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Diabetes Attitude and Self-Efficiency Levels of Patients with Type 2 Diabetes Mellitus Taking Insulin

Year 2024, Volume: 2 Issue: 1, 37 - 52, 25.01.2024

Nurgül Gün Derya Tülüce

https://doi.org/10.61535/bseusbfd.1303059

Abstract

This study was conducted with descriptive design to determine the disease attitudes and self-efficacy levels of patients with type 2 diabetes mellitus taking insulin. The study was conducted with 120 patients diagnosed with type 2 diabetes mellitus, who applied to the internal medicine outpatient clinics of Balıklıgöl State Hospital between January and April 2021. Personal information form, Diabetes Attitude Scale, and Self-Efficacy in Type 2 Diabetes scale were used to collect data. The data were analyzed in the Statistical Package of Social Sciences 25.0 software. The total mean score of the patients was found to be 57.25±19.07 for the self-efficacy in type 2 diabetes scale. In the study, it was determined that there was a strong positive correlation between diabetes attitude scale and diabetes self-efficacy scale (p<0.05). While there was a moderate positive correlation between the diet + foot control subscale of the self-efficacy in type 2 diabetes scale and the need for special training to provide diabetes care, impact of diabetes on the patient’s life, patient compliance and team care subscales of the diabetes attitude scale, there was a positive and high level correlation between seriousness of type 2 diabetes, the relationship between blood glucose levels and complications, and patient autonomy subscales (p<0.05). In the subscale of medical treatment and physical exercise, a significant relationship was found between the subscales of the diabetes attitude scale. (p<0.05). Consequently, it was determined that individuals with type 2 diabetes who were taking insulin had a positive attitude and a moderate level of self-efficacy. As the diabetes attitude of the patients increased, their self-efficacy levels also increased.

