Research Article
BibTex RIS Cite

Tip 2 diyabetli hastalarda tedaviye uyum ve hastalık kabulü arasındaki ilişki

Year 2019, Volume: 44 Issue: Supplement 1, 447 - 454, 29.12.2019
https://doi.org/10.17826/cumj.554402

Abstract

Amaç: Bu çalışmada tip 2 diyabetes mellitus hastalarında hastalık kabulü ile tedaviye uyum arasındaki ilişkinin incelenmesi amaçlanmıştır.

Gereç ve Yöntem: Bu kesitsel tanımlayıcı çalışma, Sinop’da bir devlet hastanesinde tip 2 diyabet tanısı ile takip edilen 200 hasta ile gerçekleştirilmiştir. Çalışma verilerini toplamak için, Hasta Kimlik Formu, Hastalık Kabul Ölçeği ve Tip 2 Diabetes Mellitus Tedavisine Uyum Ölçeği kullanıldı.

Bulgular: Çalışmamızda hastaların hastalığı kabul ölçeği puan ortalaması 24.12±9.30’dür ve hastaların %61.5’i bu ortalamanın altında puan almıştır. Bu da hastaların hastalığı Kabul düzeylerinin düşük seviyede olduğunu göstermektedir. Hastaların Tip 2 Diyabetes Mellitus Tedavisine Uyum Ölçeği puanları değerlendirildiğinde tedaviye uyumlarının orta düzeyde olduğu (107.39±13.55) belirlenmiştir. Hastaların hastalığı kabul ölçeği puanları ile tedaviye uyum ölçeği puanları arasında (-0.78) anlamlı ve negatif yönde bir ilişki olduğu belirlenmiştir.

Sonuç: Hastaların çoğunluğunun hastalığı kabul düzeyinin düşük ve hastaların tedaviye uyumun orta düzeyde olduğu belirlenmiştir.


References

  • . World Health Organization. Media Center, Diabetes, Geneva: World Health Organization; 2016.
  • 2. International Diabetes Federation. Diabetes Atlas. 7th edition; 2015.
  • 3. Türk Diyabet Programı (Turkish Diabetes Program). 2015-2020. Ankara; 2015.
  • 4. Munshi MN, Florez H, Huang ES, et al Management of diabetes in long-term care and skilled nursing facilities: a position statement of the American Diabetes Association. Diabetes Care 2016; 39(2): 308-318.
  • 5. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling 2016; 99(6): 926-943.
  • 6. Choi STT, Davidson ZE, Walker KZ, et al. Diabetes education for Chinese adults with type 2 diabetes: A systematic review and meta-analysis of the effect on glycemic control. Diabetes Research and Clinical Practice 2016; 116: 218-229.
  • 7. Cramer JA. A Systematic Review of adherence with medications for diabetes. Diabetes Care 2004; 27(5): 1218-1224. 8. Demirtaş A, Akbayrak N. The adaptation to their sickness in patients with type 2 diabetes mellitus. Anatolian Journal of Clinical Investigation 2009: 3(1): 10-18,
  • 9. Bagonza J, Rutebemberwa E, Bazeyo W. Adherence to anti diabetic medication among patients with diabetes in eastern Uganda; a cross sectional study. BMC Health Services Research 2015; 15(168): 1-7.
  • 10. Willoughby DF, Kee CC, Demi A, Parker V. Coping and psychosocial adjustment of women with diabetes. The Diabetes Educator 2000; 26(1): 105-112.
  • 11. Richardson A, Adner N, Nordstroe MG. Persons with insulin-dependent diabetes mellitus: acceptance and coping ability. Journal of Advanced Nursing 2001; 33(6): 758-763.
  • 12. Büyükkaya Besen D, Esen A. The Adaptation of the Acceptance of Illness Scale to the Diabetic Patients in Turkish Society. TAF Preventive Medicine Bulletin 2011; 10(2): 155-164.
  • 13. Erikson BS. Coping with type–2 diabetes: the role of sense of coherence compared with active management. Journal of Advanced Nursing 2000; 31(6): 1393-1397.
  • 14. Lewko J, Polityńska B, Kochanowicz J, et al. Quality of life and its relationship to the degree of illness acceptance in patients with diabetes and peripheral diabetic neuropathy. Advances in Medical Sciences 2007;52:144-146.
  • 15. Lewko J, Zarzycki W, Krajewska-Kułak E. Relationship between the occurrence of symptoms of anxiety and depression, quality of life, and level of acceptance of illness in patients with type 2 diabetes. Saudi Medical Journal 2012; 33(8): 887-94.
  • 16. Schmitt A, Reimer A, Kulzer B, Haak T, Gahr A, Hermanns N. Short report: educational and psychological issues assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control. Diabetic Medicine 2014; 31:1446-1451. 17. Felton BJ, Revenson TS. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. Journal of Consulting and Clinical Psychology 1984; 52(3): 343-353.
  • 18. Demirtaş A. Development of A scale for assessment of patient adherence to TYPE 2 diabetes mellitus treatment. PhD Thesis, 2014. Gülhane Military Medical Academy, Ankara.
  • 19. Fischer HH, Moore SL, Ginosar D, et al. Care by cell phone: text messaging for chronic disease management. The American Journal of Managed Care 2012; 18(2): 42-47.
  • 20. Christensen NK, Steiner J, Whalen J, Pfister R. Contrubition of medical nutrition therapy and diabetes self management education to diabetes control as assessed by hemoglobin A1c. Diabetes Specturum 2000; 13(2): 72-79.
  • 21. Baykal A, Kapucu S. Tip 2 Diyabetes mellituslu hastaların tedavilerine uyumlarının değerlendirilmesi (Evaluation of patients' compliance with the treatment of Type 2 diabetes mellitus). Hacettepe Universitesi Hemşirelik Fakültesi Dergisi (Journal of Hacettepe University Faculty of Nursing) 2015; 2(2):44-58.
  • 22. Bertolin DC, Pace AE, Cesarino CB, Ribeiro RCHM, Ribeiro RM. Psychological adaptation to and acceptance of type 2 diabetes mellitus. Acta Paulista de Enfermagem 2015; 28(5): 440-446.
  • 23. Garcı´a-Pe´rez LE, A´lvarez M, Dilla T, Gil-Guille´n V, Orozco-Beltra´n D. Adherence to therapies in patients with type 2 diabetes. Diabetes Therapy 2013; 4(2): 175-194. 24. Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and Diabetes Treatment Adherence: A Mediating Role for Perceived Control. Health Psychology 2015; 34(5): 505-513.

