Diyabet Öz Yönetiminde Çok Disiplinli Ekip Yaklaşımı

Arzu Yıldırım; Arif Bayram Hacıhasanoğlu; Nafiz Bozdemir; Rabia Hacıhasanoğlu Aşılar

doi:10.21763/tjfmpc.698927

Derleme

Diyabet Öz Yönetiminde Çok Disiplinli Ekip Yaklaşımı

Yıl 2020, Cilt: 14 Sayı: 3, 479 - 491, 20.09.2020

Arzu Yıldırım Arif Bayram Hacıhasanoğlu Nafiz Bozdemir Rabia Hacıhasanoğlu Aşılar

https://doi.org/10.21763/tjfmpc.698927

Cited By: 1

Öz

Diyabet, önemli morbidite ve mortalite ile ilişkili olan, küresel boyutta en hızlı artan, ciddi ve maliyeti yüksek halk sağlığı sorunlarından birisidir. Hastalar tarafından günlük olarak yapılması gereken karmaşık bakım faaliyetleri ve öz yönetimle ilgili çok sayıda karar vermeyi gerektiren kronik bir hastalıktır. Diyabetle ilişkili komplikasyonları azaltma ve geciktirmede bireylerin yeterli ve etkili öz yönetim eğitimi ve desteği alması önemlidir. Bu nedenle etkili diyabet öz yönetim bilgi ve becerilerini geliştirmek için diyabeti olan bireylerin özellikle birinci basamakta aile hekimi ve hemşire liderliğinde gerçekleştirilen müdahalelerle desteklenmesi bir gerekliliktir. Bu derlemede çok disiplinli ekip yaklaşımı ile hastanın gereksinimleri, kültürel değerleri, inançları, eğitim ve ekonomik durumu göz önünde bulundurularak, uygulanabilir, kolay ve erişilebilir müdahalelerle diyabette sağlık ve öz yönetim ilişkisinin anlaşılabilirliğinde temel etkenler, objektif ve kapsamlı olarak ortaya koymak amaçlanmıştır.