Keywords

Type 2 Diabetes Use Of İnsulin Attitude Self-Efficacy

References

  • Akaltun, H., & Ersin, F. (2016). Determining the attitude and behavior of the diabetic patients that receive home care. E-Journal of Dokuz Eylul University Nursing Faculty, 9(4), 126-133.
  • Anderson, R. M., Donnelly, M. B., & Dedrick, R. F. (1990). Measuring the attitudes of patients towards diabetes and its treatment. Patient Education and Counseling, 16(3), 231-245.
  • Aslan, Ü., & Korkmaz, M. (2015). Insulin application ınformation skill levels in diyabetic ındividuals: errors. E-Journal of Dokuz Eylul University Nursing Faculty, 8(1), 18-26.
  • Aydoğar, M., & Yıldırım, G. (2021). The effect of education given to patients with diabetes in line with health belief model on their health belief, perception of self-efficacy and decision making level. Lokman Hekim Journal, 11(1), 73-82. https://doi.org/10.31020/mutftd.752988
  • Başar, C., & Kahraman, S. (2019). Determination of disease attitudes and chronic complication levels of patients with diabetes mellitus. Journal of Publıc Health Nursıng, 1(3),147-157.
  • Erol, O., & Enç, N. (2011). Hypoglycemia fear and self-efficacy of Turkish patients receiving ınsulin therapy. Asian Nurs Res (Korean Soc Nurs Sci). 5(4), 222-8. https://doi.org/10.1016/j.anr.2011.12.001
  • Gabish, A. M., & Mohammed, W. K. (2018). Effectiveness of health education program for type 2 diabetes mellitus patient's self-efficacy toward managing feet at endocrinology and diabetes center in al-rusafa sector. Iraqi National Journal of Nursing Specialties, 31, 118-124.
  • Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M., Zhu, Y., & Fu, H. (2013). Effects of self-care, self efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Family Practice, 14, 1-6.
  • Gergely, M. (1992). Effective Diabetes Education. IDF Bulletin, 37, 9-10.
  • Gleeson-Kreig, J. M. (2006). Self-monitoring of physical activity: effects on self-efficacy and behavior in people with type 2 diabetes. Diabetes Educator, 32(1), 69-77. https://doi.org/10.1177/0145721705284285
  • Gündoğdu, A. S. (2013). Turkish Society of Endocrinology and Metabolism (TEMD). Diagnosis, treatment and follow-up guidelines for diabetes mellitus and ıts complications. 6th Edition. Ankara: Grafik Tasarım ve Yayın Hizmetleri. p:.216
  • International Diabetes Federation. Diabetes Atlas, 10th Edition 2021. URL: https://diabetesatlas.org/atlas/tenth-edition/ Access date: 20.12.2021
  • Johnson, C., & Whetstone, W. R. (2005). Assessing transcultural attitudes towards diabetes in Trinidad. Journal of National Black Nurses Association, 16, 15-9.
  • Kara, K., & Çınar, S. (2011). The relation between diabetes care profile and metabolic control variables Kafkas Journal of Medical Sciences. 1(2), 57–63. https://doi.org/10.5505/kjms.2011.41736
  • Kara, M., Van Der Bijl, J. J., Shortridge-Baggett, L. M., Astı, T., & Ergunay, S. (2006). Cross-cultural adaptation of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus: scale development. Int J Nur Stud, 43, 611–21.
  • Kartal, A., & Özsoy, S. A. (2007). Validity and realibility study of the Turkish version of health belief model scale in diabetic patients. International Journal of Nursing Studies. 44(8), 1447-1458. https://doi.org/10.1016/j.ijnurstu.2007.06.004
  • Kartal, A., Çağirgan, G., Tiğli, H., Güngör, Y., Karakuş, N., & Gelen, M. (2008). Tip 2 diyabetli hastaların bakım ve tedaviye yönelik tutumları ve tutumu etkileyen faktörler. TSK Koruyucu Hekimlik Bülteni, 7, 223-230.
  • Kayabaşı, A., & Korkut, Y. (2021). Investigation of the attitudes and behaviors of patients with type 2 diabetes mellitus. Journal of General Medicine, 31(2), 148-152. https://doi.org/10.15321/GenelTipDer.2021.303
  • Kılıç, M., & Arslan, S. (2018). Evaluation of health locus of control of ındividuals with type 2 diabetes. Turkish Journal of Family Medicine and Primary Care, 12(2), 126-135. https://doi.org/10.21763/tjfmpc.432547
  • Kowluru, R. A., Kowluru, A., Mishra, M., & Kumar, B. (2015). Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy. Prog Retin Eye Res, 48, 40-61. https://doi.org/10.1016/j.preteyeres.2015.05.001
  • Mohammadi, S., Karim, N. A., Talib, R. A., & Amani, R. (2018). The ımpact of self efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled ıntervention study. Asia Pacific J Clin Nutr, 27(3), 546-555. https://doi.org/10.6133/apjcn.072017.07
  • Mollaoğlu, M., & Bağ, E. (2009). Self- effıcacy and affecting factors in patients under hemodıalysıs ın patıents undergoıng hemodialysıs. Journal of Istanbul University of Medicine, 72, 37-42.
  • Özcan, Ş. (1999). Evaluation of factors affecting adherence to disease in patients with diabetes. Istanbul University Institute of Health Sciences, PhD Thesis, İstanbul.
  • Özcan, Ş. (2003). Roles and responsibilities of the diabetes nurse. Yılmaz T, Bahçeci M. Büyükbeşe MA. (Editor). Modern Treatment of Diabetes Mellitus. İstanbul; pp.89-195.
  • Polat, B., Özcanarslan, F., & Kabalcıoğlu, B. F. (2017). Determination of the knowledge and thoughts of diabetic patients receiving insulin treatment regarding their treatments. Journal of Helath Academics, 4(3), 221-235. https://doi.org/10.5455/sad.13-1504942600
  • Rashidi, M., & Genç, A. (2020). Evaluation of diabetes attitudes in patients with tip 1 and tip 2 diabetes. Istanbul Gelisim University Journal of Health Sciences, 10, 34-49.
  • Rhee, M. K., Slocum, W., Ziemer, D. C., Culler, S. D., Cook, C. B., El-Kebbi, I. M., . . . & Philips LS. (2005). Patient adherence improves glycemic control. Diabetes Educator, 31, 240-50.
  • Şahin Akgün, Z. (2015). The attitude of patiens with diabetes type 2 and the correlatıon between the problem fields. ODU Journal of Medicine, 2, 134-138.
  • Samancıoğlu, S., Bakır, E., Doğan, U., Karadağ, A., Erkan, E., Aktürk, A., . . . & Aktürk, C. (2017). The content of diabetes education in type 2 diabetic patients and their attitude towards the disease. Journal of Izmir Katip Celebi University Faculty of Health Sciences, 2(1), 1-5.
  • Satman, .I, Yilmaz. T., Sengül, A., Salman, S., Salman, F., Uygur, S., . . . & The TURDEP Group. (2002). Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish diabetes epidemiology study (TURDEP). Diabetes Care, 25(9), 1551–1556. https://doi.org/10.2337/diacare.25.9.1551
  • Satman, I., Omer, B., Tutuncu, Y., Kalaca, S., Gedik, S., Dinccag, N., ... & Tuomilehto, J. (2011, September). Diabetes epidemic in Turkey: results of the second population-based survey of diabetes and risk characteristics in Turkey (TURDEP-II). In Diabetologia, 54, 140. 233 SPRING ST, NEW YORK, NY 10013 USA: SPRINGER.
  • Shabibi, P., Zavareh, M. S., & Sayehmiri, K. (2017). Effect of educational intervention based on the health belief model on promoting self-care behaviors of type-2 diabetes patients. Electron Physician, 9(12), 5960–5968. https://doi.org/10.19082/5960
  • Tekin-Yanık, Y., & Erol, Ö. (2016). Evaluation of self-efficacy levels of ındıvıduals wıth type 2 diabetes. Journal of Anatolia Nursing and Health Sciences, 19(3), 166-174.
  • Turkey Diabetes, Hypertension, Obesity and Endocrinological Diseases Prevalence Study-II (TURDEP-II Study) results’ abstract. On behalf of Research group, Prof. Dr. İlhan Satman. URL: https://cdn.istanbul.edu.tr/statics/istanbultip.istanbul.edu.tr/wp-content/uploads/attachments/021_turdep.2.sonuclarinin.aciklamasi.pdf Access date: 22.10.2021
  • Ustaalioğlu, S., & Tan, M. (2017). Examination of type 2 diabetics attitudes and behaviours against care and treatment. Gümüşhane University Journal Of Health Sciences. 6(4), 12-20.
  • Van der Bijl, J. J., Poelgeest-Eeltink, A. V., & Shortridge-Baggett, L. (1999). The psychometric properties of diabetes management self-efficacy scale for patients with type diabetes mellitus. J Adv Nurs, 30, 352–59.

