Diyabetik Retinopatisi Olan Hastalarda Özbakımın Değerlendirilmesi

Year 2023, , 214 - 222, 31.12.2023

Songül Biltekin , Züleyha Kılıç , Şefika Dilek Güven

https://doi.org/10.25048/tudod.1209848

Abstract

Amaç: Tanımlayıcı olarak yapılan bu araştırmada diyabetik retinopatisi olan hastalarda öz bakımın incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu araştırma, bir Şehir Hastanesinin Göz Hastalıkları Retina polikliniklerine başvuran, dahil edilme kriterlerini
karşılayan ve araştırmaya katılmaya gönüllü olan 151 diyabetik retinopatisi olan hasta ile yapılmıştır. Verilerin toplanmasında anket
formu ve Diyabet Özbakım Ölçeği (DÖBÖ) kullanılmıştır.
Bulgular: Bu araştırmada diyabetik retinopatisi olan hastaların DÖBÖ puan ortalaması 94.2±23.7 olarak bulunmuştur. DÖBÖ puanı
ile açlık plazma glukozu ve tokluk plazma glukozu arasında zayıf düzeyde negatif korelasyon vardır (p<0.05). Araştırmada incelenen
diğer metabolik parametreler ile DÖBÖ puanı arasındaki ilişki yoktur (p>0.05).
Sonuç: Çalışmada diyabetik retinopatisi olan hastaların öz bakım puanları kabul edilebilir ve yüksek olarak bulunmuştur. DÖBÖ skorları
ile açlık ve tokluk kan şekeri arasında zayıf bir negatif korelasyon saptanmıştır. Diyabetik retinopatisi olan hastaların bütüncül bir şekilde
değerlendirerek özbakım düzeylerinin belirlenmesi ve özbakımlarını geliştirecek planlamaların ve uygulamaların yapılması önerilir

Keywords

hemşirelik, diyabet, diyabetik retinopati, özbakım

Project Number

none

Evaluation of Self-Care in Patients with Diabetic Retinopathy

Abstract

Aim: This descriptive study aimed to evaluate self-care in patients with diabetic retinopathy.
Material and Methods: The study was conducted with 151 individuals who were diagnosed with diabetic retinopathy in an
ophthalmology clinic of a city hospital, met the specified criteria and admitted to participate in the research. A questionnaire form and
Diabetes Self-Care Scale (DSCS) were used to collect data.
Results: In this study, the mean DSCS score of patients with diabetic retinopathy was found as 94.2±23.7. There is a weak negative
correlation between the DSCS score and fasting and postprandial plasma glucose (p<0.05). There is no relationship between the other
metabolic parameters examined in the study and the DSCS score (p>0.05).
Conclusion: In this study self-care scores of patients with diabetic retinopathy were observed to be acceptable and high level. A weak
negative correlation was determined between DSCS scores and fasting and postprandial blood glucose. It is recommended to evaluate
patients with diabetic retinopathy in a holistic manner, determine their self-care levels, and make plans and practices to improve their
self-care.

Keywords

diabetes, diabetic retinopathy, nursing, self-care

Supporting Institution

none

Project Number

none

Thanks

We thank the patients with diabetic retinopathy who participated in our study.

