Comparison of disease-related attitudes and problem areas in elderly with diabetes using insulin and oral antidiabetics

In this study, it was aimed to compare the attitudes of older diabetic patients using oral antidiabetics and insulin against the disease and the problem areas. The patients who applied to the Bolu Abant Izzet Baysal education and Research Hospital Internal Diseases Department Endocrinology Polyclinic and inpatient treatment in the Internal Medicine Department with diabetes type 2 diagnosis at least a year ago, who was 65 years or older, had no psychiatric disorder, the score obtained from the Mini Mental Status test is 24 and above and admited the research composed the horizon of this study. A total of 100 elderly individuals with diabetes, including 2 groups using 50 oral antidiabetic drugs and 50 using insulin, were selected casually by an improbable sampling method. The data collected were used as Personal Information Form, problem areas scale in diabetes, Diabetes attitude scale and Mini Mental test. The student t test, Mann Whitney U test, Pearson correlation, Chi Square test, Fisher's exact test, Fisher Freeman Halton test were used in the evaluation of the data. It was ascertaned that the patients who were taken in the research had positive attitude about diabetes it was determined that the average total score of the scala of the attitude in diapedes was 76.11±5.6. In patients with Oral antidiabetics, the subgroup with the strongest positive attitude was "attitude towards patient harmony", while in patients with insulin use it was identified as the "Special Education Requirement" subgroup. The lower size with the lowest score in both groups is the "severity of Type 2 diabetes" subgroup. Patients in both groups who used Oral antidiabetics and insulin were found to have no serious problems with diabetes. The DPAÖ score of the patients using oral antidiabetics was 29.6±10.69 and the DPAÖ score of the patients using insulin was 33.73±10.47. It was thought that patients may have been affected in this direction as a result of having a positive attitude towards diabetes. Diabetes, especially in the elderly, is an important factor in patient autonomy. Therefore, it is very important to turn attitudes towards positives in planning self-care. Nurses can improve disease management to better levels with the dynamic training support they will provide to elderly individuals with diabetes. Key words: Type 2 Diapetes, Elderly Person With Diabetes, Diabetic attitude, The Area of Problem in diabet, Nursing.