İnsülin Kullanan Tip 2 Diyabetes Mellituslu Hastaların Hastalığa Yönelik Tutum İle Öz-Etkililik Düzeyleri

Year 2024, Volume: 2 Issue: 1, 37 - 52, 25.01.2024

Nurgül Gün Derya Tülüce

https://doi.org/10.61535/bseusbfd.1303059

Abstract

Bu araştırma insülin kullanan tip 2 diyabetes mellituslu hastaların hastalık tutumları ile öz-etkililik düzeylerini belirlemek amacı ile tanımlayıcı olarak yapılmıştır. Araştırma, Ocak-Nisan 2021 tarihleri arasında bir devlet hastanesinin dahiliye polikliniklerine başvuran, dahil edilme kriterleri karşılayan ve insülin kullanan 120 tip 2 diyabet tanılı hasta ile gerçekleştirilmiştir. Verilerin toplanmasında kişisel bilgi formu, diyabet tutum ölçeği ve tip 2 diyabet öz-etkililik ölçeği kullanılmıştır. Veriler Statistical Package of Social Sciences 25.0 paket programında analiz edilmiştir. Hastaların tip 2 diyabet öz-etkililik ölçeği toplam puan ortalaması 57.25±19.07 olarak bulunmuştur. Araştırmada diyabet tutum ölçeği ve diyabet öz-etkililik ölçeği arasındaki pozitif yönde güçlü bir ilişki olduğu saptanmıştır (p<0.05). Tip 2 diyabet öz-etkililik ölçeği alt boyutlarından diyet+ayak kontrolü alt boyutu ile diyabet tutum ölçeği alt boyutlarından özel eğitim ihtiyacı, hastanın yaşamı üzerine etkisi, hasta uyumuna karşı tutum ve ekip bakımına karşı tutum alt boyutları arasında pozitif yönde orta düzeyde ilişki bulunurken, tip2 diyabet ciddiyeti, kan glukoz kontrol ve komplikasyonlar, hasta otonomisine karşı tutum alt boyutları arasında pozitif yönde ve yüksek düzeyde ilişki olduğu saptanmıştır (p<0.05). Tıbbi tedavi ve fiziksel egzersiz alt boyutunda ise diyabet tutum ölçeği alt boyutları arasında anlamlı ilişki bulunmuştur (p<0.05). Sonuç olarak, insülin kullanan tip 2 diyabetli bireylerin olumlu tutuma ve orta düzeyde öz yeterliliğe sahip olduğu belirlendi. Hastaların diyabet tutumları arttıkça öz-yeterlik düzeyleri de yükselmektedir.

