The Level of Fitness and Health in Diabetic Patients in Regard to the Quality of Primary Health Care Services

By Anna Abramczyk.

Published by The International Journal of Aging and Society

Format Price
Article: Print $US10.00
Published online: July 17, 2014 $US5.00

In a general population, the level of disability indicates an individuals general health condition and the quality of medical care they receive for their disability is a measure of disease consequences. In this work, factors differentiating various levels of fitness in diabetic patients recieving primary health care are presented. Research has been carried out within the scope of NCSR grant no. 6P05D02320, sampling 1,366 families and 1,986 patients with diabetes, originating from 61 randomly selected national primary health care institutions. The research has been carried out based on anonymous questionnaires among patients’ families/caregivers, as well as an analysis of medical records. Full fitness (regarding hands, legs, eyesight, hearing, spine and speech) was found only among 10% of examined patients. In patients with higher levels of fitness (full fitness and minor limitations of fitness), the following conditions were identified more often: good socioeconomic status (p<0,005), functioning in a family characterised by a higher quality of care and nursing potential (p<0,005), increased participation in social life (p<0,005), higher levels of social support (p<0,005), higher levels of knowledge about the disease (p<0,005), lack of complaints, expected behaviour in personal and oral hygiene care, examinations results closer to normal values (body weight, blood pressure), difficulties in access to medical services, lower levels of diagnostics and need for professional care (p<0,005). The level of fitness in diabetic patients is dependent on the level of the patient's knowledge about the disease, access to medical services, diagnostic quality, social support, health status, as well as the socioeconomic situation of the patient's family.

Keywords: Fitness, Diabetes, Knowledge, Health, Social Status

The International Journal of Aging and Society, Volume 3, Issue 3, July 2014, pp.11-19. Article: Print (Spiral Bound). Published online: July 17, 2014 (Article: Electronic (PDF File; 397.876KB)).

Dr. Anna Abramczyk

Professor, Department of Nursing, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Warmia and Mazury, Poland, Poland

Anna Abramczyk (Ph D), professor of University of Warmia and Mazury in Olsztyn. Author of more than 170 papers (published) about the international and national range. Expert of the Polish Committee Accreditation in the range education on the medical direction. Director and author the grant no 6P05D02320, “The quality of care above patients with diabetes on the level of the primary health care”, financed by Committee of Scientific Research in Poland. Expert in the range of public health, social medicine, diabetes care. The reviewer of works about the international and national range.