İnsülin Kullanan ve Kullanmayan Tip 2 Diyabetli Bireylerin Öz-Yeterlilik Düzeylerinin Belirlenmesi
Year 2024,
Volume: 8 Issue: 2, 201 - 219, 26.08.2024
Ayşe Topuz
,
Mağfiret Kara Kaşıkçı
Abstract
Bu çalışma insülin kullanan ve kullanmayan tip 2 diyabetli bireylerin öz yeterlilik düzeylerini belirlemek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel türdeki çalışma, Eylül-2018-Ocak 2019 tarihleri arasında bir kamu hastanesinin dahiliye kliniklerinde gerçekleştirilmiştir. Karşılaştırma amacıyla iki gruba ayrılan örneklem büyüklüğünü insülin kullanan 200 birey ve insülin kullanmayan 200 birey oluşturmuştur. Verilerin toplanmasında Tanıtıcı Özellikler Formu ve Diyabet Yönetimi Öz-Yeterlilik Skalası kullanılmıştır. 400 katılımcının %69.8'inin kadın, %52.3'ünün 50-64 yaş aralığında olduğu belirlenmiştir. Ölçeğin toplam puanları açısından ise iki grup arasında anlamlı farklılık bulunamamıştır. Fiziksel aktivite alt boyutu puan ortalamaları gruplar arasında anlamlı düzeyde değişmemiştir. Ancak insülin kullanmayan bireylerin diyet-ayak kontrolü alt boyutunda puan ortalamaları daha yüksektir. Tıbbi tedavi alt boyutu puan ortalamaları ise insülin kullananlarda daha yüksektir. Bu çalışmada kullanılan tedavi türüne göre gruplandırılan bireylerin öz yeterlilik düzeylerinde anlamlı bir farklılık bulunmamış olup öz yeterliliklerinin ise orta düzeyde olduğu görülmüştür.
Project Number
there is no
References
- Ahmad Sharoni, S. K., Abdul Rahman, H., Minhat, H. S., Shariff-Ghazali, S., & Azman-Ong, M. H. (2018). The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility. Peninsular Malaysia. PloS one, 13(3), 1-13.
- Akpınar, B.N., Ceran, A.M., Şafak, Ş., & Özkalp, B. (2019). Hemodiyaliz hastalarının öz yeterlilik durumu, bakım gereksinimi ve günlük yaşam aktivitelerini gerçekleştirebilme düzeyleri. Hemşirelik Bilimi Dergisi, 2(1), 5-10.
- Al-Khawaldeh, O. A., Al-Hassan, M. A. & Froelicher, E. S. (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. Journal of Diabetes and its Complications, 26(1), 10–16.
- Almutary, H. & Tayyib, N. (2021). Evaluating self-efficacy among patients undergoing dialysis therapy. Nursing Reports (Pavia, Italy), 11(1), 195–201.
- American Diabetes Association. (2022). 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes-2022. Diabetes Care 2022, 45(1), 125-143.
- Azami, G., Soh, K. L., Sazlina, S. G., Salmiah, M. S., Aazami, S., Mozafari, M., & Taghinejad, H. (2018). Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes. Journal of Diabetes Research, 2018(1), 4930157. https://doi.org/10.1155/2018/4930157
- Bijl, J.V., Poelgeest-Eeltink, A. V. & Shortridge-Baggett, L. (1999). The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30(2), 352–359.
- Calli, D. & Kartal, A. (2021). The relationship between self-efficacy of diabetes management and well-being in patients with type 2 diabetes. Nigerian Journal of Clinical Practice, 24(3), 393–399.
- Çetinkaya, F. & Karadakovan, A. (2023). Examination of self-efficiency levels of diabetic patients aged 65 and over. Journal of Turkish Nurses Association, 4(1), 14-26.
- D'Souza, M. S., Karkada, S. N., Parahoo, K., Venkatesaperumal, R., Achora, S., & Cayaban, A. R. R. (2017). Self-efficacy and self-care behaviours among adults with type 2 diabetes. Applied Nursing Research, 36, 25–32.
- El Berri, H., Gedik, F. G., Belkhadir, J., Catton, H., Hammerich, A., Oweis, A., & Slama, S. (2020). Tackling diabetes: how nurses can make the difference. The Eastern Mediterranean Health Journal (EMHJ), 26(11), 1318–1319.
