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Journals / Hemşirelik Bilimi Dergisi / 2026 / Cilt: 8 Sayı: 2

Determination of Social Determinants of Health and Diabetes Management Characteristics of Patients with Type 2 Diabetes

Sağlığın Sosyal Belirleyicileri ve Tip 2 Diyabetli Hastaların Diyabet Yönetimine İlişkin Özelliklerinin Belirlenmesi

Özlem Karatana(DOĞUŞ ÜNİVERSİTESİ)0000-0002-1985-8256
Rahime Gözkan Yılmaz(Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi)0009-0000-4410-3907
Pages
198–208
Publication Date
2025-08-22
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AI Summary & Key Takeaways

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

Nurses may identify patients' social needs in diabetes self-management and ensure that patients' social needs are met by collaborating with social work practitioners.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Health-related social needs (HRSNs) stem from structural inequities and may also lead to worse health outcomes.
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Key Findings & Data:This study was conducted to determine the relationship between HRSNs, and disease self-management among individuals with type 2 diabetes.
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Conclusion & Impact:Nurses may identify patients' social needs in diabetes self-management and ensure that patients' social needs are met by collaborating with social work practitioners.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Öz Yönetim · Sosyal İhtiyaçlar · Tip 2 Diyabet

Abstract

Objective: Health-related social needs (HRSNs) stem from structural inequities and may also lead to worse health outcomes. HRSNs may have important implications for diabetes self-management. This study was conducted to determine the relationship between HRSNs, and disease self-management among individuals with type 2 diabetes. Methods: This descriptive, cross-sectional, and correlational study was conducted with 292 individuals with type 2 diabetes. Descriptive statistics, independent samples t-test, one-way analysis of variance, Pearson correlation coefficient, and structural equation modelling were used in the analysis of the data. Results: This study showed that 22.9% (n=67) of the participants had at least one negative HRSNs. The participants' the negative HRSNs were 45% are food insecurity, 44% public service needs, 28% interpersonal safety, 18% housing instability, and 16% transportation needs. A statistically significant relationship was found between the HRSNs and disease self-management (p<.05). Conclusion: These findings may be considered in designing specific strategies to meet social needs for effective diabetes self-management. Nurses may identify patients' social needs in diabetes self-management and ensure that patients' social needs are met by collaborating with social work practitioners.

Özet

Amaç: Sağlıkla ilgili sosyal ihtiyaçlar yapısal eşitsizliklerden kaynaklanır ve daha kötü sağlık sonuçlarına yol açabilir. Sosyal ihtiyaçların diyabet öz yönetimi üzerinde önemli etkileri olabilir. Bu çalışma, tip 2 diyabetli bireyler arasında sosyal ihtiyaçlar ile hastalık öz yönetimi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı, kesitsel ve korelasyonel tipte olan bu çalışma 292 tip 2 diyabetli birey ile yürütülmüştür. Verilerin analizinde tanımlayıcı istatistikler, bağımsız örneklem t-testi, tek yönlü varyans analizi, Pearson korelasyon katsayısı ve yapısal eşitlik modellemesi kullanılmıştır. Bulgular: Bu çalışma, katılımcıların %22,9'unun (n=67) en az bir sosyal ihtiyacı olduğunu göstermiştir. Katılımcıların %45'inin gıda, %44'ünün kamu hizmeti, %28'inin kişilerarası güvenlik, %18'inin konut ve %16'sının ulaşım ihtiyaçları olduğunu göstermiştir. Sağlığın sosyal belirleyicileri ile hastalık öz yönetimi arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<,05). Sonuç: Bu bulgular, etkili diyabet öz yönetimi için sosyal ihtiyaçların karşılanmasına yönelik özel stratejilerin tasarlanmasında dikkate alınabilir. Hemşireler, diyabet öz-yönetiminde hastaların sosyal ihtiyaçlarını belirleyebilir ve sosyal hizmet uygulayıcıları ile işbirliği yaparak hastaların sosyal ihtiyaçlarının karşılanmasını sağlayabilir.

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Cite This Article

Karatana, Ö., Yılmaz, R. G. (2025). Determination of Social Determinants of Health and Diabetes Management Characteristics of Patients with Type 2 Diabetes. Hemşirelik Bilimi Dergisi, Cilt: 8 Sayı: 2, 198–208. https://doi.org/10.54189/hbd.1567992

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