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Tip 2 Diyabetli Hastalarda Planlı Eğitim Programının Sağlık İnancına ve Metabolik Kontrole Etkisi

Yıl 2014, Cilt: 1 Sayı: 2, 1 - 15, 27.11.2015

Öz

Amaç: Bu araştırmanın amacı tip 2 diyabetli hastalarda planlı bir diyabet eğitim programının sağlık inancına ve metabolik kontrole etkisini incelemektir.

Gereç ve Yöntem: Bu araştırma zaman dizisi modelinde girişim uygulanmayan kontrol gruplu yarı deneysel bir araştırmadır. Araştırmanın örneklemini 50 deney grubu, 50 kontrol grubu olmak üzere toplam 100 hasta oluşturmuştur. Veri toplama formları olarak, diyabetli hastalara ilişkin “Sosyo-demografik Veri Formu” ve “Sağlık İnanç Modeli Ölçeği” kullanılmıştır. Hastaların metabolik kontrolleri için “HbA1c” değerleri ölçülmüştür. İlk izlem sonrası deney grubuna 10 grup oturumu şeklinde toplam 10 hafta süreyle planlı diyabet eğitim programı uygulanmıştır.

Bulgular: İlk izlemde iki grup arasında sağlık inanç modeli alt ölçekleri puan ortalaması arasında ve HbA1c değerleri arasında istatistiksel olarak anlamlı bir fark yoktur. Eğitim programından sonra iki grup arasında sağlık inanç modeli alt ölçekleri ve HbA1c değerlerinde istatistiksel olarak anlamlı bir fark saptanmıştır.

Sonuç: Eğitim programından sonra deney grubu hastalarında sağlık inanç modeli alt ölçekleri puan ortalamasında artma, HbA1c değerlerinde azalma olduğu görülmüştür. Sonuç olarak, diyabetli hastalara uygulanan planlı eğitim programının sağlık inancını ve metabolik kontrolü sağlamada olumlu etkisi olduğu saptanmıştır.

Anahtar Kelimeler: Diabetes mellitus, sağlık inancı, planlı diyabet eğitimi, metabolik kontrol

