Amaç: Diyabetik ayağın önlenmesinde, düzenli ayak bakımı en etkili yöntemdir. Bu çalışma, diyabet tanısı alan bireylerde ayak bakım davranışlarını ve ilişkili faktörleri belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve ilişkisel olarak yapılan çalışmaya bir üniversite hastanesinin diyabet polikliniğine başvuran 520 diyabetli birey dahil edilmiştir. Veriler hasta tanılama formu ve Ayak Bakımı Davranış Ölçeği kullanılarak elde edilmiştir. Bulgular: Diyabetli bireylerin Ayak Bakım Davranışı Ölçeği puan ortalamalarının dağılımı incelendiğinde, puan ortalamasının 43.16±5.70 olduğu belirlenmiştir. Bireylerin en az “Ayak bakımımı yaparken keskin aletler kullanmam” davranışına uyum sağladığı tespit edilmiştir. Yükseköğretim eğitim düzeyine sahip, çalışan, ekonomik durumu iyi olan, tedavi şekli diyet olan ve HbA1c değeri %7 ve altında olan bireylerin ayak bakım davranışlarının daha iyi olduğu tespit edilmiştir (p<0.05). Ayrıca, bireylerin eğitim düzeyi ve tedavi şeklinin ayak bakım davranışlarını önemli ölçüde etkileyen faktörler olduğu (p<0.01) ve bu faktörlerin ayak bakım davranışı düzeyinde toplam varyansın %7’sini açıkladığı belirlenmiştir. Sonuç: Diyabetli bireylerin ayak bakım davranışlarının yetersiz düzeyde olduğu; eğitim düzeyi ve tedavi şeklinin ayak bakım davranışlarını uygulamada önemli belirleyici olduğu belirlenmiştir. Bu doğrultuda diyabet tanısı konulduktan itibaren bireylere hastalık yönetimine ek olarak ayakların bakımı ve korunması konularında eğitim verilmesi önemlidir.
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Objective: Regular foot care is the most effective method in preventing diabetic foot. This study was carried out to determine foot care behaviors and related factors in individuals diagnosed with diabetes. Method: Descriptive and correlational study included 520 diabetic individuals who applied to the diabetes outpatient clinic of a university hospital. The data were obtained by using patient diagnosis form and Foot Self Care Observation Guide. Results: When the distribution of the Foot Self Care Observation Guide mean scores of individuals with diabetes was examined, a mean score of 43.16±5.70 was found. It has been determined that the individuals adapted to the "I don't use sharp tools while caring for my feet" behavior at least. It was determined that the individuals who have higher education level, who work, who have good economic situation, who are on diet, and whose HbA1c value is 7% or less, have better foot care behaviors (p<0.05). In addition, it was determined that the level of education and treatment of individuals are the factors that significantly affected the foot care behavior (p<0.01) and these factors explained 7% of the total variance at the foot care behavior level. Conclusion: Foot care behavior of individuals with diabetes is inadequate; It has been determined that the level of education and treatment is an important determinant in applying foot care behaviors. In this regard, since the diagnosis of diabetes is made, it is important to provide individuals with training on foot care and protection in addition to disease management.
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Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Project Number | - |
Publication Date | April 30, 2021 |
Submission Date | May 8, 2020 |
Acceptance Date | November 30, 2020 |
Published in Issue | Year 2021 Volume: 14 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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