Is Travel Pleasure for Individuals With Type 2 Diabetes? or Torment? A Qualitative Approach

Öz

Objective: The aim of this study is to determine the difficulties that people with type 2 diabetes experience during their travels. Materials and Methods: This research has a descriptive and phenomenological pattern. It was completed with a total of 14 individuals who were diagnosed with type 2 diabetes for at least one year, were hospitalized in the internal medicine service at the time of the study and agreed to participate in the study. The data were collected in 35-40 minutes using the face-to-face interview technique with the semi-structured form developed by the researchers. Throughout the interviews, the expressions of individuals with type 2 diabetes were recorded with a tape recorder. The data were evaluated using the content analysis method. Results: In the research, three themes were determined as "the meaning of travel", "difficulties experienced during travel" and "coping strategies". Individuals with type 2 diabetes who participated in the study defined travel as a concept that could cause preparing for war, climbing a difficult mountain and having a panic attack. Individuals with type 2 diabetes stated that they experienced difficulties such as preserving medications and insulin, glucose measurement and insulin administration, foot problems, compliance with diet program and hypoglycemia / hyperglycemia attacks during their travels. They stated that in order to cope with travel-related problems, they kept all the materials they might need before the travel, searched their destination, had their routine checks before the travel and received information from the doctor and diabetes nurse. Conclusion: As a result of the research, it was determined that individuals with type 2 diabetes have problems with treatment, diet, foot health and insulin regulation while traveling. Individuals with type 2 diabetes should be informed in detail about diabetic care by their physicians and diabetes nurses during their travel practices.

Anahtar Kelimeler

• Diabetes
• Type 2
• Travel
• Qualitative study

Tip 2 Diyabetli Bireylerde Seyahat Zevk mi? Yoksa Eziyet mi? Kalitatif Bir Yaklaşım

Öz

Giriş ve Amaç: Bu araştırmanın amacı, tip 2 diyabetli bireylerin seyahatleri sırasında yaşadıkları zorlukları belirlemektir. Gereç ve Yöntemler: Tanımlayıcı ve fenomenolojik desene sahip olan bu araştırma, en az bir yıldır tip 2 diyabet tanısı almış, çalışmanın yapıldığı tarihlerde dahiliye servisinde yatmakta olan ve çalışmaya katılmayı kabul eden toplam 14 birey ile tamamlanmıştır. Veriler, araştırmacılar tarafından geliştirilen yarı yapılandırılmış form ile yüz yüze görüşme tekniği kullanılarak 35-40 dakikada toplanmıştır. Görüşmeler boyunca tip 2 diyabetli bireylerin ifadeleri ses kayıt cihazı ile kayıt altına alınmıştır. Veriler, içerik analizi yöntemi ile değerlendirilmiştir. Bulgular: Araştırmada “seyahatin anlamı”, “seyahat sırasında yaşanılan zorluklar” ve “baş etme stratejileri” olmak üzere üç tema belirlenmiştir. Araştırmaya katılan tip 2 diyabetli bireyler seyahati, savaşa hazırlanma, zorlu bir dağa tırmanış ve panik atak geçirmesine neden olabilecek bir kavram olarak tanımlamışlardır. Tip 2 diyabetli bireyler seyahatleri sırasında ilaçları ve insülini muhafaza etme, şeker ölçümü ve insülin uygulama, ayak problemleri, diyet programına uyum ve hipoglisemi/hiperglisemi atakları gibi zorluklar yaşadıklarını ifade etmişlerdir. Seyahat ile ilgili problemlerle başa çıkmak için seyahat öncesi ihtiyacı olabilecek tüm malzemeleri hazır bulundurdukları, gidecekleri yeri araştırdıkları, seyahat öncesi rutin kontrollerini yaptırıp hekim ve diyabet hemşiresinden bilgi aldıklarını belirtmişlerdir. Sonuç: Araştırma sonucunda tip 2 diyabetli bireylerin seyahat sırasında uygulanan tedavi, diyet, ayak sağlığı ve insülin regülasyonu ile ilgili sorunlar yaşadıkları tespit edilmiştir. Tip 2 diyabetli bireylerin seyahat uygulamaları sırasında hekim ve diyabet hemşireleri tarafından diyabetik bakıma yönelik detaylı bir şekilde bilgilendirilmeleri gerekmektedir.

