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      Perceived quality of life and acceptance of illness in people with type 2 diabetes mellitus

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          Abstract

          Objectives

          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.

          Material and methods

          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.

          Results

          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.

          Conclusions

          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.

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          Most cited references24

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          Impact of recent increase in incidence on future diabetes burden: U.S., 2005-2050.

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            Stress and coping in the explanation of psychological adjustment among chronically ill adults.

            This study evaluates the utility of a stress and coping paradigm for explaining individual differences in psychological adjustment to chronic illness. Using data from the first wave of a longitudinal study of 170 middle-aged and elderly adults faced with one of four chronic illnesses (hypertension, diabetes mellitus, cancer and rheumatoid arthritis), this paper examines the relationship between the stresses of chronic illness and coping, and the ability of coping to explain psychological adjustment. Results show coping strategy use tends to be minimally explained by medical diagnosis. Cognitive strategies, including information seeking, are related to positive affect while emotional strategies, particularly those involving avoidance, blame and emotional ventilation, are related to negative affect, lowered self-esteem and poorer adjustment to illness. While the findings suggest that a stress and coping model may be valuable in understanding adjustment among the chronically ill, the general modesty of coping effects and the failure of the stress buffering hypothesis to explain adjustment indicates a need for new research approaches and some modification of current theories of coping.
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              Gender differences in domain-specific self-esteem: A meta-analysis.

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                Author and article information

                Journal
                Prz Menopauzalny
                Prz Menopauzalny
                MR
                Przegla̜d Menopauzalny = Menopause Review
                Termedia Publishing House
                1643-8876
                2299-0038
                11 October 2017
                September 2017
                : 16
                : 3
                : 79-85
                Affiliations
                Department of Hygiene, Poznan University of Physical Education, Poznan, Poland
                Author notes
                Corresponding author: Zbigniew Kasprzak, Department of Hygiene, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznan, Poland. e-mail: kasprzak@ 123456awf.poznan.pl
                Article
                30779
                10.5114/pm.2017.70583
                5834920
                29507573
                aac3a55f-f112-46f5-83e7-747b6ff6fbed
                Copyright: © 2017 Termedia Sp. z o. o.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

                History
                : 29 March 2017
                : 08 June 2017
                Categories
                Original Paper

                diabetes type 2,quality of life,illness acceptance,age
                diabetes type 2, quality of life, illness acceptance, age

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