Anahtar Kelimeler

Diyabet, Özyönetim, , çok disiplinli ekip yaklaşımı

Kaynakça

1. Bilir N, Erbaydar NP. Bulaşıcı olmayan hastalıklar ve kontrolü. Halk Sağlığı Temel Bilgiler 3. Edit: Güler Ç, Akın L. Hacettepe Üniversitesi Yayınları, 3. Baskı- Tıpkı Basım, Ankara, 2015; s: 1550-1551.
2. Agarwal G, Gaber J, Richardson J, Mangin D, Ploeg J, Valaitis R, et al. Pilot randomized controlled trial of a complex intervention for diabetes selfmanagement supported by volunteers, technology, and interprofessional primary health care teams. Pilot and Feasibility Studies 2019; 5:1-16.
3. Cho NH, Shaw JE, Karuranga S, Huang Y, Fernandes JDR, Ohlrogge AW et al. IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and Projections for 2045. Diabetes Res Clin Pract. 2018;138:271-281.
4. Diabetes Self-Management Report. Georgia Department of Public Health, 2013. https://dph.georgia.gov/sites/dph.georgia.gov/files/DiabetesSelfManagement_WebVersion.pdf Erişim: 05.11.2019.
5. Guo Z, Liu J, Zeng H, He G, Ren X, Guo J. Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient Prefer Adherence. 2019;13:1353-1362.
6. IDF Diabetes Atlas. 9th Edition, 2019. https://www.diabetesatlas.org/en/sections/worldwide-toll-of-diabetes.html Erişim: 04.11.2019.
7. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. TURDEP-II Study Group. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28:169-80.
8. Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, et al. Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2018;61:2461-2498.
9. Kousoulis AA, Patelarou E, Shea S, Foss C, Ruud Knutsen IA, Todorova E, et al. Diabetes selfmanagement arrangements in Europe:a realist review to facilitate a project implemented in six countries. BMC Health Serv Res. 2014;14:1-18.
10. Ross J, Stevenson FA, Dack C, Pal K, May CR, Michie S, et al. Health care professionals' views towards selfmanagement and selfmanagement education for people with type 2 diabetes. BMJ Open. 2019;9(7):e029961, 1-11.
11. Carpenter R, DiChiacchio T, Barker K. Interventions for self-management of type 2 diabetes: An integrative review. Int J Nurs Sci. 2018;6(1):70-91.
12. Bodenheimer T, Macgregor K, Sharifi C: Helping patients manage their chronic conditions. Oakland, CA, California Health Care Foundation, 2005. https://www.chcf.org/wp-content/uploads/2017/12/PDF-HelpingPatientsManageTheirChronicConditions.pdf. Erişim: 24.02.2020
13. Hinder S, Greenhalgh T. "This does my head in". Ethnographic study of self-management by people with diabetes. BMC Health Serv Res. 2012;12:1-16.
14. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016; 99:926-43. (Erişim: 05.11.2019).
15. American Diabetes Association, 4. Foundations of care: education, nutrition, physical activity, smoking cessation, psychosocial care, and immunization, Diabetes Care 2015; 38 (Supplement 1): S20–S30.
16. Kourakos MI, Enhancing self-management in diabetes: the value of therapeutic education. IJHSR 2017; 7:315-21.
17. Al Johani KA, Kendall GE, Snider PD. Self management practices among type 2 diabetes patients attending primary healthcare centres in Medina, Saudi Arabia. East Mediterr Health J. 2015;21(9):621-8.
18. Coyle ME, Francis K, Chapman Y. Self-management activities in diabetes care: a systematic review. Aust Health Rev. 2013; 37(4):513-22.
19. Koenigsberg MR, Corliss J. Diabetes self-management: facilitating lifestyle change. Am Fam Physician. 2017;96(6):362-370.
20. S Van den Broucke, GH Van der Zanden and the Diabetes Literacy consortium. Diabetes literacy. Enhancing the effectiveness of diabetes self-management education. Final report. Louvain-la-Neuve: Université catholique de Louvain, 2016. https://cordis.europa.eu/docs/results/306/306186/final1-diabetesliteracyfinal.pdf Erişim: 01.11.2019.
21. Haas L, Maryniuk M, Beck J, Cox CE, Duker P, Edwards L, et al. National standards for diabetes self-management education and support. Diabetes Educ. 2012;38:619-29.
22. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self management education and support in type 2 diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115:1323-34.
23. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National Standards for Diabetes Self-Management Education. Diabetes Care. 2011; 34(Suppl 1): S89–S96.
24. Sherifali D, Berard LD, Gucciardi E, MacDonald B, MacNeill G. Self-Management Education and Support. Diabetes Canada Clinical Practice Guidelines Expert Committee. Can J Diabetes. 2018;42 Suppl 1:S36-S41.
25. Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S. Behavioral interventions to improve self-management in Iranian adults with type 2 diabetes: a systematic review and meta-analysis. J Diabetes Metab Disord. 2018;17:365-380.
