Proceso de adaptación a la diabetes mellitus tipo 1 (DM1). Concordancia con las etapas del proceso de duelo descrito por Kübler-Ross

Pera, Pilar Isla; Vasallo, Joaquín Moncho; Andreu, Oscar Guasch; Rabasa, Alberto Torras

doi:10.1016/s1575-0922(08)70640-5

Cited by 20 publications

(6 citation statements)

References 6 publications

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“…In our clinical experience, some patients with cancer exhibited “grief cycle phases” similar to those described by the Kueber-Ross model (12).…”

Section: Introductionmentioning

confidence: 59%

“…We expected that patients who underwent surgery for a malignant tumor would report poor satisfaction with anesthesia. Such patients are likely to go through a grief cycle due to their cancer diagnosis (12), and it is likely that some would be in a state of denial or anger. Having previously surgery for malignancy was negatively associated with satisfaction with anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study

et al. 2019

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BackgroundAs most studies investigating patient satisfaction with anesthesia have some bias, previous results may underrepresent the true level of dissatisfaction with anesthesia.ObjectivesThis study aimed to identify factors associated with patient satisfaction with anesthesia.MethodsData from patients aged ≥ 20 years who had previous surgery and were scheduled for additional surgery were obtained retrospectively through preoperative interviews conducted. Informed consent for anesthesia was obtained by an anesthesiologist prior to the additional surgery. The patients were assigned to one of four anesthesia satisfaction levels, then were categorized into two groups; a high satisfaction group and a low satisfaction group. After comparing parameters between the two groups, logistic regression analysis was performed to identify factors that were negatively associated with satisfaction with anesthesia.ResultsOf 478 patients interviewed subjects, 469 patients were analyzed. Five individuals were excluded because they were unable to provide informed consent, and four subjects were excluded because they were aged < 10 years at the time of their previous surgery. Age < 65 years, previous surgery for malignancy, female sex, estimated operation duration < 3 hours, and American Society of Anesthesiologists Physical Status score 1 or 2 were included in a logistic regression analysis. Age < 65 years, previous surgery for malignancy, and female sex were predictive of poor patient satisfaction with anesthesia. Reasons for poor satisfaction with anesthesia included postoperative shivering and chills, fear of surgery, ineffective spinal anesthesia, and postoperative surgery-related pain. Of the patients awaiting surgery for malignancy, 57.3% had previous surgery for malignancy.ConclusionsAge < 65 years, previous surgery for malignancy, and female sex were negatively associated with patient satisfaction with anesthesia. These factors should be considered when preparing patients for future procedures to improve postoperative patient satisfaction.

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“…In our clinical experience, some patients with cancer exhibited “grief cycle phases” similar to those described by the Kueber-Ross model (12).…”

Section: Introductionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study

et al. 2019

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“… 41 , 42 Some do not know the mechanisms by which alcohol intake can reduce the levels of glycaemia 28 and tend to seek information about alcohol consumption and the prevention of hypoglycaemia from the Internet because they dare not consult the healthcare professionals. 32 , 33 , 36 , 43 …”

Section: Discussionmentioning

confidence: 99%

Type 1 Diabetes Patient Experiences Before and After Transfer from a Paediatric to an Adult Hospital

Flor¹,

Morató²,

Vergara³

et al. 2022

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Introduction The management of type 1 diabetes (T1D) is especially complex during adolescence when youths are transferred to adult care centres. The objectives of this qualitative study were to: a) determine the expectations of young T1D patients prior to transfer, b) evaluate the transfer process between the 2 centres, and c) evaluate the therapeutic education and care programme (TECP) in the adult centre from their point of view. Material and Methods Opinion sampling of adolescents from 2018–2019 was performed: Phase 1: adolescents with T1D prior to transfer to the adult hospital; Phase 2: adolescents with T1D one or two years after transfer and having undergone TECP. A focus group (1.5h) and semi-structured interviews (45 min) were performed and taped, transcribed, and sent to the participants for confirmation. Date analysis was performed of the transcriptions of the focus group and interviews. Fragments were selected and meta-categories created. Results Eleven youths accepted to participate: 7 in Phase 1, 4 repeated in Phase 2 and 4 more transferred 2 years previously were added. The meta-categories obtained were: 1) perception of the quality of care and therapeutic education in the paediatric hospital. 2) transfer to the adult hospital. 3) experience of the youths 1–2 years after transfer and having undergone TECP. The data are presented in narrative form and are supported with text fragments of the participants’ discussions. Discussion and conclusions Analysis of patients’ experience complemented by clinical-educational evaluation of TECP provides understanding of the perspectives of youths on the complexity of living with a chronic disease since childhood. It also provides information regarding the factors favouring quality care and therapeutic education, the complexity of transfer from paediatric to adult care, determination of the strong and weak points and the establishment of strategies to improve the programme.

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“…A diagnosis of T1D also leads to deterioration in the patient's health. Some authors (Isla Pera et al, 2008) who have studied adaptation to T1D have considered the process to be equivalent to the mourning process described by Kübler-Ross (1993), which includes the following stages: denial, rebellion, negotiation, depression and acceptance. In the case of T1D this latter stage would be the adaptation to the disease involving a relative sense of well-being and balance.…”

Section: Introductionmentioning

confidence: 99%

Development and Preliminary Validation of a New Type 1 Diabetes Adjustment Scale (DAS-1)

et al. 2020

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Background: This study focuses on the development and validation of a new Type 1 Diabetes Adjustment Scale (DAS-1). Method: A total of 204 participants aged 15-65 with type 1 diabetes completed the self-report measures of the DAS-1, which includes clinical and psychological variables. Results: Robust confirmatory factor analysis detected a unidimensional structure of the item scores. The omega coefficient was 0.91 and test-retest reliability was 0.87. Classifying subjects as in a Positive or Negative mood state, ROC analysis yielded an optimal cutoff of 50 for the DAS-1 scores, with a clinical accuracy of AUC = 0.85. The DAS-1 demonstrated evidence of good reliability and acceptable construct validity. Conclusion: The DAS-1 demonstrated good clinical utility, good sensitivity and adequate specificity. Clinical and theoretical implications of these results are discussed.

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Proceso de adaptación a la diabetes mellitus tipo 1 (DM1). Concordancia con las etapas del proceso de duelo descrito por Kübler-Ross

Cited by 20 publications

References 6 publications

Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study

Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study

Type 1 Diabetes Patient Experiences Before and After Transfer from a Paediatric to an Adult Hospital

Development and Preliminary Validation of a New Type 1 Diabetes Adjustment Scale (DAS-1)

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