Tip 2 diyabetes mellitus hastalarında diyabetik ayak bilgisinin ve özetkililiğinin araştırılması
Tezin Türü: Tıpta Uzmanlık
Tezin Yürütüldüğü Kurum: Sağlık Bilimleri Üniversitesi, KOCAELİ DERİNCE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, Türkiye
Tezin Onay Tarihi: 2020
Tezin Dili: Türkçe
Öğrenci: ASLI KIR
Danışman: Erkan ŞENGÜL
Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
Özet:Objective: The purpose of our study is to measure the importance of the training that should be given in primary care by measuring the diabetic foot knowledge levels, effectiveness and adequacy of foot care in type 2 diabetes mellitus patients. Materials and Methods: The study was palenned as a cross sectional study. Between August 2019 and April 2020, 150 patients with Type 2 Diabetes Mellitus registered in Kocaeli Gölcük Merkez Family Healtcare Center were interviewed with the participants and data was collected through a questionnaire. Biochemistry and blood count results of patients were recorded, blood pressure measurements were made, questionnaire questions including sociodemographic characteristics and factors related to the disease were asked. Diabetic Foot Care Self-efficacy Scale, Diabetic Foot Knowledge Questionnaire and Foot Care Behavior Scale were completed. The obtained data were evaluated with appropriate statistical methods. Results: The average age of 150 patients who participated in the study was 59.3 ± 11.1. The 52.7% participants are women and the 47.3% are men. The 89.3% participants is married, the %42 of them are secondary school/high school graduates, the 58% are affiliated with Social Security Institution of Social Security, the %42 are retired, the 96% of patients income is equal to outcome,the 57.3% patients didn't know diabetes, 60% of them used oral antidiabetic medication(OAD) treatments and 58.7% of them had diabetes in the first degree relatives. The mean duration of diabetes of the participants was 11.5 years, the mean of alcohol use was 26.3, the mean of blood sugar 165.5 mg/dl, HbA1c mean %7.4, total cholesterole average 209.1 mg/dl, triglyceride mean 164.4 mg/dl, HDL cholesterol average 47.9 mg/dl, LDL cholesterole average 133.1 mg/dl, systolic blood pressure average 127.6 mmHg, diastolic blood pressure average 79.6 mmHg, BKI average 30 kg/m2 , urea mean 31.9 mg/dl, creatine average was 1 mg/dl, the mean Diabetic Foot Care Self-efficacy Scale score was 61.8, the Diabetic Foot Knowledge Questionnaire 3.8 and the mean Foot Care Behavior Scale was 58.5. There was no statistically significant difference between the averages of the Diabetic Foot Care Self-efficacy Scale according to the educational status (p = 0.544). There was no statistically significant difference between the median scores of the Diabetic Foot Knowledge Questionnaire and Foot Care Behavior Scale according to the educational status ( p= 0.080, 0.604). There was a statically significant positive weak correlation between the Diabetic Foot Information Scale score and age (p=0.006; r = 0.225). There was no statistically significant relationship between age, duration of diabetes, BMI and other scale scores (p>0.050). In exercisers the Foot Care Behavior Scale score was significantly higher (p=0.014). There was a significant difference in the patients with good diabetes treatment compliance according to whether the participants Diabetic Foot Care Self-efficacy Scale scores were compatible with diabetes treatment (p=0.003). There was a significant difference in participants with good diabetes treatment compliance according to whether the participants Foot Care Behavior Scale scores were compatible with diabetes treatment (p=0.004). Conclusion: In our study, it is observed that the perception of behavior change and sefefficacy will increase foot care rather than knowledge of tip 2 diabetes mellitus patients. In order to prevent diabetic foot formation, pyhsicians and other healtcare professionals make patients aware of self care practices and detailed foot examinations of patients during each control are the main elements of the treatments. Keywords: Tip 2 Diabetes Mellitus, Diabetic Foot, Sef-efficacy