title: [Coping and management of the disease in patients with diabetes mellitus type 1].
abstract: OBJECTIVE
  To investigate how patients with DM Type 1 attending a nursing education clinic cope with the disease and to analyse the relationships between the style of coping (CS) and control-self-management of the disease.
  
  
  METHODS
  A cross sectional study was performed on all patients attending a diabetes education consultation at the Hospital of Ourense. The sociodemographic and clinical variables, as well as those related to the management of DM were collected. The Medical Questionnaire Coping Strategies of Feifel was used to assess the CS using 3 different models: confrontation (C), avoidance (A) and/or resigned acceptance (RA), and a total coping index (IMCMQ) was established. The data were analysed with SPSS 15.0 statistics program.
  
  
  RESULTS
  A total of 51 patients. The average profile of patient is of a male who had been diagnosed with DM for 14.56 years (±11.44), and with latest HbA1c levels of 7.5% (±1.04). The scores for the CS were: C 21±3.4, A 11.73 (±3.5), RA 8.47 (±1.02); IMCMQ 1.013 (±0.23). As for the relationship between the IMCMQ score and the latest HbA1c values, there were significant differences (P=0.01).
  
  
  CONCLUSIONS
  Our patients use the CS-C, understood as one in which a person tries to understand and address the situation openly. This style is the most effective and associated with best prognosis. In light of the data obtained, we can infer that our patients have an active and appropriate CS and it has a positive impact on their HbA1c values.
authors.affiliation: Servicio de Psiquiatría, Complejo Hospitalario Universitario de Ourense, España. miriamvcampo@yahoo.es
authors.forename: Miriam
authors.initials: M
authors.lastname: Vázquez-Campo
authors.forename: M Concepción
authors.initials: MC
authors.lastname: Bande-Rodríguez
authors.forename: Andrea Del Pilar
authors.initials: Adel P
authors.lastname: Pérez-Dinamarca
authors.forename: Yago
authors.initials: Y
authors.lastname: Mouriño-López
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D012648:Self Care