Kaynakça

  • 1. WHO. Definition Diagnosis and classification diabetes mellitus and Its complication, Report of a WHO, Consultation, Department of Non Communicable Disease Surveillance, Geneva; 1999. p. 1-65.
  • 2. Shaw JE, Sicree RA, Zimmet PZ. Global estimated of the prevalence of diabetes for 2010-2030. Diabetes Research and Clinical Practice 2010; 81(1): 4-14.
  • 3. Booth GL, Kapral MK, Fung K, Tu JV. Recent trends in cardiovascular complications among men and women with and without diabetes. Diabetes Care 2006; 9: 32-37.
  • 4. Satman T, Yılmaz, A, Sengül et al. Population–based study of diabetes and risk characteristics in Turkey: Results of the Turkish diabetes epidemiology study (TURDEP). Epidemiology /Health Services / Psychosocial Research. Diabetes Care 2002; 25: 1551-1556.
  • 5. Gergely M. Effective diabetes education. IDF Bulletin 1992; 37: 9-10.
  • 6. Funnell MM, Anderson RM, Austin A, Gillespie SJ. Individualization of diabetes self management education. The Diabetes Educator 2007; 33: 45-49.
  • 7. Hannah JB, Alberts J. Motivators and barriers to attending a diabetes education class and its impact on beliefs, behaviors, and control over diabetes. Geriatric Nursing 2005; 26 (1):50-58.
  • 8. Hjelm K, Nyberg P, Apelquist J. Gender influences beliefs about health and illness in diabetic subjects with severe foot lesions. Journal of Advanced Nursing 2002; 40 (6): 663-672.
  • 9. Redding CA, Rossi JS, Rossi SR, Velicer WF, Prochaska JO. Health behavior models. The International Electronic Journal of Health Education 2000; 3: 180-193.
  • 10. Rosenstock IM. Historical origins of the health belief model. Health Education Monographs 1974; 2 (4): 32-335.
  • 11. Stanhope M, Lancester J. Community Public Health Nursing, Fifty Edition, Mosby, St. Louis, Toronto; 2000. p. 271.
  • 12. Dietrich UC. Factors influancing the attitudes held by women with Type 2 diabetes, A Qualitative Study. Patient Education Consultation 1996; 29 (1): 13-23.
  • 13. Daniel M, Messer LC. Perception of disease severity and barriers to self care predict glysemic control in Aboriginal persons with Type 2 diabetes mellitus. Chronic Diseases in Canada 2002; 23 (4): 130-128.
  • 14. Tan MY. The relationship of health beliefs and complication prevention behaviors of Chinese individuals with Type 2 diabetes mellitus. Diabetes Research and Clinical Practive 2004; 66 (1): 71-77.
  • 15. Schwab T, Meyer M, Merrell R. Measuring attitudes and health beliefs among Mexican- Americans with diabetes. The Diabetes Educator 1994; 20 (3), 221-227.
  • 16. Adolfsson ET, Smide B, Gregeby E, Fernström L, Wikblad K. Implementing empowerment group education in diabetes. Patient Education and Counselling 2004; 53(3): 319-24.
  • 17. Mensing C, Boucher J, Cypress M, Weigger K, Mulcahy K, Barta P, et al. National standarts for diabetes self management education. Diabetes Care 2003; 25(1): 140-147.
  • 18. Strine TW, Okoro AC, Chapmon PD. The impact of formal diabetes education on the prevantive health practices and behaviors of persons with Type 2 diabetes. Preventive Medicine 2005; 41(1): 79-84.
  • 19. Visser A, Snoek F. Perspectives on education and counselling for diabetes patients. Patient Education and Counselling 2004; 53 (3): 251-255.
  • 20. Funnell MM, Anderson RM. Empowerment and self management of diabetes, Clinical Diabetes 2004; 22: 123-127.
  • 21. Mensing CR, Norris SL. Group education in diabetes: Effectivenes and implementation. Diabetes Spectrum 2003; 16: 96-103.
  • 22. Sturt J, Whitlock S, Hearnshaw H. Complex intervention development for diabetes self management. Journal of Advanced Nursing 2006; 54 (3): 293-303.
  • 23. Sarkadi A, Rosenqvist U. Experience- based group education in Type 2 diabetes: A randomised controlled trial. Patient Educator Counselling 2004; 53: 291-298.
  • 24. Finfgeld DL, Wongvatunya S, Conn VS, Grando VT, Russell CL. Health belief model and reversal theory: a Comperative Analysis. Journal of Advanced Nursing 2003; 43(3): 288-297.
  • 25. Skinner TC, Hampson SE. Personal models of diabetes in relation to self care, well being, and glycemic control. Diabetes Care 2001; 24: 828-833.