Relationship between adherence to treatment and acceptance of illness in patients with type 2 diabetes

Year 2019, Volume: 44 Issue: Supplement 1, 447 - 454, 29.12.2019
https://doi.org/10.17826/cumj.554402

Abstract

Purpose: This study aimed at examining the relationship between patient acceptance of illness and adherence to treatment with type 2 diabetes mellitus.

Materials and Methods: This cross-sectional, descriptive study was conducted in a state hospital in Sinop with 200 patients diagnosed with type 2 diabetes. The Patient Identification Form, Illness Acceptance Scale, and Adherence Scale to Type 2 Diabetes Mellitus Treatment were applied to collect the study data. 

Results: In our study, the mean score of the patients' acceptance scale was 24.12 ± 9.30 and 61.5% of the patients scored below this average. This indicates that patients' acceptance levels are low. When the scores of Type 2 Diabetes Mellitus Acceptance Scale were evaluated, their compliance with the treatment was found to be moderate (107.39 ± 13.55). There was a significant and negative relationship between the patients' illness acceptance scale scores and treatment adherence scale scores (-0.78).

Conclusion: Majority of patients had low level of admission and moderate compliance to treatment.


References

  • . World Health Organization. Media Center, Diabetes, Geneva: World Health Organization; 2016.
  • 2. International Diabetes Federation. Diabetes Atlas. 7th edition; 2015.
  • 3. Türk Diyabet Programı (Turkish Diabetes Program). 2015-2020. Ankara; 2015.
  • 4. Munshi MN, Florez H, Huang ES, et al Management of diabetes in long-term care and skilled nursing facilities: a position statement of the American Diabetes Association. Diabetes Care 2016; 39(2): 308-318.
  • 5. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling 2016; 99(6): 926-943.
  • 6. Choi STT, Davidson ZE, Walker KZ, et al. Diabetes education for Chinese adults with type 2 diabetes: A systematic review and meta-analysis of the effect on glycemic control. Diabetes Research and Clinical Practice 2016; 116: 218-229.
  • 7. Cramer JA. A Systematic Review of adherence with medications for diabetes. Diabetes Care 2004; 27(5): 1218-1224. 8. Demirtaş A, Akbayrak N. The adaptation to their sickness in patients with type 2 diabetes mellitus. Anatolian Journal of Clinical Investigation 2009: 3(1): 10-18,
  • 9. Bagonza J, Rutebemberwa E, Bazeyo W. Adherence to anti diabetic medication among patients with diabetes in eastern Uganda; a cross sectional study. BMC Health Services Research 2015; 15(168): 1-7.
  • 10. Willoughby DF, Kee CC, Demi A, Parker V. Coping and psychosocial adjustment of women with diabetes. The Diabetes Educator 2000; 26(1): 105-112.
  • 11. Richardson A, Adner N, Nordstroe MG. Persons with insulin-dependent diabetes mellitus: acceptance and coping ability. Journal of Advanced Nursing 2001; 33(6): 758-763.
  • 12. Büyükkaya Besen D, Esen A. The Adaptation of the Acceptance of Illness Scale to the Diabetic Patients in Turkish Society. TAF Preventive Medicine Bulletin 2011; 10(2): 155-164.
  • 13. Erikson BS. Coping with type–2 diabetes: the role of sense of coherence compared with active management. Journal of Advanced Nursing 2000; 31(6): 1393-1397.