Keywords

Tip 2 Diyabet İnsülin Kullanma Tutum Öz-Etkililik

References

  • Akaltun, H., & Ersin, F. (2016). Determining the attitude and behavior of the diabetic patients that receive home care. E-Journal of Dokuz Eylul University Nursing Faculty, 9(4), 126-133.
  • Anderson, R. M., Donnelly, M. B., & Dedrick, R. F. (1990). Measuring the attitudes of patients towards diabetes and its treatment. Patient Education and Counseling, 16(3), 231-245.
  • Aslan, Ü., & Korkmaz, M. (2015). Insulin application ınformation skill levels in diyabetic ındividuals: errors. E-Journal of Dokuz Eylul University Nursing Faculty, 8(1), 18-26.
  • Aydoğar, M., & Yıldırım, G. (2021). The effect of education given to patients with diabetes in line with health belief model on their health belief, perception of self-efficacy and decision making level. Lokman Hekim Journal, 11(1), 73-82. https://doi.org/10.31020/mutftd.752988
  • Başar, C., & Kahraman, S. (2019). Determination of disease attitudes and chronic complication levels of patients with diabetes mellitus. Journal of Publıc Health Nursıng, 1(3),147-157.
  • Erol, O., & Enç, N. (2011). Hypoglycemia fear and self-efficacy of Turkish patients receiving ınsulin therapy. Asian Nurs Res (Korean Soc Nurs Sci). 5(4), 222-8. https://doi.org/10.1016/j.anr.2011.12.001
  • Gabish, A. M., & Mohammed, W. K. (2018). Effectiveness of health education program for type 2 diabetes mellitus patient's self-efficacy toward managing feet at endocrinology and diabetes center in al-rusafa sector. Iraqi National Journal of Nursing Specialties, 31, 118-124.
  • Gao, J., Wang, J., Zheng, P., Haardörfer, R., Kegler, M., Zhu, Y., & Fu, H. (2013). Effects of self-care, self efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Family Practice, 14, 1-6.
  • Gergely, M. (1992). Effective Diabetes Education. IDF Bulletin, 37, 9-10.
  • Gleeson-Kreig, J. M. (2006). Self-monitoring of physical activity: effects on self-efficacy and behavior in people with type 2 diabetes. Diabetes Educator, 32(1), 69-77. https://doi.org/10.1177/0145721705284285
  • Gündoğdu, A. S. (2013). Turkish Society of Endocrinology and Metabolism (TEMD). Diagnosis, treatment and follow-up guidelines for diabetes mellitus and ıts complications. 6th Edition. Ankara: Grafik Tasarım ve Yayın Hizmetleri. p:.216
  • International Diabetes Federation. Diabetes Atlas, 10th Edition 2021. URL: https://diabetesatlas.org/atlas/tenth-edition/ Access date: 20.12.2021
  • Johnson, C., & Whetstone, W. R. (2005). Assessing transcultural attitudes towards diabetes in Trinidad. Journal of National Black Nurses Association, 16, 15-9.
  • Kara, K., & Çınar, S. (2011). The relation between diabetes care profile and metabolic control variables Kafkas Journal of Medical Sciences. 1(2), 57–63. https://doi.org/10.5505/kjms.2011.41736
  • Kara, M., Van Der Bijl, J. J., Shortridge-Baggett, L. M., Astı, T., & Ergunay, S. (2006). Cross-cultural adaptation of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus: scale development. Int J Nur Stud, 43, 611–21.
  • Kartal, A., & Özsoy, S. A. (2007). Validity and realibility study of the Turkish version of health belief model scale in diabetic patients. International Journal of Nursing Studies. 44(8), 1447-1458. https://doi.org/10.1016/j.ijnurstu.2007.06.004
  • Kartal, A., Çağirgan, G., Tiğli, H., Güngör, Y., Karakuş, N., & Gelen, M. (2008). Tip 2 diyabetli hastaların bakım ve tedaviye yönelik tutumları ve tutumu etkileyen faktörler. TSK Koruyucu Hekimlik Bülteni, 7, 223-230.
  • Kayabaşı, A., & Korkut, Y. (2021). Investigation of the attitudes and behaviors of patients with type 2 diabetes mellitus. Journal of General Medicine, 31(2), 148-152. https://doi.org/10.15321/GenelTipDer.2021.303
  • Kılıç, M., & Arslan, S. (2018). Evaluation of health locus of control of ındividuals with type 2 diabetes. Turkish Journal of Family Medicine and Primary Care, 12(2), 126-135. https://doi.org/10.21763/tjfmpc.432547
  • Kowluru, R. A., Kowluru, A., Mishra, M., & Kumar, B. (2015). Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy. Prog Retin Eye Res, 48, 40-61. https://doi.org/10.1016/j.preteyeres.2015.05.001
