Correlates and depression among married women outpatients with Type II diabetes:an exploratory study

ÇELİK, Selda; Gölbaşı, Zehra; Kelleci, Meral; AYDEMİR, Eylem

Correlates and depression among married women outpatients with Type II diabetes:an exploratory study

Meral KELLECİ, (Cumhuriyet University,Faculty of Health Science,Nursing Department, Sivas, Turkey)

Zehra GÖLBAŞI, (Cumhuriyet University,Faculty of Health Science,Nursing Department, Sivas, Turkey)

Selda ÇELİK, (Istanbul University, Istanbul Faculty of Medicine, Division of Endocrinology and Metabolism, Istanbul, Turkey)

Eylem AYDEMİR (Cumhuriyet University, Faculty of Science, Statistics Department, Sivas, Turkey)

Cumhuriyet Tıp Dergisi (ELEKTRONİK)

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Yıl: 2016 Cilt: 38 Sayı: 2 Sayfa Aralığı: 98 - 109 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Correlates and depression among married women outpatients with Type II diabetes:an exploratory study

Öz:

Amaç: Bu çalışmada tip II diyabeti olan evli kadınlarda depresyon ve etkileyen faktörleri incelemek amaçlandı. Çalışmada tip II diyabeti olan evli kadınlardan depresyonla ilişkili olabilecek demografik, medikal ve biyokimyasal etmenler incelendi. Yöntem: Diyabet polikliniğine başvuran, tip II diyabeti olan, evli, psikiyatrik bir tanısı olmayan, çalışmaya katılmayı kabul eden 351 kadın çalışmanın örneklemini oluşturdu. Depresyon durumu Genel sağlık Anketi-28 (GSQ-28) ile değerlendirildi. Biyokimyasal durum ile ilgili veriler (AKŞ, HbA1c, total trigliserid total kolesterol, LDL, HDL), sosyodemografik özellikler ve hastalık özellikleri medikal kayıtlardan ve hastalarla yapılan görüşmelerden elde edildi. Bulgular: Kadınların %42.7'si depresyon açısından riskli bulundu. Yapılan lojistik regresyon analizinde çocuk sayısı 3 ve üzerinde olan kadınların iki ve daha az çocuğu olanlara göre depresyon riski taşıma olasılığı 1.848 (%95 Cl:1.135-3.009;p< 0.05) kat yüksek bulundu. Eş eğitimi ilköğretim ve daha düşük olan kadınların depresyon riski 0.471 (%95 Cl:.279- .794; p< 0.05) kez daha yüksek, insülin tedavisi kullanan kadınların 0.528 (%95 Cl:.317-.879;p< 0.05) kat, LDL düzeyi normalden yüksek olanların 2,366 (%95 Cl:1.069-5.238;p< 0.05) kat, hipertansiyonu olanların 1,642 (%95 Cl:1.012-2.665; p< 0.05) kat ve trigliserit düzeyi yüksek olanların ise 0,543 (%95 Cl:.324-.909; p< 0.05) kat daha yüksek olduğu saptandı. HbA1c ye göre GHQ puanları arasında anlamlı bir fark bulunmadı (p> 0.05). Sonuç: Bu çalışma tip II diyabeti olan kadınların yarıya yakının depresyon açısından riskli olduğunu, eğitim düzeyi, çocuk sayısı, hastalık süresi, hipertansiyon varlığı, kullanılan tedavi tipi ve bazı biyokimyasal göstergelerin diyabet sağlık bakımında önemli faktörler olduğunu gösterdi.

Anahtar Kelime:

Konular: Cerrahi

Tip 2 diyabeti olan evli kadınlarda depresyon ve ilişkili faktörler

Öz:

Objektive: The purpose of this study was to examine correlates and depression among marriedwomen with Type II diabetes attended the diabetes outpatient clinic. We studied depression inwomen with Type II diabetes in relation to their demographic, medical and biochemicalcharacteristics.Method:The study sample included 351 women with Type II diabetes who presented to the diabetesoutpatient clinic, were married, had no psychiatric diagnosis, and agreed to participate in the study.Their depression status was assessed with the General Health Questionnaire-28 (GHQ-28). The dataon biochemical test results (fasting blood glucose, HbA1c, total triglycerides, total cholesterol, LDL,HDL), socio-demographic and disease characteristics were obtained from the patients' medicalrecords or through interviews held with the patients.Results: Of the participants 42.7% were found to be at a greater risk for depression. The logisticregression analysis revealed that the participants having three or more children were at risk ofdepression 1.848 times more than were those having two or fewer children (95% CI: 1135-3009, p<0.05). Depression risk was also higher in those married to a husband with primary school or lowereducation [0.471 times (95% CI: .279- .794, p <0.05)], having insulin treatment [0.528 times (95%CI: .317-.879, p < 0.05)], having LDL levels higher than normal [2.366 times (95% CI: 1069-5238,p < 0.05)], having hypertension [1.642 times (95% CI: 1012-2665, p < 0.05)] and having high levelsof triglycerides [0.543 times (95% Cl: .324-.909, p < 0.05)]. In terms of HbA1c levels, there was nosignificant difference between the GHQ scores (p> 0.05).Conclusions: This study revealed that nearly half of the participants with Type II diabetes were atrisk of depression, and that factors such as education level, the number of the children, duration ofthe disease, presence of hypertension, the treatment type and some of the biochemical indicatorsplayed an important part in diabetes-related health care.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kelleci M, Gölbaşı Z, ÇELİK S, AYDEMİR E (2016). Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. , 98 - 109.
Chicago	Kelleci Meral,Gölbaşı Zehra,ÇELİK Selda,AYDEMİR Eylem Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. (2016): 98 - 109.
MLA	Kelleci Meral,Gölbaşı Zehra,ÇELİK Selda,AYDEMİR Eylem Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. , 2016, ss.98 - 109.
AMA	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. . 2016; 98 - 109.
Vancouver	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. . 2016; 98 - 109.
IEEE	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E "Correlates and depression among married women outpatients with Type II diabetes:an exploratory study." , ss.98 - 109, 2016.
ISNAD	Kelleci, Meral vd. "Correlates and depression among married women outpatients with Type II diabetes:an exploratory study". (2016), 98-109.

APA	Kelleci M, Gölbaşı Z, ÇELİK S, AYDEMİR E (2016). Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. Cumhuriyet Tıp Dergisi (ELEKTRONİK), 38(2), 98 - 109.
Chicago	Kelleci Meral,Gölbaşı Zehra,ÇELİK Selda,AYDEMİR Eylem Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. Cumhuriyet Tıp Dergisi (ELEKTRONİK) 38, no.2 (2016): 98 - 109.
MLA	Kelleci Meral,Gölbaşı Zehra,ÇELİK Selda,AYDEMİR Eylem Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. Cumhuriyet Tıp Dergisi (ELEKTRONİK), vol.38, no.2, 2016, ss.98 - 109.
AMA	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2016; 38(2): 98 - 109.
Vancouver	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E Correlates and depression among married women outpatients with Type II diabetes:an exploratory study. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2016; 38(2): 98 - 109.
IEEE	Kelleci M,Gölbaşı Z,ÇELİK S,AYDEMİR E "Correlates and depression among married women outpatients with Type II diabetes:an exploratory study." Cumhuriyet Tıp Dergisi (ELEKTRONİK), 38, ss.98 - 109, 2016.
ISNAD	Kelleci, Meral vd. "Correlates and depression among married women outpatients with Type II diabetes:an exploratory study". Cumhuriyet Tıp Dergisi (ELEKTRONİK) 38/2 (2016), 98-109.