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İnsülin tedavisi alan tip 1 ve tip 2 diyabet tanılı bireylerde sosyodemografik değişkenlerin hastalığı yönetim becerileri üzerine etkisinin incelenmesi

Year 2024, Volume: 9 Issue: 1, 21 - 31, 25.03.2024

Gönül Düzgün , Gökşen Polat , Elif Ünsal Avdal , Funda Sofulu

https://doi.org/10.22391/fppc.1344746

Abstract

Giriş: Tip 1 ve Tip 2 diyabet tanılı bireylerde hastalık yönetim becerilerinin başında özbakım ve özyönetim becerileri gelmektedir. Özbakımını iyi tanımlayan diyabetli bir birey özyönetim becerisi yanında hastalık yönetim becerilerini de istendik düzeye yükseltmiş olacaktır. Araştırmanın amacı; insulin tedavisi alan Tip 1 ve Tip 2 diyabet tanılı bireylerin sosyodemografik özelliklerine göre özyönetim becerilerinin değerlendirilmesidir.
Yöntem: Araştırma prospektif analitik bir çalışmadır. Araştırma kapsamına İzmir’de bir üniversite hastanesinin diyabet polikliniğine bir ayda başvuran 913 Tip 1 ve Tip 2 diyabet tanılı birey alınmıştır. Araştırma verileri Diyabetli Hasta Tanılama Formu ve Diyabet Özyönetim Beceri Formuna, araştırmacılar tarafından yüz yüze görüşme yöntemi ile toplanmıştır.
Bulgular: Hastaların %99,8’i en az bir kez diyabet eğitimi almıştır. Araştırmaya alınan bireylerin %60,8’i hiç hipoglisemi yaşamadığını belirtmiştir. Diyabet tanılı bireylerin diyabet özyönetim becerileri ve kendi kendine insülin yapma becerileri incelendiğinde; tıbbi beslenme tedavisi, egzersiz ve tedavi yönetimi, kronik komplikasyonların farkına varma, diyabetik ayakta bakım davranışları alt boyutlarında tanı değişkeni kategorileri arasında istatistik olarak anlamlı fark bulunmuştur. Diyabet tanılı bireylerin eğitim alma şekilleri, kan şekeri kontrol sıklığı ve hipoglisemi yaşama sıklığı ile diyabet özyönetim becerileri alt boyutları ile kendi kendine insülin yapma becerisi arasında anlamlı bir fark olduğu saptanmıştır (p<0,001).
Sonuç: Diyabet tanılı bireylere verilen diyabet eğitimleri özyönetim becerilerini geliştirmelerine katkı sunmaktadır. Bireylerin özyönetim becerilerini birden çok faktör etkileyebilmektedir. Diyabet tanılı bireylerin diyabet ile ilgili aldıkları eğitim sayısı, eğitim alma şekli, tedavi şekilleri, eğitim seviyesi arttıkça özyönetim becerileri ve kendi kendine insülin yapma becerileri artmaktadır. Tip 1 ve Tip 2 diyabet hastalarının yakından takip edilerek eğitim ihtiyaçları, çeşitliliği ve uygulama şekilleri düzeltilebilirse hastalık yönetimi iyileşecektir. Özellikle insülin uygulama hatalarına bağlı gelişebilecek komplikasyonlar önlenebilir.

Keywords

Diyabet özyönetim hipoglisemi

Ethical Statement

Approval was obtained from the Ethics Committee of a Training and Research Hospital in Izmir, where the study was conducted, with the decision number 38. The purpose of the study was explained to the individuals diagnosed with diabetes who participated in the study and verbal and written informed consent was obtained from the participants.

