Psychological adaptation to and acceptance of type 2 diabetes<i>mellitus</i>

Bertolin, Daniela Comelis; Pace, Ana Emilia; Cesarino, Claudia Bernardi; Ribeiro, Rita de Cassia Helu Mendonça; Ribeiro, Renato Mendonça

doi:10.1590/1982-0194201500074

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Acta Paulista de Enfermagem

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Original Articles • Acta Paul Enferm. 28 (5) • Aug 2015 • https://doi.org/10.1590/1982-0194201500074 copy

Psychological adaptation to and acceptance of type 2 diabetesmellitus

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To evaluate individuals’ psychological adaptation to type 2 diabetes mellitus throughout acceptance of the disease and its relation with perceived stress and values of glycated hemoglobin (A_1c) before and after group educational intervention.

Methods

Quasi-experimental study developed at outpatient unit that included 77 participants who fulfilled inclusion criteria. The study instruments were a questionnaire that obtained sociodemographic variables and the Acceptance of Disease Scale and Perceived Stress Scale, both applied during interviews before and after group education intervention using Diabetes Conversations Maps.

Results

Interviewed patients showed improvements in the acceptance of the disease after educational intervention. We observed an inverse relation between acceptance of the disease, perceived stress, and the mean glycated hemoglobin (A_1c) value before and after the intervention.

Conclusion

Acceptance of type 2 diabetes can improve after a group educational intervention. A high score for acceptance of the disease was related to a low score for perceived stress and lower mean glycated hemoglobin (A_1c) value.

Adaptation, psychological; Diabetes mellitus, type 2; Patient acceptance of health care; Nursing care

Items of Brazilian version of the Acceptance of Disease Scale (α=0.81)	Item-total correlation	Cronbach alpha if the item is removed
To me, accepting limitations of my disease is difficult	0.31	0.82
Because of my health I can´t do things I’d like to do	0.55	0.78
Sometimes my disease makes me feel useless	0.68	0.76
Health problems make me more dependent on others than I’d like to	0.54	0.79
My disease makes me feel like a burden to my family and friends	0.66	0.77
My disease does not make feel useless	0.36	0.81
I’ll never be self-sufficient at such a level to feel happy	0.44	0.80
I often think that people feel uncomfortable staying with me because of my disease	0.66	0.77

Items	1 r (p-value)	2 r (p-value)	3 r (p-value)	4 r (p-value)	5 r (p-value)	6 r (p-value)	7 r (p-value)	8 r (p-value)
1	1
2	0.30(0.007)*	1
3	0.15(0.184)	0.56(0.000)*	1
4	0.22(0.052)	0.35(0.001)*	0.50(0.000)*	1
5	0.32(0.003)*	0.30(0.006)*	0.49(0.000)*	0.48(0.000)*	1
6	0.23(0.044)*	0.30(0.008)*	0.31(0.004)*	0.17(0.126)	0.30(0.009)*	1
7	0.08(0.942)	0.36(0.001)*	0.47(0.000)*	0.34(0.002)*	0.37(0.001)*	0.20(0.078)	1
8	0.25(0.023)*	0.36(0.001)*	0.60(0.000)*	0.44(0.000)*	0.74(0.000)*	0.24(0.034)*	0.30(0.007)*	1

Variable	X Hb A_1c T₀ r* (p-value)	X Hb A_1c T₁₂ r* (p-value)	Perceived Stress Scale T₀ r** (p-value)	Perceived Stress Scale T₁₂ r** (p-value)
Acceptance of the disease Scale	-0.23 0.03*	-0.36 0.00***	-0.47 <0.00***	-0.49 <0.00***

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author
Daniela Comelis Bertolin Bandeirantes Avenue, 3900, Monte Alegre, Ribeirão Preto, SP, Brazil. Zip Code: 14040-902 danielacomelisbertolin@gmail.com