Tip 2 Diyabetli Bireylerin Sağlık Kontrol Odaklarının Değerlendirilmesi

Abstract

Introduction/Aims: The locus of control used in the management of chronic diseases is used to explain the different behaviors individuals exhibit in relation to disease This study, was done with the purpose of investigating the health locus of control and affecting factors of diabetic individuals. Methods: This study was a descriptive and cross-sectional study. Data were collected from 325 diabetic individuals living at city center. The questionnaire form and Multidimensional Health Locus of Control Scale were used in collecting data. Results: The average age of the patients participated to research was 53.3±8.0 years and 51.4% of them were women, 88.9% of them were married, 69.8% of them were primary school graduated and 43.7% of them were housewives. From scale; it was determined that they got 25.3±6.8 points from Internal Health Locus of Control sub-dimension, 27.3±4.7 points from Strong Others Internal Health Locus of Control sub-dimension, 17.9±5.5 points from Chance Locus of Control sub-dimension. Internal health locus of control; marital status, education level, person living together, regular exercise, regular diabetes diet application status were found meaningful (p<0.05). Powerful others health locus of control; adhering to regular diabetes diet, taking regular health checks, Chance health locus of control; marital status, person living, number of individuals in family, status of compliance to regular diabetes diet were found meaningful (p<0.05). Conclusion: It was found that the individuals had mainly external control locus, it's suggested to enhance patients' internal health locus of control by nurses for the purpose of providing independency.

Self-efficacy, medical adherence and related factors in patients with diabetes

“…In various studies, it was observed that self-efficacy level has increased by increasing diabetes duration [16]. In our study, no significant association was found between monitoring of blood glucose and self-efficacy; however, in previous studies it was observed that self-efficacy level was higher in patients who respond positively to the question of presence or absence of regular health control [16,19]. In line with our study, in various studies no association was found between smoking and self-efficacy [15,17,18].…”

“…In our study median score increased with increasing income level but the difference wasn't statistically significant. In previous studies also a clear association wasn't observed and there are conflicting results [15,16,19,24].…”

“…Association between insulin use and self-efficacy is another area with conflicting results in the literature. There was no clear association [16][17][18][19]. In the studies usually no association was found between HbA1c level and self-efficacy [15,18].…”

“…At the same time, it's stated that presence of different chronic diseases may negatively impact self-efficacy [22]. Although there are studies about absence of sex difference [15,19], in other studies it's reported that in male self-efficacy level is higher [18,21,23]. In terms of education status, median score was higher in graduates of high school or above but it wasn't statistically significant.…”

“…[18]. In the study by Kilic et al association of self-efficacy level with health locus of control was investigated and total scale score average was found as 71 [19]. However, in the study of Arpaci Eren et al investigating impact of diabetes school on self-efficacy perception of the diabetic patients, initial score average was 45 in the experimental group and 46 in the control group; after 3 months of education the score was 57 in the experimental group and much lower, 43 in the control group [20].…”