  • 26. Bruce DG, Davis WA, Cull CA, Davis T. Diabetes education and knowledge in patients with type 2 diabetes from the community. Journal of Diabetes and Its Complications 2003; 17 (2): 82-89.
  • 27. Norris SL, Smith SJ, et al. Self management education for adults with type 2 diabetes: a Meta analysis of the effect on glycemic control. Diabetes Care 2002; 25: 1159-1171.
  • 28. Tankova T, Dakovska G, Koev D. Education of diabetic patients- a one year experience. Patient Education Counselling 2001; 43: 220-227.
  • 29. Özcan Ş. Diyabetli hastalarda hastalığa uyumu etkileyen faktörlerin değerlendirilmesi, Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul. 1999.
  • 30. Özdamar, K. SPSS “Sosyal Bilimler için İstatistik Paketi ve Biyoistatistik .” Kaan Kitapevi. Eskisehir, Turkiye. 3. Baskı, Kaan yayıncılık. 2003.
  • 31. Kartal A, Özsoy SA. Validity and reliability study Of the turkish version of health belief model scale in diabetic patients. International Journal of Nursing Studies 2007; 44 (8): 1447-1458.
  • 32. American Diabetes Association (ADA). Diabetes management in correctional institutions. Diabetes Care 2005; 28(1): 53-60.
  • 33. Leontos C, Wong F, Gallivan J, Lisng M. National diabetes education program, Journal of The American Dietetic Association 1998; 98 (1): 73-75.
  • 34. Akgül A. Tıbbi araştırmalarda istatistiksel analiz teknikleri SPSS Uygulamaları. Ankara: Yükseköğretim Kurulu Matbaası; 2005.s.187-224.
  • 35. Aksakoğlu G. Sağlıkta Araştırma Teknikleri :e Analiz Yöntemleri. İzmir; D.E.Ü. Rektörlük Matbaası; 2001. s. 212-284.
  • 36. Green SB, Salkind NJ, Akey TM. Using SPSS for windows analyzing and understanding data. 2nd Edition. New Jersey; 2000.
  • 37. Nguma LK. Health seeking and health related behaviour for type 2 diabetes mellitus among adults in an urban community in Tanzania. A thesis submitted for the degree of Doctor of Philosophy of the University of Otago, New Zealand: Wellington; 2010.
  • 38. Sharifirad G, Entezari MH, Karman A. The effectiveness of nutritional education on the knowledge of diabetic patients using health belief model. Journal of Research in Medical Sciences 2009; 14 (1): 1-6.
  • 39. Harvey JN, Lawson VL. The importance of health belief models in determining self-care behaviour in diabetes. Diabetic Medicine 2009; 26: 5-13.
  • 40. Sharifirad G, Hazavehi MM, Baghianimoghadam MH, Mohebi S. The effect of a Health belief model based education program for foot care diabetic patients Type II in Kermanshah Iran. International Journal of Endocrinology and Metabolism 2007; 2: 82-90.
  • 41. Brown SA, Blozis SA, Kouzekanani K, Garcia AA, Winchell M, Hanis C. Health belief s of Mexican American with Type 2 diabetes. The Diabetes Educator 2007; 33(2): 300-308.
  • 42. Rickheim PL, Weaver TW, Flader JL, Kendall DM. Assessment of group versus individual diabetes education. Diabetes Care 2002; 25: 269-274.
  • 43. Christensen NK, Steiner J, Whalen J, Pfister R. Contrubition of medical nutrition therapy and diabetes self management education to diabetes control as assessed by Hemoglobin A1c. Diabetes Spectrum 2000; 13(2): 72-79.
  • 44. Sevinç S, Fadıloğlu Ç, Kalgı A. Diyabetli bireylerde sağlık inancı glisemik kontrol ve Komplikasyonlar. Türkiye Klinikleri Journal of Nursing Science 2012; 4(1): 1-7.
  • 45. Chan MF, Wah Yee AS, Yee Leung EL, Christine M. The effectiveness of a diabetes nurse clinic in treating older patients with type 2 diabetes for their glycemic control. Journal of Clinical Nursing 2006; 15(6): 770-781.
  • 46. Mollaoğlu M, Beyazıt E. Influence of diabetic education on patient metabolic control. Applied Nursing Research 2009; 22: 183-190.
  • 47. Aliha JM, Asgari M, Khayeri F, Ramazani M, Farajzadegan Z, Javaheri J. Group education and nurse telephone follow up effects on blood glucose control and adherence to treatment in type 2 diabetes patients. International Journal of Preventive Medicine. 2013; 4(7): 797-802.
  • 48. Song MS, Kim HS. Intensive management program to improve glycosylated hemoglobin levels and adherence to diet in patients with type 2 diabetes. Applied Nursing Research 2009; 22: 42-7.
  • 49. Zarowitz BJ. Management of Diabetes mellitus in older persons. Geriatric Nursing 2006; 27 (2): 77-82.
Yıl 2014, Cilt: 1 Sayı: 2, 1 - 15, 27.11.2015