References

• van Dieren S, Beulens JW, van der Schouw YT, Grobbee DE, Neal B. The global burden of diabetes and its complications: an emerging pandemic. Eur J Cardiovasc Prev Rehabil. 2010;17 Suppl 1:S3-S8.
• Bertoldi AD, Kanavos P, França GV, et al. Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review. Global Health. 2013;9:62.
• Jing X, Chen J, Dong Y, et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018;16(1):189.
• TÜRKDİAB, “Diyabet Tanı ve Tedavi Rehberi”, Güncellenmiş 9. Baskı Nisan, 2019.https://www.turkdiab.org/admin/PICS/files/Diyabet_Tani_ve_Tedavi_Rehberi_2019.pdf Erişim:25.03.2021.
• Teo ZL, Tham YC, Yu M, et al. Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-analysis (published online ahead of print, 2021 May 1). Ophthalmology. 2021;S0161-6420(21)00321-3.
• Erdoğan H, Erol N, Yıldırım N. Prevalence and rısk factors for dıabetıc retınopathy ın Turkey: a screenıng programme usıng non mydrıatıc camera concıse tıtle: Usıng non mydrıatıc camera for dıabetıc retınopathy Int. J. of Health Serv. Res. and Policy. 2020; 5(1): 15-23.
• Bourne RR, Stevens GA, White RA, et al. Causes of vision loss worldwide, 1990-2010: a systematic analysis. Lancet Glob Health. 2013;1(6):e339-e349.
• Lee R, Wong TY, Sabanayagam C. Epidemiology of diabetic retinopathy, diabetic macular edema and related vision loss. Eye Vis (Lond). 2015;2:17. Published 2015 Sep 30.
• Fenwick EK, Pesudovs K, Khadka J, et al. The impact of diabetic retinopathy on quality of life: qualitative findings from an item bank development project (published correction appears in Qual Life Res. 2012 Dec;21(10):1783). Qual Life Res. 2012;21(10):1771-1782.
• Cooper OAE, Taylor DJ, Crabb DP, Sim DA, McBain H. Psychological, social and everyday visual impact of diabetic macular oedema and diabetic retinopathy: a systematic review. Diabet Med. 2020;37(6):924-933.
• Mazhar K, Varma R, Choudhury F, et al. Severity of diabetic retinopathy and health-related quality of life: the Los Angeles Latino Eye Study. Ophthalmology. 2011;118(4):649-655.
• Wong TY, Sabanayagam C. Strategies to Tackle the Global Burden of Diabetic Retinopathy: From Epidemiology to Artificial Intelligence. Ophthalmologica. 2020;243(1):9-20.
• Action to Control Cardiovascular Risk in Diabetes Follow-On (ACCORDION) Eye Study Group and the Action to Control Cardiovascular Risk in Diabetes Follow-On (ACCORDION) Study Group. Persistent Effects of Intensive Glycemic Control on Retinopathy in Type 2 Diabetes in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Follow-On Study. Diabetes Care. 2016;39(7):1089-1100.
• Semeraro F, Parrinello G, Cancarini A, et al. Predicting the risk of diabetic retinopathy in type 2 diabetic patients. J Diabetes Complications. 2011;25(5):292-297.
• İstek N, Karakurt P. A global health problem: Type 2 diabetes and self-care management. G.O.P. Taksim E.A.H, JAREN 2018; 4(3): 179-182.
• Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(1):14.
• Li N, Yang XF, Deng Y, et al. Diabetes self-management and its association with diabetic retinopathy in patients with type 2 diabetes. Zhonghua Yan Ke Za Zhi. 2013;49(6):500-506.
• Sigurdardóttir AK. Self-care in diabetes: model of factors affecting self-care. J Clin Nurs. 2005;14(3):301-314.
• Karakurt P, Kaşıkçı MK. The effect of education given to patients with type 2 diabetes mellitus on self-care. Int J Nurs Pract. 2012;18(2):170-179.
• Zhang B, Wang Q, Zhang X, Jiang L, Li L, Liu B. Association between self-care agency and depression and anxiety in patients with diabetic retinopathy. BMC Ophthalmol. 2021; 21(1):123.
• Albaiuomy ME, Bedier NA, & Hafeez NA. Self care practices among patients with diabetic retinopathy. Journal of Nursing and Health Science. 2019; 8(5): 33-43,2019.
• Lee NP, Fisher WP Jr. Evaluation of the Diabetes Self-Care Scale. J Appl Meas. 2005;6(4):366-381.
• Karakurt P, Kaşıkçı M. Validity and reliability of the Turkish version of the Diabetes Self-Care Scale. Int J Diabetes Dev Ctries 2015;35(2): 148–156.
• Kusuhara S, Fukushima Y, Ogura S, Inoue N, Uemura A. Pathophysiology of diabetic retinopathy: The old and the new. Diabetes Metab J. 2018;42(5):364-376.
• İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-79.
• Karakurt P, Hacıhasanoğlu Aşılar R, Yıldırı A. Evaluation of the self-care agency and perceived social support in patients with diabetes mellitus. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi 2013; 4(1): 1–9.
• İstek N, Karakurt P. Effect of activities of daily living on self-care agency in ındividuals with type 2 diabetes. Journal of Diabetes Mellitus 2016; 6(4):247-262
• Özçakar N, Kartal M, Kuruoğlu E., Self-care agency in diabetic patients. Turkish Journal of Family Practice 2009; 13(1): 17-22
• Alhaik S, Anshasi HA, Alkhawaldeh J, Soh KL, Naji AM. An assessment of self-care knowledge among patients with diabetes mellitus. Diabetes Metab Syndr. 2019;13(1):390-394.
• He X, Li J, Wang B, et al. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine. 2017;55(3):712-731.
• Hsu CR, Chen YT, Sheu WH. Glycemic variability and diabetes retinopathy: a missing link. J Diabetes Complications. 2015;29(2):302-306.
• Kara K, Cinar S. The relation between diabetes care profile and metabolic control variables. Kafkas J Med Sci. 2011; 1(2): 57-63
• Modarresi M, Gholami S, Habibi P, Ghadiri-Anari A. Relationship between self care management with glycemic control in type 2 diabetic patients. Int J Prev Med 2020;11:127.