Psychological resistance to insulin therapy in adults with type 2 diabetes: mixed‐method systematic review

Wang, Huey-Fen; Yeh, Mei Chang

doi:10.1111/j.1365-2648.2011.05853.x

Cited by 47 publications

(36 citation statements)

References 39 publications

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“…Hastaların özel eği-tim gereksinimi alt grup puan ortalamalarının en yüksek olması diyabet bakım ekibi üyeleri, özellikle hastalarla en çok iletişim halinde olan hemşirelerin diyabet bakım, tedavisi, hastalarla iletişim gibi konularda uzmanlaşmala-rı, son gelişmeleri takip etmeleri ve hastaları bu konuda doğru yönlendirebilmelerinin önemini göstermektedir. Ayrıca literatürde diyabet hastalarının insülin kullanımı ile ilgili negatif tutumlarının olmasının nedenleri olarak, özellikle tip 2 diyabetli hastaların insülini en son tedavi seçeneği olarak görmeleri, insülin kullanımının diyabet yö-netiminde başarısızlık nedeniyle olduğu, insülinin görme kayıplarına, hipoglisemi ataklarına yada amputasyonlara yol açtığı, kilo aldırdığı düşüncesinin olması, iğne yada enjeksiyon korkusunun olması, insülini taşıma, saklamanın zor olması belirtilmektedir (32,33).…”

Section: Discussionunclassified

Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri Kullanma Durumları ve Diyabet Tutumları İle İlişkisi

Kaynak¹,

Polat²

2017

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Diabetes mellitus'lu hastaların tamamlayıcı ve alternatif tedavileri kullanma durumları ve diyabet tutumları ile ilişkisi-Kaynak İ. ve Polat Ü.Genel Tıp Derg 2017;27(2):56-64 56 Özet Amaç: Bu çalışma Diabetes Mellitus'lu hastaların tamamlayıcı ve alternatif tedavileri kullanma durumlarının diyabet tutumlarıyla iliş-kisini belirlemek amacıyla yapılmıştır. Gereç ve Bulgular:Hastalarda TAT kullanım oranının %48,1 olduğu ve kullananların tamamının bitkisel uygulamaları kullandığı belirlenmiş-tir. TAT kullanan ve kullanmayan hastaların diyabet tutum ölçeği puan ortalamaları arasındaki farkın anlamlı olmadığı saptanmıştır (p>0,05). TAT kullananlarda medeni durumun, TAT kullanmayanlarda ise hastalık ve tedavisi hakkında alınan eğitimi yeterli bulma durumunun diyabet tutumlarını etkilediği saptanmıştır (p<0,05). TAT kullanan hastaların ortalama HbA1c değerlerinin ( =%8,4 ± 2,2) kullanmayanlara göre (= =%7,8 ± 1,8) anlamlı olarak daha yüksek olduğu saptanmıştır (p<0,05). Sonuç:Bu çalışmada Diabetes Mellitus'lu hastaların TAT kullanımı ile diyabet tutumları arasında bir ilişki bulunmamıştır. Ancak TAT kullalan hastalarda HbA1c değerinin yüksek olmasından dolayı, kullanmayanlara göre glisemik kontrolün iyi olmadığı bulunmuştur. Bu nedenle sağlık profoyenelelrinin diyabetli hastalarda hastalığa karşı tutum ve TAT kullanımını belirlemelidir. Anahtar Kelimeler: Tamamlayıcı ve Alternatif Tedavi, Diyabet Tutum, Hemşirelik, Diabetes Mellitus AbstractObjective: This study was conducted to evaluate the relationship between use of complementary and alternative treatment and diabetes attitudes with diabetes mellitus patient. This is a descriptive and cross-sectional study. Materials and methods:285 diabetic patients who were admitted to the Endocrinology and Metabolic Disorders outpatient clinics at Ankara Numune Education and Research Hospital and who were coming for diabetes education were included in the study. "A questionnaire form" and the "Diabetes Attitude Scale " (DAS)were used to collect data. Results:The analysis of the study data revealed that 48.1% of the patients with diabetes used CAT and among patients that used the CAT, all used herbal remedies. It was showed no significant difference between DAS mean scores of diabetes patients using CAT and not using. Among CAT users marital status, among nonusers considering received education about the disease and its treatment sufficient affecting their attitude toward diabetes (p<0.05). HbA1c values of patients using CAT using (= = 8.4 ± 2.2%) were found significantly higher than those who use (= = 7.8 ± 1.8%). Conclusion:: Nurses should determine to determine the attitudes of the patients about the illnes and the use of complementary and alternative treatment for patients with diabetes mellitus.