Öz

Kaynakça

  • 1. WHO. Definition Diagnosis and classification diabetes mellitus and Its complication, Report of a WHO, Consultation, Department of Non Communicable Disease Surveillance, Geneva; 1999. p. 1-65.
  • 2. Shaw JE, Sicree RA, Zimmet PZ. Global estimated of the prevalence of diabetes for 2010-2030. Diabetes Research and Clinical Practice 2010; 81(1): 4-14.
  • 3. Booth GL, Kapral MK, Fung K, Tu JV. Recent trends in cardiovascular complications among men and women with and without diabetes. Diabetes Care 2006; 9: 32-37.
  • 4. Satman T, Yılmaz, A, Sengül et al. Population–based study of diabetes and risk characteristics in Turkey: Results of the Turkish diabetes epidemiology study (TURDEP). Epidemiology /Health Services / Psychosocial Research. Diabetes Care 2002; 25: 1551-1556.
  • 5. Gergely M. Effective diabetes education. IDF Bulletin 1992; 37: 9-10.
  • 6. Funnell MM, Anderson RM, Austin A, Gillespie SJ. Individualization of diabetes self management education. The Diabetes Educator 2007; 33: 45-49.
  • 7. Hannah JB, Alberts J. Motivators and barriers to attending a diabetes education class and its impact on beliefs, behaviors, and control over diabetes. Geriatric Nursing 2005; 26 (1):50-58.
  • 8. Hjelm K, Nyberg P, Apelquist J. Gender influences beliefs about health and illness in diabetic subjects with severe foot lesions. Journal of Advanced Nursing 2002; 40 (6): 663-672.
  • 9. Redding CA, Rossi JS, Rossi SR, Velicer WF, Prochaska JO. Health behavior models. The International Electronic Journal of Health Education 2000; 3: 180-193.
  • 10. Rosenstock IM. Historical origins of the health belief model. Health Education Monographs 1974; 2 (4): 32-335.
  • 11. Stanhope M, Lancester J. Community Public Health Nursing, Fifty Edition, Mosby, St. Louis, Toronto; 2000. p. 271.
  • 12. Dietrich UC. Factors influancing the attitudes held by women with Type 2 diabetes, A Qualitative Study. Patient Education Consultation 1996; 29 (1): 13-23.
  • 13. Daniel M, Messer LC. Perception of disease severity and barriers to self care predict glysemic control in Aboriginal persons with Type 2 diabetes mellitus. Chronic Diseases in Canada 2002; 23 (4): 130-128.
  • 14. Tan MY. The relationship of health beliefs and complication prevention behaviors of Chinese individuals with Type 2 diabetes mellitus. Diabetes Research and Clinical Practive 2004; 66 (1): 71-77.
  • 15. Schwab T, Meyer M, Merrell R. Measuring attitudes and health beliefs among Mexican- Americans with diabetes. The Diabetes Educator 1994; 20 (3), 221-227.
  • 16. Adolfsson ET, Smide B, Gregeby E, Fernström L, Wikblad K. Implementing empowerment group education in diabetes. Patient Education and Counselling 2004; 53(3): 319-24.
  • 17. Mensing C, Boucher J, Cypress M, Weigger K, Mulcahy K, Barta P, et al. National standarts for diabetes self management education. Diabetes Care 2003; 25(1): 140-147.
  • 18. Strine TW, Okoro AC, Chapmon PD. The impact of formal diabetes education on the prevantive health practices and behaviors of persons with Type 2 diabetes. Preventive Medicine 2005; 41(1): 79-84.
  • 19. Visser A, Snoek F. Perspectives on education and counselling for diabetes patients. Patient Education and Counselling 2004; 53 (3): 251-255.
  • 20. Funnell MM, Anderson RM. Empowerment and self management of diabetes, Clinical Diabetes 2004; 22: 123-127.
  • 21. Mensing CR, Norris SL. Group education in diabetes: Effectivenes and implementation. Diabetes Spectrum 2003; 16: 96-103.
  • 22. Sturt J, Whitlock S, Hearnshaw H. Complex intervention development for diabetes self management. Journal of Advanced Nursing 2006; 54 (3): 293-303.
  • 23. Sarkadi A, Rosenqvist U. Experience- based group education in Type 2 diabetes: A randomised controlled trial. Patient Educator Counselling 2004; 53: 291-298.
  • 24. Finfgeld DL, Wongvatunya S, Conn VS, Grando VT, Russell CL. Health belief model and reversal theory: a Comperative Analysis. Journal of Advanced Nursing 2003; 43(3): 288-297.
  • 25. Skinner TC, Hampson SE. Personal models of diabetes in relation to self care, well being, and glycemic control. Diabetes Care 2001; 24: 828-833.
  • 26. Bruce DG, Davis WA, Cull CA, Davis T. Diabetes education and knowledge in patients with type 2 diabetes from the community. Journal of Diabetes and Its Complications 2003; 17 (2): 82-89.