References

  • 1. Pasquel FJ, Lansang MC, Dhatariya K, Umpierrez GE. Management of diabetes and hyperglycaemia in the hospital. Lancet Diab Endoc 2021; 9(3), 174-88. https://doi.org/10.1016/S2213-8587(20)30381-8
  • 2. Sherifali D, Viscardi V, Bai JW, Ali RM. Evaluating the effect of a diabetes health coach in individuals with Type 2 Diabetes. Can J Diab 2016;40(1):84-94.https://doi.org/10.1016/j.jcjd.2015.10.006
  • 3. Demirtaş Adli G. [Tele health technologies and the role of the nurse in diabetes self-management education and support] (in Turkish). Gevher Nesibe J Med Health Sci. 2023; 8(1), 142-51. http://doi.org/10.5281/zenodo.7601177
  • 4. Bakir GG, Zengin N. [Investigation of self-management and affecting factors in individuals with diabetes] (in Turkish). J Health Life Sci. 2023; 5(1):9-17. https://doi.org/10.33308/2687248X.202351289
  • 5. Surucu HA. [Diabetes self-management education, group-based education and ındividual education] (in Turkish). DEUHYO ED. 2014; 7 (1): 46-5. https://dergipark.org.tr/tr/pub/deuhfed/issue/46810/587021
  • 6. Polat G, Avdal EU. [Diabetes technologies according to the theory of Orem's self-care deficiency] (in Turkish). DEUHYO ED. 2021;14(3):283-9. https://doi.org/10.46483/deuhfed.865886
  • 7. Sherifali D, Bai JW, Kenny M, Warren R, Ali MU. Diabetes self‐management programmes in older adults: A systematic review and meta‐analysis. Diab Med. 2015; 32(11):1404-14. https://doi.org/10.1111/dme.12780
  • 8. American Diabetes Association: Standards of medical care in diabetes abridged for primary care providers. Clin Diab. 2015; 33(2): 97–111. https://doi.org/10.2337/diaclin.33.2.97
  • 9. Disci R. Basic and Clinical Biostatistics.1st ed. Ankara: Nobel Medical Bookstore; 2023.
  • 10. Celik S. [Recommendations of diet and lifestyle in prostate cancer patients] (in Turkish). Bullet Urooncology. 2015;14(2):88-93. https://doi.org/10.4274/uob.307
  • 11. Zuhur S, Olgun N. [What level have we met the diabetes self-management education and support standards in our country?] (in Turkish). Turk J Diab Nurs. 2022; 2(1):33-8. https://doi.org/10.29228/tjdn.58310
  • 12. Orhan B, Karabacak BG. Association between cognitive and social factors and metabolic control parameters in patients with Type 2 Diabetes. Clin Exp Health Sci. 2016; 6(1):1-8. https://dergipark.org.tr/tr/pub/clinexphealthsci/issue/17866/187381
  • 13. Cıtıl R, Ozturk Y, Gunay O. [Metabolic control status and accompanying factors in diabetic patients who applied to a health center in Kayseri city center ] (in Turkish). Erciyes Med J. 2010; 32: 111-22.
  • 14. Alanyalı Z, Arslan S. [Diabetes symptoms and self-management perceptions of individuals with Type 2 Diabetes] (in Turkish). Arc Health Sci Res. 2020;7(3):238-43. https://doi.org/10.5152/ArcHealthSciRes.2020.19031
  • 15. Selen F, Polat U. Sleep quality and perceived self-management in patients with diabetic foot ulcers: Corum/Turkey. J Hitit Uni Soc Sci Inst. 2018; 11: 627-48. https://doi.org/10.17218/hititsosbil.411193
  • 16. Wallston KA, Rothman RL, Cherrington A. Psychometric Properties of the perseived diabetes self-management scale (PDSMS). J Behav Med. 2007; 30: 395-401. https://doi.org/10.1007/s10865-007-9110-y
  • 17. Ozkaptan BB, Kapucu S, Demı̇rcı̇ İ. Relationship between adherence to treatment and acceptance of illness in patients with type 2 diabetes. Cukurova Med J. 2019; 44(1): 447-54. https://doi.org/10.17826/cumj.554402
  • 18. Aydın H, Deyneli O, Yavuz D, Tarcın O, Akalın S. Does the frequency of the self -monitoring of blood glucose influence glycemic control in Type 2 Diabetic patients? Marmara Med J. 2005;18(1):13-6.
  • 19. Kara K, Cınar S. [The relation between diabetes care profile and metabolic control variables] (in Turkish). Kafkas J Med Sci. 2011; 1(2): 57-63.
  • 20. Erol O. [Hypoglycemia Fear and Nursing Role for It's Management: Review] (in Turkish). Turk Clin J Nurs Sci. 2012; 4(1):37-44. https://www.turkiyeklinikleri.com/article/tr-hipoglisemi-korkusu-ve-yonetiminde-hemsirenin-rolu-62181.html
  • 21. Świątoniowska N, Sarzyńska K, Szymańska-Chabowska A, Jankowska-Polańska B. The role of education in type 2 diabetes treatment. Diab Res Clin Pract. 2019;151:237-46. https://doi.org/10.1016/j.diabres.2019.04.004
  • 22. Huang J, Liu Y, Zhang Y, Yao H. Correlation between self-management and knowledge of and attitude to diabetes in type 2 diabetic patients in Changsha. J Central South Uni Med Sci. 2013;38:176-81. https://doi.org/10.3969/j.issn.1672-7347.2013.02.011
  • 23. Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with Type 2 Diabetes. J Diab Complications. 2010; 24(2):84-9. https://doi.org/10.1016/j.jdiacomp.2008.12.008
  • 24. de Pablos‐Velasco P, Parhofer KG, Bradley C, Eschwege E, Gonder-Frederick L, Maheux P, et al. Current level of glycaemic control and its associated factors in patients with Type 2 diabetes across Europe: Data from the panorama study. Endocrinol (Oxf). 2014;80:47-56. https://doi.org/10.1111/cen.12119
  • 25. Ahmad NS, Islahudin F, Paraidathathu T. Factors associated with good glycemic control among patients with type 2 diabetes mellitus. J Diab Invest. 2014; 5(5):563-9. https://doi.org/10.1111/jdi.12175
  • 26. ALAboudi IS, Hassali MA, Shafie AA, Saleem F. self-efficacy, self-care behaviours and glycaemic control in Type 2 diabetic patients in Riyadh, Saudi Arabia. J Public Health. 2016; 24:281-90. https://doi.org/10.1007/s10389-016-0723-x
  • 27. Avcı D, Selçuk KT. [Glycemic control and affecting factors in patients with type 2 diabetes: the role of depression] (in Turkish). GUSBD. 2016; 5(3):70-9.

Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy

Year 2024, Volume: 9 Issue: 1, 21 - 31, 25.03.2024

Gönül Düzgün , Gökşen Polat , Elif Ünsal Avdal , Funda Sofulu

https://doi.org/10.22391/fppc.1344746

Abstract

Introduction: Self-care and self-management skills are at the forefront of disease management skills in individuals with Type 1 and Type 2 diabetes. An individual with diabetes who defines his/her self-care well will have increased his/her disease management skills as well as self-management skills to the desired level. The aim of this study is to evaluate the self-management skills of individuals with Type 1 and Type 2 diabetes receiving insulin therapy according to their sociodemographic characteristics.
Method: The research is a prospective analytical study. Within the scope of the study, 913 individuals with Type 1 and Type 2 diabetes who applied to the diabetes polyclinic of a university hospital in Izmir in a month were included. The researchers collected the data through face-to-face interviews into Diabetes Patient Diagnosis Form and Diabetes Self-Management Skill Form.
Results: In study 99.8% of the patients received diabetes education at least once and 60.8% of the individuals had never experienced hypoglycemia. When the diabetes self-management skills and self-insulin making skills of individuals with diabetes are examined; A statistically significant difference was found between the diagnostic variable categories in the sub-dimensions of medical nutrition therapy, exercise and treatment management, awareness of chronic complications, and diabetic outpatient care behaviors. It was determined that there was a significant difference between the education styles of individuals with diabetes, the frequency of blood sugar control and the frequency of hypoglycemia, and the sub-dimensions of diabetes self-management skills and the ability to make insulin on their own (p<0.001).
Conclusion: Diabetes education given to individuals with diabetes contributes to their development of self-management skills. Multiple factors can affect individuals' self-management skills. As the number of educations, type of education, treatment methods, and education level of individuals with diabetes increase, their self-management skills and self-insulin making skills increase. If type 1 and type 2 diabetes patients can be followed closely and their training needs, diversity and application methods can be corrected, disease management will improve. Complications that may develop due to insulin application errors can be prevented.

Keywords

Diabetes self-management hypoglycemia

Ethical Statement

Approval was obtained from the Ethics Committee of a Training and Research Hospital in Izmir, where the study was conducted, with the decision number 38. The purpose of the study was explained to the individuals diagnosed with diabetes who participated in the study and verbal and written informed consent was obtained from the participants.

Thanks

We thank the Endocrinology Outpatient Clinic team of İzmir Katip Çelebi University Atatürk Training and Research Hospital.