- Eliasson, B. (2003). Cigarette smoking and diabetes. Progress in Cardiovascular Diseases, 45(5), 405–413.
- Gedik, S. & Kocoglu, D. (2018). Self-efficacy level among patients with type 2 diabetes living in rural areas. Rural and Remote Health, 18(1), 4262.
- Giezeman, M., Theander, K., Zakrisson, A. B., Sundh, J., & Hasselgren, M. (2022). Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy. Scandinavian Journal of Primary Health Care, 40(2), 208–216.
- Gonzalez, J. S., Tanenbaum, M. L. & Commissariat, P. V. (2016). Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice. The American Psychologist, 71(7), 539–551.
- Gupta, S. K., Lakshmi, P. V. M., Rastogi, A., & Kaur, M. (2021). Development and evaluation of self-care intervention to improve self-care practices among people living with type 2 diabetes mellitus: a mixed-methods study protocol. BMJ Open, 11(7), e046825.
- Ha, F. J., Hare, D. L., Cameron, J. D., & Toukhsati, S. R. (2018). Heart failure and exercise: A narrative review of the role of self-efficacy. Heart, Lung & Circulation, 27(1), 22–27.
- Hayward, R. & Stynes, S. (2021). Self-efficacy as a prognostic factor and treatment moderator in chronic musculoskeletal pain patients attending pain management programmes: A systematic review. Musculoskeletal Care, 19(3), 278–292.
- Heydarian, N. M., Brown-Podgorski, B. & Ramirez, J. (2021). Visual Impairment and self-efficacy in diabetes management. The Science of Diabetes Self-Management and Care, 47(5), 346–354.
- Huang, M. C., Hung, C. H., Huang, Y. W., & Yang, S. C. (2021). Predictors of self-efficacy in administering insulin injection. Clinical Nursing Research, 30(2), 120–126.
- International Diabetes Federation. (2015). Diabetes atlas 2015. https://www.diabetesatlas.org/upload/resources/previous/files/7/IDF%20Diabetes%20Atlas%207th.pdf
- International Diabetes Federation. (2021). Diabetes atlas 2021. https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf
- Johnston-Brooks, C. H., Lewis, M. A., & Garg, S. (2002). Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes. Psychosomatic Medicine, 1, 43–51.
- Kara, M., Van Der Bijl, J. J., Shortridge-Baggett, L. M., Asti, T., & Ergüney, S. (2006). Cross-cultural adaptation of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus: scale development. International Journal of Nursing Studies, 43(5), 611–621.
- Karimy, M., Koohestani, H.R., & Araban, M. (2018). The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology & Metabolic Syndrome, 10(86), 1-6.
- Kayar, Y., Çetin, H., & Ağın, M. (2019). Tip 2 diyabetes mellitus hastalarında sigara içiciliği ile diyabetik komplikasyonlar arasındaki ilişki. Cukurova Medical Journal, 44(1), 110-117.
- Ko, C. H., & Gu, M. O. (2004). The effects of a diabetic educational program for coping with problem situation on self-efficacy, self-care behaviors, coping and glycemic control in type 2 diabetic patients. Journal of Korean Academy of Nursing, 34(7), 1205–1214.
- Kumah, E., Afriyie, E. K., Abuosi, A. A., Ankomah, S. E., Fusheini, A., & Otchere, G. (2021). Influence of the model of care on the outcomes of diabetes self-management education program: A scoping review. Journal of Diabetes Research, 2021, 2969243. https://doi.org/10.1155/2021/2969243
- Lahoz-Rallo, B., Blanco-Gonzalez, M., Casas-Ciria, I., Marín-Andrade, J. A., Mendez-Segovia, J. C., Moratalla-Rodriguez, G., Quintero-Dominguez, R., Ramirez-Raya, M., Guerrero-Pinedo, M. J., & Aguilar-Diosdado, M. (2007). Cardiovascular disease risk in subjects with type 2 diabetes mellitus in a population in southern Spain. Diabetes Research and Clinical Practice, 76(3), 436–444.
- Lee, D.S.U., & Lee, H. (2022). Adherence and persistence rates of major antidiabetic medications: a review. Diabetology & Metabolic Syndrome, 14(1), 12.
