THE SIGNIFICANCE OF MULTIDISCIPLINARY APPROACH FOR THE INCREASING IN PATIENTS WITH DIABETES MELLITUS 2 TYPE QUALITY OF LIFE LEVEL

  • Anna Kohut, Dr. Municipal non-profit enterprise of the Kyiv Regional Council "Regional Psychiatric and Narcological medical association" https://orcid.org/0000-0002-2254-395X
  • Maryna Bobryk, Dr. Department of Endocrinology of Bogomolets National Medical University https://orcid.org/0000-0002-7477-213X
  • Julia Komisarenko, Dr. Bogomolets National Medical University
  • Oleg Chaban, Dr. Bogomolets National Medical University
Keywords: diabetes mellitus 2 type, health, healthcare, mental health, mental illness, stress, quality of life, social welfare

Abstract

Introduction. Diabetes mellitus 2 type has become a global health problem and is by far one of the most common chronic diseases, so there is an urgent need to provide high quality medical and social care to this patient population. It is known that this group of patients is characterized by a number of specific features that distinguish them and create difficulties for physicians in the treatment process.

Purpose. Study has been devoted to the comprehensive assessment of affecting factors on the quality of life of patients with type 2 Diabetes Mellitus (T2DM) in relationship with their psychological status indicators and level of compliance.

Materials and Methods. Study population consisted of T2DM (n=40) equivalented by the indicators of age, body mass index, blood pressure, laboratory level of blood glucose and glycated hemoglobin (HbA1c). All patients signed a voluntary informed consent before the study. Study data has been collected using informed patients form and 6 validated psychometric scales: Chaban Quality of Life Scale (CQLS), Medication Compliance Scale (MCS), Toronto Alexithymia Scale (TAS-20), Dysfunctional Attitudes Scale (DAS), Depression, Anxiety and Stress Scale (DASS-21)) and Holmes and Rahe Stress Scale (HRSS). Glycemic control has been based on HbA1c results and blood glucose level.

 Results.  Statistically significant difference has been found between the groups of the patients with high, middle and low level of their commitment to therapy according to MCS results. A significant correlation has been found between the following indicators: HbA1c and body mass index of patients with T2DM (p = .19; r = .368) and presence of alexithymia (p = .039; r = - .328). Depending on the level of quality of life with numeral scores of results with other scales: MCS (p = .361; r = .022); DAS (p = .027; r = - .350), stress level (DASS - 21) (p = .038; r = - .339), depression (DASS - 21) (p = .002; r = -. 471) and HRSS (p = .006; r = - .425).

Conclusion: Psychological indicators identified by results of research such as, level of: compliance, cognitive distortions, depression, stress resistance and social adaptation — affected quality of life of T2DM patients, as well as indicators of alexithymia, anxiety, and quality of life affected the level of their commitment to treatment. Patients with low level of compliance and quality of life had the increased risk of treatment non-efficiency as a result. Therefore,  multidisciplinary approach in the treatment of each individual patient, would potentially improving the adherence and effectiveness of T2DM treatment

Author Biographies

Maryna Bobryk, Dr., Department of Endocrinology of Bogomolets National Medical University

Department of Endocrinology

Julia Komisarenko, Dr., Bogomolets National Medical University

Department of Endocrinology

Oleg Chaban, Dr., Bogomolets National Medical University

Department of Medical Psychology, Psychosomatic Medicine and Psychotherapy

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Kohut, A., Potapov, O., Frankova, I., Bobryk, M., Komisarenko, J., & Chaban, O. (2019). Multidisciplinary Intention: Revealing The Consequence of Psychosocial Factors on the Adherence to Treatment of the Patients with Type 2 Diabetes Mellitus. Mental Health: Global Challenges Journal, 2(1), 15-17. https://doi.org/10.32437/mhgcj.v2i1.43

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Published
2019-12-27
How to Cite
Kohut, A., Bobryk, M., Komisarenko, J., & Chaban, O. (2019). THE SIGNIFICANCE OF MULTIDISCIPLINARY APPROACH FOR THE INCREASING IN PATIENTS WITH DIABETES MELLITUS 2 TYPE QUALITY OF LIFE LEVEL. Mental Health: Global Challenges Journal, 70-75. https://doi.org/10.32437/MHGCJ-2019(0).71