Diyabetes Mellituslu Bireylerin Aile Desteği ile Öz Bakım Düzeyleri Arasındaki İlişki
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Dosyalar
Tarih
2021
Yazarlar
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Yayıncı
Necmettin Erbakan Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma, Diabetes Mellitus hastalarının aile desteği ile diyabette öz bakım düzeyleri arasındaki ilişkinin incelenmesi amacıyla tanımlayıcı-ilişki arayıcı olarak yapılmıştır.
Araştırma, Şubat 2020- Mayıs 2020 tarihleri arasında Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Hastanesi Dahiliye ve Endokroniloji klinik ve polikliniklerinde gerçekleştirildi. Araştırmanın örneklemini, araştırmaya alınma kriterlerine uyan 284 hasta oluşturdu. Araştırma öncesi etik kuruldan, araştırmanın yapılacağı kurumdan gerekli izinler ve katılımcılardan da sözlü ve yazılı onam alınmıştır. Veriler, Tanıtıcı Bilgi Formu, Diyabet Öz Bakım Ölçeği (DÖBÖ) ve Hensarling’in Diyabet Aile Desteği Ölçeği (HDADÖ) ile toplandı. Verilerin analizinde, bağımsız gruplarda t testi, bağımsız gruplarda varyans analizi, kruskal wallis testi, pearson korelasyon analizi ve çoklu regresyon analizi kullanıldı.
Çalışma katılan diyabetli bireylerin %57,7si kadın, %68,3’ünün 46-65 yaş aralığında oldukları, %77,8’inin evli, %40,5’inin ilköğretim mezunu, %30,3’ünün bir meslekte çalıştığı ve %54,2’sinin geliri giderine eşit olduğu saptanmıştır. Diyabet hastalarının hastalıklarının tedavisinde en çok %32’sini oral diyabetik ilaç kullandıkları gözlenmiştir. Hastaların DÖBÖ toplam puan ortalamalarının 83,20±18,63 olduğu saptanmıştır. Çoklu regresyon analizi ile yapılan değerlendirmede; yaşın, eğitim durumunun, çalışma durumunun, diyabet tedavi şeklinin, diyet tedavisine düzenli uygulama durumunun, daha önce şeker hastalığı ile ilgili eğitim alma durumunun, şeker hastalığı öz bakımında yardım eden kişinin ve HbA1c değerinin DÖBÖ toplam puanına %35 oranında katkı sağladığı saptanmıştır (p<0,001). Hastaların HDADÖ toplam puan ortalamalarının 82,442±28,042 olduğu saptanmıştır. Çoklu regresyon analizi ile yapılan değerlendirmede; medeni durumun, eğitim durumunun, diyabet tedavi şeklinin, diyet tedavisine düzenli uygulama durumunun, şeker hastalığı öz bakımında yardım eden kişinin ve HbA1c değerinin HDADÖ toplam puanına %33 oranında katkı sağladığı saptanmıştır (p<0,001). Hastaların “DÖBÖ” toplam puanı ile “HDADÖ” toplam puanı ve tüm alt boyut puanları arasında pozitif yönde, yüksek düzeyde ve istatistiksel olarak anlamlı bir ilişkinin (p < 0.001) olduğu saptanmıştır.
Sonuç olarak araştırma bulgularına göre; hastaların öz bakımı ile aile desteği arasında pozitif yönde bir ilişkinin olduğu ve aile desteğinin arttığı durumlarda hastanın öz bakımının olumlu yönde etkilendiği belirlenmiştir. Araştırma sonuçları doğrultusunda diyabetin öz bakım yönetiminde hasta ve ailenin motivasyon ve davranış becerileri açısından desteklenmeleri gerektiğini düşünmekteyiz.
