The Effect of Nursing Approach on the Self-Management and Adjustment to the Illness among Newly Diagnosed Diabetic Patients According to Meleis’s Transition Theory
Restricted accessResearch articleFirst published online July, 2024
The Effect of Nursing Approach on the Self-Management and Adjustment to the Illness among Newly Diagnosed Diabetic Patients According to Meleis’s Transition Theory
This study aimed to determine how the nursing approach based on Meleis’s transition theory affects the self-management and adjustment to the illness among newly diagnosed diabetic patients. The study was conducted as one-group and pretest-posttest quasi-experimental design. The data were collected using the Introductory Questionnaire, the Diabetes Self-Management Questionnaire (DSMQ), and the Psychosocial Adjustment to Illness Scale–Self Report (PAIS-SR). It was determined that there was a positive increase in the total score of the DSMQ after the intervention, and a positive decrease in the total score of the PAIS-SR, and the difference between the scores were statistically significant (p < .05).
AdaylarM. (1995). Kronik Hastalığı Olan Bireylerin Hastalıktaki Tutum, Adaptasyon, Algı ve Öz Bakım Yönelimleri [Attitude, adaptation, perception and self-care priorities in disease of individuals with chronic illness]. [Unpublished doctoral dissertation]. Health Sciences Institute, Department of Nursing, İstanbul University.
2.
Amankwah-PokuM.AmoahA. G. B.Sefa-DedehA.AkpaluJ. (2020). Psychosocial distress, clinical variables and self-management activities associated with type 2 diabetes: A study in Ghana. Clinical Diabetes and Endocrinology, 6, 14. https://doi.org/10.1186/s40842-020-00102-7
3.
American Diabetes Association. (2017). 2. Classification and diagnosis of diabetes. Diabetes Care, 40(Suppl. 1), S11–24. https://doi.org/10.2337/dc17-S005
4.
American Diabetes Association. (2021). Introduction: Standards of medical care in diabetes—2021. Diabetes Care, 44(Suppl. 1), S1–S2. https://doi.org/10.2337/dc21-Sint
5.
AvdalE. U.UranB. N. Ö.PamukG.YildirimJ. G.KonakçiG.AteşM.PolatG. (2020). Investigation of the effect of web-based diabetes education on metabolic parameters in people with type 2 diabetes: A randomized controlled trial. Journal of Infection and Public Health, 13(12), 1892–1898. https://doi.org/10.1016/j.jiph.2020.03.008
6.
AzamiG.SohK. L.SazlinaS. G.SalmiahM.AazamiS.MozafariM.TaghinejadH. (2018). Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes. Journal of Diabetes Research, Article 4930157, 1–12. https://doi.org/10.1155/2018/4930157
7.
BarlowJ.WrightC.SheasbyJ.TurnerA.HainsworthJ. (2002). Self-management approaches for people with chronic conditions: A review. Patient Education and Counseling, 48(2), 177–187. https://doi.org/10.1016/S0738-3991(02)00032-0
8.
BezoB. H.HuangY-T.LinC-C. (2020). Factors influencing self-management behaviours among patients with type 2 diabetes mellitus in the Solomon Islands. Journal of Clinical Nursing, 29(5–6), 852–862. https://doi.org/10.1111/jocn.15139
9.
Castillo-HernandezK. G.Laviada-MolinaH.Hernandez-EscalanteV. M.Molina-SeguiF.Mena-MacossayL.CaballeroA. E. (2021). Peer support added to diabetes education improves metabolic control and quality of life in Mayan adults living with type 2 diabetes: A randomized controlled trial. Canadian Journal of Diabetes, 45(3), 206–213. https://doi.org/10.1016/j.jcjd.2020.08.107
10.
ChaiS.YaoB.XuL.WangD.SunJ.YuanN.ZhangX.JiL. (2018). The effect of diabetes self-management education on psychological status and blood glucose in newly diagnosed patients with diabetes type 2. Patient Education and Counseling, 101(8), 1427–1432. https://doi.org/10.1016/j.pec.2018.03.020
Dao-TranT. H.AndersonD.ChangA.SeibC.HurstC. (2018). Factors associated with self-management among Vietnamese adults with type 2 diabetes. Nursing Open, 5(4), 507–516. https://doi.org/10.1002/nop2.158
13.
