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Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family

Year 2022, Volume: 12 Issue: 1, 177 - 184, 30.03.2022
https://doi.org/10.33808/clinexphealthsci.895039

Abstract

Objective: Diabetes increases problems in emotional areas particularly among the elderly patients by aggravating negative emotions such as loss, anxiety and fear and makes these patients need higher level of family support. This study aims at exploring problematic areas of the elderly diabetic patients and their family support levels.
Methods: The data of this descriptive study were collected by the researcher by conducting a face to face interview with 218 elderly diabetic patients who presented to Endocrine Polyclinics of State Hospital between October 2015 and October 2016. To collect the data, “Patient Information Form”, “Problem Areas in Diabetes Scale (PAID)” and “Hensarling’s Diabetes Family Support Scale (HDFSS)” were used.
Results: Although problem areas among the patients were found to be fewer than expected; it was found that there were significant differences between problem areas and “sex, diabetes time, treatment type, length of oral antidiabetic medicine use and insulin use, development of diabetes-related complication and hospitalization due to these complications in the recent year” (p<0.05). Besides, the family support levels of the elderly patients were below the moderate level, and “the number of individuals the patients live together with”, “the number of people receiving support due to diabetes” and “the number of people who received support from their spouses because of diabetes” was a significant variable that affected HDFSS total score and the subscale scores (p<0.05).
Conclusion: For a better diabetes management, sex and diabetes related variables should be taken into consideration while delivering health services and increasing family support levels can make positive contributions to the mood of the elderly patients.

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References

  • 1. Turkey Endocrinology and Metabolism Society (TEMD). Diagnosis, treatment and follow-up guide of diabetes mellitus and its complication 2019 [October 2019]. Available from: http://www.temd.org.tr/admin/uploads/tbl_gruplar/20190819095924- 019tbl_gruplar9e6fbbc8c2.pdf
  • 2. International Diabetes Federation (IDF). Diabetes Atlas 9th Edition 2019.[January 2020]. Available from: https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/159-idf-diabetes-atlas-ninth-edition-2019.html
  • 3. Venkataraman K, Tan LS, Bautista DC, et al. Psychometric properties of the problem areas in diabetes (PAID) instrument in Singapore. Plos One 2015;10:1-11.
  • 4. Gross CC, Scain SF, Scheffel R, Gross JL, Hutz CS. Brazilian version of the problem areas in diabetes scale (B-PAID): Validation and identification of individuals at high risk for emotional distress. Diabetes Res Clin Pract 2007;76:455-9.
  • 5. Amsberg S, Wredling R, Lins PE, Adamson U, Johansson UB. The psychometric properties of the Swedish version of the problem areas in diabetes scale (Swe-PAID-20): Scale development. Int J Nurs Stud 2008;5:1319-28.
  • 6. Nicolucci A, Kovacs Burns K, Holt RI, et al. Correlates of psychological outcomes in people with diabetes: results from the second diabetes attitudes, wishes and needs (DAWN2(™)) study. Diabet Med 2016;33:1194-203.
  • 7. Sigurdardottir AK, Benediktsson R. Reliability and validity of the Icelandic version of the problem area in diabetes (PAID) scale. Int J Nurs Stud 2008;45:526-33.
  • 8. Baykal D, Orak E. The ınvestigation of the family effect on glycemic control of type 2 diabetes mellitus patients. IGUSABDER 2018;4: 361-382. (Turkish)
  • 9. Dedeli Ö, Fadıloğlu Ç, Uslu R. A survey of functional living and social support in patients with cancer. Turkish J Oncol 2008;23:132-139. (Turkish)
  • 10. Bulut E, Çilingir D. Ageism and reflections of nursing care. TAF Prev Med Bull 2016;15: 446-449. (Turkish)
  • 11. Kudo H, Izumo Y, Kodamo H, et al. Life satisfaction in older people. Geriatr Gerontol Int. 2007;7:15-20.
  • 12. Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care 2012;35:1239-45.
  • 13.Hensarling JS. Development and psychometric testing of Hensarling’s diabetes family support scale [dissertation]. Texas: College of Nursing Texas Woman’s University; 2009.
  • 14. Graue M, Haugstvedt A, Wentzel-Larsen T, Iversen MM, Karlsen B, Rokne B. Diabetes-related emotional distress in adults: Reliability and validity of the Norwegian versions of the problem areas in diabetes scale (PAID) and the diabetes distress scale (DDS). Int J Nurs Stud 2012;49:174-82.
  • 15. Polonsky WH, Anderson BJ, Lohrer PA, et al. Assessment of Diabetes-Related Distress. Diabetes Care 1995;18:754–760.
  • 16. Zulman DM, Rosland AM, Choi H, Langa KM, Heisler M. The influence of diabetes psychosocial attributes and self-management practices on change in diabetes status. Patient Educ Couns 2012;87:74-80.
  • 17. Hermanns N, Kulzer B, Krichbaum M, Kubiak T, Haak T. How to screen for depression and emotional problems in patients with diabetes: comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment. Diabetologia 2006;49:469-77.
  • 18. Altay B, Üstün G. Rısk of depressıon ın hospıtalızed elderly patıents at a unıversıty hospıtal and the effects of some socıo-demographıc characterıstıcs. J ACU Health Sci. 2012;3:108-116. (Turkish)
  • 19. Sarı D, Khorshıd L, Eşer İ. Examınıng the assocıatıon of perceıved socıal support and anxıety level of newly hospıtalızed patıent. J Ege Univ Nurs Fac. 2011;27:1-9. (Turkish)
  • 20. Polat Ü, Kahraman BB. The relationship between the healthy lifestyle behaviors of elderly ındividuals and the perceived social support. Firat Med J. 2013;18:213-218. (Turkish)
  • 21. Altıparmak S. The Levels of life satisfaction, social support and factors affecting these in elderly people living at nursing homes. J Fırat Univ Health Sci Med. 2009;23:159-164. (Turkish)
  • 22. Softa HK, Bayraktar T, Uğuz C. Elders’ perceived social support systems and factors effecting their healthy life-style behaviour. Elderly Issues Res J. 2016;2:63-76. (Turkish)
  • 23. Güven S, Şener A, Yıldırım B. Partner's dıfferent varıables accordıng to socıal support perceptıon. Hacettepe Univ E-Journal of Soc Res 2011 Jun [August 2019]. Available from: http://www.sdergi.hacettepe.edu.tr/makaleler/arzusenervdson.pdf (Turkish)
  • 24. Öztop H, Şener A, Güven S. Advantages and disadvantages of home care in the aspect Advantages and disadvantages of home care in the aspect of elderly and family. Elderly Issues Res J. 2008;1:9-49. (Turkish)
Year 2022, Volume: 12 Issue: 1, 177 - 184, 30.03.2022
https://doi.org/10.33808/clinexphealthsci.895039

