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Tip 2 Diyabeti Olan Bireylerin Öz Yeterlilikleri İle Psikososyal Uyumları Arasındaki İlişki

Year 2021, , 32 - 41, 22.03.2021
https://doi.org/10.31832/smj.776863

Abstract

Amaç: Bu araştırma tip 2 diyabeti olan bireylerin öz yeterlilikleri ile psikososyal uyumları arasındaki ilişkiyi belirlemek amacıyla yapıldı.
Gereç ve Yöntemler: Tanımlayıcı, kesitsel tipteki araştırma Ocak 2020- Temmuz 2020 tarihleri arasında tip 2 diyabetli bireyler (N=154) ile gerçekleştirildi. Veri toplama araçları Tanıtıcı Bilgi Formu, Genel Öz Yeterlik Ölçeği ve Hastalığa Psikosoyal Uyum-Öz Bildirim Ölçeği olarak belirlendi. Veriler tanımlayıcı istatistikler, ANOVA, Mann-Whitney U, Kruskal-Wallis ve bağımsız gruplarda t testleri ile korelasyon ve çoklu doğrusal regresyon analizleri kullanılarak değerlendirildi.
Bulgular: Katılımcıların öz yeterlilik ve psikososyal uyum ölçeğinden aldıkları puanlar sırasıyla 29.42±6.10 ve 39.90±13.94’dir. Bireylerin %33.8’inin iyi, %49.4’ünün orta ve %16.9’unun ise kötü psikososyal uyuma sahip olduğu belirlendi. Öz yeterlilik ve psikososyal uyum puanları arasında istatistiksel açıdan önemli düzeyde bir ilişki saptanmadı (p>0.05). Psikososyal uyum ile elde edilen skorlar üzerindeki değişimin %13.1’inin hastaların yaş, cinsiyet, eğitim düzeyi, medeni durum, ekonomik durum ve çalışma durumlarında elde edilen puanlar ile açıklandığı görüldü.
Sonuç: Her ne kadar mevcut bulgular tip 2 diyabetli bireylerde psikososyal uyum ile özyeterlilik arasında herhangi bir ilişki sunmasa da bu çalışmada tip 2 diyabetli bireylerin belirli faaliyetlerini
başarıyla yürütebilmesi için öz yeterliliklerinin desteklenmesi ve psikososyal uyumlarının geliştirilmesinin önemli olduğu vurgulanmıştır. Sonuçlar, klinisyenlerin, tip 2 diyabetli bireylerde öz
yeterliliği ve psikososyal uyumu desteklemek için hedeflenen stratejileri uygulamalarına yardımcı olacak ipuçları sağlayabilir.

Supporting Institution

Yok

Project Number

Yok

Thanks

Araşatırmacı bu araştırmaya katkılarından dolayı katılımcılara teşekkür eder.