DugglebyW.PloegJ.McAineyC.PeacockS.FisherK.GhoshS.Markle-ReidM.SwindleJ.WilliamsA.TriscottJ. A. C.ForbesD.RuizK. J. (2018). Web-based intervention for family carers of persons with dementia and multiple chronic conditions (My Tools 4 Care): Pragmatic randomized controlled trial. Journal of Medical Internet Research, 20(6), Article e10484. https://doi.org/10.2196/10484
14.
EroğluN.SabuncuN. (2018). Diyabet Öz Yönetim Skalası’nın (DÖYS) Türk toplumuna uyarlanması: Geçerlik ve güvenirlik çalışması. [Adaptation of diabetes self management questionnaire to Turkish society: Validity and reliability study]. Hemşirelik Bilimi Dergisi/Journal of Nursing Science, 1(3), 1–6.
15.
ErogluN.SabuncuN. (2021). The effect of education given to type 2 diabetic individuals on diabetes self-management and self-efficacy: Randomized controlled trial. Primary Care Diabetes, 15(3), 451–458. https://doi.org/10.1016/j.pcd.2021.02.011
16.
EyimayaA. Ö.TezelA. (2021). The effect of nursing approaches applied according to Meleis’ transition theory on menopause-specific quality of life. Health Care for Women International, 42(1), 107–126. https://doi.org/10.1080/07399332.2020.1825440
GündüzF.KarabulutluE. Y. (2016). Tip II diyabetes mellituslu hastalarda hastalık algısı, psikososyal uyum ve glisemik kontrolün değerlendirilmesi. [The assess of illness perception, psychosocial adjustment and glycemic control in type 2 diabetic mellitus patients]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19(2), 106–115. https://doi.org/10.17049/ahsbd.51708
19.
GungguA.ThonC. C.LianC. W. (2016). Predictors of diabetes self-management among type 2 diabetes patients. Journal of Diabetes Research, 2016, Article ID 9158943. https://doi.org/10.1155/2016/9158943
KarataşT.BostanoğluH. (2017). Perceived social support and psychosocial adjustment in patients with coronary heart disease. International Journal of Nursing Practice, 23(4), Article e12558. https://doi.org/10.1111/ijn.12558
24.
KaymazT. T.AkdemirN. (2016). Psychosocial adjustment of diabetic patients to their disease. Journal of Psychiatric Nursing, 7(2), 61–67. https://doi.org/10.5505/phd.2016.50251
25.
KesD.GökdoğanF. (2020). Relationship between medication adherence and psychosocial adjustment in patients with type 2 diabetes: A cross-sectional study. Nordic Journal of Nursing Research, 40(3), 116–122. https://doi.org/10.1177/2057158520937456
26.
KeyvanS.Khezri MoghadamN.RajabA. (2018). The effectiveness of mindfulness based stress reduction (MBSR) on psychosocial adjustment to illness in patient with type 2 diabetes. Iranian Journal of Diabetes and Metabolism, 17(2), 105–116. http://ijdld.tums.ac.ir/article-1-5668-en.html
27.
KindararaD. M.McEwenM. M.CristJ. D.LoescherL. J. (2017). Health-illness transition experiences with type 2 diabetes self-management of sub-Saharan African immigrants in the United States. The Science of Diabetes Self-Management and Care, 43(5), 506–518. https://doi.org/10.1177/0145721717724725
28.
KorukcuO.KukuluK. (2017). The effect of the mindfulness-based transition to motherhood program in pregnant women with preterm premature rupture of membranes. Health Care for Women International, 38(7), 765–785. https://doi.org/10.1080/07399332.2017.1318882
29.
LaiX. B.ChingS. S. Y.WongF. K. Y.LeungC. W. Y.LeeL. HWongJ. S. Y.LoY. F. (2019). A nurse-led care program for breast cancer patients in a chemotherapy day center: A randomized controlled trial. Cancer Nursing, 42(1), 20–34. https://doi.org/10.1097/NCC.0000000000000539
30.
LindmarkU.BülowP. H.MårtenssonJ.RönningH., & A.D.U.L.T Research Group. (2019). The use of the concept of transition in different disciplines within health and social welfare: An integrative literature review. Nursing Open, 6(3), 664–675. https://doi.org/10.1002/nop2.249
31.