Abstract

Project Number

-

References

  • 1. Turkey Endocrinology and Metabolism Society (TEMD). Diagnosis, treatment and follow-up guide of diabetes mellitus and its complication 2019 [October 2019]. Available from: http://www.temd.org.tr/admin/uploads/tbl_gruplar/20190819095924- 019tbl_gruplar9e6fbbc8c2.pdf
  • 2. International Diabetes Federation (IDF). Diabetes Atlas 9th Edition 2019.[January 2020]. Available from: https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/159-idf-diabetes-atlas-ninth-edition-2019.html
  • 3. Venkataraman K, Tan LS, Bautista DC, et al. Psychometric properties of the problem areas in diabetes (PAID) instrument in Singapore. Plos One 2015;10:1-11.
  • 4. Gross CC, Scain SF, Scheffel R, Gross JL, Hutz CS. Brazilian version of the problem areas in diabetes scale (B-PAID): Validation and identification of individuals at high risk for emotional distress. Diabetes Res Clin Pract 2007;76:455-9.
  • 5. Amsberg S, Wredling R, Lins PE, Adamson U, Johansson UB. The psychometric properties of the Swedish version of the problem areas in diabetes scale (Swe-PAID-20): Scale development. Int J Nurs Stud 2008;5:1319-28.
  • 6. Nicolucci A, Kovacs Burns K, Holt RI, et al. Correlates of psychological outcomes in people with diabetes: results from the second diabetes attitudes, wishes and needs (DAWN2(™)) study. Diabet Med 2016;33:1194-203.
  • 7. Sigurdardottir AK, Benediktsson R. Reliability and validity of the Icelandic version of the problem area in diabetes (PAID) scale. Int J Nurs Stud 2008;45:526-33.
  • 8. Baykal D, Orak E. The ınvestigation of the family effect on glycemic control of type 2 diabetes mellitus patients. IGUSABDER 2018;4: 361-382. (Turkish)
  • 9. Dedeli Ö, Fadıloğlu Ç, Uslu R. A survey of functional living and social support in patients with cancer. Turkish J Oncol 2008;23:132-139. (Turkish)
  • 10. Bulut E, Çilingir D. Ageism and reflections of nursing care. TAF Prev Med Bull 2016;15: 446-449. (Turkish)
  • 11. Kudo H, Izumo Y, Kodamo H, et al. Life satisfaction in older people. Geriatr Gerontol Int. 2007;7:15-20.
  • 12. Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care 2012;35:1239-45.
  • 13.Hensarling JS. Development and psychometric testing of Hensarling’s diabetes family support scale [dissertation]. Texas: College of Nursing Texas Woman’s University; 2009.
  • 14. Graue M, Haugstvedt A, Wentzel-Larsen T, Iversen MM, Karlsen B, Rokne B. Diabetes-related emotional distress in adults: Reliability and validity of the Norwegian versions of the problem areas in diabetes scale (PAID) and the diabetes distress scale (DDS). Int J Nurs Stud 2012;49:174-82.
  • 15. Polonsky WH, Anderson BJ, Lohrer PA, et al. Assessment of Diabetes-Related Distress. Diabetes Care 1995;18:754–760.
  • 16. Zulman DM, Rosland AM, Choi H, Langa KM, Heisler M. The influence of diabetes psychosocial attributes and self-management practices on change in diabetes status. Patient Educ Couns 2012;87:74-80.
  • 17. Hermanns N, Kulzer B, Krichbaum M, Kubiak T, Haak T. How to screen for depression and emotional problems in patients with diabetes: comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment. Diabetologia 2006;49:469-77.
