Yıl: 2022 Cilt: 12 Sayı: 1 Sayfa Aralığı: 177 - 184 Metin Dili: İngilizce DOI: 10.33808/clinexphealthsci.895039 İndeks Tarihi: 03-10-2022

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

Öz:
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.
Anahtar Kelime: Affective symptoms aged diabetes mellitus family nursing

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [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/201.908.19095924 – 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, Griva K, Zuniga YLM, Amir M, Lee YS, Lee J, Tai ES, Khoo EYH, Wee HL. Psychometric properties of the problem areas in diabetes (PAID) instrument in Singapore. Plos One 2015;10:1-11.
  • [4] Al-Ozairi E, Al Ozairi A, Blythe C, Taghadom E, Ismail K. The epidemiology of depression and diabetes distress in type 2 diabetes in Kuwait. J Diabetes Res. 2020;2020:7414050.
  • [5] Reimer A, Schmitt A, Ehrmann D, Kulzer B, Hermanns N. Reduction of diabetes-related distress predicts improved depressive symptoms: A secondary analysis of the DIAMOS study. PLoS One. 2017;12(7):e0181218.
  • [6] Nicolucci A, Kovacs Burns K, Holt RI, Lucisano G, Skovlund SE, Kokoszka A, Benedetti M, Perot M. Correlates of psychological outcomes in people with diabetes: results from the second diabetes attitudes, wishes and needs (DAWN2(™)) study. Diabet Med 2016;33(9):1194-203.
  • [7] Badriah S, Sahar J. Family support in caring for older people with diabetes mellitus: a phenomenology study. Enferm Clin 2018;28 (Suppl 1):245-249.
  • [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] Pesantes MA, Del Valle A, Diez-Canseco F, Bernabé-Ortiz A, Portocarrero J, Trujillo A, Cornejo P, Manrique K, Miranda JJ. Family support and diabetes: Patient’s experiences from a public hospital in Peru. Qual Health Res. 2018;28(12):1871- 1882.
  • [10] Wang L, Yang L, Di X, Dai X. Family support, multidimensional health, and living satisfaction among the Elderly: A Case from Shaanxi Province, China. Int J Environ Res Public Health. 2020;17(22):8434.
  • [11] Bulut E, Çilingir D. Ageism and reflections of nursing care. TAF Prev Med Bull 2016;15(5): 446-449. (Turkish)
  • [12] AlHaidar AM, AlShehri NA, AlHussaini MA. Family support and its association with glycemic control in adolescents with type 1 diabetes mellitus in Riyadh, Saudi Arabia. J Diabetes Res 2020;23:5151604.
  • [13] Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care 2012;35(6):1239-45.
  • [14] Hensarling JS. Development and psychometric testing of Hensarling’s diabetes family support scale [dissertation]. Texas: College of Nursing Texas Woman’s University; 2009.
  • [15] Kristianingrum, ND, Wiarsih W, Nursasi AY. Perceived family support among older persons in diabetes mellitus self- management. BMC Geriatrics 2018;18(Suppl 1):304-309.
  • [16] 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(2):174-82.
  • [17] Nikitara M, Constantinou CS, Andreou E, Diomidous M. The Role of nurses and the facilitators and barriers in diabetes care: A mixed methods systematic literature review. Behav Sci (Basel). 2019;9(6):61.
  • [18] Sümbüloğlu K, Sümbüloğlu V (1994). Biyoistatistik. Özdemir Yayıncılık. 5. Baskı. Ankara, 46-50. (Turkish)
  • [19] Yuncken J, Williams CM, Stolwyk RJ, Haines TP. People with diabetes do not learn and recall their diabetes foot education: a cohort study. Endocrine 2018;62(1):250-258.
  • [20] Vislapuu M, Broström A, Igland J, Vorderstrasse A, Iversen MM. Psychometric properties of the Norwegian version of the short form of The Problem Areas in Diabetes scale (PAID-5): a validation study. BMJ Open 2019;9(2):e022903.
  • [21] Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, Schwartz CE. Assessment of Diabetes-Related Distress. Diabetes Care 1995;18(6):754–760.
  • [22] Shapiro JB, Vesco AT, Weil LEG, Evans MA, Hood KK, Weissberg- Benchell J. Psychometric properties of the problem areas in diabetes: Teen and parent of teen versions. J Pediatr Psychol. 2018;43(5):561-571.
  • [23] Siaw MY, Tai BB, Lee JY. Psychometric properties of the Chinese version of the Problem Areas in Diabetes scale (SG-PAID-C) among high-risk polypharmacy patients with uncontrolled type 2 diabetes in Singapore. J Diabetes Investig. 2017;8(2):235- 242.
  • [24] Altay B, Üstün G. Risk of depression in hospitalized elderly patients at a university hospital and the effects of some socio- demographic characteristics. J ACU Health Sci. 2012;3:108- 116.
  • [25] Sarı D, Khorshıd L, Eşer İ. Examining the association of perceived social support and anxiety level of newly hospitalized patient. J Ege Univ Nurs Fac. 2011;27:1-9.
  • [26] Polat Ü, Kahraman BB. The relationship between the healthy lifestyle behaviors of elderly individuals and the perceived social support. Firat Med J. 2013;18(4):213-218.
  • [27] 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(3):159-164.
  • [28] 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.
  • [29] 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 .
  • [30] 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(1):9-49.
APA DAŞTAN B, HİNTİSTAN s (2022). Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. , 177 - 184. 10.33808/clinexphealthsci.895039
Chicago DAŞTAN BUKET,HİNTİSTAN sevilay Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. (2022): 177 - 184. 10.33808/clinexphealthsci.895039
MLA DAŞTAN BUKET,HİNTİSTAN sevilay Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. , 2022, ss.177 - 184. 10.33808/clinexphealthsci.895039
AMA DAŞTAN B,HİNTİSTAN s Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. . 2022; 177 - 184. 10.33808/clinexphealthsci.895039
Vancouver DAŞTAN B,HİNTİSTAN s Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. . 2022; 177 - 184. 10.33808/clinexphealthsci.895039
IEEE DAŞTAN B,HİNTİSTAN s "Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family." , ss.177 - 184, 2022. 10.33808/clinexphealthsci.895039
ISNAD DAŞTAN, BUKET - HİNTİSTAN, sevilay. "Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family". (2022), 177-184. https://doi.org/10.33808/clinexphealthsci.895039
APA DAŞTAN B, HİNTİSTAN 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. 10.33808/clinexphealthsci.895039
Chicago DAŞTAN BUKET,HİNTİSTAN sevilay Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family. Clinical and Experimental Health Sciences 12, no.1 (2022): 177 - 184. 10.33808/clinexphealthsci.895039
MLA DAŞTAN BUKET,HİNTİSTAN sevilay 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, ss.177 - 184. 10.33808/clinexphealthsci.895039
AMA DAŞTAN B,HİNTİSTAN 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 - 184. 10.33808/clinexphealthsci.895039
Vancouver DAŞTAN B,HİNTİSTAN 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 - 184. 10.33808/clinexphealthsci.895039
IEEE DAŞTAN B,HİNTİSTAN s "Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family." Clinical and Experimental Health Sciences, 12, ss.177 - 184, 2022. 10.33808/clinexphealthsci.895039
ISNAD DAŞTAN, BUKET - HİNTİSTAN, sevilay. "Exploring Problem Areas of Elderly Patients with Diabetes and the Support Provided by Their Family". Clinical and Experimental Health Sciences 12/1 (2022), 177-184. https://doi.org/10.33808/clinexphealthsci.895039