Tip 2 Diabetes Mellitus Hastalarında Yeme Tutumu ve Yaşam Doyumunun Belirlenmesi: Kesitsel Bir Çalışma

Year 2024, Volume: 7 Issue: 3, 166 - 176, 30.12.2024

Güldane Yaşdal , Arzu Yıldırım

https://doi.org/10.54803/sauhsd.1474065

Abstract

Amaç: Tip 2 Diabetes Mellitus ciddi, kronik bir metabolik hastalıktır. Fiziksel hastalıklara eşlik eden zihinsel ya da davranışsal sorunlar hastanın uyumunu, iyilik halini, mortalite ve morbiditesini olumsuz etkilediği için bu sorunların değerlendirilmesi oldukça önemlidir. Araştırmanın amacı Tip 2 Diabetes Mellitus hastalarında yeme tutumu ve yaşam doyumunu belirlemektir.
Metod: Kesitsel tipteki bu çalışmaya Sakarya Eğitim ve Araştırma Hastanesi dahiliye ve yara bakım servislerinde yatan, dahil etme ve dışlama kriterlerini karşılayan 130 hasta katıldı. Araştırmanın verileri Hasta Tanımlayıcı Anket, Yeme Tutum Testi-40 ve Yaşam Memnuniyeti Ölçeği kullanılarak yüz yüze görüşme yoluyla toplandı.
Bulgular: Hastalarda olası yeme bozukluğu yaygınlığı %46,9 (n¬=61) olup yaşam doyumu algıları ortanın üzerindedir. Gelir ve sağlık durumu algısına göre YDÖ puan ortalaması; yaşanılan yere göre YDÖ puan ortalaması ve olası yeme bozukluğu arasında anlamlı bir fark olduğu saptandı (p<0.001).
Sonuç: Bu çalışmada Tip 2 Diabetes Mellitus hastalarının yaklaşık yarısı yeme bozukluğu açısından risk altında ve yaşam doyumu algıları düzeyi ortanın üzerindedir. Sağlık çalışanlarının fiziksel ve ruhsal sağlık sonuçlarının iyileştirilmesinde hasta katılımını sağlayarak birey merkezli psikososyal bakımı bütünleşik bir yaklaşımla sunması önemlidir.

Keywords

Tip 2 Diabetes Mellitus, yaşam doyumu;, yeme tutumu;, olası yeme bozuklukları, bütüncül sağlık

Determination of Eating Attitude and Life Satisfaction in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Abstract

Objective: Type 2 diabetes mellitus is a severe, chronic metabolic disease. Since mental or behavioral problems accompanying physical diseases negatively affect the patient's adaptation, well-being, mortality and morbidity, it is essential to evaluate these problems. The aim of the study was to determine eating attitudes and life satisfaction in patients with type 2 diabetes mellitus.
Method: This cross-sectional study consisted of 130 patients who were hospitalized at the internal medicine and wound care services in Sakarya Training and Research Hospital and who met the inclusion and exclusion criteria. The data were collected by face-to-face interviews using the Patient Descriptive Questionnaire, Eating Attitude Test-40 and Satisfaction with Life Scale.
Results: The prevalence of probable eating disorder among the patients was 46.9% (n¬=61) and their perception of life satisfaction was above moderate. Additionally, it was determined that there was a significant difference between the mean of the Satisfaction with Life Scale score according to income and perception of health status, and between the mean of the Satisfaction with Life Scale score and possible eating disorder according to the place of residence (p<0.001).
Conclusion: In this study, approximately half of the patients with type 2 diabetes mellitus are at risk for eating disorders and their perception of life satisfaction was above moderate. Healthcare professionals must provide individual-centered.

Keywords

Type 2 Diabetes Mellitus, Life Satisfaction, Eating Attitude, Holistic Health

Ethical Statement

Ethical approval (01.11.2018/09/07) was obtained from the University Clinical Research Ethics Committee. The principles of the Helsinki Declaration were considered while carrying out this research.