- Lee, H., Ahn, S., & Kim, Y. (2009). Self-care, Self-efficacy, and glycemic control of Koreans with diabetes mellitus. Asian Nursing Research, 3(3), 139–146.
- Muz, G., & Eğlence, R. (2013). Hemodiyaliz uygulanan hastalarda öz bakım gücü ve öz yeterliliğin değerlendirilmesi. Balıkesir Sağlık Bilimleri Dergisi, 2(1), 15-21.
- Olgun, N. & Altun, A.Z. (2012). Effects of education based on health belief model on nursing implication in patients with diabetes. Hacettepe University Health Science Faculty Journal of Nursing, 19(2), 46-57.
- Oluma, A., Abadiga, M., Mosisa, G., Fekadu, G., & Turi, E. (2020). Perceived self-efficacy and associated factors among adult patients with type 2 diabetes mellitus at public hospitals of Western Ethiopia, 2020. Patient Preference and Adherence, 14, 1689–1698.
- Öntaş, E. & Aslan, D. (2018). Küresel yetişkin tütün araştırması; Türkiye 2016 verileri. https://halksagligi.hacettepe.edu.tr/duyurular/halkayonelik/kyta2016.pdf
- Piragine, E., Petri, D., Martelli, A., Calderone, V., & Lucenteforte, E. (2023). Adherence to oral antidiabetic drugs in patients with type 2 diabetes: Systematic review and meta-analysis. Journal of Clinical Medicine, 12(5), 1981.
- Sangruangake, M., Jirapornkul, C. & Hurst, C. (2017). Psychometric properties of diabetes management self-efficacy in Thai type 2 diabetes mellitus patients: a multicenter study. International Journal of Endocrinology, 2017, 2503156. https://doi.org/10.1155/2017/2503156
- Saundankar, V., Peng, X., Fu, H., Ascher-Svanum, H., Rodriguez, A., Ali, A., Slabaugh, L., Young, P., & Louder, A. (2016). Predictors of change in adherence status from 1 year to the next among patients with type 2 diabetes mellitus on oral antidiabetics drugs. Journal of Managed Care & Specialty Pharmacy, 22(5), 467–482.
- Selzler, A. M., Habash, R., Robson, L., Lenton, E., Goldstein, R., & Brooks, D. (2020). Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis. Patient Education and Counseling, 103(4), 682–692.
- Spain, C. V., Wright, J. J., Hahn, R. M., Wivel, A., & Martin, A.A. (2016). Self-reported barriers to adherence and persistence to treatment with injectable medications for type 2 diabetes. Clinical Therapeutics, 38(7), 1653–1664.
- Subramanian, S. C., Porkodi, A., & Akila, P. (2020). Effectiveness of nurse-led intervention on self-management, self-efficacy and blood glucose level among patients with Type 2 diabetes mellitus. Journal of Complementary & Integrative Medicine, 17(3), 10.1515/jcim-2019-0064.
- Trost, J.A. (1986) Statistically non-representative stratified sampling: A sampling technique for qualitative studies. Qualitative Sociology, 9(1), 54–57.
- Wu, J. R., Lennie, T. A., Chung, M. L., Frazier, S. K., Dekker, R. L., Biddle, M. J., & Moser, D. K. (2012). Medication adherence mediates the relationship between marital status and cardiac event-free survival in patients with heart failure. Heart & Lung: The Journal of Critical Care, 41(2), 107–114.
- Xie, X. T., Liu, Q., Wu, J., & Wakui, M. (2009). Impact of cigarette smoking in type 2 diabetes development. Acta Pharmacologica Sinica, 30(6), 784–787.
- Yanık, T.Y. & Erol, Ö. (2016). Tip 2 diyabetli bireylerin öz-yeterlilik düzeylerinin değerlendirilmesi. Journal of Anatolia Nursing and Health Sciences, 19(3), 166-174.
- Yi, Q. F., Yang, G. L. & Yan, J. (2021). Self-Efficacy intervention programs in patients with chronic obstructive
pulmonary disease: narrative review. International Journal of Chronic Obstructive Pulmonary Disease, 16, 3397–3403.
- Young, H. M., Miyamoto, S., Dharmar, M., & Tang-Feldman, Y. (2020). Nurse coaching and mobile health compared with usual care to improve diabetes self-efficacy for persons with type 2 diabetes: Randomized controlled trial. JMIR mHealth and uHealth, 8(3), e16665.