  • 14. Lewko J, Polityńska B, Kochanowicz J, et al. Quality of life and its relationship to the degree of illness acceptance in patients with diabetes and peripheral diabetic neuropathy. Advances in Medical Sciences 2007;52:144-146.
  • 15. Lewko J, Zarzycki W, Krajewska-Kułak E. Relationship between the occurrence of symptoms of anxiety and depression, quality of life, and level of acceptance of illness in patients with type 2 diabetes. Saudi Medical Journal 2012; 33(8): 887-94.
  • 16. Schmitt A, Reimer A, Kulzer B, Haak T, Gahr A, Hermanns N. Short report: educational and psychological issues assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control. Diabetic Medicine 2014; 31:1446-1451. 17. Felton BJ, Revenson TS. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. Journal of Consulting and Clinical Psychology 1984; 52(3): 343-353.
  • 18. Demirtaş A. Development of A scale for assessment of patient adherence to TYPE 2 diabetes mellitus treatment. PhD Thesis, 2014. Gülhane Military Medical Academy, Ankara.
  • 19. Fischer HH, Moore SL, Ginosar D, et al. Care by cell phone: text messaging for chronic disease management. The American Journal of Managed Care 2012; 18(2): 42-47.
  • 20. Christensen NK, Steiner J, Whalen J, Pfister R. Contrubition of medical nutrition therapy and diabetes self management education to diabetes control as assessed by hemoglobin A1c. Diabetes Specturum 2000; 13(2): 72-79.
  • 21. Baykal A, Kapucu S. Tip 2 Diyabetes mellituslu hastaların tedavilerine uyumlarının değerlendirilmesi (Evaluation of patients' compliance with the treatment of Type 2 diabetes mellitus). Hacettepe Universitesi Hemşirelik Fakültesi Dergisi (Journal of Hacettepe University Faculty of Nursing) 2015; 2(2):44-58.
  • 22. Bertolin DC, Pace AE, Cesarino CB, Ribeiro RCHM, Ribeiro RM. Psychological adaptation to and acceptance of type 2 diabetes mellitus. Acta Paulista de Enfermagem 2015; 28(5): 440-446.
  • 23. Garcı´a-Pe´rez LE, A´lvarez M, Dilla T, Gil-Guille´n V, Orozco-Beltra´n D. Adherence to therapies in patients with type 2 diabetes. Diabetes Therapy 2013; 4(2): 175-194. 24. Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and Diabetes Treatment Adherence: A Mediating Role for Perceived Control. Health Psychology 2015; 34(5): 505-513.
There are 21 citations in total.

Details

Primary Language English
Subjects Endocrinology
Journal Section Research
Authors

Bilge Bal Özkaptan 0000-0001-9388-8333

Sevgisun Kapucu 0000-0003-3908-3846

İnci Demirci This is me 0000-0003-2295-0077

Publication Date December 29, 2019
Acceptance Date August 9, 2019
Published in Issue Year 2019 Volume: 44 Issue: Supplement 1

Cite

MLA Özkaptan, Bilge Bal et al. “Relationship Between Adherence to Treatment and Acceptance of Illness in Patients With Type 2 Diabetes”. Cukurova Medical Journal, vol. 44, 2019, pp. 447-54, doi:10.17826/cumj.554402.

Cited By












Psychosocial Determinants of Treatment Adherence in Patients with Type 2 Diabetes – A Review
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Natalia Świątoniowska-Lonc
https://doi.org/10.2147/DMSO.S308322