26. Cani CG, Lopes LS, Queiroz M, Nery M. Improvement in medication adherence and self-management of diabetes with a clinical pharmacy program: a randomized controlled trial in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital. Clinics. 2015;70:102-106.
27. Okuroğlu GK, Alpar ŞE. Diyabette web tabanlı uzaktan eğitim: online diyabet eğitim programı örneği. Turkiye Klinikleri J Intern Med Nurs-Special Topics 2015;1(3):24-30.
28. He X, Li J, Wang B, Yao Q, Li L, Song R, et al. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine 2017;55:712-731.
29. Olry de Labry Lima A, Bermúdez Tamayo C, Pastor Moreno G, Bolívar Muñoz J, Ruiz Pérez I, Johri M. Effectiveness of an intervention to improve diabetes self-management on clinical outcomes in patients with low educational level. Gac Sanit. 2017;31:40-47.
30. Houweling ST, Kleefstra N, van Hateren KJ, Groenier KH, Meyboom-de Jong B, Bilo HJ. Can diabetes management be safely transferred to practice nurses in a primary care setting? A randomised controlled trial. J Clin Nurs. 2011;20:1264-72.
31. Peros J, James K, Nolan S, Meyerhoff B. Diabetes Self-Management Education (DSME) program for glycemic control. Integr Obesity Diabetes 2016; 2: 239-244.
32. Klein HA, Jackson SM, Street K, Whitacre JC, Klein G. Diabetes self-management education: miles to go. Nurs Res Pract. 2013; 2013:1-15.
33. Royal college of nursing/clinical/diabetes/education, prevention and the role of the nursing team. https://www.rcn.org.uk/clinical-topics/diabetes/education-prevention-and-the-role-of-the-nurse. Erişim: 01.11.2019.
34. Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S, Mozafari M, et al. Effect of a nurse-led diabetes selfmanagement education program on glycosylated hemoglobin among adults with type 2 diabetes. J Diabetes Res. 2018; 2018:1-12.
35. Tshiananga JK, Kocher S, Weber C, Erny-Albrecht K, Berndt K, Neeser K. The effect of nurse-led diabetes selfmanagement education on glycosylated hemoglobin and cardiovascular risk factors: a meta-analysis. Diabetes Educ. 2012;38:108-23.
36. Kirby S, Moore M, McCarron T, Perkins D, Lyle D. Nurse-led diabetes management in remote locations. Can J Rural Med. 2015;20:51-5.
37. Sağlık Bakanlığı (2011) Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. Resmi Gazete, 27910 (19.04.2011).
38. Olgun N, Altun ZA. Sağlık İnanç Modeli Doğrultusunda Verilen Eğitimin Diyabet Hastalarının Bakım Uygulamalarına Etkisi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2012; 46-57.
39. Eroğlu N. Tip 2 diyabetli hastalarda eğitimin diyabet öz yönetim ve öz etkililiklerine etkisi. Haliç Üniversitesi Sağlık Bilimleri Enstitüsü. Yayınlanmamış Doktora Tezi. İstanbul, 2017.
40. The European definitions of the key features of the discipline of general practice the role of the general practitioner and a description of the core competencies of the general practitioner / family physician. WONCA Europe 2011 Edition. https://sagam.at/system/files/attachments/european_definition_3rd_ed_2011_with_revised_wonca_tree.pdf (Erişim: 12.04.2020).
41. Aile Hekimliği Uygulama Yönetmeliği. Resmî Gazete Tarihi: 25.01.2013 Resmî Gazete Sayısı: 28539.
42. Türkiye Aile Hekimleri Uzmanlık Derneği (TAHUD) Kısa Raporu. 2017. https://www.tahud.org.tr/file/ac9eef0c-0749-4d7b-9f45 03b79672e991/THSK%20Rapor%20Toplam.pdf (Erişim: 12.04.2020).
43. Ungan M. Aile hekimliğinde sayı, sistem, nitelik ve eğitim. Sağlık Düşüncesi ve Tıp Kültürü Dergisi 2019; 49: 26-29.
44. Aile Hekimliği Uygulama Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. 16. 05.2017. Resmi Gazete. Sayı : 30068.
45. Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliği. 24.03.2013. Resmi Gazete. Sayı: 28597.
46. Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group-based self-management education for individuals with Type 2 diabetes: a systematic review with meta-analyses and meta-regression. Diabet Med. 2017;34:1027-1039.
47. Mohamed A, Staite E, Ismail K, Winkley K. A systematic review of diabetes self management education interventions for people with type 2 diabetes mellitus in the Asian Western Pacific (AWP) region. Nurs Open. 2019;6(4):1424-1437.
48. Mardanian Dehkordi L, Abdoli S. Diabetes Self-management education; experience of people with diabetes. J Caring Sci. 2017;6(2):111-118.
49. Self-Management Support: A Health Care Intervention. BC Ministry of Health. British Columbia, 2011.https://www.selfmanagementbc.ca/uploads/What%20is%20Self-Management/PDF/SelfManagement%20Support%20A%20health%20care%20intervention%202011.pdf Erişim: 06.11. 2019
50. Whittemore R, Vilar-Compte M, De La Cerda S, Marron D, Conover R, Delvy R, et al. Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study. Int J Equity Health. 2019;18(1):133.