LouJ.JingL.YangH.QinF.LongW.ShiR. (2019). Risk factors for diabetic nephropathy complications in community patients with type 2 diabetes mellitus in Shanghai: Logistic regression and classification tree model analysis. International Journal of Health Planning and Management, 34(3), 1013–1024. https://doi.org/10.1002/hpm.2871
32.
McEwenM. M.BairdM.PasvogelA.GallegosG. (2007). Health-illness transition experiences among Mexican immigrant women with diabetes. Family and Community Health, 30(3), 201–212. https://doi.org/10.1097/01.fch.0000277763.70031.0d
33.
MeleisA. I. (2010). Transitions theory: Middle range and situation specific theories in nursing research and practice. Springer Publishing Company.
34.
MeleisA. I. (2015). Transitions theory. In SmithM. C.ParkerM. E. (Eds.), Nursing Theories and Nursing Practice (4th ed., pp. 361–380). F. A. Davis Company
35.
MeleisA. I.SawyerL. M.ImE. O.MessiasD. K. H.SchumacherK. (2000). Experiencing transitions: An emerging middle-range theory. Advances in Nursing Science, 23(1), 12–28. https://doi.org/10.1097/00012272-200009000-00006
36.
OlgunN.AslanF. E.CoşansuG.ÇelikS. (2017). Diabetes mellitus. In KaradakovanA.AslanF. E. (Eds.), Dahili ve Cerrahi Hastalıklarda Bakım [Care in Internal and Surgical Diseases] (pp. 767–802). Academician Bookstore.
37.
SatmanI.OmerB.TutuncuY.KalacaS.GedikS.DinccagN.KarsidagK.GencS.TelciA.CanbazB.TurkerF.YilmazT.CakirB.TuomilehtoJ. (2013). Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European Journal of Epidemiology, 28(2), 169–180. https://doi.org/10.1007/s10654-013-9771-5
38.
SchmittA.GahrA.HermannsN.KulzerB.HuberJ.HaakT. (2013). The diabetes self-management questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health and Quality of Life Outcomes, 11(1), 1–14. https://doi.org/10.1186/1477-7525-11-138
Selçuk-TosunA.ZincirH. (2019). The effect of a transtheoretical model-based motivational interview on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial. International Journal of Nursing Practice, 25(4), Article e12742. https://doi.org/10.1111/ijn.12742
41.
SugloJ. N.EvansC. (2020). Factors influencing self-management in relation to type 2 diabetes in Africa: A qualitative systematic review, PloS One, 15(10), Article e0240938. https://doi.org/10.1371/journal.pone.0240938
42.
SungK. M.YuM.KangY. S.GuM. O.JungM. S.EunY.JeonM. Y. (2021). The effects of a tripod approach for cancer patients on illness stress, health-promoting lifestyle, hope, and resilience. Cancer Nursing, 44(2), 125–135. https://doi.org/10.1097/NCC.0000000000000746
43.
TakcıM. A.YıldırımG. (2021). Diyabet hastalarına Sağlık İnanç Modeli doğrultusunda verilen eğitimin sağlık inancına, öz etkililik algısına ve karar verme düzeyine etkisi [The effect of education given to patients with diabetes in line with health belief model on their health belief, perception of self-efficacy and decision-making level]. Lokman Hekim Dergisi / Lokman Hekim Journal, 11(1), 73–82. https://doi.org/10.31020/mutftd.752988
YıldızE. (2021). The relationship between self-efficacy and psychosocial adjustment of individuals with type 2 diabetes. Sakarya Medical Journal, 11(1), 32–41. https://doi.org/10.31832/smj.776863
46.
ZenginO.FıratE.AcarB. (2017). Bazı sosyo-demografik özellikler açısından diyabetli bireylerin psikososyal uyum düzeyleri üzerine bir araştırma [A Research on psychosocial adjustment levels of individuals with diabetes in terms of some sociodemographic features]. Bozok Tıp Derg / Bozok Medical Journal, 7(3), 73–80.
47.
ZiaA.BhattiA.JalilF.WangX.JohnP.KianiA. K.ZafarJ.KambohM. I. (2016). Prevalence of type 2 diabetes-associated complications in Pakistan. International Journal of Diabetes in Developing Countries, 36(2), 179–188. https://doi.org/10.1007/s13410-015-0380-6
