Diyabetli bireylerde kardiyovasküler hastalık risk bilgisinin diyabet öz yönetimi ve metabolik sonuçlara etkisi: tanımlayıcı ve kesitsel bir çalışma
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Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Türkiye Klinikleri Yayınevi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırmanın amacı, diyabetli bireylerde kardiyo- vasküler hastalık (KVH) risk bilgisinin diyabet öz yönetimi ve me- tabolik sonuçlara etkisini incelemektir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu çalışmanın örneklemini, Aralık 2019- Mart 2020 tarihleri arasında bir eğitim ve araştırma hastanesi ile bir tıp fakültesi hastanesinin dahiliye kliniklerinde yatan ve dahiliye (diyabet ve endokrin) polikliniğine başvuran Tip 2 diyabetli 321 birey oluştur- muştur. Verilerin toplanmasında, “Birey Tanıtım Formu” “Kalp Has- talığı Bilgi Ölçe ği (KAHARB İ)” ve “Diyabet Öz Yönetim Skalas ı (DÖYS)” kullan ılmıştır. Bulgular: Hastalarının ya ş ortalaması 62,11±12,22 yıl olup, %53,6’s ı kadındır. Çoklu regresyon analizinde yaş, 1. ve 2. modelde anlaml ı etki gösterirken, 3. modelde gösterme- miştir. İkinci ve 3. modelde DÖYS alt boyutlarından glukoz yönetimi, diyet kontrolü, fiziksel aktivite ve sa ğlık hizmetlerinin kullan ımı ile gelir ve e ğitim durumu, dü şük yoğunluklu lipoprotein, hemoglobin A1c, trigliserid düzeyleri ve diyabet süresi anlaml ı etki göstermiştir (p<0,05). Regresyon analizleri, 3 modelde s ırasıyla KVH risk bilgisi- nin %13,2, %28,1 ve %44,4 oldu ğunu açıklamaktadır. Sonuç: Bu ça- lışmada, diyabetli bireylerin KVH risk bilgisinin istendik düzeyde olmadığı ve hastaların bilgi düzeylerinin bazı sosyodemografik, hasta- lık tanıtıcı özellikleri ve metabolik de ğişkenlerden etkilendiği bulun- muştur. Bu nedenle risk grubunda olan diyabetli bireylere gerekli müdahalelerin planlanması ve kardiyovasküler hastalıklar hakkında bil- gilendirilmesi önemlidir.
The aim of this study is to examine the ef- fect of cardiovascular disease (CVD) risk information on diabetes self- management and metabolic outcomes in individuals with diabetes. Material and Methods: The sample of this descriptive and cross-sec- tional study consisted of 321 individuals with type 2 diabetes who were hospitalized in the internal medicine clinics of a training and research hospital and a medical faculty hospital and applied to the internal medicine outpatient clinic between December 2019 and March 2020. Data were collected using the “Individual Identification Form”, “Heart Disease Fact Questionnaire (HDFQ)” and “Diabetes Self-Management Questionnaire (DSMQ)”. Results: The mean age of the patients was 62.11±12.22 years and 53.6% of them were women. In the multiple re- gression analysis, age showed a significant effect in the first and sec- ond models, but not in the third model. In the second and third models, glucose management, diet control, physical activity and use of health services, which are the sub-dimensions of DSMQ, income and educa- tion status, low-density lipoprotein, hemoglobin A1c, triglyceride lev- els and duration of diabetes showed significant effects (p<0.05). Regression analyzes revealed cardiovascular disease risk information as 13.2%, 28.1% and 44.4% in the three models, respectively. Conclu- sion: In this study, it was found that the CVD risk knowledge of indi- viduals with diabetes was not at the desired level and the knowledge levels of the patients were affected by some socio-demographic and disease characteristics and metabolic variables. It is important to plan the necessary interventions for individuals with diabetes who are in the risk group and to inform them about cardiovascular diseases.
The aim of this study is to examine the ef- fect of cardiovascular disease (CVD) risk information on diabetes self- management and metabolic outcomes in individuals with diabetes. Material and Methods: The sample of this descriptive and cross-sec- tional study consisted of 321 individuals with type 2 diabetes who were hospitalized in the internal medicine clinics of a training and research hospital and a medical faculty hospital and applied to the internal medicine outpatient clinic between December 2019 and March 2020. Data were collected using the “Individual Identification Form”, “Heart Disease Fact Questionnaire (HDFQ)” and “Diabetes Self-Management Questionnaire (DSMQ)”. Results: The mean age of the patients was 62.11±12.22 years and 53.6% of them were women. In the multiple re- gression analysis, age showed a significant effect in the first and sec- ond models, but not in the third model. In the second and third models, glucose management, diet control, physical activity and use of health services, which are the sub-dimensions of DSMQ, income and educa- tion status, low-density lipoprotein, hemoglobin A1c, triglyceride lev- els and duration of diabetes showed significant effects (p<0.05). Regression analyzes revealed cardiovascular disease risk information as 13.2%, 28.1% and 44.4% in the three models, respectively. Conclu- sion: In this study, it was found that the CVD risk knowledge of indi- viduals with diabetes was not at the desired level and the knowledge levels of the patients were affected by some socio-demographic and disease characteristics and metabolic variables. It is important to plan the necessary interventions for individuals with diabetes who are in the risk group and to inform them about cardiovascular diseases.
Açıklama
Anahtar Kelimeler
Tip 2 Diyabet, Kardiyovasküler Hastalık Risk Bilgisi, Öz Yönetim, Metabolik Sonuçlar, Hemşirelik, Type 2 Diabetes, Cardiovascular Disease Risk Information, Self Management, Metabolic Outcomes, Nursing
Kaynak
Türkiye Klinikleri Hemşirelik Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
2