Multidisciplinary Team Approach in Diabetes Self Management

Yıl 2020, Cilt: 14 Sayı: 3, 479 - 491, 20.09.2020

Arzu Yıldırım Arif Bayram Hacıhasanoğlu Nafiz Bozdemir Rabia Hacıhasanoğlu Aşılar

https://doi.org/10.21763/tjfmpc.698927

Cited By: 1

Öz

Diabetes is one of the fastest growing globally, serious and costly public health problems associated with significant morbidity and mortality. It is a chronic disease that requires many decisions about complex care activities and self-management that must be done daily by patients. It is important that individuals receive adequate and effective self-management education and support in reducing and delaying complications related to diabetes. Therefore, in order to develop effective diabetes self-management knowledge and skills, it is a necessity to support individuals with interventions carried out especially in primary care under the leadership of family physicians and nurses. In this review, by considering the needs, cultural values, beliefs, education and economic status of the patient, with the multidisciplinary team approach, the main factors in understanding the health and self-management relationship in diabetes with practical, easy and accessible interventions are aimed to be objective and comprehensive offer.

Anahtar Kelimeler

Diabetes, self management, multidisciplinary team approach

Kaynakça

1. Bilir N, Erbaydar NP. Bulaşıcı olmayan hastalıklar ve kontrolü. Halk Sağlığı Temel Bilgiler 3. Edit: Güler Ç, Akın L. Hacettepe Üniversitesi Yayınları, 3. Baskı- Tıpkı Basım, Ankara, 2015; s: 1550-1551.
2. Agarwal G, Gaber J, Richardson J, Mangin D, Ploeg J, Valaitis R, et al. Pilot randomized controlled trial of a complex intervention for diabetes selfmanagement supported by volunteers, technology, and interprofessional primary health care teams. Pilot and Feasibility Studies 2019; 5:1-16.
3. Cho NH, Shaw JE, Karuranga S, Huang Y, Fernandes JDR, Ohlrogge AW et al. IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and Projections for 2045. Diabetes Res Clin Pract. 2018;138:271-281.
4. Diabetes Self-Management Report. Georgia Department of Public Health, 2013. https://dph.georgia.gov/sites/dph.georgia.gov/files/DiabetesSelfManagement_WebVersion.pdf Erişim: 05.11.2019.
5. Guo Z, Liu J, Zeng H, He G, Ren X, Guo J. Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient Prefer Adherence. 2019;13:1353-1362.
6. IDF Diabetes Atlas. 9th Edition, 2019. https://www.diabetesatlas.org/en/sections/worldwide-toll-of-diabetes.html Erişim: 04.11.2019.
7. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. TURDEP-II Study Group. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28:169-80.
8. Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, et al. Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2018;61:2461-2498.
9. Kousoulis AA, Patelarou E, Shea S, Foss C, Ruud Knutsen IA, Todorova E, et al. Diabetes selfmanagement arrangements in Europe:a realist review to facilitate a project implemented in six countries. BMC Health Serv Res. 2014;14:1-18.
10. Ross J, Stevenson FA, Dack C, Pal K, May CR, Michie S, et al. Health care professionals' views towards selfmanagement and selfmanagement education for people with type 2 diabetes. BMJ Open. 2019;9(7):e029961, 1-11.
11. Carpenter R, DiChiacchio T, Barker K. Interventions for self-management of type 2 diabetes: An integrative review. Int J Nurs Sci. 2018;6(1):70-91.
12. Bodenheimer T, Macgregor K, Sharifi C: Helping patients manage their chronic conditions. Oakland, CA, California Health Care Foundation, 2005. https://www.chcf.org/wp-content/uploads/2017/12/PDF-HelpingPatientsManageTheirChronicConditions.pdf. Erişim: 24.02.2020
13. Hinder S, Greenhalgh T. "This does my head in". Ethnographic study of self-management by people with diabetes. BMC Health Serv Res. 2012;12:1-16.
14. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016; 99:926-43. (Erişim: 05.11.2019).
15. American Diabetes Association, 4. Foundations of care: education, nutrition, physical activity, smoking cessation, psychosocial care, and immunization, Diabetes Care 2015; 38 (Supplement 1): S20–S30.
16. Kourakos MI, Enhancing self-management in diabetes: the value of therapeutic education. IJHSR 2017; 7:315-21.
17. Al Johani KA, Kendall GE, Snider PD. Self management practices among type 2 diabetes patients attending primary healthcare centres in Medina, Saudi Arabia. East Mediterr Health J. 2015;21(9):621-8.
18. Coyle ME, Francis K, Chapman Y. Self-management activities in diabetes care: a systematic review. Aust Health Rev. 2013; 37(4):513-22.
19. Koenigsberg MR, Corliss J. Diabetes self-management: facilitating lifestyle change. Am Fam Physician. 2017;96(6):362-370.
20. S Van den Broucke, GH Van der Zanden and the Diabetes Literacy consortium. Diabetes literacy. Enhancing the effectiveness of diabetes self-management education. Final report. Louvain-la-Neuve: Université catholique de Louvain, 2016. https://cordis.europa.eu/docs/results/306/306186/final1-diabetesliteracyfinal.pdf Erişim: 01.11.2019.
21. Haas L, Maryniuk M, Beck J, Cox CE, Duker P, Edwards L, et al. National standards for diabetes self-management education and support. Diabetes Educ. 2012;38:619-29.
22. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self management education and support in type 2 diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115:1323-34.
23. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National Standards for Diabetes Self-Management Education. Diabetes Care. 2011; 34(Suppl 1): S89–S96.
24. Sherifali D, Berard LD, Gucciardi E, MacDonald B, MacNeill G. Self-Management Education and Support. Diabetes Canada Clinical Practice Guidelines Expert Committee. Can J Diabetes. 2018;42 Suppl 1:S36-S41.
25. Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S. Behavioral interventions to improve self-management in Iranian adults with type 2 diabetes: a systematic review and meta-analysis. J Diabetes Metab Disord. 2018;17:365-380.
26. Cani CG, Lopes LS, Queiroz M, Nery M. Improvement in medication adherence and self-management of diabetes with a clinical pharmacy program: a randomized controlled trial in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital. Clinics. 2015;70:102-106.
27. Okuroğlu GK, Alpar ŞE. Diyabette web tabanlı uzaktan eğitim: online diyabet eğitim programı örneği. Turkiye Klinikleri J Intern Med Nurs-Special Topics 2015;1(3):24-30.
28. He X, Li J, Wang B, Yao Q, Li L, Song R, et al. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine 2017;55:712-731.
29. Olry de Labry Lima A, Bermúdez Tamayo C, Pastor Moreno G, Bolívar Muñoz J, Ruiz Pérez I, Johri M. Effectiveness of an intervention to improve diabetes self-management on clinical outcomes in patients with low educational level. Gac Sanit. 2017;31:40-47.
30. Houweling ST, Kleefstra N, van Hateren KJ, Groenier KH, Meyboom-de Jong B, Bilo HJ. Can diabetes management be safely transferred to practice nurses in a primary care setting? A randomised controlled trial. J Clin Nurs. 2011;20:1264-72.
31. Peros J, James K, Nolan S, Meyerhoff B. Diabetes Self-Management Education (DSME) program for glycemic control. Integr Obesity Diabetes 2016; 2: 239-244.
32. Klein HA, Jackson SM, Street K, Whitacre JC, Klein G. Diabetes self-management education: miles to go. Nurs Res Pract. 2013; 2013:1-15.
33. Royal college of nursing/clinical/diabetes/education, prevention and the role of the nursing team. https://www.rcn.org.uk/clinical-topics/diabetes/education-prevention-and-the-role-of-the-nurse. Erişim: 01.11.2019.
34. Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S, Mozafari M, et al. Effect of a nurse-led diabetes selfmanagement education program on glycosylated hemoglobin among adults with type 2 diabetes. J Diabetes Res. 2018; 2018:1-12.
