Diyabet Özyönetim Eğitimi, Grup Temelli Eğitim ve Bireysel Eğitim

Öz

Giriş: Diyabet görülme sıklığı; teknolojinin ilerlemesi ile hareketsiz yaşam ve beslenme biçimindeki değişiklik nedeniyle giderek artmaktadır. Diyabet özyönetim eğitimi (DÖYE), diyabet tedavisinin önemli bir yapı taşını oluşturmaktadır. Diyabet özyönetim eğitimi; diyabetli veya diyabet riski olan bireylerin hastalığı ve hastalıkla ilgili durumları başarılı bir şekilde yönetimi ve davranış değişikliği yapabilmesi için gerekli bilgi ve beceriyi kazanması amacıyla bir işbirliği sürecidir. Diyabet özyönetim eğitimi, bireysel veya grup temelli verilmektedir. Eğitim yöntemi seçiminin; eğitim şeklinin avantajı, dezavantajları ve uygulama amacının gözden geçirilerek yapılması önerilmektedir.

Anahtar Kelimeler

• Diyabet Özyönetim Eğitimi, Bireysel Eğitim, Grup Eğitimi, Diyabet.

Diabetes Self-Management Education, Group-Based Education and Individual Education

Öz

Introduction: The prevalence of diabetes, with the advancement of technology has increasing due to sedentary lifestyle and changes in the nutrition forms. Diabetes self-management education (DSME) are important a stone of building of diabetes treatment. DSME is a collaborative process through which people with or at risk for diabetes gain the knowledge and skills needed to modify their behavior and successfully self-manage the disease and its related conditions. DSME is practiced base on an individual or group. Choosing the form of education is suggested according to the advantages of the form of education and the purpose of the application by reviewing selected

Anahtar Kelimeler

• Diabetes Self-Management Education, Individual Education, Group Education, Diabetes.

Kaynakça

1. Allen, N. (2003). The history of diabetes nursing, 1914-1936. Diabetes Educator, 29, 976-989.
2. American Diabetes Association. 2013. Standards of Medical Care in Diabetes. Diabetes Care 36( SUPP. 1), s11-66. DOI: 10.2337/dc13-S011 American Association of Diabetes Educators (AADE) (2011).
3. Guidelines for the Practice of Diabetes SelfManagement Education and Training (DSME/T). (Cited 02 December 2013). Available from http://www.diabeteseducator.org/export/sites/aade/_res ources/pdf/research/Guidelines_Final_2_1_11.pdf
4. Arda, H.S.,(2013). Tip 2 Diyabetli Bireylerde Özbakım Eksikliği Hemşirelik Teorisine Dayalı Girişimlerin Sağlık Sonuçlarına Etkisi. Hemşirelik Programı Yayınlanmamış Doktora Tezi, Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü. İzmir, Türkiye.
5. Avdal, A.E., Kizilci, S., Demirel, N. (2011). The Effects of WebBased Diabetes Education on Diabetes Care Results: A Randomized Control Study. Computer Informatic Nursing. 29(2), 29 -34.
6. Bayrak, G., Çolak, R., (2012). Diyabet tedavisinde hasta eğitimi. Journal of Experimental and Clinical Medicine. 29,S7- S11. doi: 10.5835/jecm.omu.29.s1.003.
7. Beaser, RS., Weinger K, Bolduc-Bissel L. (2005). Education in the treatment of diabetes. In:Kahn CR, Weir, CR., King GL, et al (Ed.). Joslin’s diabetes Mellitus, Lippincott Williams&Wilkins Co. Philadelphia. 597-610.
8. Brown, SA., Garcia, AA., Kouzekanani, K., Hanis, CL. (2002). Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care. 25, 259-268.

