INVESTIGATION OFMARITAL ADJUSTMENTAND QUAUTY OF LIFE OF DIABETIC WOMEN

Öz

Objective: The study was performed to determine the marital adjustment ofdiabetic women and to assess the effect on quality o f life.Method: The sampling was composed o f 175 married women with type 2 diabetes admitted to a training and research hospital in Konya between October 2012 and March 2013. To collect data, a questionnaire, The Dyadic Adjustment Scale and the Scale o f QoL Specific to Diabetes were used. The analysis o f the data was performed with SPSS package software.Results: İt was determined that mean age rate o f the participants was 5 i.i3 ± i0 .3 5 years, mean duration o f marriage was 29.65 ±11.44 years, mean duration o f diabetes was 9.33±6.33 years, 72% were on the use o f insülin, and 38.3% previously experienced hypoglicemia. İt was also detected that the Dyadic Adjustment total scores o f women treated with insülin were significantly higher p

Anahtar Kelimeler

• Diabetic women,marital adjustment,quality o f life

DİYABETLİ KADINLARIN EVLİLİK UYUMU VE YAŞAM KALİTESİNİN İNCELENMESİ

Öz

Amaç: Bu çalışma diyabetik kadınlarda evlilik uyumunun belirlenmesi ve yaşam kalitesine etkisini değerlendirmek amacıyla yapılmıştır.Gereç ve Yöntem: Araştırmanın örneklemini Konya'da bulunan bir Eğitim ve Araştırma Hastanesi'ne Ekim 2012- Mart 2013 tarihleri arasında başvuran, evli ve tip 2 diyabet hastası, 175 kadın oluşturmuştur. Verilerin toplanmasında sosyo demografik ve klinik özellikleri saptamaya yönelik anket formu. Çiftler Uyum Ölçeği, Diyabete Özgü Yaşam Kalitesi Ölçeği kullanılmıştır. Verilerin analizinde SPSS paket programı kullanılmıştır.Bulgular ve Sonuçlar: Katılımcıların yaş ortalaması 51.13±10.35 yıl, evlilik süresi 29.65 ±11.44 yıl, diyabet sürelerinin ortalama 9.33±6.33 yıl olduğu, %72'sinin tedavide insülin kullandığı %38.3'ünün daha önce hipoglisemi yaşadığı belirlenmiştir.İnsülin kullanarak tedavi olan kadınların çiftler uyum ölçeği toplam puanının insülin kullanmayan kadınlara göre anlamlı bir şekilde yüksek olduğu p

Anahtar Kelimeler

• Diyabetik kadınlar,evlilik uyumu,yaşam kalitesi

Kaynakça

1. Akıncı F, Yıldırım A, Gözü H & et al. Assessment of health-related quality of life (HRQOL) of patients with type 2 diabetes in Turkey. Diabetes Res Clin Pract 2008;79(1):117-23.
2. Bennett WL, Ouyang P, Wu AW & et al. Fatness and fitness: How do they ınfluence health-related quality of life in type 2 diabetes mellitus. Health Qual Life Outcomes 2008;4(6):110.
3. Beverly E, Linda A, Miller RD & et al. Practice Implications of What Couples Tell Us About Type 2 Diabetes Management. Diaspect 2008;21(1):39-45.
4. Bradleya C, Pablos-Velascob P, Klaus G & et al. PANORAMA: A european study to evaluate quality of life and treatment satisfaction in patients with type-2 diabetes mellitus study design. Prim Care Diabetes 2011;5(4):231-39.
5. Brislin RW. Back Translation For Cross-Cultural Research. J Cross Cult Psychol 1970;1(3):185—216.
6. Çıtıl R, Günay O, Elmalı F ve ark. Diyabetik Hastalarda Tıbbi Ve Sosyal Faktörlerin Yaşam Kalitesine Etkisi. Erciyes Tıp Dergisi 2010;32(4):253-64.
7. Debono M & Cachia E. The Impact of Diabetes on Psychological Well Being And Quality Of Life. The Impact Of Patient Education. Psychol Health Med 2007;12(5):545-55.
8. Dempster M, McCarthy T, Davies M. Psychological adjustment to type 2 diabetes and relationship quality. Diabet Med 2011;28(4):487-92.

