Perceptions of pain and diabetes in two very different groups of patients in Greece (Master thesis)

Κοντοπάνου, Μαρία


Diabetes is now one of the scourges of our time, and has a significant impact on society and charged as a normal function of a variety of organs downstream lethal. Greece has the lowest rates of diabetes type I diabetes in Europe but not for diabetes type II as its prevalence is increasing in Greece, ranging from 1-6% in rural areas to 6-12% in the cities. The Roma population is one of the most vulnerable social groups around the world, and that the direct and indirect discrimination faced by Roma for centuries has affected their health status, which is considered to be disproportionately burdened compared with non-Roma in many European countries. The purpose of this study is to examine the concepts of pain, psychological insulin resistance and diabetes between two very different groups of patients and to draw conclusions about the source of the pain related to diabetes but also their quality of life. Results. 100 patients 50 Roma and 50 Greek origin separated by group and sex,. Most Roma were 40-60 years old and the Greek were between 50-70 yrs are statistically significant (p = 0.004). There were large statistical differences in other demographics, especially smoking (p = 0.000), while there is a great difference in the levels of education (p = 0.000) as Roma had not by almost absolute majority even the basic primary education. Roma were prone to hyperlipidemia hypertension and problems associated with unmanaged type 2 diabetes who have a high incidence of the Roma. When asked about whether monitored by a doctor, most Roma replied no while the Greek patients answered yes (p = 0.000) with most choosing a private physician, while Roma only the outpatient department (p = 0.000). Regarding the substantive responses to the questionnaires are large variations in scores. Regarding the quality of life questionnaire there were few differences statistically between the two groups of patients especially Q 1 (p = 0.000) for treatment satisfaction, Q 2 (p = 0.000) for the time setting of diabetes, Q 5 (p = 0.000) for time control glucose levels,Q 6 (p = 0.000) for physical exercise, Q9 (p = 0.001) whether it is an obstacle their career, Q 11 (p = 0.038) for weight, Q14 (p = 0.000) for checkup frequency and Q15 (p = 0.000) for their knowledge of diabetes. The BIT questionnaire was in its entirety different between the two ethnic groups and with some differences between genders as well. Comparing the overall scores of questionnaires for both groups, we see that there are big differences with the Roma have always higher (worse) scores and quality of life but also for the barriers to insulin. There is a good match between the questionnaires of quality of life and approach to the insulin therapy. The differences between the two groups is statistically very significant with p = 0.000 for both questionnaires. In conclusion, it is evident from the results of this research and analysis, the difference in the treatment of diabetes and treatment with insulin in both groups of patients. Roma feel that diabetes deeply affects their quality of life .Women in general and Roma women specifically find more barriers to insulin therapy and are not willing to adopt it. Despite the fact that the promotion of the health of Roma is one of the main priorities of the European Union, a major effort by health care providers is still necessary largely because the process of integration of Roma has not achieved its objectives for the last 20 years.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Subject classification: Διαβήτης
Keywords: Διαβήτης,Πόνος,Ψυχολογική αντίσταση στην ινσουλίνη,Ρομά,Diabetes,Pain,Psychological insulin resistance,Roma
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/27799
Appears in Collections:Διατριβές Μεταπτυχιακής Έρευνας (Masters)

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