Tip 2 diyabetli hastalarda tedaviye uyum ve hastalık kabulü arasındaki ilişki

Abstract

This study aimed at examining the relationship between patient acceptance of illness and adherence to treatment with type 2 diabetes mellitus. Materials and Methods: This cross-sectional, descriptive study was conducted in a state hospital in Sinop with 200 patients diagnosed with type 2 diabetes. The Patient Identification Form, Illness Acceptance Scale, and Adherence Scale to Type 2 Diabetes Mellitus Treatment were applied to collect the study data. Results: In our study, the mean score of the patients' acceptance scale was 24.12 ± 9.30 and 61.5% of the patients scored below this average. This indicates that patients' acceptance levels are low. When the scores of Type 2 Diabetes Mellitus Acceptance Scale were evaluated, their compliance with the treatment was found to be moderate (107.39 ± 13.55). There was a significant and negative relationship between the patients' illness acceptance scale scores and treatment adherence scale scores (-0.78). Conclusion:Majority of patients had low level of admission and moderate compliance to treatment. Amaç: Bu çalışmada tip 2 diyabetes mellitus hastalarında hastalık kabulü ile tedaviye uyum arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Bu kesitsel tanımlayıcı çalışma, Sinop'da bir devlet hastanesinde tip 2 diyabet tanısı ile takip edilen 200 hasta ile gerçekleştirilmiştir. Çalışma verilerini toplamak için, Hasta Kimlik Formu, Hastalık Kabul Ölçeği ve Tip 2 Diabetes Mellitus Tedavisine Uyum Ölçeği kullanıldı. Bulgular: Çalışmamızda hastaların hastalığı kabul ölçeği puan ortalaması 24.12±9.30'dür ve hastaların %61.5'i bu ortalamanın altında puan almıştır. Bu da hastaların hastalığı Kabul düzeylerinin düşük seviyede olduğunu göstermektedir. Hastaların Tip 2 Diyabetes Mellitus Tedavisine Uyum Ölçeği puanları değerlendirildiğinde tedaviye uyumlarının orta düzeyde olduğu (107.39±13.55) belirlenmiştir. Hastaların hastalığı kabul ölçeği puanları ile tedaviye uyum ölçeği puanları arasında (-0.78) anlamlı ve negatif yönde bir ilişki olduğu belirlenmiştir. Sonuç: Hastaların çoğunluğunun hastalığı kabul düzeyinin düşük ve hastaların tedaviye uyumun orta düzeyde olduğu belirlenmiştir.

Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes

“…According to the meta-analysis, compliance with DM treatment was changing between 38.5-93.1% in patients with type 2 diabetes (Krass et al, 2015), and compliance was lower in diabetic patients compared to patients with other chronic diseases (Hagerstrom, 2010). Like our study, the studies found in the literature concluded also that compliance with treatment was moderate in most of the patients with diabetes (Demirtas, 2014;Korkmaz, 2018;Ozkaptan et al, 2019;Ozonuk, 2017). These findings show that compliance with DM treatment is insufficient in many patients because of the necessity of a profound change in the lifestyle during the management of DM, which is a chronic disease.…”

“…It has been determined that compliance with treatment increased with the increase in the educational level among patients with type 2 diabetes (Table 3). The studies in the literature showed also that compliance with treatment was increased with the educational level (Demirtas, 2014;Mogre et al, 2017;Ozkaptan et al, 2019). The educational level is an important factor for the projection of the recommendations related to compliance with treatment to behaviours.…”

Studi literatur: Gambaran penerimaan diri penderita diabetes mellitus tipe II

“…Evaluasi pengalaman peserta dan terapis dengan intervensi umumnya positif Sopia Marlina, Udin Rosidin, Sandra Pebrianti* Fakultas Ilmu Keperawatan Universitas Padjadjaran Bandung Jawa Barat Korespondensi Penulis: Sandra Pebrianti. Email: sandrapebrianti7@gmail.com DOI: https://doi.org/10.33024/hjk.v15i1.4093 125 5 (Kapucu, 2019) Relationship between adherence to Treatment and acceptance of illness in patients with type 2 diabetes Turki, 2019 S: 200 pasien yang didiagnosis dengan diabetes tipe 2. V: illness acceptance dan persetujuan pengobatan I: formulir pasien, skala penerimaan penyakit dan kepatuhan terhadap pengobatan diabetes mellitus tipe 2 cross-sectional, deskriptif Hasil penelitian, skor rata-rata pasien skala penerimaan adalah 24,12 ± 9,30 dan 61,5% dari pasien mendapat skor di bawah rata-rata ini.…”

“…Karakteristik tingkat pendidikan merupakan faktor penting dalam meningkatkan illness acceptance karena dengan pendidikan tinggi dapat dengan mudah menerima dan memahami informasi yang didapat serta diterapkan menjadi Sopia Marlina, Udin Rosidin, Sandra Pebrianti* Fakultas Ilmu Keperawatan Universitas Padjadjaran Bandung Jawa Barat Korespondensi Penulis: Sandra Pebrianti. Email: sandrapebrianti7@gmail.com sebuah perilaku baik (Kapucu, 2019). Dalam penelitian meskipun semua peserta menyatakan bahwa mereka telah menerima pendidikan tentang nutrisi, olahraga dan penggunaan dari perawatan yang benar tetapi mereka memiliki nilai glikemik yang tinggi.…”

“…Penting bagi penderita dan keluarga untuk mempertahankan perawatan yang terencana dengan baik seumur hidup untuk pencegahan terjadinya komplikasi. Kepatuhan terhadap pengobatan merupakan salah satu faktor yang signifikan yang mempengaruhi keberhasilan perawatan penyakit kronis (Kapucu, 2019). DM merupakan penyakit yang membutuhkan pengelolaan seumur hidup dengan baik karena DM merupakan penyakit yang membutuhkan perawatan yang berkepanjangan.…”