Kenan KÖSE, Tanju GÜRKAN, Nazlı ATAK

The impact of patient education diabetes empowerment scale (DES) and diabetes attitude scale (DAS-3) in patients with type 2 diabetes

Amaç: Bu çalışma, hasta odaklı eğitim programının tip 2 diyabet hastalarının algılanan öz yeterlilik ve diyabete ilişkin tutumlarına olan etkisini değerlendirmek için gerçekleştirilmiştir. Yöntem ve Gereç: Bu amaçla randomize kontrollü bir çalışma planlanmış ve eğitimin etkisi, Diyabet Güçlendirme Ölçeği ve Diyabet Tutum Ölçeği-3'ün ön test ve son test şeklinde uygulanması ile değerlendirilmiştir. Hastaların ön teste verdiği cevaplar doğrultusunda ve Avrupa Birliği Diyabet Çalışma Grubu tarafından hazırlanan "Öğrenme Mektupları" ndan yararlanılarak hasta odaklı bir eğitim programı geliştirilmiştir. Bulgular: Eğitim, özellikle diyabetin psikososyal yönleri ile ilgili öz yönetim; memnuniyetsizliğin değerlendirilmesi ve değişime hazırbulunuşluk; diyabet ile ilgili hedeflerin belirlenmesi ve bu hedeflere ulaşılması konusunda sinirli fakat ümit verici sonuçlara yol açmıştır. Sonuç: Çalışma, diyabet ile ilgili tutum ve öz yeterlilik ile ilgili sınırlı değişikliklerin, kısa bir eğitim programı ile de olsa gerçekleştirilebilmesinin mümkün olduğunu ortaya koymuştur.

Hasta eğitiminin tip 2 diyabet hastalarında ''Diyabet güçlendirme ölçeği'' ve ''Diyabet tutum ölçeği'' üzerindeki etkisi

Aim: This study was conducted to assess the impact of a brief, patient-centered education program on perceived self-efficacy and attitudes towards diabetes of patients with type 2 diabetes. Materials and Methods: A randomized controlled study was designed and conducted to assess the impact of education using the DES (Diabetes Empowerment Scale) and DAS-3 (Diabetes Attitude Questionnaire-3), which were administered using a pre- and post-test design. A patient-centered education program was developed on the basis of the data supplied from patients' responses to a knowledge pre-test and the "Teaching Letters" prepared by the Diabetes Education Study Group (DESG) of the European Association for the Study of Diabetes (EASD). Results: The intervention resulted in limited but some encouraging results, especially in perceived selfmanagement of the psychosocial aspects of diabetes; assessing dissatisfaction and readiness to change; and setting and achieving diabetes goals. Conclusions: The study revealed that limited changes in attitude and self-efficacy are possible with a brief intervention.

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