Tip 2 Diyabetli Bireylerde Sağlığı Geliştirici Davranışlar ve Öz Yönetimin Değerlendirilmesi
Yıl 2025,
Cilt: 7 Sayı: 1, 20 - 31, 21.04.2025
Öznur Adadıoğlu
,
Ahmet Seven
,
Esin Danç
Öz
Amaç: Bu araştırma diyabet hastalarının sağlığı geliştirici davranışlar ile öz yönetimini değerlendirmek ve etkileyen faktörleri belirlemek amacıyla yapıldı.
Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipte tasarlanan bu araştırma, ikinci basamak bir hastanenin dahiliye polikliniğinde, Tip 2 diyabetli bireyler (n: 205) ile yürütülmüştür. Veri toplama aracı olarak bilgi formu, Tip 2 Diyabet ve Sağlığı Geliştirme Ölçeği ve Diyabet Öz Yönetim Skalası kullanılmıştır.
Bulgular: Diyabet öz yönetim skalası puan ortalaması 6.16 ± 1.72; Tip 2 diyabet ve sağlığı geliştirme ölçeği puan ortalaması ise 86.31 ± 19.71’dir. Bireylerin sağlığı geliştirici toplam puanları ile eğitim düzeyi, gelir durumu, tedavi şekli, düzenli sağlık kontrolü yaptırma durumu, sağlık durumu algısı ve algılanan aile desteği ve ailede diyabet öyküsü gibi tanımlayıcı özellikler arasında anlamlı bir farklılığın olduğu belirlenmiştir (p<0.05). Aynı zamanda, medeni durum, gelir durumu, tedavi şekli, düzenli sağlık kontrolü yaptırma durumu, sağlık durumu algısı ve algılanan aile desteği ile bireylerin öz yönetim toplam puan ortalamaları arasında anlamlı bir farklılığın olduğu saptanmıştır (p<0.05). Sağlığı geliştirici davranışlar ile öz yönetim puan ortalaması arasında pozitif yönde anlamlı ilişki bulunmuştur (p<0.001).
Sonuç: Sağlığı geliştirici davranışları hayata geçiren bireylerin diyabet öz yönetimlerinin daha iyi olduğu belirlenmiştir.
Etik Beyan
The study commenced following approval (approval number: 19.07.2019-230-50) from the Sakarya University Faculty of Medicine Non-Interventional Ethics Committee.
Destekleyen Kurum
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Kaynakça
-
Açıksöz, S., Uzun, Ş., Arslan, F. (2013). Hemşirelik öğrencilerinin sağlık algısı ile sağlığı geliştirme davranışları arasındaki ilişkinin incelenmesi. Gülhane Tıp Dergisi, 55 (3), 181-187.
-
Alanyalı, Z., Arslan, S. (2020). Diabetes symptoms and self-management perceptions of individuals with type 2 diabetes. Archives of Health Science and Research, 7 (3), doi: 10.5152/ArcHealthSciRes.2020.19031
-
Alpar, S. E., Senturan, L., Karabacak, U., Sabuncu, N. (2008). Change in the health-promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Educ Pract, 8 (6), 382-8. doi: 10.1016/j.nepr.2008.03.010
-
Ardakani, M. F., Anoosheh, V. S., Sotoudeh, A., Hajivandi, A., Sotoudeh, N., Yazdani, Z. (2019). Investigating Health Promotion Behaviors of Pregnant Women Referring to comprehensive Health Services centers of Bushehr city in 2016. Journal of Community Health Research,8 (1), 38-45.
-
Bakır, G. G, Zengin, N. (2023). Diyabetli bireylerde kronik hastalık öz yönetimi ve etkileyen faktörlerin incelenmesi. Sağlık ve Yaşam Bilimleri Dergisi, 5 (1), 9-17. doi: 10.33308/2687248X.202351289
-
Bigdeli, M. A., Hashemi Nazari, S. S., Khodakarim, S., Brodati, H. (2016). Factors affecting self-care in patients with type II diabetes using path analysis, Iranian Journal of Health Sciences, 4 (3), 10-21 doi: 10.18869/acadpub.jhs.4.3.10
-
Chahardah-Cherik, S., Gheibizadeh, M., Jahani, S., Cheraghian, B. (2018). The relationship between health literacy and health-promoting behaviors in patients with type 2 diabetes. International Journal of Community Based Nursing and Midwifery, 6 (1), 65.
