ECE2009 Poster Presentations Diabetes and Cardiovascular (103 abstracts)
Quality of life in diabetes mellitus: conditional issues of treatment and coping strategies
Miguel Pereira 1 , Celestino Neves 1, , João Pereira 3 , Eduardo Carqueja 1 , Marta Alves 1 , Davide Carvalho 1, , Rui Coelho 1, & José Medina 1,
1Hospital S João, Porto, Portugal; 2University of Porto, Porto, Portugal; 3Maia’s Superior Institute, Maia, Portugal.
Introduction: Quality of life (QoL) is a subject of increasing interest in the health context. Applied to a chronic condition like diabetes, this issue could give an overall perspective of the health outcome.
Objective: To evaluate the coping mechanisms, the treatment issues and its contribution to QoL of diabetes patients.
Patients and methods: We gathered a sample of 94 diabetic subjects, 50% males, 55.3% type 1, with a mean age of 42.02±16.68 (17–77) years. To accomplish our work we applied several instruments: a general biographical questionnaire, audit of diabetes-dependent quality of life (ADDQoL), problem areas in diabetes survey (Paids), experience of treatment benefits and barriers (ETBB) and problem solving inventory (PSI). We used a mean comparison t-test, the Pearson and Spearman’s correlations tests.
Results: Type 1 diabetics showed higher values in ADDQoL questionnaire than Type 2 diabetics (−1.04±1.19 vs −1.74±1.34; P=0.009), as well as patients with none diabetes related complications (−2.03±1.49 vs −0.95±0.98; P<0.001). Relatively to the problem areas, we found that patients with insulin treatment and patients with later complications reported higher levels of psychological suffering than patients on tablets (33.9±16.1 vs 22.3±13.8; P=0.01) and with none diabetic complications (37.5±17.9 vs 28.8±14.5; P=0.01), respectively. In terms of coping, better coping strategies are associated with better QoL (r=0.29; P=0.005). Last, we didn’t find any correlation between A1c levels and QoL.
Results: In this study we acknowledged that QoL is directly linked and influenced by subjects like personal problem solving mechanisms, treatment methods and perceptions of problem areas, namely emotional materials. These results are somewhat consistent with findings in previews studies.
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Endocrine Abstracts
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