sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1181696

Nursing Health Care Administration

Hemşirelik Sağlık Kurumları Yönetimi

DETERMINATION OF FACTORS ASSOCIATED WITH FEAR OF HYPOGLYCEMIA AND PERCEPTION OF SELF-EFFICACY IN DIABETES PATIENTS USING INSULIN

İNSÜLİN KULLANAN DİYABETLİ HASTALARDA HİPOGLİSEMİ KORKUSU VE ÖZ-YETERLİLİK ALGISI İLE İLİŞKİLİ FAKTÖRLERİN BELİRLENMESİ

https://orcid.org/0000-0001-9388-8333

Bal Özkaptan

Bilge

SİNOP ÜNİVERSİTESİ

https://orcid.org/0000-0003-2295-0077

Demirci

İnci

Sinop Atatürk Devlet Hastanesi

03 14 2023

30 1 25 36 09 29 2022 01 10 2023

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveThe aim of this study is to determine the factors associatedwith fear of hypoglycemia and perception ofself-efficacy and related factors in diabetic patientsusing insulin.Material and MethodThis descriptive and correlational study was conductedwith a total of 136 patients followed by a diabeteseducation nurse in a State Hospital betweenDecember 2016 and February 2017. "Patient InformationForm", "Self-Efficacy Perception Sub-Scale ofMultidimensional Diabetes Questionnaire" and "HypoglycemiaFear Scale (HFS)" were used to collectdata. In order to determine whether the data showeda normal distribution, Kolmogorov-Smirnov test, kurtosisand skewness values were calculated and thetests to be used for the analysis of the data were determined.The t test was used to compare the databetween two independent groups, and the one-wayanalysis of variance was used to compare the databetween more than two groups. Pearson Correlationanalysis was performed to determine the relationshipbetween scale scores. Multiple Linear Regressionanalysis was performed to determine whetherthe independent variables significantly predicted theSelf-Efficacy Perception Scale and HFS scores.ResultsThe mean age of the individuals participating in theresearch is 58.12 ± 12.4. In addition, 66.9% of theparticipants are women and 75% of them are fiftyyears old and over. The total mean score of theparticipants on the HFS was 52.5 ± 11.2; Behaviorsub-dimension mean score was 28.12 ± 4.76 andWorry sub-dimension mean score was 24.46 ± 8.11.The mean score of the Self-Efficacy Perception Scaleof the patients was 364.2 ± 18.46. It was determinedthat there was a statistically significant difference betweenthe patients' DM duration, DM type, DM drugtreatment type, regular follow-up visits, hypoglycemiaexperience and knowing the symptoms of hypoglycemia,and the scores of HFS and Self-Efficacy PerceptionScale (p < 0.05). A negative and moderatecorrelation was found between the Self-EfficacyPerception Scale score and the total score of HFS,the Behavior sub-dimension score and the Worrysub-dimension score (r=- 0.578, p

AmaçBu çalışmanın amacı insülin kullanan diyabetli hastalardahipoglisemi korkusu ve öz-yeterlilik algısını vebunlarla ilişkili faktörleri belirlemektir.Gereç ve YöntemTanımlayıcı ve ilişki arayıcı tipteki bu araştırma Aralık2016-Şubat 2017 tarihleri arasında bir DevletHastanesi’nde diyabet eğitim hemşiresi tarafındantakip edilen toplam 136 hasta ile yapılmıştır. Verilerintoplanmasında literatür doğrultusunda hazırlanan“Hasta Tanıtım Formu”, “Çok Boyutlu Diyabet Anketi’ninÖz-yeterlilik Algısı Alt Ölçeği” ve “HipoglisemiKorku Ölçeği (HKÖ)” kullanılmıştır. Verilerin normaldağılım gösterip göstermediğini belirlemek için Kolmogorov-Smirnov testi, basıklık ve çarpıklık değerlerihesaplanarak verilerin analizi için kullanılacak testlerbelirlenmiştir. Bağımsız iki grup arasındaki verilerinkarşılaştırılmasında t testi, ikiden fazla grup arasındakiverilerin karşılaştırılmasında Tek Yönlü Varyansanalizi kullanılmıştır. Ölçek puanları arasındaki ilişkiyibelirlemek için Pearson Korelasyon analizi yapılmıştır.Bağımsız değişkenlerin Öz-yeterlilik Algı Ölçeği ileHKÖ puanlarını anlamlı düzeyde yordama durumunubelirlemek amacıyla Çoklu Doğrusal Regresyon analiziyapılmıştır.BulgularAraştırmaya katılan bireylerin yaş ortalaması 58,12± 12,45’dir. Ayrıca katılımcıların %66,9’u kadın olup%75’i elli yaş ve üzerindedir. Katılımcıların HKÖ toplampuan ortalaması 52,58 ± 11,21; Davranış alt boyutupuan ortalaması 28,12 ± 4,76 ve Kaygı alt boyutupuan ortalaması 24,46 ± 8,11’dir. Hastaların Öz-yeterlilikAlgısı Ölçeği puan ortalaması 364,24 ± 18,46’dır.Hastaların DM süresi, DM tipi, DM ilaç tedavi türü, düzenlikontrollere gitme durumu, hipoglisemi yaşamadurumu ve hipoglisemi belirtilerini bilme durumu ileHKÖ ve Öz-yeterlilik Algısı Ölçeği puanları arasındaistatistiksel olarak anlamlı bir fark olduğu belirlenmiştir(p < 0,05). Öz-yeterlilik Algı Ölçeği puanı ile HKÖtoplam puanı, Davranış ve Kaygı alt boyutu puanı arasındanegatif yönde ve orta düzeyde bir korelasyon(sırasıyla r= - 0,578, p

Diyabetes Mellitus Hipoglisemi Korku Öz-yeterlilik

Diabetes Mellitus Hypoglycemia Fear Self-efficacy

Yoktur

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