Determination of Psychological Insulin Resistance and Self-Management in Patients with Type 2 Diabetes
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https://doi.org/10.5281/zenodo.18166420Keywords:
Insulin Resistance, Nursing, Self-Management, Type 2 DiabetesAbstract
Aim: The aim of this study is to determine psychological insulin resistance and self-management in patients with type 2 diabetes.
Method: The population of this descriptive and correlation-seeking study consists of all patients diagnosed with type 2 diabetes aged 18 and over who apply to internal medicine outpatient clinics in a training and research hospital of a province, while the sample is made up of patients with type 2 diabetes who are 18 years old and over and who apply to internal medicine outpatient clinics without any calculations. It comprised 155 diagnosed patients. Patient diagnosis form, Psychological Insulin Resistance and Insulin Therapy Self-Management Scales were used to collect data.
Results: The average age of type 2 diabetic patients included in the study was 55.06±10.19, 57.4% were women, 38.1% were primary school graduates, 89% were married and 58.7% were not working. 61.9% of the patients' income matches their expenses, 53.5% do not smoke and 91% do not drink alcohol. It was determined that 51% of the participants had no other disease other than diabetes, 40% had diabetes for 4-6 years, 66.5% had no other diabetic patients in their household, and 78.7% had received training on diabetes. The difference in the Psychological Insulin Resistance scale score average of the patients according to their gender, education level, employment status, income status, smoking status, alcohol use status and duration of diabetes is statistically significant. The difference between the mean scores of the Insulin Therapy Self-Management scale according to smoking status is significant. There is a statistically significant, negative and low-level relationship between the Psychological Insulin Resistance Scale and the Insulin Therapy Self-Management Scale (p<0.05).
Conclusion: The psychological insulin resistance status of the patients was found to be below the moderate level, and the insulin therapy self-management status was found to be above the moderate level. It is seen that as the psychological insulin resistance level score of type 2 diabetic patients increases, the insulin therapy self-management level score decreases. It is recommended to increase individual training for patients with type 2 diabetes to reduce their fear of insulin injection and to ensure self-management of insulin therapy.
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