The determination of self-efficacy levels of individuals with type 2 diabetes using and not using insulin
Year 2024,
Volume: 8 Issue: 2, 201 - 219, 26.08.2024
Ayşe Topuz
,
Mağfiret Kara Kaşıkçı
Abstract
It is aimed to determine the self-efficacy levels of individuals with type 2 diabetes using and not using insulin. The descriptive and cross-sectional study was conducted in the internal medicine clinics of a public hospital between September 2018 and January 2019. A total of 200 individuals who used insulin and 200 individuals who did not use insulin made up the sample size, which was separated into two groups for comparison. The Descriptive Characteristics Form and Diabetes Management Self-Efficacy Scale was used to collect the data. Of the 400 participants, 69.8% were identified as female, 52.3% were between the ages of 50 and 64. No significant differences were detected between the two groups in terms of the total scores of the scale. The physical activity subscale mean scores did not change significantly between the groups. However, individuals who did not use insulin had a higher mean score on the diet and foot control subscale. The mean scores for the medical treatment subscale were higher in insulin users. In this study, there was no significant difference in the self-efficacy levels among individuals grouped according to the type of treatment used, and their self-efficacy was found to be at a moderate level.
Ethical Statement
The study was approved by the Local Ethics Committee (Approval No: KB–622/2018; 11 June 2018; 2018-5/4). The study's specifics were made available to the study's participants in great detail. Written informed consent was obtained from the participants. The study was carried out in line with the principles of the Helsinki Declaration and Good Clinical Practice.
Supporting Institution
No
Project Number
there is no
Thanks
All authors thank you.
References
- Ahmad Sharoni, S. K., Abdul Rahman, H., Minhat, H. S., Shariff-Ghazali, S., & Azman-Ong, M. H. (2018). The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility. Peninsular Malaysia. PloS one, 13(3), 1-13.
- Akpınar, B.N., Ceran, A.M., Şafak, Ş., & Özkalp, B. (2019). Hemodiyaliz hastalarının öz yeterlilik durumu, bakım gereksinimi ve günlük yaşam aktivitelerini gerçekleştirebilme düzeyleri. Hemşirelik Bilimi Dergisi, 2(1), 5-10.
- Al-Khawaldeh, O. A., Al-Hassan, M. A. & Froelicher, E. S. (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. Journal of Diabetes and its Complications, 26(1), 10–16.
- Almutary, H. & Tayyib, N. (2021). Evaluating self-efficacy among patients undergoing dialysis therapy. Nursing Reports (Pavia, Italy), 11(1), 195–201.
- American Diabetes Association. (2022). 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes-2022. Diabetes Care 2022, 45(1), 125-143.
- Azami, G., Soh, K. L., Sazlina, S. G., Salmiah, M. S., Aazami, S., Mozafari, M., & Taghinejad, H. (2018). Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes. Journal of Diabetes Research, 2018(1), 4930157. https://doi.org/10.1155/2018/4930157
- Bijl, J.V., Poelgeest-Eeltink, A. V. & Shortridge-Baggett, L. (1999). The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30(2), 352–359.
- Calli, D. & Kartal, A. (2021). The relationship between self-efficacy of diabetes management and well-being in patients with type 2 diabetes. Nigerian Journal of Clinical Practice, 24(3), 393–399.
- Çetinkaya, F. & Karadakovan, A. (2023). Examination of self-efficiency levels of diabetic patients aged 65 and over. Journal of Turkish Nurses Association, 4(1), 14-26.
- D'Souza, M. S., Karkada, S. N., Parahoo, K., Venkatesaperumal, R., Achora, S., & Cayaban, A. R. R. (2017). Self-efficacy and self-care behaviours among adults with type 2 diabetes. Applied Nursing Research, 36, 25–32.
- El Berri, H., Gedik, F. G., Belkhadir, J., Catton, H., Hammerich, A., Oweis, A., & Slama, S. (2020). Tackling diabetes: how nurses can make the difference. The Eastern Mediterranean Health Journal (EMHJ), 26(11), 1318–1319.
- Eliasson, B. (2003). Cigarette smoking and diabetes. Progress in Cardiovascular Diseases, 45(5), 405–413.