  • Mohammadi, S., Karim, N. A., Talib, R. A., & Amani, R. (2018). The ımpact of self efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled ıntervention study. Asia Pacific J Clin Nutr, 27(3), 546-555. https://doi.org/10.6133/apjcn.072017.07
  • Mollaoğlu, M., & Bağ, E. (2009). Self- effıcacy and affecting factors in patients under hemodıalysıs ın patıents undergoıng hemodialysıs. Journal of Istanbul University of Medicine, 72, 37-42.
  • Özcan, Ş. (1999). Evaluation of factors affecting adherence to disease in patients with diabetes. Istanbul University Institute of Health Sciences, PhD Thesis, İstanbul.
  • Özcan, Ş. (2003). Roles and responsibilities of the diabetes nurse. Yılmaz T, Bahçeci M. Büyükbeşe MA. (Editor). Modern Treatment of Diabetes Mellitus. İstanbul; pp.89-195.
  • Polat, B., Özcanarslan, F., & Kabalcıoğlu, B. F. (2017). Determination of the knowledge and thoughts of diabetic patients receiving insulin treatment regarding their treatments. Journal of Helath Academics, 4(3), 221-235. https://doi.org/10.5455/sad.13-1504942600
  • Rashidi, M., & Genç, A. (2020). Evaluation of diabetes attitudes in patients with tip 1 and tip 2 diabetes. Istanbul Gelisim University Journal of Health Sciences, 10, 34-49.
  • Rhee, M. K., Slocum, W., Ziemer, D. C., Culler, S. D., Cook, C. B., El-Kebbi, I. M., . . . & Philips LS. (2005). Patient adherence improves glycemic control. Diabetes Educator, 31, 240-50.
  • Şahin Akgün, Z. (2015). The attitude of patiens with diabetes type 2 and the correlatıon between the problem fields. ODU Journal of Medicine, 2, 134-138.
  • Samancıoğlu, S., Bakır, E., Doğan, U., Karadağ, A., Erkan, E., Aktürk, A., . . . & Aktürk, C. (2017). The content of diabetes education in type 2 diabetic patients and their attitude towards the disease. Journal of Izmir Katip Celebi University Faculty of Health Sciences, 2(1), 1-5.
  • Satman, .I, Yilmaz. T., Sengül, A., Salman, S., Salman, F., Uygur, S., . . . & The TURDEP Group. (2002). Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish diabetes epidemiology study (TURDEP). Diabetes Care, 25(9), 1551–1556. https://doi.org/10.2337/diacare.25.9.1551
  • Satman, I., Omer, B., Tutuncu, Y., Kalaca, S., Gedik, S., Dinccag, N., ... & Tuomilehto, J. (2011, September). Diabetes epidemic in Turkey: results of the second population-based survey of diabetes and risk characteristics in Turkey (TURDEP-II). In Diabetologia, 54, 140. 233 SPRING ST, NEW YORK, NY 10013 USA: SPRINGER.
  • Shabibi, P., Zavareh, M. S., & Sayehmiri, K. (2017). Effect of educational intervention based on the health belief model on promoting self-care behaviors of type-2 diabetes patients. Electron Physician, 9(12), 5960–5968. https://doi.org/10.19082/5960
  • Tekin-Yanık, Y., & Erol, Ö. (2016). Evaluation of self-efficacy levels of ındıvıduals wıth type 2 diabetes. Journal of Anatolia Nursing and Health Sciences, 19(3), 166-174.
  • Turkey Diabetes, Hypertension, Obesity and Endocrinological Diseases Prevalence Study-II (TURDEP-II Study) results’ abstract. On behalf of Research group, Prof. Dr. İlhan Satman. URL: https://cdn.istanbul.edu.tr/statics/istanbultip.istanbul.edu.tr/wp-content/uploads/attachments/021_turdep.2.sonuclarinin.aciklamasi.pdf Access date: 22.10.2021
  • Ustaalioğlu, S., & Tan, M. (2017). Examination of type 2 diabetics attitudes and behaviours against care and treatment. Gümüşhane University Journal Of Health Sciences. 6(4), 12-20.
  • Van der Bijl, J. J., Poelgeest-Eeltink, A. V., & Shortridge-Baggett, L. (1999). The psychometric properties of diabetes management self-efficacy scale for patients with type diabetes mellitus. J Adv Nurs, 30, 352–59.
There are 36 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Articles
Authors

Nurgül Gün 0000-0002-7111-9979

Derya Tülüce 0000-0002-1340-013X

Early Pub Date January 4, 2024
Publication Date January 25, 2024
Submission Date May 27, 2023
Published in Issue Year 2024 Volume: 2 Issue: 1

Cite

APA Gün, N., & Tülüce, D. (2024). Diabetes Attitude and Self-Efficiency Levels of Patients with Type 2 Diabetes Mellitus Taking Insulin. Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2(1), 37-52. https://doi.org/10.61535/bseusbfd.1303059
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