RESUMEN
INTRODUCTION: Examining the quality of life has a great importance in the treatment of chronic patients. AIM: The aim of the authors was to assess the national status on the basis of the database of the Hungarostudy Health Panel using statistical evaluation. METHODS: Three validated questionnaries in the test-battery served as instruments: the shortened version of the WHO Well-being Questionnaire, the Shortened Beck's Depression Scale Rating and the Illness Intrusiveness Rating Scale. RESULTS: It was found that in accordance with international data, the quality of life index of Hungarian diabetic patients was significantly worse than that of the non-diabetic population. CONCLUSIONS: International data also show that the decline in quality of life is correlated with a decline of cooperation and life expectancy of diabetic patients. This explains why methods of behavioral medicine focusing on improving life quality are of great importance, that have not yet been considered currently in psychoeducation. Referring to international examples the authors make a proposal on an extensive survey among Hungarian diabetic patients with the help of validated disease-specific questionnaires and using Transtheoretical Model in order to make education more efficient.
Asunto(s)
Diabetes Mellitus , Estado de Salud , Calidad de Vida , Adulto , Anciano , Anciano de 80 o más Años , Diabetes Mellitus/epidemiología , Eficiencia , Femenino , Encuestas Epidemiológicas , Humanos , Hungría/epidemiología , Masculino , Persona de Mediana Edad , Encuestas y CuestionariosRESUMEN
Being aware of the worldwide spread of diabetes and obesity as well as its economic effects, the authors discuss the complex, behavior remediational methods of the treatment and its current questions. They emphasize the role of chronic stress in the etiopatogenesis of insulin resistance, metabolic syndrome, and type 2 diabetes. All these require a shift of paradigm in the field of treatment too. Based on literature data and on their own practical experience, the authors consider that behavior remediational can integrate two, sometimes still opposing medical philosophical views in order to foster the efficiency of medical work. They review elements of behavior remediation of diabetes, underlining self-management, acceptance of the illness, and motivation which can be followed by teaching theoretical and practical knowledge, the ongoing diabetes education. Comorbid psychological disorders impede these processes; their early recognition and complex treatment are essential. The authors present a cognitive, behavior remediational programme of weight loss, that can be used in practise, both in prevention and treatment of diabetes.