Tip 1 Diyabetli Adölesanlarda Hipoglisemi Korkusunun Glisemik Kontrol ve Yaşam Kalitesi Üzerine Etkisi

Yıl 2025, Cilt: 28 Sayı: 3, 233 - 239, 24.09.2025

Didem Polat Külcü , Melek Gülgün Altıntaş , Ayda Çelebioğlu

https://doi.org/10.17049/jnursology.1555373

Öz

Amaç: Bu çalışmanın amacı tip 1 diyabetli adölesanlarda hipoglisemi korkusunun glisemik kontrol ve yaşam kalitesi üzerine etkisini belirlemektir.

Yöntemler: Bu araştırma, tanımlayıcı bir çalışma olarak gerçekleştirilmiştir. Araştırma, 13-18 yaş arası Tip 1 diabetes mellitus tanılı 117 adölesan ile yapılmıştır. Veriler, Temmuz 2023 ile Şubat 2024 tarihleri arasında toplanmıştır. Veriler kişisel bilgi formu, Virginia Çocuk/Ergen Düşük Kan Şekeri Ölçeği ve Çocuklar için Yaşam Kalitesi Ölçeği kullanılarak yüz yüze toplanmıştır. Ölçeklerden elde edilen verilerin analizinde Pearson korelasyon analizi ve basit doğrusal regresyon analizi kullanılmıştır.

Bulgular: Bu çalışmada ergenlerin hipoglisemi korku puan ortalaması düşük (45,15±7,13) ve benzer şekilde yaşam kalitesi puan ortalaması düşük (25,48±14,09) bulundu. Hipoglisemi korkusu ile HbA1c düzeyi arasında anlamlı bir korelasyon saptanmadı (r = 0,099, P = ,288). Hipoglisemi korkusu ile yaşam kalitesi arasında negatif bir korelasyon bulundu (r = -0,184; P < ,05).

Sonuç: Hipoglisemi korkusu ile glisemik kontrol arasında ilişki bulunmazken, hipoglisemi korkusu yüksek olan adölesanların yaşam kalitesinde azalma olduğu saptanmıştır. Hemşireler hipogliseminin fizyolojik etkilerini değerlendirirken psikolojik etkilerini de değerlendirmeli, adölesanların diyabetle ilgili korkularını ifade etmelerine izin vermeli ve multidisipliner bir yaklaşımla sorunlarına çözüm bulmalıdır.

Anahtar Kelimeler

Hipoglisemi , glisemik kontrol , yaşam kalitesi , tip 1 diyabet , ergen

The Effect of Fear of Hypoglycemia on Glycemic Control and Quality of Life in Adolescents with Type 1 Diabetes

Öz

Objective: The purpose of this study was to determine the effect of fear of hypoglycemia on glycemic control and quality of life of adolescents with type 1 diabetes.

Methods: This study was conducted as descriptive research. The study was carried out with 117 adolescents aged 13-18 years diagnosed with Type 1 diabetes mellitus. Data were collected between July 2023 and February 2024. Data were collected face-to-face using a personal information form, the Virginia Child/Adolescent Low Blood Glucose Scale and the Quality-of-Life Scale for Children. Pearson correlation analysis and simple linear regression analysis were used to analyze the data obtained from the scales.

Results: In this study, the mean hypoglycemia fear score of adolescents was low (45.15±7.13) and similarly, the mean quality of life score was low (25.48±14.09). There was no significant correlation between fear of hypoglycemia and HbA1c (r = 0.099, P = .288). There was a negative correlation between fear of hypoglycemia and quality of life (r = -0.184; P < .05).

Conclusion: There was no relationship between fear of hypoglycemia and glycemic control, but there was a decrease in quality of life in adolescents with high fear of hypoglycemia. Nurses should evaluate the psychological effects of hypoglycemia while evaluating its physiological effects, allow them to express their fears about diabetes and find solutions to their problems with a multidisciplinary approach.

Anahtar Kelimeler

Hypoglycemia , glycemic control , quality of life , type 1 diabetes , adolescents

Etik Beyan

Ethics committee approval was obtained from the Toros University Scientific Research and Publication Ethics Committee with the decision number 128 on 24/06/2022 for the research to grow. Parents provided written consent and children verbal consent before the study.

Destekleyen Kurum

The authors declare that this study had received no financial support.

Teşekkür

We are grateful to all the children and families who participated at the study.

Kaynakça

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