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Section: Discussionunclassified

Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri Kullanma Durumları ve Diyabet Tutumları İle İlişkisi

Kaynak¹,

Polat²

2017

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“…A prior study found that the need to begin insulin therapy had very negative connotations for people with DM2. (25) …”

Section: Discussionmentioning

confidence: 99%

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Zanchetta

Trevisan

Apolinário

et al. 2016

Einstein (São Paulo)

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Objective:To evaluate the relation between diabetes-related distress and the clinical and sociodemographic characteristics of type 2 diabetes mellitus patients.Methods:A cross-sectional study based on a secondary analysis of data collected at a specialized care outpatient center in Brazil. Participants completed a questionnaire on sociodemographic and clinical characteristics and the Brazilian version of the Diabetes Distress Scale (B-DDS).Results:About 31% of the 130 eligible patients reported diabetes distress, and the mean B-DDS score was 2.6. Multiple regression analysis showed the B-DDS score was positively correlated with marital status (p=0.0230), use of diet and physical activities for diabetes management (p=0.0180), and use of insulin therapy (p=0.0030). The “emotional burden”, “regimen-related distress”, and “interpersonal distress” domains from B-DDS were associated with the use of insulin therapy (p=0.0010), marital status (p=0.0110), and the presence of three or more comorbidities (p=0.0175).Conclusion:These findings suggest the clinical and sociodemographic variables are relatively weak predictors of diabetes-related distress. The highest scores in the B-DDS were observed in the emotional burden domain, indicating the presence of diabetes distress among the participants of the study.

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“…We then classified the systematic reviews according to the three types of mixed studies synthesis designs. The most common type of synthesis found in our sample was convergent (n = 8), of which seven were QUAL (4,13,16,42,45,46,87) and one QUAN (15). Three other mixed studies reviews were sequential, two of which used a sequential exploratory synthesis (67,76) and one used a sequential explanatory synthesis (12).…”

Section: Overview Of Mixed Studies Reviewsmentioning

confidence: 99%

Combining the Power of Stories and the Power of Numbers: Mixed Methods Research and Mixed Studies Reviews

Pluye

Hong

2014

Annu. Rev. Public Health

1,001

965

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This article provides an overview of mixed methods research and mixed studies reviews. These two approaches are used to combine the strengths of quantitative and qualitative methods and to compensate for their respective limitations. This article is structured in three main parts. First, the epistemological background for mixed methods will be presented. Afterward, we present the main types of mixed methods research designs and techniques as well as guidance for planning, conducting, and appraising mixed methods research. In the last part, we describe the main types of mixed studies reviews and provide a tool kit and examples. Future research needs to offer guidance for assessing mixed methods research and reporting mixed studies reviews, among other challenges.

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Psychological resistance to insulin therapy in adults with type 2 diabetes: mixed‐method systematic review

Abstract: Psychological resistance to insulin therapy can result from a range of personal viewpoints involving cognitive appraisal and/or emotional reactions.

Cited by 47 publications

References 39 publications

Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri Kullanma Durumları ve Diyabet Tutumları İle İlişkisi

Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri Kullanma Durumları ve Diyabet Tutumları İle İlişkisi

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Combining the Power of Stories and the Power of Numbers: Mixed Methods Research and Mixed Studies Reviews

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