9. Campbell, E., Redman, S., Moffitt, P., Sanson- Fisher, R. (1996). The relative effectiveness of educational and behavioral instruction programs for patients with NIDDM: a randomized trial. Diabetes Educator. 22, 379–386.
10. Deakin, T., McShane. C.E., Cade, J.E., Williams. RDRR. (2005). Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews Issue 2. Art. No: CD003417. DOI: 10.1002/14651858.CD003417.pub2.
11. Deakin, T.A., McShane, C.E., Cade, J.E., Williams, RDRR. (2009). Group based training for self-management strategies in people with type 2 diabetes mellitus (Review). The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. 3,1-45.
12. Duke, S.A., Colagiuri, S., Colagiuri, R. (2009). Individual patient education for people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 21, CD005268.
13. Duncan, I., Birkmeyer C., Coughlin S., Li Q., Sherr D., Boren S. (2009). Assessing the value of diabetes education. The Diabetes Educator. 35(5),752-60. DOI:0.1177/0145721709343609.
14. Dunning, T. (2007). The complex and constantly evolving role of diabetes educators.Diabetes Voice (IDF). 52, 9-11. Ellis, S.E., Speroff, T., Dittus, R.S., Brown, A., Pichert, J.W.
15. Elasy, T.A. (2004). Diabetes patient education: a metaanalysis and meta-regression. Patient Education and Counseling Journal. 52,97-105.
16. Erskine, P., Daly, H., Idris, I., Scott, A., (2002). Patient preference and metabolic outcomes after starting insulin in groups compared with one- to- one spealist nurse teaching. Diabetes. 51 (suppl 2), A-77.
17. Franz, M.J. (2005). Group Education for Type 2 Diabetes (The Minneapolis Experience). İçinden Porta M, Miselli V, Trento M, Jörgens V (eds) Embedding Education into Diabetes Practice. Front Diabetes. Basel, Karger, ,18, pp I-VII. Erişim Tarihi: 06 Kasım 2013.
18. http://content.karger.com/ProdukteDB/produkte.asp?D oi=88083 Franz, MJ., Reader, D., Monk, A. (2002). Implementing Group and Individual Medical Nutrition Therapy for Diabetes.
19. Alexandria, Va.,American Diabetes Association, Funnell, M.M., Anderson, R.M., (2004). Empowerment and SelfManagement of Diabetes. Clinical Diabetes. 22, 123-127.
20. Funnell, M.M., Brown L.T., Childs, B.P., Haas, L.B., Hosey, G.M.,Jensen, B., et al., National Standards For Diabetes Self-Management Education. Diabetes Care 2010;32: 87-94.
21. Gucciardi, E., DeMelo, M., Lee R.N., Grace S.L. (2007). Assessment of Two Culturally Competent Diabetes Education Methods: Individual versus Individual Plus Group Education in Canadian Portuguese Adults with Type 2 Diabetes. Ethnicity & Health. 12(2), 163-187. DOI: 10.1080/13557850601002148.
22. Goudswaard, A.N., Stolk, R.P., Zuithoff N.P., de Valk, H.W, Rutten, G.E. (2004). Long-term effects of self management education for patients with type 2 diabetes taking maximal oral hypoglycaemic therapy: a randomized trial in primary care. Diabetic Medicine. 5, 491-496.
23. Hokanson, J.M., Anderson, R.L., Hennrikus D.J., Lando, H.A, et al., (2006). Integrated tobacco cessation counseling in a diabetes self-management training program a randomized trial of diabetes and reduction of tobacco. Diabetes Educator. 32, 562-570.
24. International Diabetes Federation (IDF) (2011). Position Statement: Self-Management Education, Diabetes SelfManagement Education: A Right for All. Ulaşım tarihi: 20 Kasım 2013. http://www.idf.org/education/selfmanagement-education. Knowles, MS. (1970). The modern practice of adult education. Association Pres New York. 95-99.
25. Knowles, MS. (1980). The modern prectice of adult education. From pedogogy to anrogogy. Follet Publishing Company, Chiago.
26. Llorca, M.R., Bernal, G.G., Martín, C.A., Galindo, P.A. (2003). Group versus individual education for type-2 diabetes patients. Aten Primaria. 32(1), 36-41.
27. Lorig, KR., Ritter, PL., Laurent, DD., Plant, K. (2006). Internetbased chronic disease self-management: a randomized trial. Med Care. 44, 964-971.
