1 Dicle University, Diyarbakır, Turkey.
2 Dokuz Eylul University, Izmir, Turkey.
J Transcult Nurs. 2018 Nov;29(6):506-513. doi: 10.1177/1043659617750259. Epub 2017 Dec 22.
Type 2 diabetes is a chronic, progressive disease that has reached pandemic proportions. In Turkey, the frequency of diabetes in individuals aged 20 years or older has been reported to be 13.7% compared with the worldwide prevalence of 8.5%. Empowerment has been correlated with improvement in diabetic self-management capabilities and glycemic control. The purpose of this study was to examine predictors of "empowerment" in individuals with type 2 diabetes from Turkey.
This was a secondary analysis with a cross-sectional correlation design using stepwise linear regression to evaluate previously collected data from 220 type 2 diabetic individuals in Turkey from January through July 2014. Demographic and Disease-Related Information Form, Diabetes Empowerment Scale, and Multidimensional Scale of Perceived Social Support were used to collect the research data.
Being educated about diabetes (β = .22, p < .001), high school (β = .16, p = .007), university (β = .12, p = .046), age (β = -.18, p = .003), social support (β = .15, p = .027), employment status (β = .13, p = .045), and A1C (β = -.12, p = .046) were statistically significant predictors of empowerment of type 2 diabetic individuals, and these variables explained 30% of the common variance.
It is important for nurses to assess sources of social support and integrate the results of this assessment to ensure the empowerment of the patient during diabetes education. For the empowerment of diabetic individuals, attempts should be made to increase the diabetes literacy levels of diabetic individuals who have low level of education and who are in the older age group, and patients who can get employed could be directed to work life.
2 型糖尿病是一种慢性、进行性疾病,已达到流行程度。在土耳其,20 岁及以上人群的糖尿病发病率为 13.7%,而全球发病率为 8.5%。授权与改善糖尿病自我管理能力和血糖控制相关。本研究旨在探讨土耳其 2 型糖尿病患者“授权”的预测因素。
这是一项二次分析,采用横断面相关设计,使用逐步线性回归分析评估 2014 年 1 月至 7 月期间从土耳其收集的 220 名 2 型糖尿病患者的既往数据。使用人口统计学和疾病相关信息表、糖尿病授权量表和多维感知社会支持量表收集研究数据。
糖尿病知识教育(β=.22,p<.001)、高中(β=.16,p=.007)、大学(β=.12,p=.046)、年龄(β= -.18,p=.003)、社会支持(β=.15,p=.027)、就业状况(β=.13,p=.045)和 A1C(β= -.12,p=.046)是 2 型糖尿病患者授权的统计学显著预测因素,这些变量解释了 30%的共同方差。
护士评估社会支持的来源并整合评估结果对糖尿病教育期间患者的授权非常重要。为了使糖尿病患者获得授权,应努力提高教育程度低、年龄较大的糖尿病患者的糖尿病知识水平,并为能够就业的患者提供工作机会。