-
Chen, C.P., Peng, Y. S., Weng, H. H., Fan, J. Y., Guo, S. E., Yen, H.Y., … Chen, M. Y. (2013). Development and preliminary testing of a brief screening measure of healthy lifestyle for diabetes patients. International Journal of Nursing Studies, 50 (1), 90-99. doi: 10.1016/j.ijnurstu.2012.09.001
-
Chen, H. M., Su, B. Y. (2022). Factors Related to the Continuity of Care and Self-Management of Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Taiwan. Healthcare, 10 (10), 2088 doi: 10.3390/healthcare10102088
-
Çiçek, B. (2019). Tip 2 diyabeti olan bireylerin yaşam tarzı değişikliklerine uyabilme durumları ve etkileyen faktörlerin belirlenmesi. (Yayımlanmamış Yüksek Lisans Tezi). Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
-
Ernawati, U., Wihastuti, T. A., Utami, Y. W. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: systematic literature review. Journal of Public Health Research, 10 (2), 2240. doi: 10.4081/jphr.2021.2240
-
Eroğlu, N., Sabuncu, N. (2019). Diyabet Öz Yönetim Skalası’nın (DÖYS) Türk toplumuna uyarlanması: geçerlik ve güvenirlik çalışması. Hemşirelik Bilimi Dergisi, 1 (3), 1-6.
-
Erol, Ö., Yanık, Y. T. (2016). Tip 2 diyabetli bireylerin öz-yeterlilik düzeylerinin değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19 (3). doi: 10.17049/ahsbd.22818
-
Fazli, R., Seyedrasooli, A., Jabbarzadeh Tebrizi, F., Sarbakhsh, P., Hosseinzadeh, M. (2023). Relationship between Health-Promoting Behaviors and Family Perceived Social Support in Type 2 Diabetes Patients. Health Education and Health Promotion, 11 (2), 285-291.
-
Greaves, C. J., Sheppard, K. E., Abraham, C., Hardeman, W., Roden, M., Evans, P. H., Schwarz, P. (2011). Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health, 11 (1), 1-12. doi: 10.1186/1471-2458-11-119
-
Gunggu, A., Thon C. C., Lian, C. W. (2016). Predictors of diabetes self-management among type 2 diabetes patients, Journal of diabetes research, 9158943. doi: 10.1155/2016/9158943
-
Habibi Soola, A., Davari, M., Rezakhani Moghaddam, H. (2022). Determining the predictors of self-management behaviors in patients with type 2 diabetes: An application of socio-ecological approach, Frontiers in Public Health, 10, 820238. doi: 10.3389/fpubh.2022.820238
-
Huang, M., Zhao, R., Li, S., Jiang, X. (2014). Self-management behavior in patients with type 2 diabetes: a cross-sectional survey in western urban China. PloS one, 9(4), e95138.
-
Hurst, C.P., Rakkapao, N., Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multi-center study in Thailand. PLoS One,15 (12), e0244692. doi: 10.1371/journal.pone.0244692
-
International Diabetes Federation (https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html). Erişim tarihi: 23.08.2023.
-
İsmailoğlu, E.G., Timuçin, S (2022). Yoğun bakıma yatan tip 2 diyabetli hastaların insüline karşı algıları ile diyabet öz yönetimleri arasındaki ilişkinin incelenmesi. J Contemp Med, 12 (2), 396-402. doi: 10.16899/jcm.899924
-
Khazew, H. R., Faraj, R. K. (2024). Illness Acceptance and Its Relationship to Health-behaviors among Patients with Type 2 Diabetes: A Mediating Role of Self-hardiness. Current Problems in Cardiology, 102606. https://doi.org/10.1016/j.cpcardiol.2024.102606
-
Kalangadan, A., Puthiyamadathil, S., Koottat, S., Rawther, S. C. H., Beevi, A. (2020) Sociodemographics, clinical profile and health promotion behaviour of people with type 2 diabetes mellitus. Clinical Epidemiology and Global Health, 8 (3), 845-849. doi: 10.1016/j.cegh.2020.02.011
-
Khalooei, A., Benrazavy, L. (2019). Diabetes self-management and its related factors among type 2 diabetes patients in primary health care settings of Kerman, Southeast Iran. Journal of Pharmaceutical Research International, 29 (4), 1-9. doi: 10.9734/jpri/2019/v29i430241
-
Kim, K.A., Kim, Y.J., Choi, M. (2018). Association of electronic health literacy with health-promoting behaviors in patients with type 2 diabetes: a cross-sectional study. CIN: Computers, Informatics, Nursing, 36 (9), 438-447. DOI: 10.1097/CIN.0000000000000438
-
Kurnia, A.D., Amatayakul, A., Karuncharernpanit, S. (2017). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model, International Journal of Nursing Sciences, 4 (3), 260-265. doi: 10.1016/j.ijnss.2017.06.010
-
