Relationship between Risk Perception for Complications and Self-Management of Insulin Treatment in Individuals with Type 2 Diabetes: Cross-Sectional Study

Ezgi Yildiz 1, Feride Taskin Yılmaz 2 * , Şerife Karagözoğlu 3, Ebrar Kaplan 4
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1 Medical Services and Techniques Department, Health Services Vocational School, Sivas Cumhuriyet University, Sivas, Turkey
2 Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey
3 Faculty of Health Sciences Fundamentals of Nursing Department, Sivas Cumhuriyet University, Sivas, Turkey
4 Sivas Seyhsamil Family Health Center, Sivas, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 23, Issue 4, pp. 75-82. https://doi.org/10.23950/jcmk/18884
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Author Contributions: Conceptualization, EY, F.T.Y., Ş.K., EK; methodology, EY, F.T.Y., Ş.K., EK; formal analysis, F.T.Y.; investigation, EY, F.T.Y.; resources EY, F.T.Y.; data curation, EK, writing – original draft preparation, EY, F.T.Y., Ş.K., writing – review and editing, EY, F.T.Y. supervision, EY, F.T.Y.; project administration, EY. All authors have read and agreed to the published version of the manuscript.

Data availability statement: All raw data underlying the findings of this study can be obtained from the corresponding author upon reasonable request.

Artificial Intelligence (AI) Disclosure Statement: Artificial intelligence was used to translate and edit the text to improve its readability in English, ensure efficient work under human supervision.

Ethical approval: Before collecting the data, written permission was obtained from the Sivas Cumhuriyet University Non-Interventional Ethics Committee (Decision no: 2023-09/03; Date: 21.09.2023) and the hospital where the study was conducted (Decision no: 349152). In addition,  informed consent was obtained from each individual who would participate in the study regarding the content of the study and the voluntary nature of participation.

Patient Consent Statement: The informed consents were obtained from the individuals who agreed to participate in this research.

ABSTRACT

Background: Complications are common in individuals with Type 2 Diabetes Mellitus (T2DM) when effective disease management is not achieved. One factor that may be related to disease management is risk perception. Risk perception can influence an individual's health behaviors.
Aim: The study was conducted to determine the relationship between the risk perception of complications in individuals with T2DM and insulin treatment self-management.
Methods: The research was conducted in a descriptive and correlational type. The study was conducted at a university hospital between October 15, 2023, and January 30, 2024, with individuals diagnosed with T2DM. The study included 287 individuals. Data were collected using the Patient Identification Form, the Risk Perception Scale for Diabetes Mellitus (RDS-DM), and the Insulin Therapy Self-Management Scale (ITSM).
Results: The participants' mean risk knowledge score in RPS-DM was 2.80±0.33, the mean composite risk perception score was 2.39±0.43 and the total mean score of ITSM was 115.19±19.14. It was determined that the risk knowledge of individuals with T2DM was weakly positively correlated with ITSM (r=0.215; p<0.01). It was observed that the risk perception regarding complications was positively correlated with the behavioral and cognitive sub-dimension mean scores of the ITSM (p<0.05).
Conclusion: Based on the scores obtained from the scales, it was determined that individuals with T2DM had high knowledge of complications, high risk perception, and above-average insulin treatment self-management levels. Furthermore, it was determined that risk perception regarding complications is related to insulin therapy self-management in behavioral and cognitive dimensions. It is important for nurses to provide training and follow-up to ensure that individuals continue correct and appropriate insulin treatment.
Keywords: Type 2 diabetes, Complication, Risk perception, Insulin treatment, Self-management

CITATION

Yildiz E, Taskin Yılmaz F, Karagözoğlu Ş, Kaplan E. Relationship between Risk Perception for Complications and Self-Management of Insulin Treatment in Individuals with Type 2 Diabetes: Cross-Sectional Study. J CLIN MED KAZ. 2026;23(4):75-82. https://doi.org/10.23950/jcmk/18884

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