Tip-2 Diyabetli Hastalarda Öz Yeterlilik Düzeyinin Yaşam Kalitesine Etkisi

Amaç: Bu çalışma tip-2 diyabetli hastalarda öz yeterlilik düzeyinin yaşam kalitesine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipte olan çalışma Ekim 2017- Şubat 2018 tarihleri arasında bir üniversitenin Sağlık Uygulama ve Araştırma Merkezi’nde yatarak tedavi gören 150 tip-2 diyabet hastası ile gerçekleştirilmiştir. Veriler tanıtıcı form, Tip-2 Diyabetli Hastalar İçin Diyabet Yönetimindeki Öz Yeterlilik Ölçeği ve Kısa Form-36 (Short Form-36\SF-36) Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır. Verilerin analizinde yüzdelik, ortalama, Kruskal Wallis ve Mann Whitney U testleri, Spearman korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların diyabette öz yeterlilik ölçek toplam puanı 54,16±14,65; yaşam kalitesi ölçek alt boyutları arasında ise en yüksek ortalama puan 20,17±4,79 ile mental sağlık olarak belirlenmiştir. Çalışma kapsamındaki hastaların diyabette öz yeterlilik toplam puanı ile SF-36 yaşam kalitesi ölçek alt boyutlarından fiziksel fonksiyon, fiziksel rol güçlüğü, genel sağlık, enerji, sosyal fonksiyon, emosyonel rol güçlüğü, mental sağlık alt boyutları arasında pozitif yönde anlamlı ilişki olduğu belirlenmiştir (p<0,05). Sonuç: Araştırmada tip-2 diyabetli hastaların öz yeterlilik düzeylerinin artması ile yaşam kalitelerinin birçok alanda artış gösterdiği sonucuna varılmıştır.

Anahtar Kelimeler:

Diyabetes Mellitus, Hemşirelik, Öz yeterlik, Yaşam kalitesi

The Effect of Self-Efficacy Level on Quality of Life in Patients with Type-2 Diabetes

Aim: This study was conducted to determine the effect of self-efficacy level on quality of life in patients with type-2 diabetes. Material and Methods: This descriptive type study was conducted with 150 patients with type-2 diabetes who received inpatient treatment in a University Health Practice and Research Center between October 2017 and February 2018. The data were collected using information form, Diabetes Management Self-Efficacy Scale, and Short Form-36 (Short Form-36/SF-36) Quality of Life Questionnaire. Percentage, mean, Kruskal Wallis and Mann Whitney U tests, and Spearman correlation analysis were used to analyze the data. Results: It was determined in the study that self-efficacy scale total score in diabetes was 54.16±14.65; the highest mean score among the subscales of the quality of life questionnaire belonged to mental health (20.17±4.79). It was determined that there was a positive significant correlation between the self-efficacy total score in diabetes of the patients and the physical functioning, physical role difficulty, general health, energy, social function, emotional role difficulty and mental health subscales of SF-36 quality of life questionnaire (p<0.05). Conclusion: In the study, it was concluded that as self-efficacy levels of patients with type-2 diabetes increased, their quality of life increased in many areas as.

Keywords:

Diabetes Mellitus, ; Nursing, Self Efficacy, Quality of Life,

PDF

___

1. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, Colagiuri S, Guariguata L, Motala AA, Ogurtsova K, Jonathan E, Shaw JE, Bright D, Williams R. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2019;157:107843.
2. World Health Organization (WHO). The top 10 causes of death, 2021. (Accessed February 23, 2023, at https://www.who.int/ news-room/events/detail/2021/11/23/default-calendar/ncdhard- talk-webinar-comprehensive-diabetes-management).
3. International Diabetes Federation (IDF). Diabetes Atlas 10th Edition, 2021. (Accessed February 23, 2023, at https:// diabetesatlas.org/idfawp/resource-files/2021/07/IDF_ Atlas_10th_Edition_2021.pdf ).
4. Van Der Ven NCW, Weinger KYJ, Pouwer F, Adèr HJ, van der Ploeg HM, Snoek FJ. The confidence in diabetes self-care scale: Psychometric properties of a new measure of diabetes-specific selfefficacy in Dutch and US patients with type 1 diabetes. Diabetes Care. 2003;26(3):713-718.
5. Bandura A. The explanatory and predictive scope of selfefficacy theory. J Soc Clin Psychol. 1986;4:359-373.
6. Chirico A, Lucidi F, Merluzzi T, Alivernini F, De Laurentiis M, Botti G, Giordano A. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget. 2017;8(22):36800.
7. World Health Organization (WHO). WHOQoL Study Protocol (WHO/MSA/MNH/PSF/97.4), 1997. (Accessed February 23, 2023, at https://apps.who.int/iris/handle/10665/63482).
8. Kumar P, Krishna M. Quality of life in diabetes mellitus. Science Journal of Public Health. 2015; 3(3):310-313.
9. Bowen PG, Clay OJ, Lee LT, Vice J, Ovalle F, Crowe M. Associations of social support and self-efficacy with quality of life in older adults with diabetes. J Gerontol Nurs. 2015;41(12):21-29.
10. Kurnia A, Herinughoro K, Kusumaningrum NSD. Relationship between self-efficacy and quality of life domain in patient with type-2 diabetes mellitus. IOSR Journal of Nursing and Health Sciences. 2017;6(6):32-37.
11. Wang HF, Chen YC, Yang FH, Wen JC. Relationship between type 2 diabetes self-efficacy and quality of life: Analysis under varying glycated hemoglobin conditions. Fam Med Med Sci Res. 2017;6(218):2.
12. Usta Yesilbalkan Ö. Tip 2 diabetli hastaların kendi kendine bakımlarındaki öz yeterlilikleri ve öz yeterliliklerini etkileyen faktörlerin incelenmesi (Yüksek Lisans Tezi). İzmir, Ege Üniversitesi Sağlık Bilimleri Enstitüsü . 2001.
13. Koçyigit H, Aydemir Ö, Ölmez N, Memiş A. Form-36 (KF- 36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. Turkish J Drugs Therap. 1999;12:102-106.
14. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473-483.
15. Özhuner Y, Çelik N. Sleep quality and quality of life in pregnant women. Journal of Health Sciences and Professions. 2019;6(1):25-33.
16. Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications. 2012;26(1):10-16.
17. Bohanny W, Wu SFV, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self‐efficacy, and self‐care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract. 2013;25(9):495-502.
18. Usluoğlu H, Güngörmüş Z. The relationship between the self-efficacy of diabetic patients and selfcare activities. Social Sciences Studies Journal. 2018;21:3165-3170.
19. Sharoni SKA, Wu SFV. Self‐efficacy and self‐care behavior of Malaysian patients with type 2 diabetes: A cross sectional survey. Nurs Health Sci. 2012;14(1):38-45.
20. Daniele TMDC, Bruin VMSD, Oliveira DSND, Pompeu CMR, Forti AC. Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes. Arch Endocrinol Metab. 2013;57(1):44-50.
21. Schunk M, Reitmeir P, Schipf S, Völzke H, Meisinger C, Thorand B, Kluttig A, Greiser KH, Berger K, Müller G, Ellert U, Neuhauser H, Tamayo T, Rathmann W, Holle R. Healthrelated quality of life in subjects with and without Type 2 diabetes: Pooled analysis of five population-based surveys in Germany. Diabet Med. 2012;29(5):646-653.
