Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Diyabet Hastalarının Öz Yönetimi: Türkiye'de Hemşirelik Alanında Yapılmış Lisansüstü Tezlerin İncelenmesi: Sistematik Derleme
Self-Management of Patients with Diabetes: Examination of Theses and Dissertations in the Field of Nursing in Türkiye: Systematic Review
Aleyna ÖZKANa,b, Gülcan BAĞÇİVANb
aKoç Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik AD, İstanbul, Türkiye
bKoç Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği AD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):943-69
doi: 10.5336/nurses.2023-100926
Article Language: TR
Full Text
ÖZET
 Bu çalışmanın amacı, Türkiye'de yapılmış olan diyabet öz yönetimiyle ilgili hemşirelik lisansüstü tezlerin sistematik olarak incelemesidir. Ulusal Tez Merkezi'ne kayıtlı tezler, 2 Ocak 2023 tarihinde 2 farklı arama stratejisi ile detaylı arama bölümü kullanılarak tarandı. İlk olarak, konu alanında ''hemşirelik'', başlıkta ''diyabet''; ikinci olarak ise konu alanında ''hemşirelik" ve özette ''diyabet'' anahtar kelimeleri ile tarama yapıldı. 925 çalışma elde edilmiş ve mükerrer 391 yayın silinmiştir. 477 çalışma dâhil edilme kriterlerini karşılamadığı için dışlanmıştır. Kalan 57 çalışmadan 7'si tam metin ulaşılamadığından incelemeye alınmamıştır. Kalan 50 çalışma, araştırma türü, yazar, yıl, araştırma dizaynı, örneklem, müdahale (içerik, yöntem ve takip), veri toplama araçları, bulgular ve araştırma planlamasına katılımcıların dâhil edilmesi ve katılımcı memnuniyeti açısından ayrıntılı olarak incelenmiştir. Bu çalışmaya 13 yüksek lisans ve 37 doktora tezi dâhil edilmiştir. Girişim olarak en çok eğitim uygulanmıştır. 12 tezde izlem, 8 tezde danışmanlık, 6 tezde motivasyonel görüşme ve 11 tezde hatırlatıcı müdahaleleri yer almıştır. Son 5 yılda web, mobil ve video tabanlı eğitimlerin daha fazla kullanıldığı görülmektedir. 16 çalışmada, müdahaleler bir modele/teoriye dayalı olarak yapılandırılmıştır. En sık incelenen sonuç parametresi HbA1c'dir. 6 çalışmada, katılımcıların müdahaleden memnuniyetleri değerlendirilmiştir. Bu sistematik incelemenin sonucuna göre eğitim, izlem ve motivasyonel görüşme gibi hemşirelik müdahalelerinin, Tip 2 diyabetli hastalarda öz bakım uygulamaları, öz yeterlilik/etkililik ve metabolik parametreler gibi öz yönetim sonuçlarının iyileştirilmesine katkıda bulunmuştur. Ancak incelenen çalışmalarda girişimlerin planlanması aşamasında hasta görüşlerine yer verilmemesi ve sadece 6 çalışmada katılımcıların girişimden memnuniyetlerinin değerlendirilmesi literatürde eksiklik olarak değerlendirilmektedir.

Anahtar Kelimeler: Diyabet; hemşirelik; öz yönetim, lisansüstü tez
ABSTRACT
 The purpose of this study is to systematically review nursing dissertations and theses on diabetes self-management conducted in Türkiye. Theses and dissertations registered to the National Thesis Center were searched using the detailed search section with two search strategies on January 2, 2023. Firstly, with the keywords "nursing" in the subject area, ''diabetes'' in the title, and secondly, ''nursing'' in the subject area, and ''diabetes'' in the abstract. 925 studies were obtained and 391 duplicate publications were deleted. 477 studies were excluded because they did not meet the inclusion criteria. 7 of the remaining 57 studies were not included in the review because the full text was not available. The remaining 50 studies were examined in detail in terms of the type of research, author, year, design, sample, intervention (content, method, and follow-up), tools, findings, and public/patient involvement to the research planning and participants' satisfaction. 13 theses and 37 dissertations were included in this study. Education was mostly implemented as an intervention. As an intervention, monitoring was done in 12 theses, counseling was given in 8 theses, motivational interviewing was applied in 6 theses, and reminder techniques were used in 11 theses. It has been observed that web, mobile and video-based trainings have been used more in the last 5 years. In 16 studies, interventions were structured based on a model/theory. The most frequently examined outcome parameter is HbA1c. Six studies evaluated participants' satisfaction with the intervention. The result of this systematic review show that nursing interventions such as education, follow-up and motivational interviewing, contributed to the improvement of self-management outcomes such as self-care practices, self-efficacy and metabolic parameters in Type 2 diabetes patients. However, none of the reviewed studies included patient involvement during the planning of interventions, and only six studies evaluated the participant's satisfaction with the intervention, which is considered a deficiency in the literature.

Keywords: Diabetes; nursing; self-management, graduate thesis
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Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com