Determination of Social Determinants of Health and Diabetes Management Characteristics of Patients with Type 2 Diabetes

Abstract

Objective: Health-related social needs (HRSNs) stem from structural inequities and may also lead to worse health outcomes. HRSNs may have important implications for diabetes self-management. This study was conducted to determine the relationship between HRSNs, and disease self-management among individuals with type 2 diabetes. Methods: This descriptive, cross-sectional, and correlational study was conducted with 292 individuals with type 2 diabetes. Descriptive statistics, independent samples t-test, one-way analysis of variance, Pearson correlation coefficient, and structural equation modelling were used in the analysis of the data. Results: This study showed that 22.9% (n=67) of the participants had at least one negative HRSNs. The participants' the negative HRSNs were 45% are food insecurity, 44% public service needs, 28% interpersonal safety, 18% housing instability, and 16% transportation needs. A statistically significant relationship was found between the HRSNs and disease self-management (p<.05). Conclusion: These findings may be considered in designing specific strategies to meet social needs for effective diabetes self-management. Nurses may identify patients' social needs in diabetes self-management and ensure that patients' social needs are met by collaborating with social work practitioners.

Keywords

• Self-management
• Social Needs
• Type 2 Diabetes

Sağlığın Sosyal Belirleyicileri ve Tip 2 Diyabetli Hastaların Diyabet Yönetimine İlişkin Özelliklerinin Belirlenmesi

Abstract

Amaç: Sağlıkla ilgili sosyal ihtiyaçlar yapısal eşitsizliklerden kaynaklanır ve daha kötü sağlık sonuçlarına yol açabilir. Sosyal ihtiyaçların diyabet öz yönetimi üzerinde önemli etkileri olabilir. Bu çalışma, tip 2 diyabetli bireyler arasında sosyal ihtiyaçlar ile hastalık öz yönetimi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı, kesitsel ve korelasyonel tipte olan bu çalışma 292 tip 2 diyabetli birey ile yürütülmüştür. Verilerin analizinde tanımlayıcı istatistikler, bağımsız örneklem t-testi, tek yönlü varyans analizi, Pearson korelasyon katsayısı ve yapısal eşitlik modellemesi kullanılmıştır. Bulgular: Bu çalışma, katılımcıların %22,9'unun (n=67) en az bir sosyal ihtiyacı olduğunu göstermiştir. Katılımcıların %45'inin gıda, %44'ünün kamu hizmeti, %28'inin kişilerarası güvenlik, %18'inin konut ve %16'sının ulaşım ihtiyaçları olduğunu göstermiştir. Sağlığın sosyal belirleyicileri ile hastalık öz yönetimi arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<,05). Sonuç: Bu bulgular, etkili diyabet öz yönetimi için sosyal ihtiyaçların karşılanmasına yönelik özel stratejilerin tasarlanmasında dikkate alınabilir. Hemşireler, diyabet öz-yönetiminde hastaların sosyal ihtiyaçlarını belirleyebilir ve sosyal hizmet uygulayıcıları ile işbirliği yaparak hastaların sosyal ihtiyaçlarının karşılanmasını sağlayabilir.

Keywords

• Öz Yönetim
• Sosyal İhtiyaçlar
• Tip 2 Diyabet

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