scholarly journals PSYCHOLOGICAL STUDIES OF THE MOTIVATIONAL-SEMANTIC SPHERE IN PATIENTS WITH DIABETES MELLITUS

Author(s):  
I. Burovska

The article is devoted to the study of the motivational and semantic sphere for patients with diabetes mellitus. Description of the patients’ main directions of the psychological features are distinguished. This study aims to explorer the formation of a hierarchical system of values, attitudes, experiences and motives of this category of patients. Different approaches in the study of this problem were noted, which point to the great possibilities of prevention in the process of rehabilitation in a given subject. The leading role of psychosocial factors of impairment of their mental adaptation and quality of life in patients with diabetes mellitus is determined. Conducting theoretical analysis of modern psychological studies of the motivational and semantic sphere in patients with diabetes makes it possible to identify and analyze the main directions of rehabilitation of this category of persons, to outline the main motivational components of the disease and their relationship with the semantic sphere of each particular person. The peculiarities of the motivational and semantic sphere of persons with diabetes mellitus are described. The relationship between the motivational and intellectual sphere of personality and its influence on the formation of motives are considered. The importance of life-building and the desire to adapt to a particular way of life, to increase its qualitative characteristics and social significance, to take into account the psychological characteristics of patients, are outlined. A detailed examination of the two structural components of this study (which is one of the key tasks of this topic) allows us to more closely combine them into a single entity that forms the life-orienting purposes of patients with diabetes, and draws attention to the dynamics of motivational processes that occur in individuals during the period the course of the disease and the possibility of correction of these processes. The prospects of further researches which consist in formation and modeling of holistic construct of motivational – semantic sphere in patients with diabetes mellitus are outlined.

2019 ◽  
Vol 6 (1) ◽  
pp. 006-013
Author(s):  
Noer Saudah ◽  
Enny Virda Yuniarti ◽  
Eka Ayu Wulandari

Diabetes Mellitus was a disease that not only requires treatment but also lifestyle changes, so that often patients tend to despair with a long therapy program that will have an impact on the quality of life of patients. This study aims to determine the relationship of family roles with quality of life (QOL) in patients with Diabetes Mellitus. Design of this study was cross sectional analytic type. The population in this study were all patients with diabetes mellitus and family on May-July 2018 at Dr Wahidin Sudiro Husodo General Hospital in Mojokerto as many as 96 people. Sample selection  done by purposive sampling as many as 57 respondents. Independent variable was family roles. Dependent variable was quality of life. The instrument used a questionnaire on family roles and quality of life. By used the Spearman statistical test. The results showed that almost half of the respondents had enough family roles as many as 32 respondents (56.7%), almost all respondents had a high quality of life of 38 respondents (66.7%), and the results of p <α = 0.05 are 0.046 <0.05. There was a relationship between the role of family and quality of life in patient with diabetes mellitus. The role of a good family can improve the quality of life of patients with Diabetes Mellitus. The better the role of the family, the higher the level of quality of life of the sufferer. Therefore the family can play a role in improving the quality of life Diabetes Mellitus sufferers.


2021 ◽  
Vol 6 (2) ◽  
pp. 81
Author(s):  
Indriyati Indriyati ◽  
Eny Purwandari

Background: Diabetes mellitus is a disease that cannot be cured but can be managed both physically and psychologically. The majority of DM patients are very pessimistic about the recovery of their illness. Purpose: This study aims to find out 1) the role of depression as a mediator variable between self-concept variables and social support for the quality of life of DM patients, 2) the role of self-concept of depression, 3) the role of social support against depression and 4) the role of depression in quality of life. Methods: This study was 253 patients with diabetes mellitus at hospital dr. Moewardi Surakarta. Sampling in this study was purposive sampling. Data collection used the Beck Depression Inventory (BDI) questionnaire, Tennese Self Concept Scale (TSCS), the Hersarling Diabetes Family Support Scale (HDFSS) and the Word Health Organization Quality of Life (WHOQOL). Data analysis used path analysis method (path analysis) and strengthened by sobel test test. Results: The study showed that there was a correlation between self-concept, social support and depression on the quality of life of patients with diabetes mellitus which was characterized by the p-value of self-concept of 0.002, p value of social support, depression and quality of life of 0,000. The results of path analysis show that depression is able to be a mediator between self-concept and quality of life and the mediterator between social support for quality of life. this result is reinforced by the sobel test showing a value of> 1.98 with a significance level of 5%. Conclusion:  Depression can be a mediator between self-concept and quality of life and depression is also able to be a mediator between social support and quality of life.