References

  • 1. Pasquel FJ, Lansang MC, Dhatariya K, Umpierrez GE. Management of diabetes and hyperglycaemia in the hospital. Lancet Diab Endoc 2021; 9(3), 174-88. https://doi.org/10.1016/S2213-8587(20)30381-8
  • 2. Sherifali D, Viscardi V, Bai JW, Ali RM. Evaluating the effect of a diabetes health coach in individuals with Type 2 Diabetes. Can J Diab 2016;40(1):84-94.https://doi.org/10.1016/j.jcjd.2015.10.006
  • 3. Demirtaş Adli G. [Tele health technologies and the role of the nurse in diabetes self-management education and support] (in Turkish). Gevher Nesibe J Med Health Sci. 2023; 8(1), 142-51. http://doi.org/10.5281/zenodo.7601177
  • 4. Bakir GG, Zengin N. [Investigation of self-management and affecting factors in individuals with diabetes] (in Turkish). J Health Life Sci. 2023; 5(1):9-17. https://doi.org/10.33308/2687248X.202351289
  • 5. Surucu HA. [Diabetes self-management education, group-based education and ındividual education] (in Turkish). DEUHYO ED. 2014; 7 (1): 46-5. https://dergipark.org.tr/tr/pub/deuhfed/issue/46810/587021
  • 6. Polat G, Avdal EU. [Diabetes technologies according to the theory of Orem's self-care deficiency] (in Turkish). DEUHYO ED. 2021;14(3):283-9. https://doi.org/10.46483/deuhfed.865886
  • 7. Sherifali D, Bai JW, Kenny M, Warren R, Ali MU. Diabetes self‐management programmes in older adults: A systematic review and meta‐analysis. Diab Med. 2015; 32(11):1404-14. https://doi.org/10.1111/dme.12780
  • 8. American Diabetes Association: Standards of medical care in diabetes abridged for primary care providers. Clin Diab. 2015; 33(2): 97–111. https://doi.org/10.2337/diaclin.33.2.97
  • 9. Disci R. Basic and Clinical Biostatistics.1st ed. Ankara: Nobel Medical Bookstore; 2023.
  • 10. Celik S. [Recommendations of diet and lifestyle in prostate cancer patients] (in Turkish). Bullet Urooncology. 2015;14(2):88-93. https://doi.org/10.4274/uob.307
  • 11. Zuhur S, Olgun N. [What level have we met the diabetes self-management education and support standards in our country?] (in Turkish). Turk J Diab Nurs. 2022; 2(1):33-8. https://doi.org/10.29228/tjdn.58310
  • 12. Orhan B, Karabacak BG. Association between cognitive and social factors and metabolic control parameters in patients with Type 2 Diabetes. Clin Exp Health Sci. 2016; 6(1):1-8. https://dergipark.org.tr/tr/pub/clinexphealthsci/issue/17866/187381
  • 13. Cıtıl R, Ozturk Y, Gunay O. [Metabolic control status and accompanying factors in diabetic patients who applied to a health center in Kayseri city center ] (in Turkish). Erciyes Med J. 2010; 32: 111-22.
  • 14. Alanyalı Z, Arslan S. [Diabetes symptoms and self-management perceptions of individuals with Type 2 Diabetes] (in Turkish). Arc Health Sci Res. 2020;7(3):238-43. https://doi.org/10.5152/ArcHealthSciRes.2020.19031
  • 15. Selen F, Polat U. Sleep quality and perceived self-management in patients with diabetic foot ulcers: Corum/Turkey. J Hitit Uni Soc Sci Inst. 2018; 11: 627-48. https://doi.org/10.17218/hititsosbil.411193
  • 16. Wallston KA, Rothman RL, Cherrington A. Psychometric Properties of the perseived diabetes self-management scale (PDSMS). J Behav Med. 2007; 30: 395-401. https://doi.org/10.1007/s10865-007-9110-y
  • 17. Ozkaptan BB, Kapucu S, Demı̇rcı̇ İ. Relationship between adherence to treatment and acceptance of illness in patients with type 2 diabetes. Cukurova Med J. 2019; 44(1): 447-54. https://doi.org/10.17826/cumj.554402
  • 18. Aydın H, Deyneli O, Yavuz D, Tarcın O, Akalın S. Does the frequency of the self -monitoring of blood glucose influence glycemic control in Type 2 Diabetic patients? Marmara Med J. 2005;18(1):13-6.
  • 19. Kara K, Cınar S. [The relation between diabetes care profile and metabolic control variables] (in Turkish). Kafkas J Med Sci. 2011; 1(2): 57-63.
  • 20. Erol O. [Hypoglycemia Fear and Nursing Role for It's Management: Review] (in Turkish). Turk Clin J Nurs Sci. 2012; 4(1):37-44. https://www.turkiyeklinikleri.com/article/tr-hipoglisemi-korkusu-ve-yonetiminde-hemsirenin-rolu-62181.html
  • 21. Świątoniowska N, Sarzyńska K, Szymańska-Chabowska A, Jankowska-Polańska B. The role of education in type 2 diabetes treatment. Diab Res Clin Pract. 2019;151:237-46. https://doi.org/10.1016/j.diabres.2019.04.004
  • 22. Huang J, Liu Y, Zhang Y, Yao H. Correlation between self-management and knowledge of and attitude to diabetes in type 2 diabetic patients in Changsha. J Central South Uni Med Sci. 2013;38:176-81. https://doi.org/10.3969/j.issn.1672-7347.2013.02.011
  • 23. Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with Type 2 Diabetes. J Diab Complications. 2010; 24(2):84-9. https://doi.org/10.1016/j.jdiacomp.2008.12.008
  • 24. de Pablos‐Velasco P, Parhofer KG, Bradley C, Eschwege E, Gonder-Frederick L, Maheux P, et al. Current level of glycaemic control and its associated factors in patients with Type 2 diabetes across Europe: Data from the panorama study. Endocrinol (Oxf). 2014;80:47-56. https://doi.org/10.1111/cen.12119
  • 25. Ahmad NS, Islahudin F, Paraidathathu T. Factors associated with good glycemic control among patients with type 2 diabetes mellitus. J Diab Invest. 2014; 5(5):563-9. https://doi.org/10.1111/jdi.12175
  • 26. ALAboudi IS, Hassali MA, Shafie AA, Saleem F. self-efficacy, self-care behaviours and glycaemic control in Type 2 diabetic patients in Riyadh, Saudi Arabia. J Public Health. 2016; 24:281-90. https://doi.org/10.1007/s10389-016-0723-x
  • 27. Avcı D, Selçuk KT. [Glycemic control and affecting factors in patients with type 2 diabetes: the role of depression] (in Turkish). GUSBD. 2016; 5(3):70-9.
There are 27 citations in total.