This study was conducted as a descriptive-relationship seeker to examine the relationship between family support and self-care levels in diabetes mellitus patients. The research was carried out in Necmettin Erbakan University Meram Faculty of Medicine Hospital Internal Medicine and Endocronilogy clinics and outpatient clinics between February 2020 and May 2020. The sample of the study consisted of 284 patients who met the inclusion criteria. Prior to the study, necessary permissions were obtained from the ethics committee, the institution where the study would be conducted, and verbal and written consent from the participants. The data were collected using the Introductory Information Form, Diabetes Self-Care Scale (DÖBÖ) and Hensarling's Diabetes Family Support Scale (HDADÖ). In analyzing the data, t test in independent groups, analysis of variance in independent groups, kruskal wallis test, Pearson correlation analysis and multiple regression analysis were used. Among the diabetic individuals participating in the study, 57.7% were women, 68.3% were between the ages of 46-65, 77.8% were married, 40.5% were primary school graduates, 30.3% were working in a profession, and It has been determined that 54.2% of them are equal to their income and expense. It has been observed that most of the diabetes patients use oral diabetic drugs, 32% of them in the treatment of their diseases. It was determined that the mean total ANCS score of the patients was 83.20 ± 18.63. In the evaluation made with multiple regression analysis; It was determined that age, education status, employment status, diabetes treatment type, regular application of diet therapy, previous education about diabetes, the person who helped with diabetes self-care and HbA1c value contributed 35% to the total ANCS score (p <0.001 ). It was determined that the total mean HDACS score of the patients was 82,442 ± 28,042. In the evaluation made with multiple regression analysis; It was determined that marital status, educational status, diabetes treatment type, regular application of diet therapy, the person helping with diabetes self-care and the HbA1c value contributed 33% to the total HDADS score (p <0.001). It was determined that there was a positive, high and statistically significant relationship (p <0.001) between the total score of "ANAS" and the total score of "HDADS" and all sub-dimension scores of the patients. As a result, it was determined that there is a positive relationship between the self-care of the patients and family support with the findings of the study, and that the patient's self-care is positively affected when family support is increased. In line with the results of the study, we think that the patient and family should be supported in terms of motivation and behavioral skills in the self-care management of diabetes.
This study was conducted as a descriptive-relationship seeker to examine the relationship between family support and self-care levels in diabetes mellitus patients. The research was carried out in Necmettin Erbakan University Meram Faculty of Medicine Hospital Internal Medicine and Endocronilogy clinics and outpatient clinics between February 2020 and May 2020. The sample of the study consisted of 284 patients who met the inclusion criteria. Prior to the study, necessary permissions were obtained from the ethics committee, the institution where the study would be conducted, and verbal and written consent from the participants. The data were collected using the Introductory Information Form, Diabetes Self-Care Scale (DÖBÖ) and Hensarling's Diabetes Family Support Scale (HDADÖ). In analyzing the data, t test in independent groups, analysis of variance in independent groups, kruskal wallis test, Pearson correlation analysis and multiple regression analysis were used. Among the diabetic individuals participating in the study, 57.7% were women, 68.3% were between the ages of 46-65, 77.8% were married, 40.5% were primary school graduates, 30.3% were working in a profession, and It has been determined that 54.2% of them are equal to their income and expense. It has been observed that most of the diabetes patients use oral diabetic drugs, 32% of them in the treatment of their diseases. It was determined that the mean total ANCS score of the patients was 83.20 ± 18.63. In the evaluation made with multiple regression analysis; It was determined that age, education status, employment status, diabetes treatment type, regular application of diet therapy, previous education about diabetes, the person who helped with diabetes self-care and HbA1c value contributed 35% to the total ANCS score (p <0.001 ). It was determined that the total mean HDACS score of the patients was 82,442 ± 28,042. In the evaluation made with multiple regression analysis; It was determined that marital status, educational status, diabetes treatment type, regular application of diet therapy, the person helping with diabetes self-care and the HbA1c value contributed 33% to the total HDADS score (p <0.001). It was determined that there was a positive, high and statistically significant relationship (p <0.001) between the total score of "ANAS" and the total score of "HDADS" and all sub-dimension scores of the patients. As a result, it was determined that there is a positive relationship between the self-care of the patients and family support with the findings of the study, and that the patient's self-care is positively affected when family support is increased. In line with the results of the study, we think that the patient and family should be supported in terms of motivation and behavioral skills in the self-care management of diabetes.
Açıklama
Yüksek Lisans Tezi
Anahtar Kelimeler
Aile desteği, diabetes mellitus, hemşirelik, öz bakım, family support, nursing, self care
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Zeren, F. G. (2021). Diyabetes mellituslu bireylerin aile desteği ile öz bakım düzeyleri arasındaki ilişki. (Yayınlanmamış Yüksek Lisans Tezi). Necmettin Erbakan Üniversitesi, Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Konya.
