Rogon Isabella, Kasprzak Zbigniew, Szcześniak Łucja
Department of Hygiene, Poznan University of Physical Education, Poznan, Poland.
Prz Menopauzalny. 2017 Sep;16(3):79-85. doi: 10.5114/pm.2017.70583. Epub 2017 Oct 11.
Type 2 diabetes exerts a significant impact on the patient's quality of life. Its chronic nature, incurability and complications weaken the motivation of patients to fight the disease and its acceptance. The aim of research was to determine whether and to what extent diabetes modulates the quality of life of patients and in particular which domain of the patient's life is most limited. In addition, we looked at whether the quality of life perceived by patients is determined by gender and whether and to what extent they accept their illness.
A study on 100 patients with type 2 diabetes from the Wielkopolska region in Poland was carried out at the end of 2013/beginning of 2014 using a diagnostic survey, and the research techniques were a standardized questionnaire - ADDQoL19 (Audit of Diabetes-Dependent Quality of Life 19) and the AIS questionnaire (Acceptance of Illness Scale) developed by Felton and modified by Juczyński.
The results suggest that the quality of life of the patients was "neither good nor bad", whereby women perceive it as being lower than men. While analysing the impact of diabetes on the different domains of the lives of men and women, it should be stressed that most affected were diet, satisfying appetite, independence, financial position, feelings about the future, sex life, and freedom in the consumption of drinks. More than half of men and women did not accept their illness; however, younger persons unlike older accepted diabetes to a much greater degree.
Type 2 diabetes negatively affects the quality of life of patients and its impact is felt more by women. In both sexes, the most affected domain of quality of life is the lack of nutritional freedom. The acceptance of illness is dependent upon age.
2型糖尿病对患者的生活质量有重大影响。其慢性本质、不可治愈性及并发症削弱了患者对抗疾病的动力及其对疾病的接受度。本研究的目的是确定糖尿病是否以及在何种程度上影响患者的生活质量,特别是患者生活的哪个领域受到的限制最大。此外,我们还研究了患者所感知的生活质量是否由性别决定,以及他们是否接受自己的疾病及接受程度如何。
2013年末/2014年初,在波兰大波兰地区对100名2型糖尿病患者进行了一项研究,采用诊断性调查,研究技术为标准化问卷——ADDQoL19(糖尿病相关生活质量评估19项)和由费尔顿编制并经尤钦斯基修改的AIS问卷(疾病接受量表)。
结果表明患者的生活质量“不好也不坏”,女性认为其生活质量低于男性。在分析糖尿病对男性和女性生活不同领域的影响时,应强调受影响最大的是饮食、食欲满足、独立性、财务状况、对未来的感受、性生活以及饮料消费的自由度。超过一半的男性和女性不接受自己的疾病;然而,与老年人不同,年轻人对糖尿病的接受程度要高得多。
2型糖尿病对患者的生活质量有负面影响,女性受到的影响更大。在两性中,生活质量受影响最大的领域是缺乏营养自由。对疾病的接受程度取决于年龄。