The attitude of patients with types 1 and 2 diabetes mellitus towards having the disease
| العنوان: | The attitude of patients with types 1 and 2 diabetes mellitus towards having the disease |
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| المؤلفون: | E N Zotina, I E Sapozhnikova |
| المصدر: | Терапевтический архив, Vol 89, Iss 10, Pp 22-27 (2017) |
| بيانات النشر: | LLC Obyedinennaya Redaktsiya, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, History, endocrine system diseases, type 2 diabetes mellitus, Endocrinology, Diabetes and Metabolism, lcsh:Medicine, Disease, 030204 cardiovascular system & hematology, Russia, therapeutic control, chemistry.chemical_compound, 0302 clinical medicine, Surveys and Questionnaires, Adaptation, Psychological, hypernosognosia, Anthropometry, General Medicine, Middle Aged, Female, Family Practice, Attitude to Health, Adult, psychological characteristics, medicine.medical_specialty, Psychological Techniques, type of attitude towards disease, 030209 endocrinology & metabolism, 03 medical and health sciences, Ambulatory care, Diabetes mellitus, Internal medicine, medicine, Humans, In patient, Demography, business.industry, lcsh:R, nutritional and metabolic diseases, Type 2 Diabetes Mellitus, medicine.disease, Patient Care Management, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Socioeconomic Factors, chemistry, Quality of Life, Patient Compliance, Glycated hemoglobin, business, type 1 diabetes mellitus |
| الوصف: | To analyze the types of attitude towards disease, their relationships to its course in patients with diabetes mellitus (DM).418 patients with DM, including 318 with type 2 DM (T2DM) and 100 with Type 1 (T1DM), were examined. Clinical and laboratory examinations were performed; the types of attitude towards the disease were studied.The patients with T2DM were more frequently found to have anxious (12.9%) and hypochondriacal (10.7%) types of attitude towards the disease; those with T1DM had euphoric types. The paranoiac type of disease attitude, which was characterized by the presence of peculiar notions about the disease, was detected in 15.1% of the patients with T2DM and in 13% of those with T1DM. Hypernosognosia (overreaction to disease) was more often identified in T2DM (62.3% versus 39% in T1DM (χ2; p0.001). In the T2DM group, hypernosognosia was more frequently seen in women, unemployed persons, and obese patients. With the comparable awareness about the disease and degree of self-control, the patients with T2DM with no signs of hypernosognosia had a lower glycated hemoglobin level [7.35 (6.6; 8.6)%] than those with hypernosognosia [7.9 (7; 9.4)%] (p = 0.024).The revealed peculiarities of attitude towards the disease in patients with DM justify the need for increased attention to their psychological characteristics. The situation could be improved if the physicians are be informed, the time of outpatient care is prolonged, and psychotherapists and/or clinical psychologists are widely involved in the management of diabetic patients.Цель исследования. Анализ типов отношения к болезни, их взаимосвязи с течением заболевания у пациентов с сахарным диабетом (СД). Материалы и методы. Обследовали 418 пациентов с СД: 318 с СД-2-го типа (СД-2), 100 с СД-1-го типа (СД-1). Проведено клиническое, лабораторное обследования; изучены типы отношения к болезни. Результаты. У пациентов с СД-2 чаще выявлялись тревожный (12,9%) и ипохондрический (10,7%), у пациентов с СД-1 - эйфорический типы отношения к болезни. Паранойяльный тип отношения к болезни, характеризующийся наличием особых представлений о заболевании, обнаружен у 15,1% пациентов с СД-2, у 13% с СД-1. Гипернозогнозия (чрезмерная реакция на заболевание) чаще выявлялась при СД-2: 62,3% по сравнению с 39% при СД-1 (χ2; р0,001). В группе лиц с СД-2 гипернозогнозия чаще обнаруживалась у женщин, неработающих лиц, пациентов с ожирением. У пациентов с СД-2 без признаков гипернозогнозии при сопоставимых информированности о заболевании и степени самоконтроля выявлен более низкий уровень гликированного гемоглобина: 7,35 (6,6; 8,6)% по сравнению с 7,9 (7; 9,4)% при гипернозогнозии (р=0,024). Заключение. Выявленные особенности отношения к болезни пациентов с СД обосновывают необходимость увеличения внимания к их психологическим особенностям. Ситуацию могли бы улучшить информирование врачей, увеличение времени на амбулаторный прием, более широкое включение в ведение пациентов с СД психотерапевтов и/или клинических психологов. |
| تدمد: | 2309-5342 0040-3660 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2ac861bb2f2f1c5da1570c04cf495855Test https://doi.org/10.17116/terarkh2017891022-27Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2ac861bb2f2f1c5da1570c04cf495855 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23095342 00403660 |
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