BARRIERS AND FACILITATORS IN DIABETES SELF-MANAGEMENT

Öz

Diabetes is a chronic disease characterized by high blood sugar as a result of insufficient/absence of insulin in the body or not having the desired effect despite having enough insulin. Self-management is of great importance in achieving the desired glycemic control in diabetes. Identifying barriers in the management of diabetes is a critical step in achieving optimal health. The main barriers in diabetes selfmanagement are; lack of knowledge, beliefs and behaviors about diabetes, lack of resources, health problems, negative emotions and lack of support. Being aware of the problems faced by individuals with diabetes in self-management and supporting the patient in overcoming these problems is one of the basic roles of the diabetes nurse. The purpose of this review is to discuss the pillars and barriers in diabetes self-management. Studies show that diabetes selfmanagement trainings, which are made by being aware of the support and obstacles perceived by the patients, are more effective in diabetes selfmanagement.

Anahtar Kelimeler

• diabetes
• selfmanagement
• nursing
• barriers
• facilitators

DİYABET ÖZYÖNETİMİNDE ENGELLER VE KOLAYLAŞTIRICILAR

Öz

Diyabet, vücutta insülin azlığı/yokluğu nedeniyle ya da yeterince insülin olmasına rağmen istenilen düzeyde etki göstermemesi sonucunda kan şekeri yüksekliğiyle karakterize kronik bir hastalıktır. Diyabette istenilen glisemik kontrolün sağlanmasında öz yönetimin önemi büyüktür. Diyabetin yönetiminde engellerin belirlenmesi optimal sağlığa ulaşmada kritik bir adımdır. Diyabetin öz yönetiminde başlıca engeller; diyabetle ilgili yetersiz bilgi, inanç ve davranışları, kaynak yetersizliği, sağlık sorunları, olumsuz duygular ve destek eksikliğidir. Diyabetli bireylerin öz yönetimde karşılaştıkları sorunların farkında olmak ve bu sorunların üstesinden gelinmesinde hastayı desteklemek diyabet hemşirelerinin temel rollerinden birisidir. Bu derlemenin amacı diyabet öz yönetimindeki kolaylaştırıcılar ve engelleri tartışmaktır. Yapılan çalışmalar diyabet öz yönetiminde hastaların algıladıkları destek ve engellerin farkında olunarak yapılan diyabet öz yönetim eğitimlerinin daha etkili olduğunu ortaya koymaktadır.

Anahtar Kelimeler

• diyabet
• özyönetim
• hemşirelik
• engeller
• kolaylaştırıcılar

Kaynakça

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