Evaluation of the Psychosocial Aspects of Diabetic Patients

Romanian Journal of Diabetes Nutrition and Metabolic Diseases, 2014

Background and aims: The theory regarding the psychological factors as etiologic agents that trigger the somatic diseases has gained more and more ground in the past few years, successfully repeating that the human being is a bio-psycho-social entity. In order to render the psychological interventions more efficient in the management of the psychosomatic diseases, this research aims to detect and modify, even treat throught psychological interventions those configurations of the early maladaptive schemes and coping styles that stick form together in the so-called acquired vulnerability which makes the person liable to an inappropriate reaction against stress, and also to track the effects of these changes on somatic indicators of diabetes mellitus. Material and methods: Analysis of variance (ANOVA) and paired T-test were used for analysing subjects` responses at three psychological instruments, evolution of blood pressure, body mass index, drug units, hospitalisation days, medical l...

QUALITY OF LIFE OF DIABETIC PATIENTS (Atena Editora), 2023

OBJECTIVES This study aims to evaluate the impact of diabetic foot ulcer (DFU) on the quality of life of diabetic patients with this condition. METHODS The author of the project prepared an unprecedented national questionnaire, using as inspiration existing international questionnaires. The questions were separated into 4 groups: general demographics of the population studied, specific demographics of diabetes, subjective perception of the patient about his disease and subjective perception of the patient about its functionality. The questionnaire was applied in 50 patients with DFU (study group) and 50 diabetic patients without DFU (control group). A cross-sectional study was conducted with the data collected in order to evaluate the quality of life of this population. RESULTS 100 diabetic patients participated in the study, half of them with diabetic foot complication (study group), while the other half was not carrier (control group). There was no statistical significance when comparatoring age, weight and BMI of these patients. However, when we analyzed the gender there was significance: 74% of the patients in the study group were men, while in the control group, 46% of the patients were male. The questionnaire presents 25 questions, of which only 7 questions were able to differentiate between the two groups studied, p<0.05. Questions about treatment, functionality and suffering seem to be sensitive themes to the population studied. CONCLUSION The results found reinforce that diabetic foot negatively impacts mental health and quality of life of patients suffering from this complication. Patients with diabetic foot reported greater suffering, lower functionality and lower degree of confidence in treatment when compared to diabetic patients who did not develop this complication. Thus, psychological and multidisciplinary interventions can be validated strategies to increase the degree of satisfaction with the life of this severely affected population.

Diabetes Distress (DD)-an emotional or affective state arise from challenge of living with diabetes and the burden of self-care-negatively impact diabetes management and quality of life of T2DM patients. Early detection and management of DD is key to efficient T2DM management. The study aimed at developing a valid and reliable instrument for Bangladeshi patients as unavailability such a tool posing challenge in diabetes care. Linguistically adapted, widely used, 17-item Diabetes Distress Scale (DDS), developed through forward-backward translation from English to Bengali, was administered on 1184 T2DM patients, from four diabetes hospitals in Bangladesh. Psychometric assessment of the instrument included, construct validity using principal component factor analysis, internal consistency using Cronbach's α and discriminative validity through independent t-test and test-retest reliability using intraclass-correlation coefficient (ICC) and Kappa statistics. Factor analysis extracted 4 components similar to original DDS domains, confirms the construct validity. The scale demonstrated satisfactory internal consistency (α = 0.838), stability (test-retest ICC = 0.941) and good agreement across repeated measurements (Kappa = 0.584). Discriminative validity revealed that patients with complication (p < 0.001) and those are on insulin (p < 0.001) had significantly higher distress scores in all domains. Bengali version of DDS is a valid and reliable tool for assessing distress among Bangladeshi T2DM patients. Diabetes mellitus (DM) has emerged as a global pandemic, becoming a major global health challenge over the past few decades 1,2. As of 2019, around 463 million adults (aged between 20 to 79 years) were suffering from DM, of which 79% were from low-and middle-income countries 3. These figures are expected to increase to 700 million by 2045, if current trend of increase continues 3. Living with DM can be debilitating and challenging due to its physical and psychological impact on individual's health and wellbeing as well as the distress specific to diabetes, its complications and management 4-6. Diabetes distress (DD) refers to the distinctive, primarily emotional, worries and burdens that are facets of the spectrum of patient experience in-course of managing and living with diabetes 7. DD is more of a negative emotional state, a rational response to the arduous set of self-care behaviors and is not considered a psychopathology 8 unless start to affect patient's day-today activities, diabetes management and also interpersonal relationships. Symptoms of DD are similar to those of depressive disorder, however they are not severe enough to meet the diagnostic criteria for major depressive disorder 9,10. Patients with T2DM may exhibit symptoms of defeat, denial, fear, isolation, frustration and poor motivation 11. DD can be distinguished from clinical depression in its nexus with management of the disease, glycemic control in particular 12,13. Unmitigated condition is likely to lead to "burnout"-an emotionally overwhelmed and exhausted state that may prevent people with T2DM from achieving optimal glycemic control 7. With the continued rise of diabetes burden, DD is projected to become a major concern for people living with DM in the current century 5,6. DD have been linked with a range of outcomes including poor self-care, low diabetes self-efficacy, and poor quality-of-life (and subsequently poor glycemic control), earlier onset of complications, frequent admissions to hospital care, and increased mortality 14-16. Diabetes management strategies consider patients emotional state as a key element 17. Failure to mitigate potential distress in patients may impede