2011 ◽  
Vol 14 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Marina Vladimirovna Shestakova ◽  
Minara Shamkhalovna Shamkhalova ◽  
Ivona Yanovna Yarek-Martynova ◽  
Inna Igorevna Klefortova ◽  
Olga Yur'evna Sukhareva ◽  
...  

The dramatic increase in the number of patients with diabetes mellitus (DM) and chronic renal disease (CRD) in the recent years emphasizes the closeassociation between the two conditions and the leading role of DM in the development of renal pathology. Diabetology and nephrology are highly costlybranches of public health, and the burden of substitution renal therapy in DM patients continues to grow. The necessity of a renoprotection programat the early stages of DM for the prevention or delay of terminal renal insufficiency becomes increasingly clear. Such program should be based on theconceptual model of the evolvement of diabetic nephropathy as a consequence of combined action of metabolic and hemodynamic factors modulatedby genetic ones.


2013 ◽  
Vol 16 (3) ◽  
pp. 97-102 ◽  
Author(s):  
Minara Shamkhalovna Shamkhalova ◽  
Ivona Renata Yarek-Martynova ◽  
Natalya Petrovna Trubitcyna ◽  
Marina Vladimirovna Shestakova

Expansion of diabetic population (predominantly due to type 2 diabetes mellitus) with chronic kidney disease (CKD) comorbidityconstitutes one of the major challenges in modern medicine.Throughout the course of diabetes nephropathy development, from its debut to the terminal stage, survival rate and quality of life arelower than those of other categories of patients. This indicates crucial role of hyperglycemia in accelerated metabolic degradation typicalof CKD.Renal disease severely narrows the spectrum of available glucose-lowering agents. Concurrent treatment for hypertension and dyslipidemia,as well as anti-platelet therapy and stimulation of erythropoiesis becomes a complex issue. A creative and patient-orientedapproach with clear metabolic and cardiovascular goals should be instrumental in its solution.


2018 ◽  
Vol 56 (2) ◽  
pp. 151-161 ◽  
Author(s):  
Rosario Caruso ◽  
Paola Rebora ◽  
Federica Dellafiore ◽  
Diletta Fabrizi ◽  
Barbara Riegel ◽  
...  

2011 ◽  
Vol 57 (6) ◽  
pp. e1-e47 ◽  
Author(s):  
David B Sacks ◽  
Mark Arnold ◽  
George L Bakris ◽  
David E Bruns ◽  
Andrea Rita Horvath ◽  
...  

BACKGROUND Multiple laboratory tests are used to diagnose and manage patients with diabetes mellitus. The quality of the scientific evidence supporting the use of these tests varies substantially. APPROACH An expert committee compiled evidence-based recommendations for the use of laboratory testing for patients with diabetes. A new system was developed to grade the overall quality of the evidence and the strength of the recommendations. Draft guidelines were posted on the Internet and presented at the 2007 Arnold O. Beckman Conference. The document was modified in response to oral and written comments, and a revised draft was posted in 2010 and again modified in response to written comments. The National Academy of Clinical Biochemistry and the Evidence Based Laboratory Medicine Committee of the AACC jointly reviewed the guidelines, which were accepted after revisions by the Professional Practice Committee and subsequently approved by the Executive Committee of the American Diabetes Association. CONTENT In addition to long-standing criteria based on measurement of plasma glucose, diabetes can be diagnosed by demonstrating increased blood hemoglobin A1c (Hb A1c) concentrations. Monitoring of glycemic control is performed by self-monitoring of plasma or blood glucose with meters and by laboratory analysis of Hb A1c. The potential roles of noninvasive glucose monitoring, genetic testing, and measurement of autoantibodies, urine albumin, insulin, proinsulin, C-peptide, and other analytes are addressed. SUMMARY The guidelines provide specific recommendations that are based on published data or derived from expert consensus. Several analytes have minimal clinical value at present, and their measurement is not recommended.


2009 ◽  
Vol 50 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Maurizio Pompili ◽  
David Lester ◽  
Marco Innamorati ◽  
Eleonora De Pisa ◽  
Mario Amore ◽  
...  

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