scholarly journals PSYCHOLOGY AND CHRONIC ILLNESS: GROUP INTERVENTION IN DIABETES MELLITUS

Author(s):  
Patrícia António
2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Carlos Alberto Fernández Silva ◽  
Betty Antiñirre Mansilla ◽  
Viviana Carolina De La Hoz Chávez

Introducción: La diabetes mellitus es un problema de salud pública que ocasiona afecciones biopsicosociales en los individuos que la padecen, conllevando a la necesidad de valorar aspectos que pueden incidir en su compensación tal como la autoeficacia y la satisfacción usuaria. Materiales y métodos: Se desarrolló una investigación cuantitativa de tipo correlacional que tuvo como referente el Modelo de Promoción de la Salud, y que incluyó  por muestreo aleatorio simple a 86 individuos con diabetes mellitus tipo 2, en quienes se pudo establecer su perfil, percepción de autoeficacia y satisfacción usuaria  a través del instrumento para la evaluación de autoeficacia en Diabetes tipo 2 (alfa de Cronbach de 0,85) y el PACIC(Patient Assessment of Chronic Illness Care) (alfa de Cronbach de 0,88). Resultados: Los usuarios en su mayoría son mujeres (65%), en etapa de adulto medio (65,1%), se perciben como autoeficaces(82,6%) y muestran satisfacción por el servicio ofrecido(76,7%), presentando descompensación metabólica (57%). Se pudo apreciar asociación entre la autoeficacia y el grupo etario (p=0,002), contar con pareja (p=0,029), la hemoglobina glicosilada (p=0,007) y el estado cognitivo de los adultos mayores (p=0,017), al igual que entre la satisfacción y el grupo etario (p=0,033), el sexo (<0,001), y la situación laboral (p=0,005). Discusión: El perfil establecido coincide con el reportado en otras publicaciones. La autoeficacia y satisfacción usuaria son aspectos que se relacionan con la compensación de los usuarios. Conclusiones: Se requiere potenciar aspectos como la autoeficacia y la satisfacción usuaria,  siendo pertinente la aplicación del Modelo de Promoción de la Salud. Como citar este artículo: Fernández-Silva Carlos Alberto, Antiñirre Mansilla Betty, De La Hoz Chávez Viviana Carolina. Autoeficacia y satisfacción de los usuarios con diabetes tipo 2 de un centro de salud chileno. Revista Cuidarte. 2020; 11(2): e933. http://dx.doi.org/10.15649/cuidarte.933


PEDIATRICS ◽  
2013 ◽  
Vol 131 (4) ◽  
pp. e1196-e1203 ◽  
Author(s):  
L. Scholten ◽  
A. M. Willemen ◽  
B. F. Last ◽  
H. Maurice-Stam ◽  
E. M. van Dijk ◽  
...  

Author(s):  
Helena Vavrova

Type l diabetes is one of the most common chronic diseases, even in childhood. New data sugest a trend towards a decreasing age of onset of type 1 Diabetes mellitus.


2020 ◽  
Author(s):  
Jorge Caro-Bautista ◽  
Carmen Rodriguez-Blazquez ◽  
David Perez-Manchon ◽  
Eva Timonet ◽  
Gloria Carvajal ◽  
...  

Abstract Background: Worldwide, type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic diseases and one of those producing greatest impact on patients’ day-to-day quality of life. Our study aim is to validate the “Living with Chronic Illness Scale” for a Spanish-speaking T2DM population.Methods: In this observational, international, cross-sectional study, 582 persons with T2DM were recruited in primary care and outpatient hospital consultations, in Spain and Colombia, during the period from May 2018 to June 2019. The properties analysed were feasibility/acceptability, internal consistency, reliability, precision and (structural) content-construct validity including confirmatory factor analysis (CFA). The COSMIN checklist was used to assess the methodological/psychometric quality of the instrument.Results: The scale had an adequate internal consistency and test retest reliability (Cronbach’s alpha = 0.90; intraclass correlation coefficient = 0.96, respectively). In addition, the instrument is precise (standard error of measurement = 3.34, with values <½SD = 8.52) and correlates positively with social support (DUFSS) (rs = 0.56), quality of life (WHOQOL) (rs = 0.51-0.30) and satisfaction (SLS-6) (rs = 0.50-0.38). The original 26-items version of the scale did not support totally the CFA. The COSMIN checklist is favourable for all the properties analysed, although weaknesses are detected for structural validity.Conclusions: The LW-CI-T2DM is a valid, reliable and accurate instrument for use in clinical practice to determine how a person’s life is affected by the presence of diabetes. This instrument correlates well with the associated constructs of social support, quality of life and satisfaction. Additional research is needed to determine how well the questionnaire structure performs when robust factor analysis methods are applied.


2018 ◽  
Vol 127 (06) ◽  
pp. 367-376 ◽  
Author(s):  
Verena Zimmermann-Schlegel ◽  
Beate Wild ◽  
Peter Nawroth ◽  
Stefan Kopf ◽  
Wolfgang Herzog ◽  
...  

Abstract Objectives To explore the impact of depression on heart rate (HR) and heart rate variability (HRV) as a marker of autonomic nervous system (ANS) impairment in depressed and non-depressed patients with advanced type 2 diabetes mellitus (T2DM) and to explore possible effects of an acceptance- and mindfulness-based group intervention (MBSR) on HR and HRV. Methods Alongside a prospective clinical trial, we collected demographic, psychosocial and clinical data from 113 chronic T2DM patients in a standardized setting. At baseline and after one year, depressive mood was assessed with the Patient Health Questionnaire (PHQ-9), and autonomic function was determined by measuring HR and HRV markers. A subsample was randomly assigned to take part in eight MBSR sessions. Results Of the 113 T2DM patients (77.9% men; mean age=58.8±7.0 years; diabetes duration 11.5±7.0 years), 33 showed clinically relevant depressive symptoms at baseline. In cross-sectional analysis, we found no association between depression and HR/HRV (all comparisons p>0.05). In prospective regression analysis depression did not predict follow-up scores of HRV. The patients who participated in the MBSR intervention showed a tendency toward improved parasympathetic control (RMSSD, CV, E-I-Ratio) with small-to-moderate effect sizes (d≤0.38). Conclusions Depression was not directly associated with cardiac autonomic control in this sample, but MBSR training may have positively influenced HR and HRV. In advanced diabetes, somatic and behavioral parameters seem to be more predictive than depression for the course of autonomic functioning, but the pathways remain unclear.


2021 ◽  
pp. 100447
Author(s):  
Miriam Douma ◽  
Heleen Maurice-Stam ◽  
Bianca Gorter ◽  
Bregje A. Houtzager ◽  
Hestien J.I. Vreugdenhil ◽  
...  

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