Özden YILDIRIM AKAN, Ayşen KURTULUŞ, Zübeyde KAYA, ARİF YÜKSEL, PINAR ORTAN, Hasan ALPAY

DİYABETİK HASTA EĞİTİMİNİN KAN ŞEKERİ REGÜLASYONU VE VÜCUT KİTLE İNDEKSİ ÜZERİNE ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Giriş: Diyabet ölümcül komplikasyonlara yol açabilen, son yıllarda prevalansı giderek artan bir hastalıktır. Kilo kontrolü, yaşam tarzı değişikliği, beslenme disiplini ilaç tedavisi kadar önemlidir. Biz bu çalışmada diyabet eğitiminin hastalığı kontrol altına almadaki önemini araştırmayı amaçladık Gereç ve Yöntem: Çalışmamıza, nisan 2017-nisan 2018 yılları arasında SBÜ İzmir Bozyaka Eğitim ve Araştırma Hastanesi diyabet okulunda eğitim alan toplam 52 hasta alındı. Eğitim öncesi ve 3 ay sonrası HbA1C ölçümleri, vücut kitle indeksleri, kilo, bel çevresi ölçümleri yapıldı. Eğitim önce sonrası alınan tüm veriler ile istatistiksel olarak karşılaştırıldı. Bulgular: Çalışmaya dahil edilen 52 hastanın, %40,4’ü kadın %59,6’sı erkekti. Hastaların yaş ortalaması 52± 11,08 olarak saptandı. Hastaların eğitim öncesi vücut kitle indeks ortalaması 30,85±2,37 iken eğitim sonrası 30,65±7,35 idi. Her iki grup arasında istatistiksel olarak anlamlı farklılık saptanmadı(p:0,62). Hastaların diyabet eğitimi öncesi HgbA1c ortalaması 8,81± 2,37 iken, eğitim sonrası ölçülen HgbA1c ortalaması 7,87±2,31 saptandı. Eğitim öncesi ile sonrası kıyaslandığında istatistiksel olarak anlamlı farklılık tespit edildi (p:0,004). Hastaların eğitimden yarar görme yüzdesi %63,6 idi. Sonuç: Bu çalışmada, sadece eğitim ile diyabet hastalarının HbA1C düzeylerinde düzelme olduğu gösterilmiştir. Hastalık konusunda eğitim vermek, diyabeti kontrol almayı ve birçok komplikasyonun önlenmesini sağlayabilir.

THE EFFECT OF DIABETES SELF-MANAGEMENT EDUCATION ON GLYCEMIC CONTROL AND BODY MASS INDEX

Introduction: Diabetes is an increasingly prevalent disease in recent years, which can lead to fatal complications. Weight control, lifestyle change, nutritional discipline are as important as drug therapy. In this study, we aimed to investigate the importance of diabetes education to control disease. Material and Methods: Fifty-two patients were participated in the study that was educated in SBÜ İzmir Bozyaka Training and Research Hospital diabetes school, between april 2017 and April 2018. HbA1C measurements, body mass indexes, weight, waist circumference were measured before and 3 months after training. The training was compared statistically with all data received before the training. Results: Of the 52 patients included in the study, 40.4% were female and 59.6% were male. The mean age of the patients was 52 ± 11,08. Pre-training body mass index averages were 30.85 ± 2.37 and 30.65 ± 7.35 after training. There was no statistically significant difference between the two groups (p: 0,62). The mean HgbA1c level of diabetic patients was 8.81 ± 2.37, while the mean HgbA1c measured after education was 7.87 ± 2.31. A statistically significant difference was found between before and after training (p: 0.004). The percentage of patients who benefited from education was 63.6%. Conclusion: In this study, HbA1C levels of diabetes patients were shown to improve just with education.The education about the disease can help to control diabetes and prevent many complications.

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