YOĞUN BAKIMA YATAN TİP 2 DİYABETLİ HASTALARIN İNSÜLİNE KARŞI ALGILARI İLE DİYABET ÖZ YÖNETİMLERİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Abstract

Amaç: Bu çalışma ile yoğun bakımda yatarak tedavi gören Tip 2 diyabet hastalarının insüline karşı algıları ve diyabet semptom yönetim düzeyinin belirlenmesi sağlanacaktır. Gereç ve Yöntem: Bu çalışma 1 Aralık 2020 ve 31 Mart 2021 tarihleri arasında bir devlet hastanesinin Dahiliye ve Anestezi Yoğun Bakım ünitelerinde gerçekleştirilmiştir. Çalışmanın örneklemini insülin kullanan 100 gönüllü hasta oluşturmuştur. Araştırma verileri Hasta Tanıtım Formu, İnsülin Tedavisi Değerlendirme Ölçeği ve Diyabet Öz Yönetim Skalası ile toplandı. Araştırmanın etik kurul izni ve hastalardan yazılı izin alındı. Bulgular: Hastaların yaş ortalaması 44,57±14,8 olup, %52’si kadın, %72’si bekar, %47’si ilköğretim mezunu, %52’si T2DM’e bağlı kronik bir komplikasyona sahiptir. Hastaların T2DM tanısı aldıkları yıl ortalaması 20,59 ± 12,87 yıl, insülin kullanma yıl ortalaması ise 2,8 ± 1,17 yıldır. Hastaların Diyabet Öz Yönetim Skalasından aldıkları toplam puan ortalamaları 4,07±1,74’tür (0,62-8,75). Hastaların İnsülin Tedavisi Değerlendirme Ölçeği pozitif ve negatif madde alt boyutu puan ortalamaları sırasıyla 11,44±3,43; 48,18±12,09’dur. Sonuç: İnsülin kullanan Tip 2 diyabetli hastaların insülin kullanımına karşı negatif algısının fazla olduğu ve diyabet öz yönetimlerinin ortalamanın altında olduğu bulunmuştur. Hastaların negatif insülin algısı ile diyabet öz yönetiminin glikoz yönetimi ve diyet kontrolü alt boyutları arasında yüksek düzeyde negatif ilişki bulunmuştur.

Keywords

• İnsülin algısı
• Öz yönetim
• Tip 2 Diyabet

INVESTIGATING THE RELATIONSHIP BETWEEN INSULIN PERCEPTIONS AND DIABETES SELF-MANAGEMENT OF INTENSIVE CARE PATIENTS WITH TYPE 2 DIABETES

Abstract

Aim: This study aimed to determine the level of perception of insulin and diabetes symptom management of patients with Type 2 diabetes who received inpatient treatment in intensive care. Materials and Methods: This study was conducted in the Internal Medicine and Anesthesia Intensive Care units of a state hospital during the period of December 01, 2020 and March 31, 2021. The sample of the study was composed of 100 voluntary patients who used insulin. Research data were collected via the Patient Introduction Form, Diabetes Self-Management Questionnaire and the Insulin Treatment Appraisal Scale. Written permission was obtained from ethics committee and patients. Results: The average age of the patients was 44.57 ± 14.8, 52% were female, 72% were single, 47% were primary school graduates, and 52% had a chronic complication related to diabetes. The mean time duration for being diagnosed with diabetes was 20.59 ± 12.87 years (3-52) while the mean duration of insulin use was 2.8 ± 1.17 years. Patients’ ITAS positive and negative item subscale mean scores were 11.44 ± 3.43 and 48.18 ± 12.09, respectively. Patients’ mean Diabetes Self-Management Questionnaire total score was 4.07 ± 1.74 (range: 0.62-8.75). Conclusion: Patients have a high negative perception towards insulin use and their diabetes self-management is below the average. There was a high level of negative correlation between patients’ negative insulin perception and glucose management and diet control sub-dimensions of their diabetes self-management.

Keywords

• insulin perceptions
• self-management
• type 2 diabetes mellitus

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