Acceptance of illness and quality of life in patients with type 2 diabetes
DOI:
https://doi.org/10.12775/JEHS.2021.11.05.009Keywords
acceptance of illness, quality of life, diabetes mellitus.Abstract
Background: results of studies concerning the quality of life in chronic diseases and the predictors thereof are a source of valuable information making it possible to take the right actions, both educational, at every stage, and therapeutic. The assessment acceptance of illness and the quality of life enables the identification of patients' actual problems and objections as well as the recognition of their needs for the purpose of treatment optimization.
Objective: The aim of the study was to evaluate the acceptance of the disease and the quality of life of patients with type 2 diabetes.
Materials and methods: The study assessed disease acceptance and the quality of life in 194 people living with type 2 diabetes for over 10 years. The AIS (Acceptance of Illness) and WHOQoL –BREF questionnaires were used.
Results: Acceptance of illness in the study group was average 24.21 points (SD=8.61).
Patients are not satisfied with the quality of their life and their own health. According to the assessment of patients, the quality of their life is the highest in the social domain (mean13.72±2.18), slightly worse in the environmental domain (mean 13.31±2.1) and it is the worst in the mental (mean12.82±2.78) and physical (mean 12.02±3.24) domain. The AIS result significantly and positively correlated with each domain of life (all of them p<0.05), therefore, the higher the AIS result (better acceptance of illness).
Conclusion: Acceptance of illness is an independent predictor of the quality of life in terms of the perception of own health and the perception of the quality of life in general. It also affects all domains of life. The greater the acceptance of illness, the higher the quality of life in all domains.
References
Pichon-Riviere, A., Irazola, V., Beratarrechea, A., Alcaraz, A., Carrara, C. (2015). Quality of Life in Type 2 Diabetes Mellitus Patients Requiring Insulin Treatment in Buenos Aires, Argentina: A Cross-Sectional Study. International Journal of Health Policy and Management, 4(7), 475-480. doi: 10.15171/ijhpm.2015.80
Krzemińska S, Bąk E, Šáteková L, Polanská A, Hašová K, Laurinc M. Comparison of Diabetes-Dependent Quality of Life (ADDQoL) in Patients with T2DM in Poland, The Czech Republic, and Slovakia. Diabetes Metab Syndr Obes. 2020;13:3773-3786
https://doi.org/10.2147/DMSO.S273339
Zygmuntowicz M., Olszanecka-Glinianowicz M., Chudek J. Quality of life with arterial hypertension. Endocrinology, Obesity and Metabolic Disorders 2011; 7: 179–185.
Jankowska-Polańska B. Ilko A. Wleklik M.: Arterial Influence the acceptance of the disease on quality of life of patients with hypertension. Hypertension 2014, 18, 3: 143 - 150.
Pokorna-Kałwak D., Muszyńska A., Mastalerz-Migas A . Elderly hypertensive patient - the impact of the disease and treatment on the patient's well-being. Psychogeriatria Polska 2008; 5: 37–46.
Statistical Report: Diabetes statistics in Poland and in the world. [w języku polskim] http://cukrzycapolska.pl/cukrzyca/statystyki. Dostęp: 08.12.2020
Felton BJ, Revenson TA, Hinrichsen GA. AIS-acceptance of illness scale. W: Juczyński Z. Measurement tools in Promotion and Health Psychology. Warszawa: Laboratory of Psychological Tests of Polish Psychological Association, 2001:158-67.
Juczyński Z. Measurement tools in the promotion and psychooncology of health. Warszawa, Polska: Pracownia Testów Psychologicznych, 2009.
Felton BJ, Revenson TA. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 1984 Jun;52(3):343-53. doi: 10.1037//0022-006x.52.3.343. PMID: 6747054.
WHOQOL Group.The World Health Organization WHOQOL-BREF Quality of Life Assessment.Psychol. Med. 1998; 28: 551– 558.
Eser S, Saatli G, Eser E, Baydur H, Fidaner C. Yaşlilar Için Dünya Sağlik Orgütü Yaşam Kalitesi Modülü WHOQOL-OLD: Türkiye Alan Calişmasi Türkçe Sürüm [The reliability and validity of the Turkish Version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old)]. Turk Psikiyatri Derg. 2010 Spring;21(1):37-48. Turkish. PMID: 20204903.
Wołowicka L, Jaracz K. Polisch version WHOQOL –WHOQOL-100 i WHOQOL-Bref. W: Wołowicka L. (red.) Quality of life in medicalsciences. Poznań; Dział Wydawnictw Uczelnianych Akademii Medycznej, 2001.
