Tip 2 Diyabetli Kadınların Kontrasepsiyon Kullanım Davranışları: Bir Kamu Hastanesi Örneği

Abstract

Amaç: Araştırma, tip 2 diyabetli kadınların kontrasepsiyon kullanım davranışlarını ve ilişkili faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışmaya, bir kamu hastanesinde Diyabet polikliniğine başvuran ve üreme döneminde olan 194 tip 2 diyabetli kadın dahil edilmiştir. Veriler kadınların sosyodemografik ve hastalık özellikleri ile kontrasepsiyon yöntemi kullanmaya ilişkin bilgilerini sorgulayan tanılama formu ile elde edilmiştir. Verilerinin değerlendirilmesinde bağımsız gruplarda t testi ve Ki-kare testi kullanılmıştır. Bulgular: Çalışmaya katılan diyabetli kadınların %54.6’sı kontrasepsiyon yöntemi kullandığını ve en fazla geri çekme (%40.5) ile kondom (%39.7) yönetimini tercih ettiğini belirtmiştir. Kadınların sadece %33.5’inin kontrasepsiyon konusunda sağlık profesyonellerinden bilgi aldığı tespit edilmiştir. Kontrasepsiyon kullanan kadınların %19.9’unun kontrasepsiyon seçimi için hekime danıştığı ve %38.6’sının ucuz/bedava olması nedeniyle kullandığı yöntemi tercih ettiği belirlenmiştir. Çalışmada üç ve üzeri çocuk sayısı bulunan ve kontrasepsiyon ile ilgili bilgi alan kadınların kontrasepsiyon kullanma oranlarının daha yüksek olduğu, bununla birlikte ileriye yönelik gebelik düşüncesi olmayan kadınların daha düşük oranda kontrasepsiyon kullandığı tespit edilmiştir. Sonuç: Çalışmada diyabetli kadınların sadece yarısının kontrasepsiyon yöntemi kullandıkları, kontrasepsiyon kullanmada çocuk sayısının, kontrasepsiyon ile ilgili bilgi alma durumunun ve ileriye yönelik gebelik düşüncesinin ilişkili olduğu belirlenmiştir.

Keywords

• Tip 2 diyabet
• Kontrasepsiyon
• Aile planlaması

Contraception Usage Behavior of Women with Type 2 Diabetes: An Example of a Public Hospital

Abstract

Aim: Planned pregnancy is important in terms of maternal and infant health in women with diabetes of reproductive age. In this period, it is necessary to use the correct contraception method to prevent unwanted pregnancies. The study was conducted to determine contraception use behaviors and related factors of women with type 2 diabetes. Material and Methods: The study included 194 women with type 2 diabetes who applied to a diabetes outpatient clinic in a public hospital and were in their reproductive period. The data were obtained with a diagnosis form that inquired about the sociodemographic and disease characteristics of women and their knowledge about using contraception. In the evaluation of the data, t test and Chi-square test were used in independent groups. Results: In the study, it was determined that 54.6% of the diabetic women used contraception method and preferred the most coitus interruptus (40.5%) and condom (39.7%) management. It was found that only 33.5% of women received information about contraception from health professionals. It was determined that 19.9% of the women using contraception consulted the physician for the choice of contraception and 38.6% preferred the method they used because it was cheap / free. In the study, it was found that women with three or more children and who received information about contraception had a higher rate of using contraception, however, women who had no prospective pregnancy thought used contraception at a lower rate. Conclusion: In the study, it was determined that only half of the women with diabetes used contraception method. It was determined that the use of contraception and the number of children, the state of obtaining information about contraception and the prospective pregnancy idea were associated.

Keywords

• Type 2 diabetes
• Contraception
• Family planning
• Behavior

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