Orem’in Öz Bakım Eksikliği Kuramına Göre Diyabet Teknolojileri

Diyabet ülkemizde ve tüm dünyada en sık görülen kronik hastalıklardan biridir. Sürekli bakım ve takip gerektirmesi ve yönetimi iyi sağlanmadığı zaman komplikasyonları sebebi ile sağlık harcamalarının büyük bir kısmında yer almaktadır. Bu harcamaları ve komplikasyonları en aza indirmek için bireyin kendi öz bakımını sağlayarak diyabeti yönetebilmesi gerekir. Gelişen teknoloji hayatımızı kolaylaştırır, yaşamı daha konforlu hale getirir. Diğer alanlarda olduğu gibi sağlık alanında da birçok teknolojik gelişmeler mevcuttur. Diyabetin sık görülen bir kronik hastalık olması sebebiyle diyabet teknolojileri de günden güne gelişmektedir. Geliştirilen bu teknolojiler diyabetli bireyin hastalığını yönetebilmesi amacıyla üretilmektedir. Bu da öz bakımına katkı sağladığı anlamına gelmektedir. Bu literatür derlemede öz bakım kavramının yer aldığı hemşirelik teorilerinden olan Orem Öz Bakım Eksikliği Kuramı ele alınarak diyabet teknolojileri incelenmiştir.

Diabetes Technologies According to the Theory of Orem's Self-Care Deficiency

Diabetes is one of the chronic diseases published in our country and all over the world. Due to the need for continuous care and follow-up and complications when provided, it takes part in a large part of health expenditures. In order to minimize these expenses and complications, the individual should be able to see his own self-care and manage diabetes. Developing technology makes our life easier and life more comfortable. As in other technological developments, many technological developments in the field of health. Being a chronic disease in the definition of diabetes, diabetes technologies are also developing day by day. These technologies are produced for the individual with diabetes to manage their disease. This should be added to self-care. In this literature review, Orem Self-Care Deficiency Theory which is one of the nursing theories in which the concept of self-care takes place, was discussed and diabetes technologies were examined.