  • 18. Altay B, Üstün G. Rısk of depressıon ın hospıtalızed elderly patıents at a unıversıty hospıtal and the effects of some socıo-demographıc characterıstıcs. J ACU Health Sci. 2012;3:108-116. (Turkish)
  • 19. Sarı D, Khorshıd L, Eşer İ. Examınıng the assocıatıon of perceıved socıal support and anxıety level of newly hospıtalızed patıent. J Ege Univ Nurs Fac. 2011;27:1-9. (Turkish)
  • 20. Polat Ü, Kahraman BB. The relationship between the healthy lifestyle behaviors of elderly ındividuals and the perceived social support. Firat Med J. 2013;18:213-218. (Turkish)
  • 21. Altıparmak S. The Levels of life satisfaction, social support and factors affecting these in elderly people living at nursing homes. J Fırat Univ Health Sci Med. 2009;23:159-164. (Turkish)
  • 22. Softa HK, Bayraktar T, Uğuz C. Elders’ perceived social support systems and factors effecting their healthy life-style behaviour. Elderly Issues Res J. 2016;2:63-76. (Turkish)
  • 23. Güven S, Şener A, Yıldırım B. Partner's dıfferent varıables accordıng to socıal support perceptıon. Hacettepe Univ E-Journal of Soc Res 2011 Jun [August 2019]. Available from: http://www.sdergi.hacettepe.edu.tr/makaleler/arzusenervdson.pdf (Turkish)
  • 24. Öztop H, Şener A, Güven S. Advantages and disadvantages of home care in the aspect Advantages and disadvantages of home care in the aspect of elderly and family. Elderly Issues Res J. 2008;1:9-49. (Turkish)
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Buket Daştan 0000-0002-2458-0578

Sevilay Hintistan 0000-0002-5907-5723

Project Number -
Publication Date March 30, 2022
Submission Date March 11, 2021
Published in Issue Year 2022 Volume: 12 Issue: 1

Cite

APA Daştan, B., & Hintistan, S. (2022). Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences, 12(1), 177-184. https://doi.org/10.33808/clinexphealthsci.895039
AMA Daştan B, Hintistan S. Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences. March 2022;12(1):177-184. doi:10.33808/clinexphealthsci.895039
Chicago Daştan, Buket, and Sevilay Hintistan. “Exploring Problem Areas of Elderly Patients With Diabetes and the Support Provided by Their Family”. Clinical and Experimental Health Sciences 12, no. 1 (March 2022): 177-84. https://doi.org/10.33808/clinexphealthsci.895039.
EndNote Daştan B, Hintistan S (March 1, 2022) Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences 12 1 177–184.
IEEE B. Daştan and S. Hintistan, “Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family”, Clinical and Experimental Health Sciences, vol. 12, no. 1, pp. 177–184, 2022, doi: 10.33808/clinexphealthsci.895039.
ISNAD Daştan, Buket - Hintistan, Sevilay. “Exploring Problem Areas of Elderly Patients With Diabetes and the Support Provided by Their Family”. Clinical and Experimental Health Sciences 12/1 (March 2022), 177-184. https://doi.org/10.33808/clinexphealthsci.895039.
JAMA Daştan B, Hintistan S. Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences. 2022;12:177–184.
MLA Daştan, Buket and Sevilay Hintistan. “Exploring Problem Areas of Elderly Patients With Diabetes and the Support Provided by Their Family”. Clinical and Experimental Health Sciences, vol. 12, no. 1, 2022, pp. 177-84, doi:10.33808/clinexphealthsci.895039.
Vancouver Daştan B, Hintistan S. Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences. 2022;12(1):177-84.

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