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Persons with insulin-dependent diabetes mellitus: acceptance and coping ability
A Richardson1, N Adner, G Nordström
1Department of Medicine, Stockholm Söder Hospital, Stockholm, Sweden. anette.richardson@medklin.sos.sll.se
Journal of Advanced Nursing
|April 12, 2001
Summary
Higher education correlates with better acceptance and coping in individuals with insulin-dependent diabetes mellitus (IDDM). This highlights the need for personalized care for those with IDDM, especially those struggling with acceptance and coherence.
Area of Science:
- Endocrinology
- Psychology
- Public Health
Background:
- Insulin-dependent diabetes mellitus (IDDM) necessitates significant life adjustments.
- Individuals must adapt behaviors to manage the disease and its treatment effectively.
Purpose of the Study:
- To examine disease acceptance and sense of coherence in IDDM patients.
- To determine the relationship between disease acceptance and sense of coherence.
- To explore correlations with disease duration, complications, metabolic control, and demographics.
Main Methods:
- A cohort of 107 randomly selected IDDM patients (47 males, 60 females) participated.
- Data collected using the Acceptance of Disability Scale Modified (ADM), Sense of Coherence Scale (SOC), a custom questionnaire, and patient records.
Main Results:
- Higher educational attainment was linked to greater disease acceptance (ADM scores) and sense of coherence (SOC scores).
- Improved metabolic control was observed in individuals with higher ADM and SOC scores.
- A significant positive correlation was found between ADM and SOC scores, indicating better coping with higher acceptance.
Conclusions:
- Individualized care is crucial for IDDM management.
- Identifying patients with low disease acceptance and coherence is essential for targeted interventions.