The Vulvovaginal Candidiasis, Genital Hygiene Behaviors and Self-Efficacy in Patients with Diabetes: A Descriptive Cross-Sectional Study
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https://doi.org/10.5281/zenodo.8404031Keywords:
Hygiene, Genitalia, Self-efficacy, Vulvovaginal Candidiasis, Diabetes MellitusAbstract
Objective: The study aimed to investigate the relationship between vaginal candida, genital hygiene behaviors, and self-efficacy in patients with diabetes.
Methods: This cross-sectional study was conducted in two state hospitals in Sinop and Bolu in Turkey. A total of 267 patients who met the inclusion criteria were enrolled in the study. Data were collected using a questionnaire for descriptive characteristics developed by the researchers, the Inventory of Genital Hygiene Behavior, and the Self-Efficacy-Type 2 Scale.
Results: Participants frequently had genitalia itching (20.2%), genitalia burning (18%), dyspareunia (15%), and vaginal itching (11.2%). In the study, 14.2% of women applied to an obstetrician due to their current symptoms, and 13.5% took treatment for the diagnosis of vaginitis. Although 4.1% had some symptoms, they did not consult an obstetrician and did not receive a diagnosis. The positive and low correlation was between the Inventory of Genital Hygiene Behavior, Self-Efficacy-Type 2 scale, and medical treatment and physical exercise sub-dimensions of the scale (p<0.05). There was also a significant difference Self-Efficacy-Type 2 scale and the medical treatment sub-dimension (p<0.05). The mean scores of the Inventory of Genital Hygiene Behavior and Self-Efficacy-Type 2 scale differed significantly according to the presence of vaginal infection symptoms.
Conclusion: Patients with diabetes need information on sexual health and genital hygiene from healthcare professionals. However, the developing self-efficacy level in the patients may help with genital hygiene behaviors and prevent vaginal infections.
References
Bijl, J.V., Poelgeest-Eeltink, A.V., Shortridge-Baggett, L. (1999). The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus, Journal of Advanced Nursing, 30(2), 352-359.
Cangöl, E., Tokuç, B. (2013). The evaluation of genital infections and genital hygiene practices of women who applied to gynecology policlinic. Florence Nightingale Journal of Nursing, 21(2), 85-91.
Dalbudak, S., Bilgili, N. (2013). Genital hygiene behaviors and their effect on vaginal infection of the women who apply to GATA women’s illnesses and birth clinic. Journal of Anatolia Nursing and Health Sciences, 55(4): 281-287.
Denning, D.W., Kneale, M., Sobel, J.D., Rautemaa-Richardson, R. (2018). Global burden of recurrent vulvovaginal candidiasis: a systematic review, Lancet Infectious Diseases, 18, e339–47.
Deshpande, A. D., Harris-Hayes, M., Schootman, M. (2008). Epidemiology of diabetes and diabetes-related complications. Physical therapy, 88(11): 1254–1264.
Ege, E., Eryılmaz, G. (2005). Genital Hijyen Davranışları Envanterinin (GHDE) geliştirilmesi. Journal of Nursology, 8, 67-75.
Erbil, N., Bölükbaş, N., Belkıran, E., Balcı, A. (2013). Factors affecting and genital hygiene behaviors of married women. Turkiye Klinikleri Journal of Nursing Sciences, 5(2), 71-78.
Faraji, R., Rahimi, M.A., Rezvanmadani, F., Hashemi, M. (2012). Prevalence of vaginal candidiasis infection in diabetic women. African Journal of Microbiology Research, 6(11), 2773-2778.
Gonçalves, B., Ferreira, C., Alves, C. T., Henriques, M., Azeredo, J., Silva, S. (2016). Vulvovaginal candidiasis: Epidemiology, microbiology and risk factors. Critical Reviews in Microbiology, 42(6), 905-927.
Goswami, D., Goswami, R., Banerjee, U., Dadhwal, V., Miglani, S., Lattif, A.A., Kochupillai, N. (2006). Pattern of Candida species isolated from patients with diabetes mellitus and vulvovaginal candidiasis and their response to single dose oral fluconazole therapy. Journal of Infection, 52(2), 111–117.
Gözüyeşil, E. (2020). Investigation of genital hygiene behavior: An example of slum area. Ortadogu Tıp Dergisi, 12(2), 186-193.
Grigoriou, O., Baka, S., Makrakis, E., Hassiakos, D., Kapparos, G., Kouskouni, E. (2006). Prevalence of clinical vaginal candidiasis in a university hospital and possible risk factors. The European Journal of Obstetrics & Gynecology and Reproductive Biology, 126(1),121–125.