Jaracz K, Kalfoss M, GórnaK, Baczyk G. Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci. 2006;20(3):251-260.
Hinkle DE, Wiersma W, Jurs SG. Applied Statistics for the Behavioral Sciences. 5th ed. Boston: Houghton Mifflin; 2003.
R Core Team (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/.
Obiegło M, Uchmanowicz I, Wleklik M, Jankowska-Polańska B, Kuśmierz M. The effect of acceptance of illness on the quality of life in patients with chronic heart failure. Eur J Cardiovasc Nurs. 2016 Jun;15(4):241-7. doi: 10.1177/1474515114564929. Epub 2015 Jan 8. PM ID: 25573903.
Donata Kurpas, Bozena Mroczek, Helena Knap-Czechowska, Dorota Bielska, Aneta Nitsch-Osuch, Krzysztof Kassolik, Waldemar Andrzejewski, Anna Gryko, Andrzej Steciwko, Quality of life and acceptance of illness among patients with chronic respiratory diseases, Respiratory Physiology & Neurobiology, 187, 1, 2013, 114-117, https://doi.org/10.1016/j.resp.2013.02.009.
Akvardar, Y, Akdede, B.B., Özerdem A., Eser, E., Topkaya, Ş. Alptekin K. (2006), Assessment of quality of life with the WHOQOL‐BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. Psychiatry and Clinical Neurosciences, 60: 693-699. https://doi.org/10.1111/j.1440-1819.2006.01584.x
Janowski K, Kurpas D, Kusz J, Mroczek B, Jedynak T (2013) Health-Related Behavior, Profile of Health Locus of Control and Acceptance of Illness in Patients Suffering from Chronic Somatic Diseases. PLoS ONE 8(5): e63920. https://doi.org/10.1371/journal.pone.0063920
Starczewska M, Kujawska R, Stanisławska M, Rybicka A, Grochans E. The analysis of health behaviours and illness acceptance in patients with diabetes. Family Medicine & Primary Care Review. 2018;20(4):352-355. doi:10.5114/fmpcr.2018.79347.
Kugbey N., Asante KO., Adulai K.; Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: a cross-sectional study; BMC Res Notes. 2017; 10: 381.
Tavakkoli L., Dehghan A; Compare the Quality of Life in Type 2 Diabetic Patients with Healthy Individuals (Application of WHOQOL-BREF); Zahedan J Res Med Sci. In Press(In Press):e5882; Published online 2017 February 13
Ahari SS, Arshi S, Iranparvar M, Amani F, Siahpush H. The effects of type II diabetes on quality of life. Journal of Ardebil University of Medical Sciences. 2008;12(4):394–402.
Qhsemi-Pour M, Ghasemi V, Zamani A. Quality of life in diabetic patients referred to Shohada hospital in Khorramabad in 2008. J Lorestan Univ Med Sci. 2014;11(3):125–33.
Kolawole BA, Mosaku SK, Ikem RT. A comparison of two measures of quality of life of Nigerian clinic patients with type 2 diabetes mellitus. Afr Health Sci. 2009;9(3):161–6.
Kurpas D., Czech T., Mroczek B.l Quality of life in patients with diabetes - what do complications mean?; Family Medicine & Primary Care Review 2012, 14, 2: 177-181
Motyka H. Stanisz-Wallis K.; Selected quality of life determinants in diabetes; Nowa Medycyna 3/2013, s. 115-123
Tavakkoli L, Dehghan A. Compare the Quality of Life in Type 2 Diabetic Patients with Healthy Individuals (Application of WHOQOL-BREF), Zahedan J Res Med Sci. 2017 ; 19(2):e5882. doi: 10.5812/zjrms.5882.
Pandey, S., Kumar, P., Singh, C., Ranjan, A., Bhar, D., & Agrawal, N. (2020). Quality of life using WHOQOL-BREF of Patients with Type 2 Diabetes mellitus attending a Primary Health Centre of Patna, India . Indian Journal of Preventive & Social Medicine, 51(3), 151-157. Retrieved from http://ijpsm.co.in/index.php/ijpsm/article/view/281
Sharma S, Oliver-Fernandez A, Liu W, Buchholz P, Walt J. The impact of diabetic retinopathy on health-related quality of life. Curr Opin Ophthalmol. 2005 Jun;16(3):155-9. doi: 10.1097/01.icu.0000161227.21797.3d. PMID: 15870571.
Kurpas D., Czech T.,Mroczek D.: Quality of life in patients with diabetes - what do complications mean? Family Medicine & Primary Care Review 2012, 14, 2: 177-18
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 687
Number of citations: 0