title: Quality of life and its relationship to the degree of illness acceptance in patients with diabetes and peripheral diabetic neuropathy.
abstract: OBJECTIVE
  Assessment of quality of life, especially from the psychological point of view, is likely to be strongly influenced by the degree of acceptance of one's own illness and the resultant negative emotional reactions associated with the illness itself. The aim of the present study was to determine the relationship between quality of life and the degree of acceptance of illness in diabetic patients with and without peripheral diabetic neuropathy.
  
  
  METHODS
  59 patients with diabetes were included in the study; they consisted of patients both with and without peripheral diabetic neuropathy. The degree of acceptance of illness was assessed using the Acceptance of Illness Scale (AIS) and quality of life (HRQOL - health-related quality of life) was measured using the SF-36v2.
  
  
  RESULTS
  Quality of life in people with diabetes was reduced and related to their levels of illness acceptance. Factors affecting illness acceptance in patients with peripheral diabetic neuropathy included feelings of being a burden to their family and friends (p < or = 0.05) and the belief that people in their company are made anxious by the patient's illness (p < or = 0.05). These patients also defined their health status as being worse than that of diabetic patients without additional disease complications.
  
  
  CONCLUSIONS
  Quality of life and illness acceptance were found to be strongly related. In general, patients with chronic peripheral diabetic neuropathy express lower degrees of acceptance of their illness than diabetic patients without peripheral diabetic neuropathy. Their subjective assessment of health status is also significantly worse than that of diabetic patients without neuropathy.
authors.affiliation: Department of General Nursing, Medical University of Białystok, Poland. jola.lewko@wp.pl
authors.forename: J
authors.initials: J
authors.lastname: Lewko
authors.forename: B
authors.initials: B
authors.lastname: Polityńska
authors.forename: J
authors.initials: J
authors.lastname: Kochanowicz
authors.forename: W
authors.initials: W
authors.lastname: Zarzycki
authors.forename: A
authors.initials: A
authors.lastname: Okruszko
authors.forename: M
authors.initials: M
authors.lastname: Sierakowska
authors.forename: B
authors.initials: B
authors.lastname: Jankowiak
authors.forename: M
authors.initials: M
authors.lastname: Górska
authors.forename: E
authors.initials: E
authors.lastname: Krajewska-Kułak
authors.forename: K
authors.initials: K
authors.lastname: Kowalczuk
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003929:Diabetic Neuropathies / Q000503:physiopathology* / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D010146:Pain; D010342:Patient Acceptance of Health Care; D011788:Quality of Life; D012648:Self Care; D012919:Social Behavior