What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?
Details
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State: Public
Version: Final published version
State: Public
Version: Final published version
Serval ID
serval:BIB_2A98D1487919
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?
Journal
Swiss Medical Weekly
ISSN
1424-7860
Publication state
Published
Issued date
06/2005
Peer-reviewed
Oui
Volume
135
Number
25-26
Pages
365-71
Language
english
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Jun 25
Research Support, Non-U.S. Gov't --- Old month value: Jun 25
Abstract
BACKGROUND: Despite increasing importance of patient self-management, little is known about their own perceptions and treatment goals. OBJECTIVES: The aim of this explorative study was to examine what diabetic patients perceive as most concerning and what their own treatment goals are. METHODS: A 23-item anonymous questionnaire was distributed among type 1 diabetic patients treated with and without an insulin pump and insulin treated type 2 diabetic patients in the outpatient clinic of a University Hospital. 86% of the questionnaires were returned (n = 124). RESULTS: In open-ended questions, patients in all three groups together felt mostly restricted by their loss of freedom (24%), the dietary restrictions (17%) and the need to measure blood glucose (17%). Patients treated with an insulin pump worried more about hypoglycaemia and less about dietary restrictions. In closed-ended questions, patients were mostly concerned about hypoglycaemia and developing complications. However, the main treatment goal of both groups together was long-term good blood glucose control (63%). Further patient goals were the prevention of complications (27%) and the preservation of a good quality of life. Quality of life was a more important goal for type 1 diabetic patients (29%) than for type 2 diabetic patients (0%). Patients thought that blood glucose control was more important for their physicians (main treatment goal for 86%) than for themselves. CONCLUSION: Insulin treated patients with diabetes spontaneously express concerns about their actual quality of life and daily hassles and mention long-term worries after explicit questioning. For their main treatment goals they choose mainly long-term goals. According to the patients, physicians tend to overestimate blood glucose control.
Keywords
Adult
Aged
Blood Glucose/analysis
Blood Glucose Self-Monitoring
Diabetes Complications/epidemiology
Diabetes Mellitus, Type 1/*drug therapy/psychology
Diabetes Mellitus, Type 2/*drug therapy/psychology
Diet
Female
Humans
Hypoglycemic Agents/administration & dosage/*therapeutic use
Insulin/administration & dosage/*therapeutic use
Insulin Infusion Systems
Male
Middle Aged
Motor Activity
Physician-Patient Relations
Quality of Life
Weight Loss
Pubmed
Web of science
Create date
15/02/2008 17:19
Last modification date
20/08/2019 13:10