Lee, J., Smith, J. P. (2012). The effect of health promotion on diagnosis and management of diabetes. J Epidemiol Community Health, 66 (4), 366-371. doi: 10.1136/jech.2009.087304
-
Lim, L. L., Lau, E. S., Kong, A. P., Fu, A. W., Lau, V., Jia, W., ... Chan, J. C. (2023). Gender-associated cardiometabolic risk profiles and health behaviors in patients with type 2 diabetes: A cross-sectional analysis of the Joint Asia Diabetes Evaluation (JADE) program. The Lancet Regional Health–Western Pacific, 32. doi:
10.1016/j.lanwpc.2022.100663
-
Mayberry, L. S., Harper, K. J., Osborn, C. Y. (2016). Family behaviors and type 2 diabetes: What to target and how to address in interventions for adults with low socioeconomic status. Chronic illness, 12 (3), 199-215. doi: 10.1177/1742395316644303
-
Mirsamiyazdi, N., Jafaripour, F., Taqvaeinasab H., Masoudiyekta, L., Amiri, R., Azarbad, S., Komeilifar, Z. (2021).The Relationship Between Health Literacy and Health Promoting Behaviors in Patients with Type 2 Diabetes. Journal of Health Literacy, 6 (3), 24-31. doi: 10.22038/jhl.2021.59721.1180
-
Mo, P. K. H., Winnie, W. S. M. (2010). The influence of health-promoting practices on the quality of life of community adults in Hong Kong. Social Indicators Research, 953:503-17. https://doi.org/10.1007/s11205-009-9523-9
-
Ojewale, L. Y., Oluwatosin, A. O., Fasanmade, A. A., Odusan, O. (2019). A survey on patients' characteristics, perception of family support and diabetes self‐management among type 2 diabetes patients in SouthWest Nigeria. Nursing Open, 6 (2), 208-215. doi: 10.1002/nop2.236
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Onyango, J. T., Namatovu, J. F., Besigye, I. K., Kaddumukasa, M., Mbalinda, S. N. (2022). The relationship between perceived social support from family and diabetes self-management among patients in Uganda. Pan African Medical Journal, 41 (1). doi: 10.11604/pamj.2022.41.279.33723
-
Putra, M. M., Kusnanto, K., Asmoro, C. P., Sukartini, T. (2019). Application of health promotion model for better self-care behavior in patients with diabetes mellitus. Belitung Nursing Journal, 5 (6), 239-245. doi: 10.33546/bnj.913
-
Sadiq, I. Z. (2023). Lifestyle medicine as a modality for prevention and management of chronic diseases. Journal of Taibah University Medical Sciences, 18 (5), 1115-1117. doi: 10.1016/j.jtumed.2023.04.001
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Evaluation of Health-Promoting Behaviors and Self-Management among Individuals with Type 2 Diabetes
Yıl 2025,
Cilt: 7 Sayı: 1, 20 - 31, 21.04.2025
Öznur Adadıoğlu
,
Ahmet Seven
,
Esin Danç
Öz
Aim: This study was conducted to evaluate health promoting behaviors and self-management in patients with diabetes and determine the factors affecting.
Material and Method: This descriptive cross-sectional study was conducted with 205 individuals diagnosed with Type 2 diabetes at the internal medicine outpatient clinic of a secondary care hospital. Data were collected using an information form, the Type 2 Diabetes and Health Promotion Scale, and the Diabetes Self-Management Scale.
Results: The mean overall Type 2 Diabetes and Health-Promoting Scale score was 86.31 ± 19.71, and the mean overall Diabetes Self-Management Scale score was 6.16 ± 1.72.
A significant difference was found between the individuals' mean total health promoting scores and their descriptive characteristics, including their level of education, income status, mode of treatment, regular health checks, perception of health status and perception of family support, and history of diabetes in the family (p<0.05). Additionally, it was shown that there was a significant relationship between the participants' mean total self-management scores and their marital status, financial status, form of treatment, regular health checkup, perception of health status, and perceived family support (p<0.05). A significant positive correlation was identified between participants’ self-management scores and their overall health-promoting behavior scores (p < 0.001).
Conclusion: It was determined that individuals demonstrating health promoting behaviors had better diabetes self-management.
Kaynakça
-
Açıksöz, S., Uzun, Ş., Arslan, F. (2013). Hemşirelik öğrencilerinin sağlık algısı ile sağlığı geliştirme davranışları arasındaki ilişkinin incelenmesi. Gülhane Tıp Dergisi, 55 (3), 181-187.
