Şenay GÜL, Güler DURU AŞİRET, Cansu OKATAN

Tip 2 Diyabetes Mellituslu Bireylerin Hipoglisemi Korkusunun İncelenmesi

Giriş: Diyabetes mellitusun görülme oranının artmasıyla birlikte çoğu hasta bireylerin sıklıkla karşılaştığı semptomlardan biri olan hipoglisemiye yönelik korkuları da artmaktadır. Amaç: Bu araştırma Tip 2 diyabetes mellitus tanısı olan hastaların hipoglisemi korkusunun belirlenmesi amacı ile yapılmıştır. Yöntem: Tanımlayıcı olarak yapılan araştırmanın örneklemini Ocak – Mart 2020 tarihleri arasında bir eğitim araştırma hastanesinin dahili kliniklerinde Tip 2 diyabetes mellitus tanısı ile tedavi alan, 18 yaş üzerinde olan 250 hasta oluşturmuştur. Araştırma verilerinin toplanmasında, Tanıtıcı Bilgi Formu ve Hipoglisemi Korku Ölçeği kullanılmıştır. Araştırma verilerinin analizinde ortalama, standart sapma, ortanca, yüzde (%) ve sayı (n), bağımsız gruplarda t testi ve ikiden fazla gruplarda karşılaştırmalarda One-way Anova testi kullanılmıştır. Bulgular: Çalışma kapsamındaki hastalarının yaş ortalamasının 59.71 ± 7.41, %50.8’inin kadın ve %81.6’sının evli olduğu belirlenmiştir. Hipoglisemi Korku Ölçeği’nin toplam puan ortalamasının 87.49 ± 13.42, Davranış alt boyutu puan ortalamasının 49.30 ± 7.59 ve Korku alt boyutu puan ortalamasının 38.19 ± 9.46 olduğu belirlenmiştir. Bireylerin tanımlayıcı özellikleri ile Hipoglisemi Korku Ölçeği toplam puan ortalaması karşılaştırıldığında; erkeklerin, tanı süresi sekiz yıldan daha uzun olanların, diyabet ile ilgili eğitim alanların, hipoglisemi değerini bilenlerin ve nöropatisi/nefropatisi olanların Hipoglisemi Korku Ölçeği toplam puan ortalamasının istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p<0.05). Sonuç: Çalışmadan elde edilen bulgulara göre, diyabetli bireylerin hipoglisemiden korktuğu görülmektedir. Hastaların korkusunu azaltmak için etkili ve güvenli tedavi seçeneklerine ek iyi bir diyabet ve hipoglisemi eğitimi alması, bilgilerinin güncel olup olmadığının takip edilmesi ve sık kontrol yapılması gerekmektedir.

Anahtar Kelimeler:

Diyabetes Mellitus, Hipoglisemi, Korku

Examination of Hypoglisemia Fear of Patients with Type 2 Diabetes Mellitus

Background: With the increased incidence of diabetes mellitus, sick individuals, fears of hypoglycemia, one of the symptoms they frequently experience, are also increasing. Objectives: This study was conducted to determine the fear of hypoglycemia in patients with Type 2 diabetes mellitus. Methods: The sample of the descriptive study consisted of 250 patients over 18 years of age who were treated with the diagnosis of Type 2 diabetes mellitus in the internal clinics of a training and research hospital between January and March 2020. “Participant Form” and “Hypoglycemia Fear Scale” were used to collect research data. In the analysis of the research data, mean, standard deviation, median, percentage (%) and number (n), t test in independent groups and one-way Anova test in comparisons in more than two groups were used. Results: It was determined that the average age of the patients included in the study was 59.71 ± 7.41, 50.8% were female and 81,6% were married. It was determined that the total score average of the Hypoglycemia Fear Scale was 87.49 ± 13.42, the average score of the Behavior sub-dimension was 49.30 ± 7.59, and the mean score for the Fear sub-dimension was 38.19 ± 9.46. When the descriptive characteristics of the individuals are compared with their total score average, it was found that the mean Hypoglycemia Fear Scale total score of men, those with a diagnosis of diabetes mellitus longer than eight years, those who are educated about diabetes, those who know the value of hypoglycemia, and those with neuropathy/nephropathy was statistically significantly higher (p<0.05). Conclusion: According to the findings obtained from the study, it is seen that individuals with diabetes mellitus are afraid of hypoglycemia. In addition to effective and safe treatment options, a good diabetes and hypoglycemia training, follow-up of the current information and frequent checks are required in order to reduce the fear of the patients.

Keywords:

Diabetes mellitus, Fear, Hypoglisemia,

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