Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between e-Health Literacy and Health Promotion Self-Care Behaviors and Predictors of e-Health Literacy in Individuals with Type 2 Diabetes Mellitus: A Cross-Sectional Study
Tip 2 Diyabetli Bireylerde e-Sağlık Okuryazarlığı ile Sağlığı Geliştirme Öz bakım Davranışları Arasındaki İlişki ve e-Sağlık Okuryazarlığının Yordayıcıları: Kesitsel Çalışma
Eda KILINÇ İŞLEYENa , İrem Nur ÖZDEMİRb
aUşak University Faculty of Health Sciences, Department of Public Health Nursing, Uşak, Türkiye
bBakırköy Dr. Sadi Konuk Training and Research Hospital, R&D Unit, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):98-107
doi: 10.5336/nurses.2024-104274
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to reveal the relationship between e-Health literacy and health promotion self-care behaviors in individuals with type 2 diabetes. Material and Methods: This cross-sectional study was conducted in a training and research hospital. The sample consisted of 241 individuals with Type 2 diabetes. Data was collected using the Descriptive and e-Health Use Characteristics Form, e-Health Literacy Scale and The Diabetes Health Promotion Self-Care Scale. Descriptive analyses, independent sample t-test, one-way analysis of variance, correlation analysis and Multiple linear regression analyses were used to evaluate the data. Results: The average age of individuals with diabetes is 60.00 and 53% are female. While 84% of individuals with Type 2 diabetes have a smartphone, 61% access health information sources from the internet or social media. The mean score on e-Health literacy was 25.00 (moderate) and the mean score on the diabetes health promotion self-care was 90.00 (moderate). There was a weak, positive correlation between the mean score on the e-Health literacy and the mean score on the diabetes health promotion selfcare (r=0.159; p=0.014). The mean e-Health literacy score of diabetics who have a higher level of education, are employed, have a higher income, have a smart phone, and use the internet every day and for a long time was found to be significantly higher (p<0.05). Conclusion: e-Health literacy is an important predictor affecting diabetes health promotion self-care. Nurses can provide interventions to increase e-health literacy levels to health promotion self-care behaviors of individuals with Type 2 diabetes.

Keywords: Diabetes mellitus; health literacy; health promotion; self-care; nursing
ÖZET
 Amaç: Bu çalışmanın amacı, Tip 2 diyabetli bireylerde e-sağlık okuryazarlığı ile sağlığı geliştirme öz bakım davranışları arasındaki ilişkiyi ortaya koymaktır. Gereç ve Yöntemler: Bu kesitsel çalışma bir eğitim ve araştırma hastanesinde yürütülmüştür. Örneklem, Tip 2 diyabetli 241 kişiden oluşmaktadır. Veriler, Tanımlayıcı ve e-Sağlık Kullanım Özellikleri Formu, e-Sağlık Okuryazarlığı Ölçeği ve Diyabet Sağlığı Geliştirme Öz Bakım Ölçeği kullanılarak toplanmıştır. Verileri değerlendirmek için tanımlayıcı analizler, bağımsız örneklem t-testi, tek yönlü varyans analizi, korelasyon analizi ve Çoklu doğrusal regresyon analizleri kullanılmıştır. Bulgular: Diyabetli bireylerin yaş ortalaması 60,00 olup %53'ü kadındır. Tip 2 diyabetli bireylerin %84'ünün akıllı telefonu bulunurken, %61'i internet veya sosyal medyadan sağlık bilgi kaynaklarına ulaşmaktadır. e-Sağlık okuryazarlık puanı ortalaması 25,00 (orta) ve diyabet sağlığı geliştirme öz bakımı puanı ortalaması 90,00 (orta) olarak bulunmuştur. e-Sağlık okuryazarlık puan ortalaması ile diyabet sağlığı geliştirme öz bakım puanı ortalaması arasında zayıf ve pozitif bir korelasyon bulunmuştur (r=0,159; p=0,014). Eğitim düzeyi yüksek olan, çalışan, geliri yüksek olan, akıllı telefona sahip olan, her gün ve uzun süre internet kullanan diyabetlilerin e-sağlık okuryazarlık puan ortalamasının anlamlı düzeyde daha yüksek olduğu bulunmuştur (p<0,05). Sonuç: e-Sağlık okuryazarlığı, diyabet sağlığı geliştirme öz bakımını etkileyen önemli bir yordayıcıdır. Hemşireler, Tip 2 diyabetli bireylerin e-Sağlık okuryazarlık düzeylerini artırmaya yönelik müdahalelerde bulunarak sağlığı geliştirme öz bakım davranışlarını geliştirebilirler.

Anahtar Kelimeler: Diyabet; sağlık okuryazarlığı; sağlığı geliştirme; öz bakım; hemşirelik
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