-
Alanyalı, Z., Arslan, S. (2020). Diabetes symptoms and self-management perceptions of individuals with type 2 diabetes. Archives of Health Science and Research, 7 (3), doi: 10.5152/ArcHealthSciRes.2020.19031
-
Alpar, S. E., Senturan, L., Karabacak, U., Sabuncu, N. (2008). Change in the health-promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Educ Pract, 8 (6), 382-8. doi: 10.1016/j.nepr.2008.03.010
-
Ardakani, M. F., Anoosheh, V. S., Sotoudeh, A., Hajivandi, A., Sotoudeh, N., Yazdani, Z. (2019). Investigating Health Promotion Behaviors of Pregnant Women Referring to comprehensive Health Services centers of Bushehr city in 2016. Journal of Community Health Research,8 (1), 38-45.
-
Bakır, G. G, Zengin, N. (2023). Diyabetli bireylerde kronik hastalık öz yönetimi ve etkileyen faktörlerin incelenmesi. Sağlık ve Yaşam Bilimleri Dergisi, 5 (1), 9-17. doi: 10.33308/2687248X.202351289
-
Bigdeli, M. A., Hashemi Nazari, S. S., Khodakarim, S., Brodati, H. (2016). Factors affecting self-care in patients with type II diabetes using path analysis, Iranian Journal of Health Sciences, 4 (3), 10-21 doi: 10.18869/acadpub.jhs.4.3.10
-
Chahardah-Cherik, S., Gheibizadeh, M., Jahani, S., Cheraghian, B. (2018). The relationship between health literacy and health-promoting behaviors in patients with type 2 diabetes. International Journal of Community Based Nursing and Midwifery, 6 (1), 65.
-
Chen, C.P., Peng, Y. S., Weng, H. H., Fan, J. Y., Guo, S. E., Yen, H.Y., … Chen, M. Y. (2013). Development and preliminary testing of a brief screening measure of healthy lifestyle for diabetes patients. International Journal of Nursing Studies, 50 (1), 90-99. doi: 10.1016/j.ijnurstu.2012.09.001
-
Chen, H. M., Su, B. Y. (2022). Factors Related to the Continuity of Care and Self-Management of Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Taiwan. Healthcare, 10 (10), 2088 doi: 10.3390/healthcare10102088
-
Çiçek, B. (2019). Tip 2 diyabeti olan bireylerin yaşam tarzı değişikliklerine uyabilme durumları ve etkileyen faktörlerin belirlenmesi. (Yayımlanmamış Yüksek Lisans Tezi). Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
-
Ernawati, U., Wihastuti, T. A., Utami, Y. W. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: systematic literature review. Journal of Public Health Research, 10 (2), 2240. doi: 10.4081/jphr.2021.2240
-
Eroğlu, N., Sabuncu, N. (2019). Diyabet Öz Yönetim Skalası’nın (DÖYS) Türk toplumuna uyarlanması: geçerlik ve güvenirlik çalışması. Hemşirelik Bilimi Dergisi, 1 (3), 1-6.
-
Erol, Ö., Yanık, Y. T. (2016). Tip 2 diyabetli bireylerin öz-yeterlilik düzeylerinin değerlendirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19 (3). doi: 10.17049/ahsbd.22818
-
Fazli, R., Seyedrasooli, A., Jabbarzadeh Tebrizi, F., Sarbakhsh, P., Hosseinzadeh, M. (2023). Relationship between Health-Promoting Behaviors and Family Perceived Social Support in Type 2 Diabetes Patients. Health Education and Health Promotion, 11 (2), 285-291.
-
Greaves, C. J., Sheppard, K. E., Abraham, C., Hardeman, W., Roden, M., Evans, P. H., Schwarz, P. (2011). Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health, 11 (1), 1-12. doi: 10.1186/1471-2458-11-119
-
Gunggu, A., Thon C. C., Lian, C. W. (2016). Predictors of diabetes self-management among type 2 diabetes patients, Journal of diabetes research, 9158943. doi: 10.1155/2016/9158943
-
Habibi Soola, A., Davari, M., Rezakhani Moghaddam, H. (2022). Determining the predictors of self-management behaviors in patients with type 2 diabetes: An application of socio-ecological approach, Frontiers in Public Health, 10, 820238. doi: 10.3389/fpubh.2022.820238
-
Huang, M., Zhao, R., Li, S., Jiang, X. (2014). Self-management behavior in patients with type 2 diabetes: a cross-sectional survey in western urban China. PloS one, 9(4), e95138.
