open access

Vol 7, No 6 (2006): Practical Diabetology
Original articles (submitted)
Published online: 2006-10-18
Get Citation

Comparison of opinions specialists treating diabetes on psychosocial aspects of diabetes after 5 years of DAWN programme realization

Jacek Sieradzki, Andrzej Kokoszka, Wojciech Kot
Diabetologia Praktyczna 2006;7(6):396-404.

open access

Vol 7, No 6 (2006): Practical Diabetology
Original articles (submitted)
Published online: 2006-10-18

Abstract

INTRODUCTION. The fact that diabetes is poorly controlled by the patients led to the introduction of DAWN (Diabetes Attitudes, Wishes and Needs) study in 2001 in 13 countries all over the world, including Poland. Study results show that psychosocial aspects might be considered as one of the principal causes of unsatisfactory diabetes treatment results.
MATERIAL AND METHODS. To compare specialist doctor’s opinion on the role of psychosocial aspects of diabetes, a modified DAWN questionnaire was used in the study in 2006. 47 diabetes specialists participated in the study in 2001 and 53 in 2006.
RESULTS. The comparison of the above mentioned studies results indicates that according to the doctors’ opinion current patients compliance with the recommendations for their diabetes management has worsened and that depression symptoms, denial, burn-out are observed in a higher number of patients. According to the doctors’ opinion, patients with type 1 diabetes comply less with the recommendations regarding physical activities and regular visits in diabetes clinic, whereas patients with type 2 diabetes comply with the recommendations to a lesser extent in regard to taking their medication. The respondents have indicated that both the percentage of patients that do not understand the seriousness of diabetes is currently higher and the unwillingness to accept reality of diabetes have increased. From the doctors’ perspective, patients organize their daily life less effectively and health care providers support is considered inadequate in the case of a higher number of patients.
CONCLUSIONS. Study analysis shows that the doctors encourage patients to follow their recommendations to a lesser degree. However, it has been established that doctors, when addressing those patients who do not follow their recommendations, use start insulin therapy as a threat less frequently. In the doctors’ opinion, people with diabetes need significant psychological support whereas the doctors need further improvement of their skills of psychosocial intervention in diabetes treatment.

Abstract

INTRODUCTION. The fact that diabetes is poorly controlled by the patients led to the introduction of DAWN (Diabetes Attitudes, Wishes and Needs) study in 2001 in 13 countries all over the world, including Poland. Study results show that psychosocial aspects might be considered as one of the principal causes of unsatisfactory diabetes treatment results.
MATERIAL AND METHODS. To compare specialist doctor’s opinion on the role of psychosocial aspects of diabetes, a modified DAWN questionnaire was used in the study in 2006. 47 diabetes specialists participated in the study in 2001 and 53 in 2006.
RESULTS. The comparison of the above mentioned studies results indicates that according to the doctors’ opinion current patients compliance with the recommendations for their diabetes management has worsened and that depression symptoms, denial, burn-out are observed in a higher number of patients. According to the doctors’ opinion, patients with type 1 diabetes comply less with the recommendations regarding physical activities and regular visits in diabetes clinic, whereas patients with type 2 diabetes comply with the recommendations to a lesser extent in regard to taking their medication. The respondents have indicated that both the percentage of patients that do not understand the seriousness of diabetes is currently higher and the unwillingness to accept reality of diabetes have increased. From the doctors’ perspective, patients organize their daily life less effectively and health care providers support is considered inadequate in the case of a higher number of patients.
CONCLUSIONS. Study analysis shows that the doctors encourage patients to follow their recommendations to a lesser degree. However, it has been established that doctors, when addressing those patients who do not follow their recommendations, use start insulin therapy as a threat less frequently. In the doctors’ opinion, people with diabetes need significant psychological support whereas the doctors need further improvement of their skills of psychosocial intervention in diabetes treatment.
Get Citation

Keywords

diabetes; DAWN study; psychosocial support

About this article
Title

Comparison of opinions specialists treating diabetes on psychosocial aspects of diabetes after 5 years of DAWN programme realization

Journal

Clinical Diabetology

Issue

Vol 7, No 6 (2006): Practical Diabetology

Pages

396-404

Published online

2006-10-18

Bibliographic record

Diabetologia Praktyczna 2006;7(6):396-404.

Keywords

diabetes
DAWN study
psychosocial support

Authors

Jacek Sieradzki
Andrzej Kokoszka
Wojciech Kot

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl