Diabetes Attitude and Self-Efficiency Levels of Patients with Type 2 Diabetes Mellitus Taking Insulin

Abstract

This study was conducted with descriptive design to determine the disease attitudes and self-efficacy levels of patients with type 2 diabetes mellitus taking insulin. The study was conducted with 120 patients diagnosed with type 2 diabetes mellitus, who applied to the internal medicine outpatient clinics of Balıklıgöl State Hospital between January and April 2021. Personal information form, Diabetes Attitude Scale, and Self-Efficacy in Type 2 Diabetes scale were used to collect data. The data were analyzed in the Statistical Package of Social Sciences 25.0 software. The total mean score of the patients was found to be 57.25±19.07 for the self-efficacy in type 2 diabetes scale. In the study, it was determined that there was a strong positive correlation between diabetes attitude scale and diabetes self-efficacy scale (p<0.05). While there was a moderate positive correlation between the diet + foot control subscale of the self-efficacy in type 2 diabetes scale and the need for special training to provide diabetes care, impact of diabetes on the patient’s life, patient compliance and team care subscales of the diabetes attitude scale, there was a positive and high level correlation between seriousness of type 2 diabetes, the relationship between blood glucose levels and complications, and patient autonomy subscales (p<0.05). In the subscale of medical treatment and physical exercise, a significant relationship was found between the subscales of the diabetes attitude scale. (p<0.05). Consequently, it was determined that individuals with type 2 diabetes who were taking insulin had a positive attitude and a moderate level of self-efficacy. As the diabetes attitude of the patients increased, their self-efficacy levels also increased.

Keywords

• Type 2 Diabetes
• Use Of İnsulin
• Attitude
• Self-Efficacy

İnsülin Kullanan Tip 2 Diyabetes Mellituslu Hastaların Hastalığa Yönelik Tutum İle Öz-Etkililik Düzeyleri

Öz

Bu araştırma insülin kullanan tip 2 diyabetes mellituslu hastaların hastalık tutumları ile öz-etkililik düzeylerini belirlemek amacı ile tanımlayıcı olarak yapılmıştır. Araştırma, Ocak-Nisan 2021 tarihleri arasında bir devlet hastanesinin dahiliye polikliniklerine başvuran, dahil edilme kriterleri karşılayan ve insülin kullanan 120 tip 2 diyabet tanılı hasta ile gerçekleştirilmiştir. Verilerin toplanmasında kişisel bilgi formu, diyabet tutum ölçeği ve tip 2 diyabet öz-etkililik ölçeği kullanılmıştır. Veriler Statistical Package of Social Sciences 25.0 paket programında analiz edilmiştir. Hastaların tip 2 diyabet öz-etkililik ölçeği toplam puan ortalaması 57.25±19.07 olarak bulunmuştur. Araştırmada diyabet tutum ölçeği ve diyabet öz-etkililik ölçeği arasındaki pozitif yönde güçlü bir ilişki olduğu saptanmıştır (p<0.05). Tip 2 diyabet öz-etkililik ölçeği alt boyutlarından diyet+ayak kontrolü alt boyutu ile diyabet tutum ölçeği alt boyutlarından özel eğitim ihtiyacı, hastanın yaşamı üzerine etkisi, hasta uyumuna karşı tutum ve ekip bakımına karşı tutum alt boyutları arasında pozitif yönde orta düzeyde ilişki bulunurken, tip2 diyabet ciddiyeti, kan glukoz kontrol ve komplikasyonlar, hasta otonomisine karşı tutum alt boyutları arasında pozitif yönde ve yüksek düzeyde ilişki olduğu saptanmıştır (p<0.05). Tıbbi tedavi ve fiziksel egzersiz alt boyutunda ise diyabet tutum ölçeği alt boyutları arasında anlamlı ilişki bulunmuştur (p<0.05). Sonuç olarak, insülin kullanan tip 2 diyabetli bireylerin olumlu tutuma ve orta düzeyde öz yeterliliğe sahip olduğu belirlendi. Hastaların diyabet tutumları arttıkça öz-yeterlik düzeyleri de yükselmektedir.

Anahtar Kelimeler

• Tip 2 Diyabet
• İnsülin Kullanma
• Tutum
• Öz-Etkililik

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