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Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 10 Sayı: 1

Investigation of the Relationship between the Barriers and Self-Care Behaviors in the Process of Insulin Therapy in Type 2 Diabetes

Tip 2 Diyabetli Bireylerin İnsülin Tedavi Sürecinde Yaşadıkları Engeller ve Öz Bakım Davranışları Arasındaki İlişkinin İncelenmesi

Sema Gözel(Batman Eğitim Ve Araştırma Hastanesi)0009-0009-5685-0411
Seher Gönen Şentürk(ÇANKIRI KARATEKİN ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-4785-6610
Pages
1–10
Publication Date
2026-04-30
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

By increasing the self-care competence of individuals with diabetes, negative attitudes and behaviors toward insulin treatment can be prevented

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To examine the relationship between barriers experienced by individuals with type 2 diabetes during insulin treatment and their self-care behaviors.
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Key Findings & Data:It was conducted between December 2021 and May 2022 with individuals (n:215) receiving services at the outpatient clinics and inpatient section of a state hospital located in the center of Ankara.
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Conclusion & Impact:By increasing the self-care competence of individuals with diabetes, negative attitudes and behaviors toward insulin treatment can be prevented
🔬Design:Araştırma Makalesi
📍Scope:2021 Verileri
⚙️Variables:İnsülin tedavisi · İnsülin tedavisinde engeller · Öz bakım

Abstract

Aim: To examine the relationship between barriers experienced by individuals with type 2 diabetes during insulin treatment and their self-care behaviors. Material and Methods: It is descriptive, cross-sectional, and exploratory in nature. It was conducted between December 2021 and May 2022 with individuals (n:215) receiving services at the outpatient clinics and inpatient section of a state hospital located in the center of Ankara. Data were collected using face-to-face interviews with the Patient Information Form, the Barriers to Insulin Treatment Questionnare (BITQ), and the Diabetes Self-Care Scale (DSCS). Data were analyzed using number, percentage, mean, standard deviation, Pearson correlation analysis, and multiple linear regression analysis. Results: A weak positive correlation was found between the DSCS total score average and the expectation of positive results related to insulin (r=0.138, p=0.044) and fear of hypoglycemia (r=0.177, p=0.009), and a weak negative correlation was found between the subscale of expected difficulties in insulin treatment (r=-0.251, p<0.000). Factors affecting diabetes self-care agency were found to be female (r=- 0.213, p=0.006) and high school graduation (r=0.192, p=0.011). Conclusion: It has been determined that individuals with high self-care competence expect more positive results during the treatment process, experience fear of hypoglycemia, and expect fewer difficulties during insulin treatment. By increasing the self-care competence of individuals with diabetes, negative attitudes and behaviors toward insulin treatment can be prevented

Özet

Amaç: Tip 2 diyabetli bireylerin insülin tedavi sürecinde yaşadıkları engeller ve öz bakım davranışları arasındaki ilişkinin incelenmesidir. Gereç ve Yöntemler: Tanımlayıcı, kesitsel ve ilişki arayıcı tiptedir. Aralık 2021-Mayıs 2022 tarihleri arasında Ankara il merkezinde yer alan bir devlet hastanesinin poliklinik ve yataklı servislerde hizmet alan bireylerle (n=215) yürütülmüştür. Veriler yüzyüze görüşme yöntemiyle Hasta Tanıtım Formu, İnsülin Tedavisinde Engeller Ölçeği (İTEÖ) ve Diyabet Öz Bakım Ölçeği (DÖBÖ) kullanılarak toplanmıştır. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, Pearson korelasyon analizi, multiple linear regresyon analizi kullanılmıştır. Bulgular: DÖBÖ toplam puan ortalaması ile İnsülinle İlişkili Olumlu Sonuç Beklentisi (r=0,138; p=0,044) ve Hipoglisemi Korkusu arasında pozitif yönde zayıf (r=0,177; p=0,009), İnsülin Tedavisinde Beklenen Zorluk alt boyutu ile negatif yönde zayıf ilişki (r=-0,251; p=<0,001) belirlenmiştir. Diyabet öz bakım gücünü etkileyen faktörler kadın olma (r=-0,213; p=0,006) ve lise mezunu olma (r=0,192; p=0,011) olduğu saptanmıştır. Sonuç: Diyabet öz bakım gücü yüksek bireylerin tedavi sürecinde daha olumlu sonuçlar bekledikleri, hipoglisemi korkusu yaşadıkları ve insülin tedavisi sürecinde daha az zorluk bekledikleri saptanmıştır. Diyabetli bireylerin öz bakım gücü artırılarak insülin tedavisine karşı olan olumsuz tutum ve davranışları engellenebilir.

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Cite This Article

Gözel, S., Şentürk, S. G. (2026). Investigation of the Relationship between the Barriers and Self-Care Behaviors in the Process of Insulin Therapy in Type 2 Diabetes. Türkiye Diyabet ve Obezite Dergisi, Cilt: 10 Sayı: 1, 1–10. https://ajindex.com/articles/1436193

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