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