___

  • 1. Gonzalez E, Martinez A, Garcia A, Qurios A. Clinical coaching in primary care. capable of ımproving control in patients with tip 2 diabetes mellitus. Primary Care Diabetes [online]. 2015;10 (3): 171-178. URL: https://pubmed.ncbi.nlm.nih.gov/26615758/. 20 Aralık 2020.
  • 2. World Health Organization. Preventing chronic diseases: a vital investment: WHO global report.World Health Organization [online]. 2005. URL: http://www.who.int/chp/chronic_disease_report/ cont ents/f oreword.pdf. 30 Aralık 2020.
  • 3. Sherifali D, Viscardi V, Bai J, Ali R. Evaluating the effect of a diabetes health coach in individuals with type 2 diabetes. Canadian Journal of Diabetes [online]. 2016; 40 (1): 84-94. URL: https:// pubm ed.ncbi.nlm.nih.gov/26827684/. 1 Kasım 2019.
  • 4. Çapoğlu İ, Yıldırım A, Hacıhasanoğlu Aşılar R, Çayköylü A. Mental problems accompanying diabetes and management of diabetes. Turkish Journal of Family Medicine and Primary Care [online]. 2019; 13 (1), 67-74.URL:https://www.researchgate.net/publication/331961185_Mental_Problems_Accompa nying_Diabetes_and_Management_of_Diabetes. 10 Temmuz 2020.
  • 5. Alcantara Aragon V. Improving patient self-care using diabetes technologies. Ther Adv in Endocrinol Metab [online]. 2019; 10, 1-11. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351708/. 17 Aralık 2020.
  • 6. Majeed W, Thabit H. Closed-loop insulin delivery: current status of diabetes technologies and future prospects. Expert Rev Med Devices [online]. 2018; 15: 579–590. URL: https://pubmed .ncbi. nlm.nih. gov/30027775/. 21 Aralık 2020.
  • 7. Heinemann L, Freckmann G, Ehrmann D, Heineman G, Guerra S, Waldenmaier D et al. Real-time continuous glucose monitoring in adults with type 1 diabetes and impaired hypoglycaemia awareness or severe hypoglycaemia treated with multiple daily insulin injections (HypoDE): a multicentre, randomised controlled trial. Lancet [online]. 2018; 391 (10128): 1367–1377. URL: https://pubmed. ncbi.nlm.nih.gov/29459019/. 25 Aralık 2020.
  • 8. Naranjo D, Tanenbaum ML, Iturralde E, Başlık K. Diabetes technology: uptake, outcomes, barriers, and the intersection with distress. J Diabetes Sci Technol [online]. 2016; 10 (4): 852–858. URL: https://pubmed.ncbi.nlm.nih.gov/27234809/. 25 Aralık 2020.
  • 9. Sherr LJ, Tahuschmann M, Battelino T, Bock M, Forlenza G, Roman R et al. ISPAD Clinical practice consensus guidelines 2018: diabetes technologies. Pediatric Diabetes [online]. 2018;19 (27): 302–325. URL:https://cdn.ymaws.com/www.ispad.org/resource/resmgr/consensus_guidelines_2018_/21.diabetes_technologies.pdf.10 Temmuz 2019.
  • 10. Russell SJ, Hillard MA, Balliro C, Magyar K, Selagamsetty R, Sinha M et al. Day and night glycaemic control with a bionic pancreas versus conventional insulin pump therapy in preadolescent children with type 1 diabetes: a randomised cross-over trial. Lancet Diabetes Endocrinol [online]. 2016;4 (3):233-243. URL: https://pubmed.ncbi.nlm.nih.gov/26850709/. 10 Temmuz 2020.
  • 11. Wong JC, Dolan LM, Yang TT, Hood KK. Insulin pump use and glycemic control in adolescents with type 1 diabetes: Predictors of change in method of insulin delivery across two years. Pediatr Diabetes [online]. 2015;16 (8):592-599. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458222/. 11 Aralık 2020.
  • 12. Vallejo Mora MD, Carreira-Soler M, Linares-Parrado F, Olveira G, Rojo-Martinez G, Dominguez-Lopez M et al. The calculating boluses on multiple daily injections (CBMDI) study: A randomized controlled trial on the effect on metabolic control of adding a bolus calculator to multiple daily injections in people with type 1 diabetes. J Diabetes [online]. 2017;9 (1):24-33. URL: https://pubmed.ncbi.nlm.nih.gov/26848934/. 13 Aralık 2020.
  • 13. Walsh J, Freckmann G, Roberts R, Heinemann L. Bolus calculator safety mandates a need for standards. J Diabetes Sci Technol [online]. 2017; 11: 3–6. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5375089/. 27 Aralık 2020.
  • 14. Sanchez, I. The use of continuous glucose monitoring system in the home health setting. Home Healthcare Now [online]. 2010; 28 (5): 291-295. URL: https://journals.lww.com/homehealthcare nurseonline/Fulltext/2010/05000/The_Use_of_Continuous_Glucose_Monitoring_System_in.6.aspx. 25 Aralık 2020.
  • 15. Cafazzo JA, Casselman M, Hamming N, Katzman DK, Palmert MR. Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study. J Med Internet Res [online]. 2012;14 (3):e70. URL: https://pubmed.ncbi.nlm.nih.gov/22564332/. 19 Aralık 2020.