9. Eren İ, Erdi Ö, Çivi I. Tip 2 Diyabet Hastalarında Yaşam Kalitesi Ve Komplikasyonların Yaşam Kalitesine Etkisi. Klinik Psikiyatri 2004;7(2):85-94.
10. Fisher L. Research on the Family And Chronic Disease Among Adults: Major Trends and Directions. Fam Syst Health 2006; 24(4): 373-80.
11. Faul F, Erdfelder E, Lang A G & et al. G*Power 3: A Flexible Statistical Power Analysis Program For The Social, Behavioral, And Biomedical Sciences. Behav Res Methods 2007;39(2): 175-91.
12. Fışıloğlu H & Demir A. Applicability of The Dyadic Adjustment Scale For Marital Quality With Turkish Couples. Eur J Psychol Assess 2000;16(3):214-18.
13. Franks MM, Lucas T, Stephens M & et al. Diabetes Distress And Depressive Symptoms: A Dyadic Investigation of Older Patients And Their Spouses. Family Relations 2010;59(5):599 - 610.
14. Fung K (2009). Type 2 Diabetes: A Couples Study on Spousal Relationship and Health Behaviors. Dietrich College Honors Theses, Carnegie Mellon University, 17-20.
15. Hauser ST, Jacobsen AM, Lavori P, Wolsdorf & et al. Adherence among children and adolescents with IDDM over a 4 year longitudinal follow-up: Immediate and long-term linkages with the family milieu. J Pediatr Psychol 1990;15(4):527-42.
16. IDF (International Diabetes Federation). Diabetes Atlas. 5 nd eth. Brussels: International Diabetes Federation, 2011. Diabetes Res Clin Pract 2011;94(3):311-21.
17. Lloyd CE, Robinson N, Andrews B & et al. Are the Social Relationships O f Young Insulin-Dependent Diabetic Patients Affected By Their Condition? Diabet Med 1993;10(5):481-5.
18. Mosaku K, Kolawole B, Mume C & et al. Depression, anxiety and quality of life among diabetic patients: A comparative study. J Natl Med Assoc 2008;100(1):73-8.
19. Opsteen C, Qi Y, Zinman B & Retnakaran R. Effect of short-term ıntensive insulin therapy on quality of life in type 2 diabetes. J Eval Clin Pract 2012;18(2):256-61.
20. Papadopoulos AA, Kontodimopoulos N, Frydas A & et al. Predictors of Health-Related Quality of Life in Type2 Diabetic Patients in Greece. BMC Public Health 2007;30(7):186-94.
21. Pires V & Pereira MG. Ajustamento Conjugal, Qualidade De Vida, Crenças Sexuais e Funcionamento Sexual Empacientes Diabeticos(as) e Parceiros(as). Rev. SBPH 2012;15(2):128-47.
22. Primomo J, Yates BC & Woods NF. Social Support For Women During Chronic Illness:The Relationship Omong Sources And Types Of Adjustment. Res Nurs Health 1990;13(3):153-61.
23. Sandberg J, Trief PM, Greenberg RP & et al. He Said, She Said, Journal Of Couple And Relationship Therapy. J Couple Relatsh Ther 2006;5(2):23-42.
24. Satman I, Yilmaz T, Sengül A & et al. Population-Based Study O f Diabetes And Risk Characteristics İn Turkey: Results O f The Turkish Diabetes Epidemiology Study (TURDEP). Diabetes Care 2002;25(9):1551-6.
25. Schokker M C, Stuive I, Bouma J& et al. Support Behavior And Relationship Satisfaction in Couples Dealing With Diabetes: Main And Moderating Effects. J FamPsychol 2010;24(5): 578-86.
26. Schwartz LS, Coulson LR, Toovy D, & et al. A Biopsychosocial Treatment Approach to The Management Of Diabetes Mellitus. Gen hosp psychiatry 1991;13(1):19-26.
27. Spanier GB. Measuring Dyadic Adjustment: New Scales For Assessing The Quality Of Marriage And Similar Dyads. J Marriage Fam 1976;38(1):15-28.
28. Tol A, Baghbanian A, Rahimi A & et al. The Relationship Between Perceived Social Support From Family and Diabetes Control Among Patients With Diabetes Type 1 and type 2. J Diabetes Metab Disord 2011;10(21):1-8.
29. Tosun N, Satman İ, Erkoç Y ve ark. Diyabetin önemi. Türkiye Diyabet Önleme Ve Kontrol Programı Eylem Planı (2011-2014)( Tosun N, Satman İ, Erkoç Y ve ark, Editör). 1. Baskı. T.C. Sağlık Bakanlığı. Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara: Anıl Matbaası; 2011:3-17.
30. Trief PM, Himes CL, Oredndorff R & et al. The Marital Relationship And Psychosocial Adaptation And Glycemic Control Of Individuals With Diabetes. Diabetes Care 2001;24(8):1384-9.
31. Trief PM, Wade MJ, Britton KD & et al. A prospective Analysis Of Marital Relationship Factors Quality of Life Diabetes. Diabetes Care 2002;25(7):1154-8.
32. Trief PM, Morin PC, Izouierdo R & et al. Marital Quality And Diabetes Outcomes.The IDEAT el Project. Fam Syst Health 2006;24(3):318-31.
33. Whisman M A & Uebelacker LA. A Longitudinal Investigation Of Marital Adjustment as a Risk Factor for Metabolic Syndrome. Health Psychol 2012;31(1):80-6.
34. Yıldırım A, Akıncı F, Gözü H & et al. Translation, Cultural Adaptation, Cross- Validation Of The Turkish Diabetas Quality-Of-Life (DQOL) Measure. Qual Life Res 2007;16(5):873-9.
35. Zhou ES, Kim Y, Rasheed M &et al. Marital Satisfaction Of Advanced Prostate Cancer Survivors And Their Spousal Caregivers: The Dyadic Effects O f Physical And Mental Health. Psychooncology 2011;20(12): 1353-7.