Lewko J, Polityńska B, Kochanowicz J, Zarzycki W, Okruszko A, Sierakowska M, Jankowiak B, Górska M, Krajewska-Kułak E, Kowalczuk K
Department of General Nursing, Medical University of Białystok, Poland.
Adv Med Sci. 2007;52 Suppl 1:144-6.
Assessment of quality of life, especially from the psychological point of view, is likely to be strongly influenced by the degree of acceptance of one's own illness and the resultant negative emotional reactions associated with the illness itself. The aim of the present study was to determine the relationship between quality of life and the degree of acceptance of illness in diabetic patients with and without peripheral diabetic neuropathy.
59 patients with diabetes were included in the study; they consisted of patients both with and without peripheral diabetic neuropathy. The degree of acceptance of illness was assessed using the Acceptance of Illness Scale (AIS) and quality of life (HRQOL - health-related quality of life) was measured using the SF-36v2.
Quality of life in people with diabetes was reduced and related to their levels of illness acceptance. Factors affecting illness acceptance in patients with peripheral diabetic neuropathy included feelings of being a burden to their family and friends (p < or = 0.05) and the belief that people in their company are made anxious by the patient's illness (p < or = 0.05). These patients also defined their health status as being worse than that of diabetic patients without additional disease complications.
Quality of life and illness acceptance were found to be strongly related. In general, patients with chronic peripheral diabetic neuropathy express lower degrees of acceptance of their illness than diabetic patients without peripheral diabetic neuropathy. Their subjective assessment of health status is also significantly worse than that of diabetic patients without neuropathy.
生活质量评估，尤其是从心理角度来看，很可能受到对自身疾病的接受程度以及与疾病本身相关的负面情绪反应的强烈影响。本研究的目的是确定伴有和不伴有糖尿病周围神经病变的糖尿病患者的生活质量与疾病接受程度之间的关系。
59例糖尿病患者纳入本研究；包括伴有和不伴有糖尿病周围神经病变的患者。使用疾病接受量表（AIS）评估疾病接受程度，使用SF - 36v2测量生活质量（HRQOL - 健康相关生活质量）。
糖尿病患者的生活质量降低，且与他们的疾病接受水平相关。影响糖尿病周围神经病变患者疾病接受程度的因素包括觉得自己是家人和朋友的负担（p≤0.05）以及认为自己患病会让身边的人焦虑（p≤0.05）。这些患者还认为自己的健康状况比没有其他疾病并发症的糖尿病患者更差。
发现生活质量与疾病接受程度密切相关。一般来说，患有慢性糖尿病周围神经病变的患者对疾病的接受程度低于没有糖尿病周围神经病变的糖尿病患者。他们对健康状况的主观评估也明显比没有神经病变的糖尿病患者更差。