Details

Primary Language English
Subjects Endocrinology, ​Internal Diseases
Journal Section Original Research
Authors

Gönül Düzgün 0000-0003-3584-8354

Gökşen Polat 0000-0001-9575-2325

Elif Ünsal Avdal 0000-0001-6888-0882

Funda Sofulu 0000-0002-1252-8158

Publication Date March 25, 2024
Submission Date August 17, 2023
Acceptance Date December 28, 2023
Published in Issue Year 2024 Volume: 9 Issue: 1

Cite

APA Düzgün, G., Polat, G., Ünsal Avdal, E., Sofulu, F. (2024). Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy. Family Practice and Palliative Care, 9(1), 21-31. https://doi.org/10.22391/fppc.1344746
AMA Düzgün G, Polat G, Ünsal Avdal E, Sofulu F. Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy. Fam Pract Palliat Care. March 2024;9(1):21-31. doi:10.22391/fppc.1344746
Chicago Düzgün, Gönül, Gökşen Polat, Elif Ünsal Avdal, and Funda Sofulu. “Effect of Variables of Sociodemographic on Disease Management Skills on Individuals With Type 1 and Type 2 Diabetes Receiving Insulin Therapy”. Family Practice and Palliative Care 9, no. 1 (March 2024): 21-31. https://doi.org/10.22391/fppc.1344746.
EndNote Düzgün G, Polat G, Ünsal Avdal E, Sofulu F (March 1, 2024) Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy. Family Practice and Palliative Care 9 1 21–31.
IEEE G. Düzgün, G. Polat, E. Ünsal Avdal, and F. Sofulu, “Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy”, Fam Pract Palliat Care, vol. 9, no. 1, pp. 21–31, 2024, doi: 10.22391/fppc.1344746.
ISNAD Düzgün, Gönül et al. “Effect of Variables of Sociodemographic on Disease Management Skills on Individuals With Type 1 and Type 2 Diabetes Receiving Insulin Therapy”. Family Practice and Palliative Care 9/1 (March2024), 21-31. https://doi.org/10.22391/fppc.1344746.
JAMA Düzgün G, Polat G, Ünsal Avdal E, Sofulu F. Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy. Fam Pract Palliat Care. 2024;9:21–31.
MLA Düzgün, Gönül et al. “Effect of Variables of Sociodemographic on Disease Management Skills on Individuals With Type 1 and Type 2 Diabetes Receiving Insulin Therapy”. Family Practice and Palliative Care, vol. 9, no. 1, 2024, pp. 21-31, doi:10.22391/fppc.1344746.
Vancouver Düzgün G, Polat G, Ünsal Avdal E, Sofulu F. Effect of variables of sociodemographic on disease management skills on individuals with type 1 and type 2 diabetes receiving insulin therapy. Fam Pract Palliat Care. 2024;9(1):21-3.
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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505