Assessment the effect of diabetes education on self-care behaviors and glycemic control in the Turkey Nursing Diabetes Education Evaluating Project (TURNUDEP): a multi-center study
Selda Celik,
Nermin Olgun,
Feride Taskin Yilmaz,
Gulden Anataca,
Ilksen Ozsoy,
Nurcan Ciftci,
Elif Fidan Aykiz,
Serap Yasa,
Ebru Karakiraz,
Yeliz Ulker,
Yeliz Erdem Demirhan,
Sultan Yurtsever Celik,
Inci Arpaci,
Fulya Gunduz,
Derya Temel,
Cevahir Dincturk,
Betul Essiz Sefer,
Elif Bagdemir,
Esin Erdem,
Esra Sarimehmetoglu,
Fatime Sahin,
Gulay Gulsen,
Nese Kocakgol,
Sibel Gokmen,
Suna Damar,
Zekiye Celikoz,
Yesim Korkusuz,
Senay Kirlak,
Tugce Dede,
Behice Kahraman,
Arzu Sert,
Nesrin Cetin
Affiliations
Selda Celik
Hamidiye Faculty of Nursing, University of Health Sciences Turkey
Nermin Olgun
Faculty of Health Sciences, Hasan Kalyoncu University
Feride Taskin Yilmaz
Faculty of Health Sciences, Sakarya University of Applied Sciences
Gulden Anataca
University of Health Sciences Turkey, Kanuni Sultan Suleyman Training and Research Hospital
Ilksen Ozsoy
Istanbul Haydarpasa Numune Training and Research Hospital
Nurcan Ciftci
Kastamonu State Hospital
Elif Fidan Aykiz
Kocaeli SEKA State Hospital
Serap Yasa
Canakkale Mehmet Akif Ersoy State Hospital
Ebru Karakiraz
Sinop Boyabat 75, Yil State Hospital
Yeliz Ulker
25 Aralık State Hospital
Yeliz Erdem Demirhan
Faculty of Medicine Hospital, Kocaeli University
Sultan Yurtsever Celik
University of Health Sciences Turkey, Bagcılar Training and Research Hospital
Inci Arpaci
Şehit Kamil State Hospital
Fulya Gunduz
Antalya Kepez State Hospital
Derya Temel
Eskisehir Yunus Emre State Hospital
Cevahir Dincturk
Eskisehir State Hospital
Betul Essiz Sefer
Kartal Kosuyolu Yuksek Ihtisas Training and Research Hospital
Elif Bagdemir
Istanbul Faculty of Medicine, Istanbul University
Esin Erdem
Usak Training and Research Hospital
Esra Sarimehmetoglu
Bartin State Hospital
Fatime Sahin
Karabuk Training and Research Hospital
Gulay Gulsen
Ondokuz Mayıs University Hospital
Nese Kocakgol
Gaziantep Dr. Ersin Arslan Training and ResearchHospital
Sibel Gokmen
Urla State Hospital
Suna Damar
Usak Training and Research Hospital
Zekiye Celikoz
Umraniye Training and Research Hospital
Yesim Korkusuz
Kutahya Evliya Celebi Training and Research Hospital
Senay Kirlak
Hamidiye Faculty of Medicine, University of Health Sciences Turkey, Istanbul Kartal Dr. Lutfi Kirdar City Hospital
Tugce Dede
Acibadem Maslak Hospital
Behice Kahraman
Turkish Diabetes Association
Arzu Sert
Isparta City Hospital
Nesrin Cetin
Hamidiye Faculty of Medicine, University of Health Sciences Turkey, Istanbul Kartal Dr. Lutfi Kirdar City Hospital
Abstract Background Diabetes education in Turkey is provided by diabetes nurse educators in almost all healthcare organizations. However, the education is not standardized in terms of learning content, duration, and methods. This multi-center study was performed to assess the self-care behaviors and glycemic control following education provided to the patients with type 2 diabetes mellitus by diabetes nurse educators. Methods This was a descriptive and cross-sectional study and included 1535 patients admitted to 28 public hospitals for the treatment of type 2 diabetes mellitus. The education was assessed by using a Patient Identification Form and Self-care Scale. Results The proportion of individuals who received diabetes education within the last year was 78.5%, with 46.7% of them having received it once. Of the patients, 84.8% reported that they received diabetes education individually. It was found that the proportion of individuals who received education about oral antidiabetics (78.5%) and glucose testing at home (78.5%) was higher than the proportion of individuals who received education about exercise (58.8%) and foot care (61.6%). The status of diabetes education, education intervals, and the correlation of the education method with self-care and glycemic control was evaluated. Self-care and glycemic control levels were better among the patients who received diabetes education thrice or more and in patients who received education both individually and in a group (p < 0.05). Conclusions Approximately three-quarters of individuals with type 2 diabetes mellitus received education by diabetes nurse educators in Turkey. Diabetes education is positively correlated with self-care and glycemic control levels among patients with type 2 diabetes mellitus. Efforts for generalization and standardized education for all diabetes patients are necessary.