References

  • Referans1. International Diabetes Federation I. https://diabetesatlas.org/en/sections/demographic-and-geographic-outline.html. 9 ed. 2019.
  • Referans2. Şireci E and Karabulutlu EY. Tip 2 Diabetes Mellituslu Hastaların Hastalıklarını Kabullenme ve Kendi Bakımlarındaki Öz Yeterlilik Düzeylerinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017; 20: 48-55.
  • Referans3. Bohanny W, Wu S-FV, Liu C-Y, Yeh S-H, Tsay S-L and Wang T-J. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. Journal of the American Association of Nurse Practitioners. 2013; 25: 495-502.
  • Referans4. Bandura A. Self-efficacy mechanism in human agency. American psychologist. 1982; 37: 122.
  • Referans5. Lee Y-J, Shin S-J, Wang R-H, Lin K-D, Lee Y-L and Wang Y-H. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Education and Counseling. 2016; 99: 287-94.
  • Referans6. Muslu L, Ardahan M and Günbayi I. Tip 2 diabetes mellituslu hastaların psikososyal uyum sürecine ilişkin görüşleri: fenomenolojik bir araştırma. Psikiyatride Güncel Yaklaşımlar. 2017; 9: 75-100.
  • Referans7. Devarajooh C and Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. PLOS ONE. 2017; 12: e0175096. Referans8. Adaylar M. Kronik hastalığı olan bireylerin hastalıktaki tutum, adaptasyon, algı ve öz-bakım yönelimleri. Yayınlanmamış Doktora Tezi, İstanbul, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. 1995.
  • Referans9. Türten Kaymaz T and Akdemir N. Psychosocial Adjustment to Disease in Individuals with Diabetes. J Psy Nurs. 2016; 7: 61-7.
  • Referans10. Hammond LD and Hirst-Winthrop S. Proposal of an integrative model of adjustment to chronic conditions: An understanding of the process of psychosocial adjustment to living with type 2 diabetes. Journal of Health Psychology. 2018; 23: 1063-74.
  • Referans11. Çelik S, Kelleci M, Dilek A and Temel E. Tip 1 diyabetli genç yetişkinlerin hastalığa psikososyal uyumları ve stresle başaçıkma tarzları. Florence Nightingale Hemşirelik Dergisi. 2015; 23: 105-15.
  • Referans12. Karabulutlu EY and Gündüz F. Tip II Diyabetes Mellituslu Hastalarda Hastalık Algısı, Psikososyal Uyum ve Glisemik Kontrolün Değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016; 19: 106-15.
  • Referans13. Akca AT and Cinar S. Comparison of psychosocial adjustment in people with diabetes with and without diabetic foot ulceration. Australian Journal of Advanced Nursing. 2008; 25: 87-96.
  • Referans14. Aypay A. Genel Öz Yeterlik Ölçeği? nin GÖYÖ Türkçe? ye Uyarlama Çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi. 2010; 11: 113-32.
  • Referans15. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E and Sharifirad G. Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes. Oman Med J. 2016; 31: 52-9.
  • Referans16. Young HM, Miyamoto S, Dharmar M and Tang-Feldman Y. Nurse Coaching and Mobile Health Compared With Usual Care to Improve Diabetes Self-Efficacy for Persons With Type 2 Diabetes: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020; 8: e16665.
  • Referans17. Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL and Wang TJ. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. Journal of the American Association of Nurse Practitioners. 2013; 25: 495-502.
  • Referans18. Özgül E and Yanık YT. Tip 2 Diyabetli Bireylerin Öz-Yeterlilik Düzeylerinin Değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016; 19: 166-74.
  • Referans19. Mohebi S, Azadbakht L, Feizi A, Sharifirad G and Kargar M. Review the key role of self-efficacy in diabetes care. J Educ Health Promot. 2013; 2: 36.
  • Referans20. Trief PM, Teresi JA, Eimicke JP, Shea S and Weinstock RS. Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel project. Age and Ageing. 2009; 38: 219-25.
  • Referans21. Messina R, Rucci P, Sturt J, Mancini T and Fantini MP. Assessing self-efficacy in type 2 diabetes management: validation of the Italian version of the Diabetes Management Self-Efficacy Scale (IT-DMSES). Health and Quality of Life Outcomes. 2018; 16: 71.
  • Referans22. Kes D and Gökdoğan F. Relationship between medication adherence and psychosocial adjustment in patients with type 2 diabetes: A cross-sectional study. Nordic Journal of Nursing Research. 2020; 0: 2057158520937456.
  • Referans23. Eilander MMA, de Wit M, Rotteveel J and Snoek FJ. Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c. J Diabetes Res. 2016; 2016: 3159103.
  • Referans24. Kim G, Shim R, Ford KL and Baker TA. The Relation Between Diabetes Self-Efficacy and Psychological Distress Among Older Adults:Do Racial and Ethnic Differences Exist? Journal of Aging and Health. 2015; 27: 320-33.
  • Referans25. Wardian J and Sun F. Factors Associated With Diabetes-Related Distress: Implications for Diabetes Self-Management. Social Work in Health Care. 2014; 53: 364-81.

The Relationship Between Self-Efficacy and Psychosocial Adjustment of Individuals with Type 2 Diabetes

Year 2021, , 32 - 41, 22.03.2021
https://doi.org/10.31832/smj.776863

Abstract

Objective: To determine the relationship between self-efficacy and psychosocial adjustment of individuals with type 2 diabetes.
Materials and Methods: Descriptive, cross-sectional study was carried out between January 2020 and July 2020 with individuals with type 2 diabetes (N = 154). Data collection tools were identified as "Descriptive Characteristics Form", "General Self-Efficacy Scale", and "Psychosocial Adjustment to the Illness Scale – Self-Report". Data were analyzed using descriptive
statistics, ANOVA, independent samples t test, Mann-Whitney U test, Kruskal-Wallis test, correlation and multiple linear regression analysis.
Results: The scores of participants on the self-efficacy and psychosocial adjustment scale are 29.42 ± 6.10 and 39.90 ± 13.94, respectively. It was determined that 33.8% of the
individuals had good psychosocial adjustment, 49.4% had fair and 16.9% had poor psychosocial adjustment. There was no statistically significant relationship between
self-efficacy and psychosocial adjustment scores (p> 0.05). It was observed that 13.1% of the change on the scores obtained with psychosocial adjustment was explained by
the scores obtained in patients' age, gender, education level, marital status, economic status and working status.
Conclusion: Although the current findings do not present any relationship between psychosocial adjustment and self-efficacy in individuals with type 2 diabetes, it is emphasized in
this study that it is important to support their self-efficacy and improve psychosocial adjustment so that individuals with type 2 diabetes can successfully carry out certain
activities. The results may provide clues to help clinicians implement targeted strategies to support self-efficacy and psychosocial adjustment in individuals with type 2
diabetes.