35. Tshiananga JK, Kocher S, Weber C, Erny-Albrecht K, Berndt K, Neeser K. The effect of nurse-led diabetes selfmanagement education on glycosylated hemoglobin and cardiovascular risk factors: a meta-analysis. Diabetes Educ. 2012;38:108-23.
36. Kirby S, Moore M, McCarron T, Perkins D, Lyle D. Nurse-led diabetes management in remote locations. Can J Rural Med. 2015;20:51-5.
37. Sağlık Bakanlığı (2011) Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. Resmi Gazete, 27910 (19.04.2011).
38. Olgun N, Altun ZA. Sağlık İnanç Modeli Doğrultusunda Verilen Eğitimin Diyabet Hastalarının Bakım Uygulamalarına Etkisi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2012; 46-57.
39. Eroğlu N. Tip 2 diyabetli hastalarda eğitimin diyabet öz yönetim ve öz etkililiklerine etkisi. Haliç Üniversitesi Sağlık Bilimleri Enstitüsü. Yayınlanmamış Doktora Tezi. İstanbul, 2017.
40. The European definitions of the key features of the discipline of general practice the role of the general practitioner and a description of the core competencies of the general practitioner / family physician. WONCA Europe 2011 Edition. https://sagam.at/system/files/attachments/european_definition_3rd_ed_2011_with_revised_wonca_tree.pdf (Erişim: 12.04.2020).
41. Aile Hekimliği Uygulama Yönetmeliği. Resmî Gazete Tarihi: 25.01.2013 Resmî Gazete Sayısı: 28539.
42. Türkiye Aile Hekimleri Uzmanlık Derneği (TAHUD) Kısa Raporu. 2017. https://www.tahud.org.tr/file/ac9eef0c-0749-4d7b-9f45 03b79672e991/THSK%20Rapor%20Toplam.pdf (Erişim: 12.04.2020).
43. Ungan M. Aile hekimliğinde sayı, sistem, nitelik ve eğitim. Sağlık Düşüncesi ve Tıp Kültürü Dergisi 2019; 49: 26-29.
44. Aile Hekimliği Uygulama Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. 16. 05.2017. Resmi Gazete. Sayı : 30068.
45. Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliği. 24.03.2013. Resmi Gazete. Sayı: 28597.
46. Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group-based self-management education for individuals with Type 2 diabetes: a systematic review with meta-analyses and meta-regression. Diabet Med. 2017;34:1027-1039.
47. Mohamed A, Staite E, Ismail K, Winkley K. A systematic review of diabetes self management education interventions for people with type 2 diabetes mellitus in the Asian Western Pacific (AWP) region. Nurs Open. 2019;6(4):1424-1437.
48. Mardanian Dehkordi L, Abdoli S. Diabetes Self-management education; experience of people with diabetes. J Caring Sci. 2017;6(2):111-118.
49. Self-Management Support: A Health Care Intervention. BC Ministry of Health. British Columbia, 2011.https://www.selfmanagementbc.ca/uploads/What%20is%20Self-Management/PDF/SelfManagement%20Support%20A%20health%20care%20intervention%202011.pdf Erişim: 06.11. 2019
50. Whittemore R, Vilar-Compte M, De La Cerda S, Marron D, Conover R, Delvy R, et al. Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study. Int J Equity Health. 2019;18(1):133.

Toplam 50 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Konular	Sağlık Kurumları Yönetimi
Bölüm	Derleme
Yazarlar	Arzu Yıldırım 0000-0002-5867-0897 Arif Bayram Hacıhasanoğlu Bu kişi benim 0000-0002-0542-529X Nafiz Bozdemir 0000-0002-2204-9820 Rabia Hacıhasanoğlu Aşılar 0000-0002-7371-3883
Yayımlanma Tarihi	20 Eylül 2020
Gönderilme Tarihi	4 Mart 2020
Yayımlandığı Sayı	Yıl 2020 Cilt: 14 Sayı: 3

Kaynak Göster

Vancouver	Yıldırım A, Hacıhasanoğlu AB, Bozdemir N, Hacıhasanoğlu Aşılar R. Diyabet Öz Yönetiminde Çok Disiplinli Ekip Yaklaşımı. TJFMPC. 2020;14(3):479-91.

Cited By

Tip 2 Diyabette Semptom Durumu, Öz Yönetim ve Bakım Bağımlılığı Arasındaki İlişkiye Genel Bakış

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi

https://doi.org/10.31125/hunhemsire.1205649

Kapak Resmi İndir

Makale Dosyaları

Tam Metin

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.