References

• Yıldırım A, Hacıhasanoğlu AB, Bozdemir N, Aşılar RH. Diyabet öz yönetiminde çok disiplinli ekip yaklaşımı. Turkish Journal of Family Medicine & Primary Care 2020;14(3): 479-91.
• Hwalla N, Jaafar Z, Sawaya S. Dietary management of type 2 diabetes in the MENA region: A review of the evidence. Nutrients 2021;13(4):1060.
• International Diabetes Federation. Diabetes in Europe-2021. Diabetes now affects one in 10 adults worldwide [Internet]. https://www.idf.org/news/240:diabetes-now-affects-one-in-10-adults worldwide.html%E2%80%99. Accessed July 27, 2022.
• International Diabetes Federation. Diabetes in Europe- 2021 [Internet]. https://www.mepinterestgroupdiabetes.eu/wp-content/uploads/2021/11/IDF-Atlas-Factsheet 2021_EUR.pdf. Accessed July 27, 2022.
• Agrawal U. Study of life satisfaction and happiness among male patients of diabetes: insulin vs non insulin. Mediterranean Journal of Social Sciences 2018;6(5):494-501.
• Young-Hyman DL, Davis CL. Disordered eating behavior in individuals with diabetes. Diabetes Care 2010;33(3):683-689.
• Colton P, Rodin G, Bergenstal R, Parkin C. Eating disorders and diabetes: Introduction and overview. Diabetes Spectr 2009;22(3):138-142.
• Çam O, Babacan Gümüş A, Yıldırım S. Fiziksel hastalıklara verilen psikososyal tepkiler. Çam O, Engin E (Eds.). Ruh Sağlığı ve Hastalıkları Psikiyatri Hemşireliği Bakım Sanatı. İstanbul:İstanbul Kitabevleri Ltd. Şti. 2021;601-638.
• Wattanakorn K, Deenan A, Puapan S, Schneider JK. Effects of an eating behaviour modification program on thai people with diabetes and obesity: A randomised clinical trial. Pacific Rim Int J Nurs Res 2013;17(4):356-370.
• Çapık C. İstatistiksel güç analizi ve hemşirelik araştırmalarında kullanımı: Temel bilgiler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2014;17(4):268-274.
• Garner DM, Garfinkrl PE. The Eating Attitudes Test: An Index of the Symptoms of Anorexia Nervosa. Psychological Medicine 1979;9(2):273-279.
• Savaşır I, Erol N. Yeme Tutumu Testi: Anoreksiya Nevroza Belirtileri İndeksi. Turk J Psychol 1989;7:19-25.
• Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Ankara: Hekimler Yayın Birliği 2007; 121-325.
• Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. Journal of Personality Assessment 1985:49(1):71-75.
• Köker S. Normal ve sorunlu ergenlerin yaşam doyumu düzeyinin karşılaştırılması (Yüksek Lisans Tezi). Ankara Üniversitesi/Sosyal Bilimler Fakültesi. Ankara, 1991.
• WHO. Obesity:preventing and managing the global epidemic. World Health Organ Tech Rep Ser, Geneva 2000:894:1-253.
• Akça D, Şentürk S. Effect of attitudes of individuals with the type 2 diabetes upon quality of life. Int J. of Health Serv. Res. and Policy 2020;5(2):99-110.
• Yılmaz M, Çetinkalp S. The association of eating attitudes between metabolic control and quality of life in patients with type 1 and type 2 diabetes mellitus. British Journal of Medicine and Medical Research 2016;13(9):1-8.
• Santana D, Mitchison D, Gonzalez-Chica D, et al. Associations between self-reported diabetes mellitus, disordered eating behaviours, weight/shape overvaluation and health-related quality of life. Journal of Eating Disorders 2019;7(35):1-9.
• Sami W, Ansari T, Butt NS, Ab Hamid MR. Effect of diet on type 2 diabetes mellitus: A review. Int J Health Sci (Qassim) 2017;11(2) 65-71.
• Durat G, Yıldız C, Erol A. Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension 2016;2(1):7-12.