  • 16. Goyal S, Cafazzo JA. Mobile phone health apps for diabetes management: Current evidence and future developments. QJM: An International Journal of Meicine [online]. 2013; 106 (12):1067-1069. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840330/. 20 Ocak 2020.
  • 17. Hou C, Carter B, Hewitt J, Francisa T, Mayor S. Do mobile phone applications improve glycemic control (HbA1c)in the self-management of diabetes? A systematic review, meta-analysis and GRADE of 14 randomized trials. Diabetes Care [online]. 2016;39 (11): 2089-2095. URL: https://pubmed.ncbi.nlm.nih.gov/27926892/. 27 Aralık 2020.
  • 18. Miller AS, Cafazzo JA, Seto E. A game plan: gamification design principles in mHealth applications for chronic disease management. Health Informatics J [online]. 2016; 22: 184–193. URL: https://pubmed.ncbi.nlm.nih.gov/24986104/. 27 Aralık 2020.
  • 19. Hong YJ, Lee H, Kim J, Lee M, Choi HJ, Hyeon T et al. Blood sugar monitoring: Multifunctional wearable system that ıntegrates sweat-based sensing and vital-sign monitoring to estimate pre-/post-exercise glucose levels. advanced functıonal materials [online]. 2018; 28 (47). URL: https://onlinelibrary.wiley.com/doi/abs/10.1002/adfm.201870336
  • 20. Gao W, Emaminejad S, Nyein H, Challa S, Chen K, Peck A et al. Fully integrated wearable sensor arrays for multiplexed in situ perspiration analysis. Naure [online]. 2016; 529 (7587): 509-514. URL: https://pubmed.ncbi.nlm.nih.gov/26819044/. 27 Aralık 2020.
  • 21. Matchar E. This tiny tooth sensor could keep track of the food you eat. URL: https://www.smithsonianmag.com/innovation/this-tiny-tooth-sensor-could-keep-track-food-you-eat-180968763/. 25 Aralık 2020.
  • 22. Bandodkar AJ, Wang J. Non-invasive wearable electrochemical sensors:a review. Trends in Biotechnology [online]. 2014; 32 (7), 363-371. URL: https://www.sciencedirect.com/science/article /abs/pii/S0167779914000699. 25 Aralık 2020.
  • 23. Lavars N. Google announces glucose-monitoring contact lens prototype. URL: https://newatlas.com/google-smart-contact-lens-diabetes/30494/. 25 Aralık 2020.
  • 24. Senior M. Novartis signs up for Google smart lens. Nature Biotechnology [online]. 2014; 32 (9): 856. URL: https://pubmed.ncbi.nlm.nih.gov/25203024/. 27 Aralık 2020.
  • 25. Şimşir Yıldırım I, Çetinkalp Ş. Yapay pankreas: Bugünü ve yarını. Klinik Tıp Bilimleri Dergisi [online]. 2017; 4 (5): 58-59. URL: https://dergipark.org.tr/tr/pub/ktb/issue/47544/599312. 2 Ocak 2020.
  • 26. Şanlıoğlu S. Diyabet tedavisinde inkretin tabanlı gen transferi stratejileri. İçinde İmamoğlu Ş, Geçmişten Geleceğe Diabetes Mellitus. 1. Basım. Ankara Pelin Ofset Matbaacılık; 2020; 603-614. URL: http://genetherapy.akdeniz.edu.tr/assets/files/1-ssDiabetes2015.pdf. 25 Aralık 2020.
  • 27. Orem DE. Self-care deficit theory of nursing: concepts and applications. USA. Dennis CM Mosby Year Book Inc; 2001; 99-135.
  • 28. Mumcu CD, Vardar İnkaya B. Web tabanlı eğitim ile diyabet öz bakım yönetimi eğitimi. Acta Medica Nicomedia [online]. 2020; 3 (2): 88-91. URL: https://dergipark.org.tr/en/download/article-file/1171007. 27 Aralık 2020.
  • 29. Orhan B, Bahçecik N. Diyabet ve diyabetik ayak eğitiminde teknoloji – Mobil eğitim. JAREN [online]. 2017;3 (2):101-108. URL: https://jarengteah.org/jvi.aspx?pdir=jaren&plng=tur&un=JAREN-66376. 27 Aralık 2020.
  • 30. Gua SH, Chang HK, Lin CY. Impact of mobile self care system on patients’knowledge, behavior and efficacy. Computer in Industry [online]. 2015; 69: 22-9. URL: https://www.sciencedirect.com /science/article/pii/S0166361514001900?casa_token=uEEkqlEFG2wAAAAA:I1o7-8IK-FVRC8v73 obhFJvqgRVb7-e6RSB3MLJR955fAS3iINtid-RbhO80pZ7Ry5GBkWWUh1lJSQ. 25 Aralık 2020.
  • 31. American Diabetes Association. Standards of medical care in diabetes 2019. Diabetes Care [online]. 42 (1), 1–135. URL: https://care.diabetesjournals.org/content/42/Supplement_1/S1. 27 Aralık 2020.
  • 32. Faridi Z, Liberti L, Shuval K, Northrup V, Ali A, Katz DL. Evulation the ımpact of mobile phone technology on type 2 Diabetic patients self management: The NICE pilot study. Journal of Evulation of Clinical Practice [online]. 2008; 14 (3): 465-69. URL: https://pubmed.ncbi.nlm.nih.gov/18373577/. 25 Aralık 2020.
  • 33. Garabedian LF, Ross-Degnan D, Wharam JF. Mobile phone and smarthphone technologies for diabetes care and self management. Current Diabetes Reports [online]. 2015; 15 (109): 5-9. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525331/. 25 Aralık 2020
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi-Cover
  • ISSN: 2149-0333
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2008
  • Yayıncı: Dokuz Eylül Üniversitesi Hemşirelik Fakültesi