Kevser IŞIK, Hilal YILDIRIM, Zeliha CENGİZ

Diyabetli Hastalarda Psikolojik İnsülin Direnci Ölçeğinin Türkçeye Uyarlanması

Amaç: Bu araştırma, diyabetli hastalarda psikolojik insülin direnci ölçeğinin Türkçeye uyarlanması amacıyla yapıldı. Gereç ve Yöntemler: Metodolojik türde yapılan araştırma için belirlenen minimum örneklem sayısı 180’di (orijinal ölçekte yer alan 18 madde sayısının 10 katı alınarak belirlendi). Araştırma toplam 201 diyabet hastası ile tamamlandı. Veri toplama aracı olarak diyabetli hastaları Tanıtıcı Anket Formu ve Psikolojik İnsülin Direnci Ölçeği kullanıldı. Bulgular: Psikolojik İnsülin Direnci Ölçeğinin faktör analizinde öz değeri 1’in üstünde olan 3 faktörlü (destekleyici, psiko-bilişsel ve fiziksel faktörler) 12 sorudan oluştuğu, toplam varyans değerinin %60,4 olduğu belirlendi. Kaiser-Meyer-Olkin değeri 0,77, Bartlett’s testi X2=877,833, p<0,001 ve Cronbach alfa katsayısı 0,82 olarak hesaplandı. Sonuç: Yapılan geçerlik ve güvenirlik çalışması sonucunda ölçeğin Türk toplumuna uygun ve tip 2 diyabetli hastalarda psikolojik insülin direnci varlığını değerlendirmede geçerli ve güvenilir bir ölçme aracı olduğu belirlendi. Ölçeğin özellikle klinikte çalışan hemşirelerin tip 2 diyabetli hastaları insülin tedavisine karşı psikolojik yönden değerlendirme fırsatı sunmada yararlı olacağı düşünülebilir. Ölçeğin daha büyük örneklem grubu ile çalışılması önerilebilir.

Anahtar Kelimeler:

Tip 2 diyabet, psikolojik insülin direnci, hemşire, geçerlik, güvenirlik

Turkish Adaptation of Psychological Insulin Resistance Scale in Diabetic Patients

Aim: This study was carried out to Turkish Adaptation of Psychological Insulin Resistance Scale in Diabetic Patients Methods: The minimum number of samples determined for the research conducted in the methodological type is 180 (it was determined by taking 10 times the number of 18 items in the original scale). The study was completed with a total of 201 diabetic patients. Descriptive Questionnaire Form and Psychological Insulin Resistance Scale were used as data collection tools. Results: In the factor analysis of the Psychological Insulin Resistance Scale, it was determined that it consists of 12 questions with 3 factors (supporting, psycho-cognitive and physically factors) with an eigenvalue above 1, and the total variance value was 60.9%. KMO (Kaiser-Meyer-Olkin) value was calculated as 0.77, Bartlett's test X2 = 877.833, p <.001 and Cronbach alpha coefficient 0.82. Conclusion: As a result of the validity and reliability study, it was determineted that the scale is suitable for Turkish society and is a valid and reliable measurement tool for evaluating the presence of psychological insulin resistance in patients with type 2 diabetes. It is thought that especially nurses working in the clinic will be useful in providing the opportunity to evaluate patients psychologically against insulin therapy. It is recommended that the scale should be used to determine psychological insulin resistance in patients with type 2 diabetes and to study with a larger sample group.

Keywords:

Type 2 diabetes, psychological insulin resistance, nurse, validity, reliability,

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