• Güraksu E. Diyabet hastalarında yaşam doyumu ve yeme tutumu arasındaki ilişkinin incelenmesi. Y lisans tezi. T.C. İstanbul Gelişim Üniversitesi Lisansüstü Eğitim Enstitüsü Psikoloji Ana Bilim Dalı, Klinik Psikoloji Bilim Dalı. İstanbul, 2021.
• Nicolau J, Simo R, Sanchis P, et al. Eating disorders are frequent among type 2 diabetic patients and are associated with worse metabolic and psychological outcomes: Results from across-sectional study in primary and secondary care settings. Acta Diabetologica 2015;52:1037-1044.
• Papelbaum M, de Oliveira Moreira R, Coutinho WF, et al. Does binge-eating matter for glycemic control in type 2 diabetes patients? Journal of Eating Disorders 2019;7(30):1-6.
• Rosiek A, Kornatowski T, Frackowiak-Maciejewska N, et al. Health behaviors of patients diagnosed with type 2 diabetes mellitus and their influence on the patients' satisfaction with life. Therapeutics and Clinical Risk Management 2016;12:1783-1792.
• Hamdan-Mansour AM,, Nawafa'h DNA,, Hanouneh SI, Omari HD. Psychosocial correlates of life satisfaction among patients diagnosed with type-II diabetes mellitus. Int J Diabetes Dev Ctries 2016;36(1):65-69.
• Mohana-Priya B, Anju. A study on life satisfaction level among persons with diabetes. IOSR JHSS, 2017;2279-0837:51-55.
• Tuncay FÖ, Avcı D. Association between self-care management and life satisfaction in patients with diabetes mellitus. European Journal of Integrative Medicine 2020;(35)101099:1-6.
• Gacek M, Wojtowicz A. Life satisfaction and other determinants of eating behaviours among women aged 40-65 years with type 2 diabetes from the Krakow population. Menopause Review/Przeglad Menopauzalny 2019;18(2):74-81.
• Jalil A, Usman A, Akram S, et al. Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in azad Kashmir,Pakistan: A hospital based cross-sectional study. Diabetes Mellitus 2020;23(1):46-55.
• Esonwanne OF, Godwin O, Onyebueke G, et al. Life satisfaction, self esteem and mental health in a sample of diabetic out-patients attending a Nigerian tertiary health institution. The Journal of Medical Research 2017;3(2):60-65.
• Rabori RM, Dehsheakhi MA, Nouhi E, Nematollahi M. Comparison of the relationship between sexual function, marital adjustment, and life satisfaction in diabetic and non-diabetic women. International Journey of Community Based Nursing-Midwifery 2020;8(4):324-332.
• Ma X, Bai W, Yu F, et al. The effect of neighborhood social cohesion on life satisfaction in type 2 diabetes mellitus patients: The chain mediating role of depressive symptoms and sleep quality. Front. Public Health 2023; 11:1257268. doi: 10.3389/fpubh.2023.1257268.
• Sun Y, Yu Y, Zhang H, et al. Joint exposure to positive affect, life satisfaction, depressive symptoms, and neuroticism and incident type 2 diabetes. The Journal of Clinical Endocrinology & Metabolism, 2022, 107, e3186–e3193.
• Rodriguez- Almagro J, Garcia-Manzanares A, Lucendo AJ, Hemandez-Martinez A. Health-related quality of life diabetes mellitus and its social,demographic and clinical determinants: A nationwide cross-sectional survey. J Clin Nurs 2018;27(21-22):4212-4223.
• Lee LY, Hsieh CJ, Lin YT. Life satisfaction and emotional distress in people living with type 2 diabetes mellitus: The mediating effect of cognitive function.J Clin Nurs 2021 ;30(17-18):2673-2682. doi: 10.1111/jocn.15740.