Gunther, L.S.A., Martins, H.P.R., Gimenes, F., de Abreu, A.L.P., Consolaro, M.E.L., Svidzinski, T.I.E. (2014). Prevalence of Candida albicans and non-albicans isolates from vaginal secretions: comparative evaluation of colonization, vaginal candidiasis and recurrent vaginal candidiasis in diabetic and non-diabetic women Sao Paulo Medical Journal, 132(2),116-120.
Hailu, F.B., Moen, A., Hjortdahl, P. (2019). Diabetes self-management education (DSME)–Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, metabolic syndrome, and obesity, 29(12), 2489-2499.
Hirj, I., Andersson, S.W., Guo, Z., Hammar, N., Gomez-Caminero, A. (2012). Incidence of genital infection among patients with type 2 diabetes in the UK General Practice Research Database. Journal of Diabetic Complications, 26, 501–505.
Huayanay-Espinoza, I.E., Guerra-Castañon, F., Reyes-Diaz, M., Lazo-Porras, M., de la Cruz-Luque, C., Herrera, D. A., Málaga, G. (2021). Quality of life and self-efficacy in patients with type 2 diabetes mellitus in a Peruvian public hospital. Medwave, 21(2), e8133-e8133.
IDF. (2021). IDF Diabetes Atlas. (E. J. Boyko, D. J. Magliano, S. Karuranga, L. Piemonte, P. Saeedi, P. Riley, & H. Sun, Eds.), Diabetes Research and 156 Clinical Practice (10th Edition, Vol. 102). International Diabetes Federation.
Kara, M., van der Bijl, J.J., Shortridge-Baggett, L.M., Asti, T., Erguney, S. (2006). Cross-cultural adaptation of the Diabetes Management Self-Efficacy Scale for patients with type 2 diabetes mellitus: scale development, International Journal of Nursing Studies, 43(5), 611-621.
Karadeniz, H., Öztürk, R., Ertem, G. (2019). Analysis of genital hygiene behaviors of women who applied to women’s illnesses and birth policlinic. Erciyes Medical Journal, 41(4), 402–408.
Nyirjesy, P., Sobel, J. D. (2013). Genital mycotic infections in patients with diabetes. Postgraduate medicine, 125(3): 33–46.
Patel, D.A., Gillespie, B., Sobel, J.D., Leaman, D., Nyirjesy, P., Weitz, M.V., Foxman, B. (2004). Risk factors for recurrent vulvovaginal candidiasis in women receiving maintenance antifungal therapy: results of a prospective cohort study. American Journal of Obstetrics and Gynecology,190(3), 644–653.
Qiu, T., Huang, J., Wang, W. (2020). Association between diabetes knowledge and self-efficacy in patients with type 2 diabetes mellitus in china: a cross-sectional study. International Journal of Endocrinology, 2020, 2393150.
Şahin Orak, N., Canuygur, A. (2014). Jinekoloji kliniğinde yatan hastaların genital hijyen davranışlarının incelenmesi . Balıkesir Sağlık Bilimleri Dergisi, 3(3), 130-134.
Savetha, P., Illamani, V., Kiran Madhusudhanan, B. (2021). Prevalence of vulvovaginal candidiasis among pre and post-menopausal diabetic and non-diabetic women. Annals of the Romanian Society for Cell Biology, 3014–3044. Retrieved from https://annalsofrscb.ro/index.php/journal/article/view/407
Sevil, S., Kevser, O., Aleattin, U., Dilek, A., Tijen, N. (2013). An evaluation of the relationship between genital hygiene practices, genital infection. Gynecology Obstetrics, 3, 187.
Sobel, J.D. (2007). Vulvovaginal candidosis. Lancet, 369(9577), 1961–1971.
Sobel, J.D. (2016) Recurrent vulvovaginal candidiasis. American Journal of Perinatology, 214(1), 15-21.
Unal Toprak, F., Akman Yilmaz, A., Turan, Z., Buyukkayaci Duman, N., Toker, E., Kabalcioglu Bucak, F., … Alp Dal, N. (2022). The effect of genital hygiene behaviors on vulvovaginal candida in women with type 2 diabetes: A multicenter research. International Journal of Caring Sciences, 15(2), 1303-1311.
Walker, R.J., Smalls, B.L., Hernandez-Tejada, M.A., Campbell, J.A., Egede, L.E. (2014). Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethnicity & Disease, 24(3), 349-55.
Yesilcicek Calik, K., Erkaya, R., Ince, G., Korkmaz Yildiz, N. (2020). Genital hygiene behaviors of women and their effect on vaginal infections. Clinical and Experimental Health Sciences,10, 210-216.
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