Aile Sağlığı Merkezlerine Başvuran Tip 2 Diyabeti Olan Bireylerde Anksiyete, Depresyon ve İlişkili Psikososyal Faktörler

Yıl 2025, Cilt: 9 Sayı: 2, 212 - 223, 31.08.2025

Çiğdem Samancı Tekin , Yasemin Uğurlu , Aysun Güzel

https://doi.org/10.25048/tudod.1698454

Öz

Amaç: Bu çalışma, aile sağlığı merkezlerine başvuran Tip 2 diyabetli bireylerde diyabetin çok boyutlu faktörlerini ve anksiyete ile
depresyon düzeylerini incelemeyi amaçlamaktadır.
Gereç ve Yöntemler: Kesitsel tipteki bu araştırmaya, rastgele seçilen üç aile sağlığı merkezine kayıtlı 180 Tip 2 diyabet hastası dâhil
edilmiştir. Veriler, Haziran-Kasım 2023 tarihleri arasında Çok Boyutlu Diyabet Ölçeği (MDQ) ve Hastane Anksiyete ve Depresyon
Ölçeği (HADS) kullanılarak toplanmıştır. Elde edilen veriler Mann-Whitney U testi, Kruskal-Wallis testi ve çoklu doğrusal regresyon
analizi ile değerlendirilmiştir.
Bulgular: Katılımcıların %63,3’ünde hastalık süresi 1-5 yıl arasında olup %75,6’sı kan şekeri düzeylerini kendi kendine izlediğini
belirtmiştir. Katılımcıların %11,1’inde anksiyete semptomları, %74,4’ünde ise depresif semptomlar saptanmıştır. Analizler sonucunda,
anksiyete semptomları ile ilişkili faktörlerin algılanan engel ve yanlış yönlendirme davranışları olduğu bulunmuştur. Ayrıca, algılanan
engel, algılanan hastalık ciddiyeti ve sonuç beklentilerinin depresif semptomların ortaya çıkmasına anlamlı düzeyde katkıda bulunduğu
belirlenmiştir (p<0,05).
Sonuç: Daha etkili diyabet yönetimi sağlanabilmesi için aile sağlığı merkezlerinin güçlendirilmesi ve bu merkezlerde kapsamlı diyabete
özgü hizmetler ile eğitimlerin güvence altına alınması gereklidir. Ayrıca, diyabete yönelik hizmetlerin planlanmasında hastalığın çok
boyutlu faktörleri ve psikolojik yönleri dikkate alınmalıdır.

Anahtar Kelimeler

Diabetes mellitus , Tip 2 , Anksiyete , Depresyon , Erişkin

Anxiety, Depression, and Associated Psychosocial Factors in Individuals with Type 2 Diabetes Attending Family Health Centers

Öz

Aim: The present study aims to explore the multidimensional factors of diabetes, as well as the anxiety and depression levels, in
individuals with Type 2 diabetes attending family health center.
Material and Methods: This cross-sectional study included 180 patients with Type 2 diabetes registered in three randomly selected
family health centers. We collected data using the Multidimensional Diabetes Questionnaire (MDQ) and the Hospital Anxiety and
Depression Scale (HADS) between June and November, 2023. The data were then subjected to the Mann-Whitney U test, the Kruskal-
Wallis test, and multiple linear regression analysis.
Results: The disease duration was 1-5 years for 63.3% of participants, and 75.6% reported self-monitoring their blood glucose levels.
While 11.1% of participants exhibited symptoms of anxiety, 74.4% had depressive symptoms. Our analysis showed the factors associated with anxiety symptoms to be perceived interference and misguided support behaviors. Moreover, perceived interference, perceived
severity, and outcome expectancies significantly contributed to the manifestation of depressive symptoms (p<0.05).
Conclusion: To attain more effective diabetes management, it seems key to reinforcing family health centers and securing comprehensive
diabetes-specific services and training in family health centers. Moreover, the multifaceted factors and psychological aspects of diabetes
should be considered in the planning of diabetes-oriented services.

Anahtar Kelimeler

Diabetes Mellitus , Type 2 , Anxiety , Depression , Adult

Etik Beyan

The Research Ethics Committee of Nigde Omer Halisdemir University granted ethical approval to our study (No: 2020/06-11 dated 01/07/2020).

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