İlhan Nesrin, Telli Safiye, Temel Betül, Aştı Türkinaz
Department of Nursing, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.
Bezmialem Vakif University Hospital, Istanbul, Turkey.
Prim Care Diabetes. 2021 Feb;15(1):74-79. doi: 10.1016/j.pcd.2020.06.009. Epub 2020 Jul 6.
The aim of this study was to examine the relationship between health literacy and diabetes self-care in individuals with type 2 diabetes.
This cross-sectional study was conducted with 207 individuals with Type 2 diabetes at a diabetes outpatient clinic of a foundation university hospital in Istanbul, Turkey. The data were collected using a sociodemographic and illness characteristics questionnaire, the Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q-TR), and the Diabetes Self-Care Scale (DSCS). Data were analyzed using descriptive statistics, one-way ANOVA, Student's t-test, Pearson correlation test, and multiple regression analysis.
It was found that 81.5% of individuals with type 2 diabetes were at an inadequate or limited and problematic level of health literacy. The DSCS mean scores of patients with an inadequate health literacy level were significantly lower than that of patients at other levels of health literacy. It was determined that education level, exercise status, and HLS-EU-Q-TR scores were significantly related to diabetes self-care (R² = 0.245, p < 0.001).
The study found that individuals with type 2 diabetes had higher diabetes self-care if they had a high education level, regularly exercised, or had high HLS-EU-Q-TR mean scores.
本研究旨在探讨2型糖尿病患者的健康素养与糖尿病自我管理之间的关系。
本横断面研究在土耳其伊斯坦布尔一所基础大学医院的糖尿病门诊对207例2型糖尿病患者进行。使用社会人口学和疾病特征问卷、欧洲健康素养调查问卷土耳其版（HLS-EU-Q-TR）以及糖尿病自我管理量表（DSCS）收集数据。采用描述性统计、单因素方差分析、学生t检验、Pearson相关检验和多元回归分析对数据进行分析。
发现81.5%的2型糖尿病患者健康素养处于不足、有限或有问题的水平。健康素养水平不足的患者的DSCS平均得分显著低于其他健康素养水平的患者。确定教育水平、运动状况和HLS-EU-Q-TR得分与糖尿病自我管理显著相关（R² = 0.245，p < 0.001）。
研究发现，2型糖尿病患者如果教育水平高、经常锻炼或HLS-EU-Q-TR平均得分高，则糖尿病自我管理能力更强。