-
Hurst, C.P., Rakkapao, N., Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multi-center study in Thailand. PLoS One,15 (12), e0244692. doi: 10.1371/journal.pone.0244692
-
International Diabetes Federation (https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html). Erişim tarihi: 23.08.2023.
-
İsmailoğlu, E.G., Timuçin, S (2022). Yoğun bakıma yatan tip 2 diyabetli hastaların insüline karşı algıları ile diyabet öz yönetimleri arasındaki ilişkinin incelenmesi. J Contemp Med, 12 (2), 396-402. doi: 10.16899/jcm.899924
-
Khazew, H. R., Faraj, R. K. (2024). Illness Acceptance and Its Relationship to Health-behaviors among Patients with Type 2 Diabetes: A Mediating Role of Self-hardiness. Current Problems in Cardiology, 102606. https://doi.org/10.1016/j.cpcardiol.2024.102606
-
Kalangadan, A., Puthiyamadathil, S., Koottat, S., Rawther, S. C. H., Beevi, A. (2020) Sociodemographics, clinical profile and health promotion behaviour of people with type 2 diabetes mellitus. Clinical Epidemiology and Global Health, 8 (3), 845-849. doi: 10.1016/j.cegh.2020.02.011
-
Khalooei, A., Benrazavy, L. (2019). Diabetes self-management and its related factors among type 2 diabetes patients in primary health care settings of Kerman, Southeast Iran. Journal of Pharmaceutical Research International, 29 (4), 1-9. doi: 10.9734/jpri/2019/v29i430241
-
Kim, K.A., Kim, Y.J., Choi, M. (2018). Association of electronic health literacy with health-promoting behaviors in patients with type 2 diabetes: a cross-sectional study. CIN: Computers, Informatics, Nursing, 36 (9), 438-447. DOI: 10.1097/CIN.0000000000000438
-
Kurnia, A.D., Amatayakul, A., Karuncharernpanit, S. (2017). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model, International Journal of Nursing Sciences, 4 (3), 260-265. doi: 10.1016/j.ijnss.2017.06.010
-
Lee, J., Smith, J. P. (2012). The effect of health promotion on diagnosis and management of diabetes. J Epidemiol Community Health, 66 (4), 366-371. doi: 10.1136/jech.2009.087304
-
Lim, L. L., Lau, E. S., Kong, A. P., Fu, A. W., Lau, V., Jia, W., ... Chan, J. C. (2023). Gender-associated cardiometabolic risk profiles and health behaviors in patients with type 2 diabetes: A cross-sectional analysis of the Joint Asia Diabetes Evaluation (JADE) program. The Lancet Regional Health–Western Pacific, 32. doi:
10.1016/j.lanwpc.2022.100663
-
Mayberry, L. S., Harper, K. J., Osborn, C. Y. (2016). Family behaviors and type 2 diabetes: What to target and how to address in interventions for adults with low socioeconomic status. Chronic illness, 12 (3), 199-215. doi: 10.1177/1742395316644303
-
Mirsamiyazdi, N., Jafaripour, F., Taqvaeinasab H., Masoudiyekta, L., Amiri, R., Azarbad, S., Komeilifar, Z. (2021).The Relationship Between Health Literacy and Health Promoting Behaviors in Patients with Type 2 Diabetes. Journal of Health Literacy, 6 (3), 24-31. doi: 10.22038/jhl.2021.59721.1180
-
Mo, P. K. H., Winnie, W. S. M. (2010). The influence of health-promoting practices on the quality of life of community adults in Hong Kong. Social Indicators Research, 953:503-17. https://doi.org/10.1007/s11205-009-9523-9
-
Ojewale, L. Y., Oluwatosin, A. O., Fasanmade, A. A., Odusan, O. (2019). A survey on patients' characteristics, perception of family support and diabetes self‐management among type 2 diabetes patients in SouthWest Nigeria. Nursing Open, 6 (2), 208-215. doi: 10.1002/nop2.236
-
Onyango, J. T., Namatovu, J. F., Besigye, I. K., Kaddumukasa, M., Mbalinda, S. N. (2022). The relationship between perceived social support from family and diabetes self-management among patients in Uganda. Pan African Medical Journal, 41 (1). doi: 10.11604/pamj.2022.41.279.33723
-
Putra, M. M., Kusnanto, K., Asmoro, C. P., Sukartini, T. (2019). Application of health promotion model for better self-care behavior in patients with diabetes mellitus. Belitung Nursing Journal, 5 (6), 239-245. doi: 10.33546/bnj.913
-
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