Project Number

Yok

References

  • Referans1. International Diabetes Federation I. https://diabetesatlas.org/en/sections/demographic-and-geographic-outline.html. 9 ed. 2019.
  • Referans2. Şireci E and Karabulutlu EY. Tip 2 Diabetes Mellituslu Hastaların Hastalıklarını Kabullenme ve Kendi Bakımlarındaki Öz Yeterlilik Düzeylerinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017; 20: 48-55.
  • Referans3. Bohanny W, Wu S-FV, Liu C-Y, Yeh S-H, Tsay S-L and Wang T-J. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. Journal of the American Association of Nurse Practitioners. 2013; 25: 495-502.
  • Referans4. Bandura A. Self-efficacy mechanism in human agency. American psychologist. 1982; 37: 122.
  • Referans5. Lee Y-J, Shin S-J, Wang R-H, Lin K-D, Lee Y-L and Wang Y-H. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Education and Counseling. 2016; 99: 287-94.
  • Referans6. Muslu L, Ardahan M and Günbayi I. Tip 2 diabetes mellituslu hastaların psikososyal uyum sürecine ilişkin görüşleri: fenomenolojik bir araştırma. Psikiyatride Güncel Yaklaşımlar. 2017; 9: 75-100.
  • Referans7. Devarajooh C and Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. PLOS ONE. 2017; 12: e0175096. Referans8. Adaylar M. Kronik hastalığı olan bireylerin hastalıktaki tutum, adaptasyon, algı ve öz-bakım yönelimleri. Yayınlanmamış Doktora Tezi, İstanbul, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. 1995.
  • Referans9. Türten Kaymaz T and Akdemir N. Psychosocial Adjustment to Disease in Individuals with Diabetes. J Psy Nurs. 2016; 7: 61-7.
  • Referans10. Hammond LD and Hirst-Winthrop S. Proposal of an integrative model of adjustment to chronic conditions: An understanding of the process of psychosocial adjustment to living with type 2 diabetes. Journal of Health Psychology. 2018; 23: 1063-74.
  • Referans11. Çelik S, Kelleci M, Dilek A and Temel E. Tip 1 diyabetli genç yetişkinlerin hastalığa psikososyal uyumları ve stresle başaçıkma tarzları. Florence Nightingale Hemşirelik Dergisi. 2015; 23: 105-15.
  • Referans12. Karabulutlu EY and Gündüz F. Tip II Diyabetes Mellituslu Hastalarda Hastalık Algısı, Psikososyal Uyum ve Glisemik Kontrolün Değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016; 19: 106-15.
  • Referans13. Akca AT and Cinar S. Comparison of psychosocial adjustment in people with diabetes with and without diabetic foot ulceration. Australian Journal of Advanced Nursing. 2008; 25: 87-96.
  • Referans14. Aypay A. Genel Öz Yeterlik Ölçeği? nin GÖYÖ Türkçe? ye Uyarlama Çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi. 2010; 11: 113-32.
  • Referans15. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E and Sharifirad G. Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes. Oman Med J. 2016; 31: 52-9.
  • Referans16. Young HM, Miyamoto S, Dharmar M and Tang-Feldman Y. Nurse Coaching and Mobile Health Compared With Usual Care to Improve Diabetes Self-Efficacy for Persons With Type 2 Diabetes: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020; 8: e16665.
  • Referans17. Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL and Wang TJ. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. Journal of the American Association of Nurse Practitioners. 2013; 25: 495-502.
  • Referans18. Özgül E and Yanık YT. Tip 2 Diyabetli Bireylerin Öz-Yeterlilik Düzeylerinin Değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016; 19: 166-74.
  • Referans19. Mohebi S, Azadbakht L, Feizi A, Sharifirad G and Kargar M. Review the key role of self-efficacy in diabetes care. J Educ Health Promot. 2013; 2: 36.
  • Referans20. Trief PM, Teresi JA, Eimicke JP, Shea S and Weinstock RS. Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel project. Age and Ageing. 2009; 38: 219-25.
  • Referans21. Messina R, Rucci P, Sturt J, Mancini T and Fantini MP. Assessing self-efficacy in type 2 diabetes management: validation of the Italian version of the Diabetes Management Self-Efficacy Scale (IT-DMSES). Health and Quality of Life Outcomes. 2018; 16: 71.
  • Referans22. Kes D and Gökdoğan F. Relationship between medication adherence and psychosocial adjustment in patients with type 2 diabetes: A cross-sectional study. Nordic Journal of Nursing Research. 2020; 0: 2057158520937456.
  • Referans23. Eilander MMA, de Wit M, Rotteveel J and Snoek FJ. Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c. J Diabetes Res. 2016; 2016: 3159103.
  • Referans24. Kim G, Shim R, Ford KL and Baker TA. The Relation Between Diabetes Self-Efficacy and Psychological Distress Among Older Adults:Do Racial and Ethnic Differences Exist? Journal of Aging and Health. 2015; 27: 320-33.
  • Referans25. Wardian J and Sun F. Factors Associated With Diabetes-Related Distress: Implications for Diabetes Self-Management. Social Work in Health Care. 2014; 53: 364-81.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Erman Yıldız 0000-0002-6544-4847

Project Number Yok
Publication Date March 22, 2021
Submission Date August 4, 2020
Published in Issue Year 2021

Cite

AMA Yıldız E. The Relationship Between Self-Efficacy and Psychosocial Adjustment of Individuals with Type 2 Diabetes. Sakarya Tıp Dergisi. March 2021;11(1):32-41. doi:10.31832/smj.776863

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