Tip 2 diyabetli bireylerde hastalığı kabullenmenin tedavi uyumuna etkisi
The effect of acceptance of illnes on medi̇cati̇on adaptation in individuals with type 2 diabetes
Yazar: RABİA ALTUNIŞIKOĞLU
Danışman: DOÇ. DR. TİJEN ACAR
Sağlık Bilimleri Üniversitesi / Ankara Atatürk Sanatoryum Eğitim ve Araştırma Hastanesi / Aile Hekimliği Ana Bilim Dalı
Derece: Tıpta Uzmanlık, 2023
Konu: Aile Hekimliği = Family Medicine

Özet:
Giriş ve Amaç: DM, prevalansı hızla artan, sebep olduğu komplikasyonlarla kişiye ve topluma sosyoekonomik yönden yük olan kronik hastalık olmakla beraber küresel bir halk sağlığı sorunudur. Diyabetli bireylerin tedavi uyumunu artırarak, kişileri komplikasyonlardan korumak ve maliyeti düşürmek mümkündür. Çalışmamızda, Tip 2 diyabetli bireylerin hastalığı kabul seviyesini ve tedavi uyum düzeyini belirlemek; sosyodemografik özelliklerin, kişilerin hastalığı ile ilişkili özelliklerinin ve hastalığı kabul seviyesinin, tedavi uyumu ile ilişkisini araştırmak amaçlanmıştır.
Gereç ve Yöntem: Araştırmamız analitik, kesitsel bir çalışma olarak yapılmıştır. Ankara Atatürk Sanatoryum Eğitim ve Araştırma Hastanesi Aile Hekimliği polikliniklerine başvuran ve dâhil edilme kriterlerini taşıyan 216 kişi ile çalışmamız yapılmıştır. Katılımcılara sosyodemografik özellikleri ve hastalığı ile ilişkili bilgileri sorgulayan anket formu, Hastalığı Kabul Ölçeği (HKÖ), Morisky Tedavi Uyum Ölçeği-8 (MTUÖ-8) uygulanmıştır. İstatistiksel analizler SPSS versiyon 17.0 programı yardımıyla gerçekleştirilmiştir İstatistiksel anlamlılık düzeyi p<0,05 kabul edilmiştir.
Bulgular: Katılımcıların yaş ortalaması 61,65±8,04 olup 76'sı (%35,35) erkek, 139'u (%64,65) kadındır. Katılımcıların Hastalığı Kabul Ölçeği ortalama puanı 28,51±4,94, Morisky Tedavi Uyum Ölçeği-8 ortalama puanı 5,77±1,42 saptanmıştır. Katılımcılardan tedaviye düşük uyum gösteren 109 kişi (%51,17), yeterli uyum gösteren 104 kişi (%48,82) vardır. Hastalığı Kabul Ölçeği skoru ile Morisky Tedavi Uyum Ölçeği-8 skoru arasında aynı yönlü ilişki bulunmuştur. Eğitim düzeyi, diyabet süresi, medikal tedavi türü, yaşam tarzı değişikliğine uyum durumu, diyabet kontrol sıklığı ve günde alınan toplam ilaç sayısı ile hastalığı kabul düzeyi arasında anlamlı ilişki bulunmuştur. Gelir düzeyi, medikal tedavi türü, yaşam tarzı değişikliğine uyum durumu, diyabet kontrol sıklığı ile tedavi uyum puanı arasında anlamlı ilişki saptanmıştır.
Sonuç: Tip 2 diyabetli bireylerde hastalığı kabul düzeyi arttıkça tedavi uyum düzeyi artmaktadır. Hastalarda tedavi uyumunun artmasıyla akut ve kronik komplikasyan riskinde, morbidite ve mortalitede, sağlık harcalamarında azalma ile birlikte hastaların yaşam kalitelerinde artma beklenen bir durumdur. Hekimler hastalığı kabul kavramı üzerine farkındalıklarını artırmalı, Tip 2 diyabetli bireylerin her kontrol muayenelerinde hastalıklarını kabul seviyesi değerlendirilmeli, kabul seviyesi düşük bireylerde etkili, kaliteli ve güvenli iletişim kurmaya daha da özen gösterilmelidir.

Abstract:
Introduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of the Introduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of the Introduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of the Introduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of the
Introduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of theIntroduction and Purpose: DM is a global public health problem, although it's prevalence is rapidly increasing and it is a chronic disease that causes a socioeconomic burden to the individual and society with the complications it causes. It is possible to protect people from complications and reduce costs by increasing treatment compliance of individuals with diabetes. The aim of this study was, to determine the level of acceptance of the disease and treatment compliance level of individuals with Type 2 diabetes; and to investigate the relationship between sociodemographic characteristics, disease-related characteristics of individuals, and the level of acceptance of the disease with treatment compliance.
Material and Methods: Our research was conducted as an analytical, cross-sectional study. Our study was conducted with 216 people who applied to Ankara Atatürk Sanatorium Hospital, Family Health Policlinic and met the inclusion criteria. Questionnaires that question sociodemographic characteristics and information related to their disease, Acceptance of Illness Scale (AIS), The Morisky Medication Adherence Scale (MMAS-8) were administered to the participants. Statistical analyzes were performed with the help of SPSS version 17.0 program. Statistical significance level was accepted as p<0.05.
Results: The mean age of the participants was 61.65±8.04, of which 76 (35.35%) were male and 139 (64.65%) were female. Participants' Acceptance of Illness Scale mean score was 28.51±4.94, and Morisky Medication Adherence Scale-8 mean score was 5.77±1.42. Among the participants, there were 109 people (51.17%) with low adherence to treatment and 104 people (48.82%) with adequate compliance. A same-way relationship was found between the Acceptance of Illness Scale score and the Morisky Medication Adherence Scale-8 score. A significant relationship was found between the level of education, duration of diabetes, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, and the total number of medications taken per day and the level of acceptance of the disease. Between treatment compliance score and income level, type of medical treatment, compliance with lifestyle changes, frequency of diabetes control, significant relationship was found.
Conclusion: As the level of acceptance of the disease increases in individuals with type 2 diabetes, the level of adherence to treatment increases. With the increase in treatment compliance, it is expected that the risk of acute and chronic complications, morbidity and mortality, decrease in health expenditures and an increase in the quality of life of the patients are expected. Physicians should increase their awareness on the concept of acceptance of the disease, the level of acceptance of their disease should be evaluated at each control examination of individuals with Type 2 diabetes, and more attention should be paid to establishing effective, quality and safe communication in individuals with low acceptance levels.