  • 27. Norris SL, Smith SJ, et al. Self management education for adults with type 2 diabetes: a Meta analysis of the effect on glycemic control. Diabetes Care 2002; 25: 1159-1171.
  • 28. Tankova T, Dakovska G, Koev D. Education of diabetic patients- a one year experience. Patient Education Counselling 2001; 43: 220-227.
  • 29. Özcan Ş. Diyabetli hastalarda hastalığa uyumu etkileyen faktörlerin değerlendirilmesi, Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. İstanbul. 1999.
  • 30. Özdamar, K. SPSS “Sosyal Bilimler için İstatistik Paketi ve Biyoistatistik .” Kaan Kitapevi. Eskisehir, Turkiye. 3. Baskı, Kaan yayıncılık. 2003.
  • 31. Kartal A, Özsoy SA. Validity and reliability study Of the turkish version of health belief model scale in diabetic patients. International Journal of Nursing Studies 2007; 44 (8): 1447-1458.
  • 32. American Diabetes Association (ADA). Diabetes management in correctional institutions. Diabetes Care 2005; 28(1): 53-60.
  • 33. Leontos C, Wong F, Gallivan J, Lisng M. National diabetes education program, Journal of The American Dietetic Association 1998; 98 (1): 73-75.
  • 34. Akgül A. Tıbbi araştırmalarda istatistiksel analiz teknikleri SPSS Uygulamaları. Ankara: Yükseköğretim Kurulu Matbaası; 2005.s.187-224.
  • 35. Aksakoğlu G. Sağlıkta Araştırma Teknikleri :e Analiz Yöntemleri. İzmir; D.E.Ü. Rektörlük Matbaası; 2001. s. 212-284.
  • 36. Green SB, Salkind NJ, Akey TM. Using SPSS for windows analyzing and understanding data. 2nd Edition. New Jersey; 2000.
  • 37. Nguma LK. Health seeking and health related behaviour for type 2 diabetes mellitus among adults in an urban community in Tanzania. A thesis submitted for the degree of Doctor of Philosophy of the University of Otago, New Zealand: Wellington; 2010.
  • 38. Sharifirad G, Entezari MH, Karman A. The effectiveness of nutritional education on the knowledge of diabetic patients using health belief model. Journal of Research in Medical Sciences 2009; 14 (1): 1-6.
  • 39. Harvey JN, Lawson VL. The importance of health belief models in determining self-care behaviour in diabetes. Diabetic Medicine 2009; 26: 5-13.
  • 40. Sharifirad G, Hazavehi MM, Baghianimoghadam MH, Mohebi S. The effect of a Health belief model based education program for foot care diabetic patients Type II in Kermanshah Iran. International Journal of Endocrinology and Metabolism 2007; 2: 82-90.
  • 41. Brown SA, Blozis SA, Kouzekanani K, Garcia AA, Winchell M, Hanis C. Health belief s of Mexican American with Type 2 diabetes. The Diabetes Educator 2007; 33(2): 300-308.
  • 42. Rickheim PL, Weaver TW, Flader JL, Kendall DM. Assessment of group versus individual diabetes education. Diabetes Care 2002; 25: 269-274.
  • 43. Christensen NK, Steiner J, Whalen J, Pfister R. Contrubition of medical nutrition therapy and diabetes self management education to diabetes control as assessed by Hemoglobin A1c. Diabetes Spectrum 2000; 13(2): 72-79.
  • 44. Sevinç S, Fadıloğlu Ç, Kalgı A. Diyabetli bireylerde sağlık inancı glisemik kontrol ve Komplikasyonlar. Türkiye Klinikleri Journal of Nursing Science 2012; 4(1): 1-7.
  • 45. Chan MF, Wah Yee AS, Yee Leung EL, Christine M. The effectiveness of a diabetes nurse clinic in treating older patients with type 2 diabetes for their glycemic control. Journal of Clinical Nursing 2006; 15(6): 770-781.
  • 46. Mollaoğlu M, Beyazıt E. Influence of diabetic education on patient metabolic control. Applied Nursing Research 2009; 22: 183-190.
  • 47. Aliha JM, Asgari M, Khayeri F, Ramazani M, Farajzadegan Z, Javaheri J. Group education and nurse telephone follow up effects on blood glucose control and adherence to treatment in type 2 diabetes patients. International Journal of Preventive Medicine. 2013; 4(7): 797-802.
  • 48. Song MS, Kim HS. Intensive management program to improve glycosylated hemoglobin levels and adherence to diet in patients with type 2 diabetes. Applied Nursing Research 2009; 22: 42-7.
  • 49. Zarowitz BJ. Management of Diabetes mellitus in older persons. Geriatric Nursing 2006; 27 (2): 77-82.
Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Asiye Kartal

Süheyla Altuğ Özsoy

Yayımlanma Tarihi 27 Kasım 2015
Gönderilme Tarihi 27 Kasım 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 1 Sayı: 2

Kaynak Göster

Vancouver Kartal A, Altuğ Özsoy S. Tip 2 Diyabetli Hastalarda Planlı Eğitim Programının Sağlık İnancına ve Metabolik Kontrole Etkisi. HUHEMFAD. 2015;1(2):1-15.