Anahtar Kelimeler

• Diyabet
• Tip 2
• Seyahat
• Kalitatif çalışma

Kaynakça

1. Alduraibi, R, Almigbal, T, Alrasheed, A, Batais, M.A, Knowledge, attitudes, and practices of primary health care physicians regarding the pre-travel counselling of patients with type 2 diabetes in Riyadh, Saudi Arabia, BMC Family Practice, 2020, 21(1), 1-9.
2. The World Tourism Organization (UNWTO). Global and regional tourism performance (2020). https://www.unwto.org/global-and-regional-tourism-performance. (accessed 22.02.2021).
3. Lin, I.W, Chang, H.H, Lee, Y.H, Wu, Y.C, Lu, C.W, Huang, K.C, Blood sugar control among type 2 diabetic patients who travel abroad: A cross sectional study, Medicine, 2019, 98(13), 1–4. Gagneux-Brunon, A, Andrillat, C, Fouilloux, P, Daoud, F, Defontaine, C, Charles, R, Lucht, F, Botelho-Nevers, E, Pre-travel advice seeking from GPs by travellers with chronic illness seen at a travel clinic, Journal of Travel Medicine, 2016, 23(3), 1–5.
4. Flatherty GT, Leong SW, Finn Y, Sulaiman LH, Noone C. Travellers with type 1 diabetes: questionnaire development and descriptive analysis of knowledge and practices. Journal of Travel Medicine, 2020, 27(6), 1–28.
5. Mullin, R, Kruger, D, Young, C.F, Shubrook, J.H, Navigating travel with diabetes, Cleveland Clinic Journal of Medicine, 2018, 85(7), 537–542.
6. Morteza, I, Mahboobeh Sadat, H, Hossein, P, Travel guidance for people with diabetes, International Journal of Travel Medicine and Global Health, 2015, 3(4), 149–154 .
7. Pavela, J, Suresh, R, Blue, R.S, Mathers, C.H, Belalcazar, L.M, Management of diabetes during air travel: A systematic literature review of current recommendations and their supporting evidence, Endocrine Practice, 2018, 24(2), 205–219.
8. Ghosh, S, Bajaj, S, Chatterjee, P, Agarwal, S, Aravind, S.R, Chawla, R, et al., Diabetes and travel, International Journal of Diabetes in Developing Countries, 2018, 38, 4–10.

9. Priya, G, Kalra, S, Dutta, D, Grewal, E, Maisnam, I, Aggarwal, S, Up in the air with diabetes : A systematic review of literature and a pragmatic approach to diabetes management during long-distance travel, Journal of Diabetes & Metabolic Disorders, 2020, 7(31), 1-10.
10. Şentürk, S, Bıçak, D, Akça, D, Diyabet ve seyahat, Arşiv Kaynak Tarama Dergisi, 2018, 27(4), 426–439.
11. Charlton, A.R, Charlton, J.R, World travel with type 1 diabetes using continuous subcutaneous insulin infusion, British Journal of Diabetes, 2019, 19(2), 141–146.
12. Örük, G, Diyabet ve seyahat. In: İlkova H, Kaya A (eds). Türk diyabet yıllığı 2016-2017, 2017, 77–83.
13. Costa, SDa, Diabetes management during trips abroad: Planning ahead to reduce the risks, Journal of Diabetes Nursing, 2014, 18, 260–265.
14. Levy-Shraga, Y, Hamiel, U, Yaron, M, Pinhas-Hamiel, O. Health risks of young adult travelers with type 1 diabetes, Journal of Travel Medicine, 2014, 21(6), 391–396.
15. Jolley J. Hemşirelik ve Sağlık profesyonelleri için araştırma ve kanıta dayalı uygulamaya giriş. Nobel Yayıncılık, Ankara, 2014.
16. Başkale, H, Determination of validity, reliability and sample size in qualitative studies, Dokuz Eylul University E-Journal of Nursing Faculty, 2016, 9(1), 23-28.
17. Elkins, B.E, True, M.W, Ramos, R.G, Cranston, M.M, How do you get there with diabetes ? Results a survey of diabetic travelers, Journal of Tourism Hospital, 2017, 3(2), 1-7.
18. Pinsker, J.E, Schoenberg, B.E, Garey, C, Runion, A, Larez, A, Kerr, D, Perspectives on long-distance air travel with type 1 diabetes, Diabetes Technology & Therapeutics, 2017, 19(12), 744–748.
19. Nassar, A.A, Cook, C.B, Edelman, S, Diabetes management during travel, Diabetes Management, 2012, 2(3), 205–212.
20. Macneill, G, Fredericks, C, Vacation ease: Travelling with an insulin pump, Canadian Journal of Diabetes, 2015, 39(3), 178–182.
21. Patel, N.R, Kennedy, A, Blickem, C, Reeves, D, Chew-Graham, C, I’m managing my diabetes between two worlds: beliefs and experiences of diabetes management in British South Asians on holiday in the east - A qualitative study, Journal of Diabetes Research, 2016, 1-8.
22. Trikudanathan, S, Hirsch, I.B, Diabetes management “up in the air”: It’s time for consensus, Endocrine Practice, 2018, 24(6), 599–601.