28. Mensing, CR., Norris, SL. (2003). Group Education in Diabetes: Effectiveness and Implementation. Diabetes Spectrum. 16, 96-103.
29. Merriam, SB. (2001). Androgogy and self-directed learning: pillars of adult learning theory. New Directions for Adult and Continuing and Education. 89,3-13.
30. Nadler, Z., Nadler, L., (Ed). (1990).Handbook of human resource development. Second Edition. New York. National Institute for Clinical Excellence (NICE). (2003).
31. Guidance on the Use of Patient Education Models for Diabetes.. Erişim: 20 Kasım 2013, http://www.nice.org.uk/nicemedia/pdf/60Patienteducati onmodelsfullguidance.pdf
32. Norris, S.L., Engelgau, M.M., Naranyan, K.M.V. (2001). Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 24,561–587.
33. Norris, S.L., Lau, J, Smith, S.J., Schmid, C.H., Engelgau, M.M. (2002a). Self-management education for adults with type 2 diabetes: a metaanalysis of the effect on glycemic control. Diabetes Care. 25(7), 1159-1171. doi: 10.2337/diacare.25.7.1159.
34. Norris, SL., Nichols, PJ., Caspersen, CJ., et al. (2002b). The effectiveness of disease and case management for people with diabetes: a systematic review. American Journal of Preventive Medicine. 22,15-38.
35. Piatt, G.A., Orchard, T.J., Emerson, S., Simmons, D., Songer T., Brooks M.M., et al. (2006). Translating the chronic care model into the community: results from a randomized controlled trial of a multifaceted diabetes care intervention. Diabetes Care. 29, 811-817.
36. Rickheim, PL., Weaver, TW., Flader, JL., Kendall, DM. (2002). Assessment of group versus individual diabetes education: a randomized study. Diabetes Care. 25(2), 269–74.
37. Satman, I., Alagöl, F., Ömer, B., Kalaca, S., Tütüncü, Y., Çolak, N., et al. AN ABSTRACT OF THE RESULTS OF THE TURDEP-II (Turkey Diabetes, Hypertension, Obesity and Endocrinological Diseases Prevalence Study-II) STUDY, (Cited 12 March 2011). Available from http://www.istanbul.edu.tr/itf/attachments/021_turdep.2 .sonuclarinin.aciklamasi.pdf
38. Satman, I., Yılmaz, T., Şengül, A., Salman, S., Uygur, S., Kalaca, S., et al. (2002). Population–based study of diabetes and risk characteristics in Turkey: Results of The Turkish Diabetes Epidemiology Study (TURDEP). Epidemiyology/Health Services/Pyschosocial Research. Diabetes Care. 25, 1551-1556. doi: 10.2337/diacare.25.9.1551.
39. Steinsbekk, A., Rygg, L., Lisulo, M., Rise, M.B., Fretheim, A. (2012). Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Services Research, 12, 213-222.
40. Sousa, V.D., Zauszniewski, J.A. (2005). Toward a theory of diabetes self-care management. Journal of Theory Construction and Testing. 9(2),61-67.
41. Tang, TS., Funnell, MM., Anderson, RM. (2006). Group education strategies for diabetes self-management. Diabetes Spectrum.19, 99-105.
42. Trento, M. (2003). Lifestyle intervention by group care prevents detioration of Type II diabetes: a 4-year randomized controlled clinical trial. Diabetic Medicine. 20 (Suppl 3),101.
43. Trento, M., Passera, P., Borgo, E., Tomalino, M., Bajardi, M., Cavallo, F., Porta, M. (2004). A 5-Year Randomized Controlled Study of Learning, Problem Solving Ability, and Quality of Life Modifications in People With Type 2 Diabetes Managed by Group Care. Diabetes Care. 27, 670–675.
44. Trento, M., Passera, P., Tomalino, M., Bajardi, M., Pomero, F., Allione, A., et al. (2001). Group visits improve metabolic control in type 2 diabetes: a 2-year followup. Diabetes Care. 24,995–1000.
45. Vadstrup, E.S., Frølich, A., Perrild, H., Borg, E,. Røder, M., (2011). Health-related quality of life and self-related health in patients with type 2 diabetes: Effects of group-based rehabilitation versus individual counselling, Health and Quality of Life Outcomes. 9,110-118.
46. Warsi, A., Wang, P.S., LaValley, M.P., Avorn, J., Solomon, D.H. (2004). Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Archives of Internal Medicine 164,1641-1649.
47. World Health Organization (WHO). 2013. Diabetes Mellitus. Erişim: 26.03.2013 http://www.who.int/mediacentre/factsheets/fs312/en/