Tip 2 Diyabet Tanılı Yetişkinlerde Motivasyonel Görüşmenin Etkisi: Sistematik Derleme

Öz

Giriş: Tip 2 Diabetes Mellitus (T2DM) tüm dünyada prevelansı gittikçe artan önemli bir halk sağlığı sorunudur. Akut ve kronik komplikasyonlarının önlenebilmesi için diyabette öz-yönetim önemlidir. Amaç: Yapılan çalışma, T2DM tanılı yetişkinlerde, motivasyonel görüşmenin (MG) etkisini sistematik bir şekilde incelemek amacıyla yapılmıştır. Yöntem: Bu çalışma, makalelerin doküman analizine dayanan sistematik derleme deseninde nitel bir araştırmadır. Çalışma evrenini 2006-2016 yılları arasında yapılan, 6 İngilizce, 2 Türkçe anahtar kelime ile CINAHL Complete (5093), Medline (640) ve Science Citation Index (1888), Türk Tıp Dizini (0) veri tabanlarından ulaşılan 7621 makale oluşturmaktadır. Araştırmaya dahil edilme ölçütlerine uyan 16 makale çalışma kapsamında değerlendirilmiştir. Bulgular: Çalışmaların 10'unun randomize kontrollü, üçünün nitel, birinin eylem araştırması, birinin çevirimsel (translational) deneysel ön-test ve son-test, birinin yarı-deneysel türde yapıldığı belirlenmiştir. Çalışmada yer alan dokuz araştırmada, MG girişiminden sonra hemoglobin A1c düzeylerinde anlamlı bir azalma olduğu, dört araştırmada da; diyabet öz-yönetim ve diyabet öz-bakımlarıyla ilgili anlamlı değişimler olduğu belirlenmiştir. Sonuç: T2DM’da MG’nin olumlu sonuçları olduğu ve diyabet hemşirelerinin MG konusunda hizmet içi eğitim almalarının faydalı olacağı düşünülmektedir.

Anahtar Kelimeler

• Motivasyonel Görüşme, Tip 2 Diabetes Mellitus, Sistematik Derleme

The Effect of Motivational Interviewing on Adults with Type 2 Diabetes Mellitus: A Systematic Review

Öz

Background: Type 2 Diabetes Mellitus (T2DM) which has a growing prevalence all over the world is an important public health problem. Self-management is of importance for preventing acute and chronically complications. Objectives: The aim of this study is to review studies related to the effect motivational interview (MI) in adults diagnosed as T2DM systematically. Methods: This is a qualitative study with systematic review design based on document analysis of articles. The population of this study consisted of 7621 articles searched by using CINAHL Complete (5093), Medline (640) and Science Citation Index (1888), Turkish Medicine Serial (0) with 6 English and 2 Turkish keywords. Thus 16 articles based on selection criteria consisted of the sample of the study. Results: 10 of the studies were done based on 10 randomized controlled, 3 qualitative, 1 action study, 1 translational experimental pre-test post-test and 1 quasi-experimental methods. In 9 studies reviewed in this study, it was found that there were significant decreases in hemoglobin A1c levels after MI intervention, and in 4 studies there were significant developments related to adults’ diabetes self-management and self-care. Conclusion: It is thought that MI program in T2DM has positive effects and in-service education programs on MI will be useful to develop diabetic nurses’ consultation skills.

Anahtar Kelimeler

• Motivational Interviewing, Type 2 Diabetes Mellitus, Systematic Review.

Kaynakça

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