Investigation of the Relationship Between Alternative Treatment Methods Used by Type 2 Diabetes Patients and Their Nutritional Status and Self-Care

Öz

Type 2 diabetes mellitus (T2DM) is characterised by abnormalities in carbohydrate, fat and protein metabolism and is caused by insulin secretion, insulin resistance or a combination of both. This study was conducted to examine the effects of alternative treatment methods used by individuals with type 2 diabetes on their eating habits and self-care. A total of 48 individuals diagnosed with type 2 diabetes participated in the study. The average duration of diabetes was 10.7 years and 58.7% of the participants used oral anti-diabetic drugs. 47.9% of the participants stated that they had previously used Complementary and Alternative Medicine (CAM) and 55% stated that they used CAM to get rid of the side effects of medication. The mean CAM attitude level of the patients was 32.3±8.1 and the mean self-care level was 71.9±13.4. A positive correlation was found between the number of meals, duration of diabetes, fasting and postprandial blood glucose and self-care levels (p<0.05). Patients who applied diet with oral anti-diabetic (80.6) or insulin with oral anti-diabetic (80.2) had higher self-care levels than other patients (p<0.05). A significant relationship was found between diabetes duration, regular glucose measurement, oral anti-diabetic intake, fasting and postprandial blood glucose levels and diabetes self-care scale scores of the individuals participating in the study. No significant relationship was found between CAM attitude scale scores and self-care scale scores and other data.

Anahtar Kelimeler

• Type 2 Diabetes
• Eating Habits
• Self-Care
• Alternatice Medicine

Investigation of the Relationship Between Alternative Treatment Methods Used by Type 2 Diabetes Patients and Their Nutritional Status and Self-Care

Öz

Tip 2 diabetes mellitus (T2DM), karbonhidrat, yağ ve protein metabolizmasındaki anormalliklerle karakterize bir hastalıktır ve insülin salgılanması, insülin direnci veya her ikisinin birleşimi nedeniyle oluşur. Bu çalışma, tip 2 diyabetli bireylerin kullandıkları alternatif tedavi yöntemlerinin beslenme alışkanlıkları ve öz bakımlarına olan etkilerini incelemek amacıyla yapılmıştır. Çalışmaya tip 2 diyabet tanısı almış 48 birey katılmıştır. Diyabetin ortalama süresi 10,7 yıldır ve katılımcıların %58,7’si oral antidiyabetik ilaç kullanmaktadır. Katılımcıların %47,9’u daha önce Tamamlayıcı ve Alternatif Tıp (TAT) kullandığını ve %55’i ise ilaçların yan etkilerinden kurtulmak için TAT kullandığını belirtmiştir. Hastaların TAT tutum düzeyi ortalaması 32,3±8,1 ve öz bakım düzeyi ortalaması 71,9±13,4’tür. Öğün sayısı, diyabet süresi, açlık ve tokluk kan şekeri ile öz bakım düzeyleri arasında pozitif korelasyon bulunmuştur (p<0,05). Diyetle birlikte oral antidiyabetik (80,6) veya insülinle birlikte oral antidiyabetik (80,2) uygulayan hastaların öz bakım düzeyleri diğer hastalara göre daha yüksekti (p<0,05). Çalışmaya katılan bireylerin diyabet süresi, düzenli glukoz ölçümü, oral antidiyabetik alımı, açlık ve tokluk kan şekeri düzeyleri ile diyabet öz bakım ölçeği puanları arasında anlamlı ilişki bulundu. CAM tutum ölçeği puanları ile öz bakım ölçeği puanları ve diğer veriler arasında anlamlı ilişki bulunmadı.

Anahtar Kelimeler

• Tip 2 Diyabet
• Yeme Alışkanlıkları
• Alternatif Tıp
• Özbakım

Kaynakça

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