Diabetes Research and Clinical Practice, 2011

Aim -The rate of diabetes as a cause of disease burden has increased over time. Psychological well being could be considered as an important factor in improving of chronic disease management and decrease of mortality and morbidity of disease. Despite, increasing of Diabetes and its burden in Iran, there is a few researches about psychological aspects of treatment. The aim of this study was identifying of psychological contributing factors in determination of psychological well being in Iranian diabetic patients. Methods -This cross-sectional study was done in 350 diabetic patients that hospitalized for diabetes or related problems. The questionnaire`s survey was assessed presence of depression and anxiety (Hospital Anxiety Depression Scale -HADS), family behaviors (Diabetes Specific Family Support -DSFS), quality of life (Iranian Diabetes QOL), self care (Diabetes Self-Care Activities Questionnaire) and mental health (General Health Questionnaire -GHQ). For analysis of data, we used Descriptive statistics, correlation and Two-way Analysis of Variance (ANOVA). P-value less 0.05 was considered to be significant. Results -About 2/3 of participants had depression and anxiety. Anxiety, depression and non supportive behaviors had negative correlation with well being, quality of life and self care. Increasing of anxiety and depression was decreased the well being about 50% and 65%, respectively. Being single would be decrease the mental well being about 2.5 times. Conclusion -The results of recent study support the recommendation to assess psychological well-being in patients with diabetes as one part of diabetes management.

To compare the emotional state of type-1 and type-2 diabetics a sample of 200 diabetics (100 type-1 and 100 type-2), age 35-55years, was randomly selected from Jalaun and Agra district of Uttar Pradesh (India). Eight state questionnaires was administered on these subjects. Critical Ratio was applied to study the significance of difference. Result of the study revealed no significant difference between the emotional state of type-1 and type-2 diabetics.

2017

Objectives: To examine the predictive role of diabetes related distress (emotional burden, physician-related distress, regimen-related distress and interpersonal distress) in psychological distress among type 2 diabetic patients. Methodology: It was a correlation study conducted on type 2 diabetic patients dwelling in Faisalabad city. One hundred and twenty diabetic patients were recruited through purposive convenient sampling technique. Brief interview form, 17-items diabetes distress scale and 10-items psychological distress scale were used for data collection. Linear, multiple regression analysis and independent t-test were computed via SPSS. Results: Out of 120 participants, 60 were males and 60 were females. Age ranged from 21 to 50 years (mean 37.3 ±7.48146). Diabetes distress (p =.000) emotional burden (p =.019) and interpersonal distress (p =.000) significantly predicted psychological distress among type 2 diabetic patients. Additionally, a significant gender difference was ...

Revista Latino-Americana de Enfermagem, 2007

Péres DS, Santos MA, Zanetti ML, Ferronato AA. Difficulties of diabetic patients in the illness control: feelings and behaviors. Rev Latino-am Enfermagem 2007 novembro-dezembro; 15(6):1105-12.

Psychological well-being rests within the experience of an individual. It is person's evaluative reaction to his or her life and different circumstances. We have experienced difficulty in finding Diabetic persons happy and satisfied at the level of psychological well-being. This study is aimed to investigate the impact of Yoga on psychological well-being, because Yoga is being applied worldwide as a therapy to cure Diabetes. Nine (n = 9) samples with average age of 51 years (7 male and 2 female) were tested through questionnaire-method by performing pre-test and post-test scale, made by Sudha Bhogle (1995), from ten days' Yoga Shibir held at 'LIFE', Rajkot, organized by Saurashtra Medical & Educational Charitable Trust. Blood samples were tested also to measure change in the blood sugar level through 'GOD / POD Enzymatic Method' on the first and the last day of Yoga practice . Collected data presents a very effective decrease in random blood sugar level (mean 46·3 mg./dl.), in fasting blood sugar level (mean 14·4 mg./dl.) and in post-prandial blood sugar level (mean 18·7 mg./dl.). In fact, we have seen a non-significant change (t-value 0·17) at the psychological parameter which shows very less improvement, but at the mean, it shows a good impact of Yoga .

International Archives of Medicine, 2017

Goal: to know the main difficulties faced by DM patients, characterizing the socioeconomic situation of the interviewees, identifying the type of care received by DM patients. Method: It was a research of the descriptive exploratory type with quantitative approach that was carried out in the Basic Health Care of the city of Camutanga/PE. The population was formed by one hundred (100) diabetic patients enrolled at the FHS of said municipality, the sample will be formed by one hundred (100) of diabetics from UBS Mini Posto. The instrument for data collection was a form. The data collection took place in September and October 2016 after approval by the Research Ethics Committee of the Faculdade de Enfermagem Nova Esperança (FACENE). CAAE: 59111616.1.0000.517 Results and Discussion: the data obtained in the research show that 65% of the study participants are between the age group over 65 years; 67% have primary education; 53% are retired; 62% reported receiving a minimum wage. About th...