text · Article · Apr 2015
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