TİP 2 DİYABETES MELLİTUSLU HASTALARIN HİPOGLİSEMİK GÜVENLERİ VE HİPOGLİSEMİ KORKULARI ARASINDAKİ İLİŞKİ

Abstract

Amaç: Bu çalışmanın amacı, tip 2 diyabetes mellituslu hastaların hipoglisemik güvenleri ve hipoglisemi korkuları arasındaki ilişkiyi belirlemektir. Yöntem: Tanımlayıcı ve kesitsel olarak tasarlanan bu araştırma, Aralık 2021 ve Şubat 2022 tarihleri arasında diyabet polikliniğine muayene olmak için gelen 306 tip 2 diyabetli hasta ile tamamlandı. Veriler, “Hasta Tanıtım Formu”, “Hipoglisemik Güven Ölçeği (HGÖ)” ve “Hipoglisemi Korku Ölçeği (HKÖ)” kullanılarak elde edildi. Verilerin değerlendirilmesinde, tanımlayıcı istatistikler, Independent-Samples t testi, One-Way ANOVA testi, Pearson Korelasyon ve Linear Regresyon analizi kullanıldı. Bulgular: Araştırmaya katılan Tip 2 diyabetli hastaların %60.8’i kadın olup yaş ortalaması 55.14±8.10 ve hastalık yılı ortalaması 10.35±4.77 idi. Tip 2 diyabetli hastaların HGÖ puan ortalamasının 1.65±0.47 ve HKÖ puan ortalamasının 3.02±0.56 olduğu belirlendi. HGÖ toplam puanı ile HKÖ toplam, HKÖ Davranış ve Kaygı alt boyutu arasında orta derecede negatif yönlü bir ilişki olduğu saptandı (p<0.05). Sonuç: Tip 2 diyabetli hastaların hipoglisemik güven düzeylerinin düşük ve hipoglisemi korku düzeylerinin yüksek olduğu; hipoglisemi korkusu arttıkça güven düzeylerinin azaldığı saptanmıştır. Tip 2 diyabetli bireylerin hipoglisemiye yönelik güven duygularının artırılmasına ve hipoglisemi korkularının azaltılmasına yönelik uygun tıbbi girişimlerin planlanması, eğitim ve danışmanlık hizmeti verilmesi önerilmektedir.

Keywords

• Tip 2 Diyabetes Mellitus
• Hipoglisemi
• Korku

THE RELATIONSHIP BETWEEN HYPOGLYCEMIC CONFIDENCE AND HYPOGLYCEMIA FEAR IN TYPE 2 DIABETES MELLITUS PATIENTS

Abstract

Objective: This study aims to identify the relationship between hypoglycemic confidence and hypoglycemia fear in type 2 diabetes mellitus patients. Method: Designed as a descriptive and cross-sectional study, this research was conducted with 306 type 2 diabetes patients who visited the diabetes polyclinic to have an examination in period December 2021 and February 2022. The research data were collected by using the “Patient Identification Form”, the “Hypoglycemic Confidence Scale”, and the “Hypoglycemia Fear Survey”. Descriptive statistics, the Independent Samples t-test, the One-Way ANOWA test, the Pearson’s correlation test, and the linear regression analysis were used in the evaluation of research data. Results: In the research, 60.8% of the participant type 2 diabetes patients were female, their mean age was 55.14±8.10 years, and their mean duration of having the disease was 10.35±4.77 years. Means of type 2 diabetes patients’ Hypoglycemic Confidence Scale (HCS)’ score 1.65±0.47 and ‘Hypoglycemia Fear Survey (HFS)’ scores were 3.02±0.56 points. Type 2 diabetes patients’ HCS scores had moderately negative relationships with scores obtained by them from the HFS and its Behavior Sub-scale and Worry Sub-scale (p<0.05). Conclusion: It was found that type 2 diabetes patients had low-level hypoglycemic confidence and high-level hypoglycemia fear, and as hypoglycemia fear levels increased, hypoglycemic confidence levels decreased. To enhance type 2 diabetes patients’ hypoglycemic confidence feelings and reduce their hypoglycemia fears, planning appropriate medical interventions and providing training and consultancy services are recommended.

Keywords

• Type 2 Diabetes Mellitus
• Hypoglycemia
• Fear

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