- Gedik, S. & Kocoglu, D. (2018). Self-efficacy level among patients with type 2 diabetes living in rural areas. Rural and Remote Health, 18(1), 4262.
- Giezeman, M., Theander, K., Zakrisson, A. B., Sundh, J., & Hasselgren, M. (2022). Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy. Scandinavian Journal of Primary Health Care, 40(2), 208–216.
- Gonzalez, J. S., Tanenbaum, M. L. & Commissariat, P. V. (2016). Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice. The American Psychologist, 71(7), 539–551.
- Gupta, S. K., Lakshmi, P. V. M., Rastogi, A., & Kaur, M. (2021). Development and evaluation of self-care intervention to improve self-care practices among people living with type 2 diabetes mellitus: a mixed-methods study protocol. BMJ Open, 11(7), e046825.
- Ha, F. J., Hare, D. L., Cameron, J. D., & Toukhsati, S. R. (2018). Heart failure and exercise: A narrative review of the role of self-efficacy. Heart, Lung & Circulation, 27(1), 22–27.
- Hayward, R. & Stynes, S. (2021). Self-efficacy as a prognostic factor and treatment moderator in chronic musculoskeletal pain patients attending pain management programmes: A systematic review. Musculoskeletal Care, 19(3), 278–292.
- Heydarian, N. M., Brown-Podgorski, B. & Ramirez, J. (2021). Visual Impairment and self-efficacy in diabetes management. The Science of Diabetes Self-Management and Care, 47(5), 346–354.
- Huang, M. C., Hung, C. H., Huang, Y. W., & Yang, S. C. (2021). Predictors of self-efficacy in administering insulin injection. Clinical Nursing Research, 30(2), 120–126.
- International Diabetes Federation. (2015). Diabetes atlas 2015. https://www.diabetesatlas.org/upload/resources/previous/files/7/IDF%20Diabetes%20Atlas%207th.pdf
- International Diabetes Federation. (2021). Diabetes atlas 2021. https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf
- Johnston-Brooks, C. H., Lewis, M. A., & Garg, S. (2002). Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes. Psychosomatic Medicine, 1, 43–51.
- Kara, M., Van Der Bijl, J. J., Shortridge-Baggett, L. M., Asti, T., & Ergüney, S. (2006). Cross-cultural adaptation of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus: scale development. International Journal of Nursing Studies, 43(5), 611–621.
- Karimy, M., Koohestani, H.R., & Araban, M. (2018). The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology & Metabolic Syndrome, 10(86), 1-6.
- Kayar, Y., Çetin, H., & Ağın, M. (2019). Tip 2 diyabetes mellitus hastalarında sigara içiciliği ile diyabetik komplikasyonlar arasındaki ilişki. Cukurova Medical Journal, 44(1), 110-117.
- Ko, C. H., & Gu, M. O. (2004). The effects of a diabetic educational program for coping with problem situation on self-efficacy, self-care behaviors, coping and glycemic control in type 2 diabetic patients. Journal of Korean Academy of Nursing, 34(7), 1205–1214.
- Kumah, E., Afriyie, E. K., Abuosi, A. A., Ankomah, S. E., Fusheini, A., & Otchere, G. (2021). Influence of the model of care on the outcomes of diabetes self-management education program: A scoping review. Journal of Diabetes Research, 2021, 2969243. https://doi.org/10.1155/2021/2969243
- Lahoz-Rallo, B., Blanco-Gonzalez, M., Casas-Ciria, I., Marín-Andrade, J. A., Mendez-Segovia, J. C., Moratalla-Rodriguez, G., Quintero-Dominguez, R., Ramirez-Raya, M., Guerrero-Pinedo, M. J., & Aguilar-Diosdado, M. (2007). Cardiovascular disease risk in subjects with type 2 diabetes mellitus in a population in southern Spain. Diabetes Research and Clinical Practice, 76(3), 436–444.
- Lee, D.S.U., & Lee, H. (2022). Adherence and persistence rates of major antidiabetic medications: a review. Diabetology & Metabolic Syndrome, 14(1), 12.
- Lee, H., Ahn, S., & Kim, Y. (2009). Self-care, Self-efficacy, and glycemic control of Koreans with diabetes mellitus. Asian Nursing Research, 3(3), 139–146.
- Muz, G., & Eğlence, R. (2013). Hemodiyaliz uygulanan hastalarda öz bakım gücü ve öz yeterliliğin değerlendirilmesi. Balıkesir Sağlık Bilimleri Dergisi, 2(1), 15-21.
- Olgun, N. & Altun, A.Z. (2012). Effects of education based on health belief model on nursing implication in patients with diabetes. Hacettepe University Health Science Faculty Journal of Nursing, 19(2), 46-57.
- Oluma, A., Abadiga, M., Mosisa, G., Fekadu, G., & Turi, E. (2020). Perceived self-efficacy and associated factors among adult patients with type 2 diabetes mellitus at public hospitals of Western Ethiopia, 2020. Patient Preference and Adherence, 14, 1689–1698.
- Öntaş, E. & Aslan, D. (2018). Küresel yetişkin tütün araştırması; Türkiye 2016 verileri. https://halksagligi.hacettepe.edu.tr/duyurular/halkayonelik/kyta2016.pdf
- Piragine, E., Petri, D., Martelli, A., Calderone, V., & Lucenteforte, E. (2023). Adherence to oral antidiabetic drugs in patients with type 2 diabetes: Systematic review and meta-analysis. Journal of Clinical Medicine, 12(5), 1981.
- Sangruangake, M., Jirapornkul, C. & Hurst, C. (2017). Psychometric properties of diabetes management self-efficacy in Thai type 2 diabetes mellitus patients: a multicenter study. International Journal of Endocrinology, 2017, 2503156. https://doi.org/10.1155/2017/2503156
- Saundankar, V., Peng, X., Fu, H., Ascher-Svanum, H., Rodriguez, A., Ali, A., Slabaugh, L., Young, P., & Louder, A. (2016). Predictors of change in adherence status from 1 year to the next among patients with type 2 diabetes mellitus on oral antidiabetics drugs. Journal of Managed Care & Specialty Pharmacy, 22(5), 467–482.
- Selzler, A. M., Habash, R., Robson, L., Lenton, E., Goldstein, R., & Brooks, D. (2020). Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis. Patient Education and Counseling, 103(4), 682–692.
- Spain, C. V., Wright, J. J., Hahn, R. M., Wivel, A., & Martin, A.A. (2016). Self-reported barriers to adherence and persistence to treatment with injectable medications for type 2 diabetes. Clinical Therapeutics, 38(7), 1653–1664.
- Subramanian, S. C., Porkodi, A., & Akila, P. (2020). Effectiveness of nurse-led intervention on self-management, self-efficacy and blood glucose level among patients with Type 2 diabetes mellitus. Journal of Complementary & Integrative Medicine, 17(3), 10.1515/jcim-2019-0064.
- Trost, J.A. (1986) Statistically non-representative stratified sampling: A sampling technique for qualitative studies. Qualitative Sociology, 9(1), 54–57.
- Wu, J. R., Lennie, T. A., Chung, M. L., Frazier, S. K., Dekker, R. L., Biddle, M. J., & Moser, D. K. (2012). Medication adherence mediates the relationship between marital status and cardiac event-free survival in patients with heart failure. Heart & Lung: The Journal of Critical Care, 41(2), 107–114.
- Xie, X. T., Liu, Q., Wu, J., & Wakui, M. (2009). Impact of cigarette smoking in type 2 diabetes development. Acta Pharmacologica Sinica, 30(6), 784–787.
- Yanık, T.Y. & Erol, Ö. (2016). Tip 2 diyabetli bireylerin öz-yeterlilik düzeylerinin değerlendirilmesi. Journal of Anatolia Nursing and Health Sciences, 19(3), 166-174.
- Yi, Q. F., Yang, G. L. & Yan, J. (2021). Self-Efficacy intervention programs in patients with chronic obstructive
pulmonary disease: narrative review. International Journal of Chronic Obstructive Pulmonary Disease, 16, 3397–3403.
- Young, H. M., Miyamoto, S., Dharmar, M., & Tang-Feldman, Y. (2020). Nurse coaching and mobile health compared with usual care to improve diabetes self-efficacy for persons with type 2 diabetes: Randomized controlled trial. JMIR mHealth and uHealth, 8(3), e16665.