出版社：International Medical Journal Management and Indexing System
摘要：Diabetes Mellitus (DM) is chronic, metabolic disease characterized by hyperglycemia. It has been widely observed that large proportion of patients show psychological resistance to the initiation of insulin treatment, and as a result they are exposed to many complications of diabetes. It was aimed to identify the perceptions and beliefs that cause psychological insulin resistance among Type 2 DM diagnosed patients, to determine relationship between sociodemographic data and these perceptions & beliefs. In research, 120 patients diagnosed with type 2 DM were included followed by outpatient clinic of Bursa Þevket Yýlmaz State Hospital Internal Medicine Unit. Patients were evaluated with socio-demographic information form, diabetes-related problem areas scale (PAID), insulin treatment assessment scale (ITAS), state and trait anxiety inventory (STAI), beck depression inventory (BDI). The average PAID score of patients is 63.75±13.88, BDI scores: 15.16±8.25, State Anxiety Inventory (SAI) subscale scores: 41.96±3.74, Trait Anxiety Inventory (TAI) subscale scores: 46.80±5.52. Correlation was found between age, duration of diabetes, sex, marital status, education level, employment status, type of treatment, the level of importance of blood sugar regulation, the difficulty level of blood glucose adjustment,complications, currently treatment for depression and certain items of ITAS. Similarly, relationship was found between certain items of ITAS and total PAID scores, SAI subscale scores, TAI subscalescores. As a result, it has been found that patients have psychological resistant to start insulin therapy and this is caused by large number of negative perceptions and thoughts. Cognitive interventions for perceptions and thoughts can reduce psychological resistance to insulin therapy.