22. Porojan M, Poanta L, Dumitrascu DL. Assessing health related quality of life in diabetic patients. Rom J Intern Med. 2012;50(1):27-31.
23. Javanbakht M, Abolhasani F, Mashayekhi A, Baradaran HR. Health related quality of life in patients with type 2 diabetes mellitus in Iran: a national survey. PloS One. 2012;7(8):e44526.
24. Kueh YC, Morris T, Borkoles E, Shee H. Modelling of diabetes knowledge, attitudes, self-management, and quality of life: A cross-sectional study with an Australian sample. Health Qual Life Outcomes. 2015;13(1):1-11.
25. Al-Aboudi IS, Hassali MA, Shafie AA. Knowledge, attitudes, and quality of life of type 2 diabetes patients in Riyadh, Saudi Arabia. J Pharm Bioallied Sci. 2016;8(3):195-202.
26. Aktaş H, Şaşmaz CT, Kılınçer A, Mert E, Gülbol S, Külekçioglu D. Yetişkinlerde fiziksel aktivite düzeyi ve uyku kalitesi ile ilişkili faktörlerin araştırılması. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2015;8(2):60-70.
27. Shrestha AD, Kosalram K, Gopichandran V. Gender difference in care of type 2 diabetes. JNMA J Nepal Med Assoc. 2013;52(189):245-250.
28. Şireci E, Karabulutlu EY. Diabetes mellitus type II patients’ acceptance of illness and determination of self efficacy levels for their care. J. Anatolia Nurs. Health Sci. 2015;20(2017):48- 55.
29. DePalma M, Trahan LH, Eliza JM, Wagner AE. The relationship between diabetes self-efficacy and diabetes selfcare in American Indians and Alaska Natives. Am Indian Alsk Native Ment Health Res. 2015;22(2):1-22.
30. Yanık YT, Erol O. Evaluation of self-efficacy levels of individuals with type 2 diabetes. J Anatolia Nurs Health Sci. 2016;19(2016):166-174.
31. Gao J, Wang J, Zheng P, Haardörfer R, Kegler MC, Zhu Y, Fu H. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Fam Pract. 2013;14(1):1-6.
32. Kumar S, Koppad R, Chandrashekar SV. Quality of life of type 2 diabetes patients in a tertiary care hospital in southern part of India, Shimoga, Karnataka: A cross-sectional study. Int J Community Med Public Health. 2016;3:1723-1728.
33. Bilgin MS, Ozenc S, Sari O, Yesilkaya S, Aydogan U, Koc B. A study on quality of life in patients with diabetes. Journal of Clinical and Analytical Medicine. 2015;6(2):159-163.
34. Basit A. Assessing health related quality of life in diabetic subjects by SF 36 questionnaire in a tertiary care diabetes unit of Karachi, Pakistan. International Journal. 2014;2(6):13-17.
35. Spasić A, Radovanović RV, Đorđević AC, Stefanović N, Cvetković T. Quality of life in type 2 diabetic patients. Acta Facultatis Medicae Naissensis. 2014;31(3):193-200.
36. Lee WJ, Song KH, Noh JH, Choi YJ, Jo MW. Health-related quality of life using the EuroQol 5D questionnaire in Korean patients with type 2 diabetes. J Korean Med Sci. 2012;27(3):255- 260.
37. Arditi C, Zanchi A, Peytremann-Bridevaux I. Health status and quality of life in patients with diabetes in Switzerland. Prim Care Diabetes. 2019;13(3):233-241.
38. Shamshirgaran SM, Ataei J, Alamdari MI, Safaeian A, Aminisani N. Predictors of health-related quality of life among people with type II diabetes Mellitus in Ardabil, Northwest of Iran, 2014. Prim Care Diabetes. 2016;10(4):244-250.
39. Shahab JA, Alıshan KN. The effect of literacy level on health related-quality of life, self-efficacy and self-management behaviors in diabetic patients. Acta Med Iran. 2011;49(3):153- 158.
40. Gündoğdu NA, Tosun AS, Balcı Ş. Quality of life and factors affecting it in elderly individuals with type 2 diabetes. Türkiye Diyabet ve Obezite Dergisi. 2022;6(2):104-112.
41. Chew BH, Mohd-Sidik S, Shariff-Ghazali S. Negative effects of diabetes–related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health Qual Life Outcomes. 2015;13(1):1-16.
42. Tol A, Sharifirad G, Eslami A, Shojaeizadeh D, Alhani F, Tehrani MM. Analysis of some predictive factors of quality of life among type 2 diabetic patients. J Educ Health Promot. 2015;4:9.