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Yıl:2016; Cilt: 8; Sayı: 1>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2016;8(1):32-41
Tip 2 Diabetes Mellitus'ta Sağlık Davranış Değişiminde Transteoretik Model Temelli Motivasyonel Görüşme Tekniği
AS Tosun, H Zincir
Erciyes Üniversitesi, Kayser
Diabetes mellitus’un erken döneminde alınan önlemler yaşam kalitesini olumlu yönde etkiler. Yapılan çalışmalarda sağlıklı yaşam tarzı değişiklikleri ile Tip 2 diabetes mellitus riskinin %58’e varan oranlar-da önlenebileceği veya ortaya çıkışının geciktirilebileceği gösterilmiştir. Tip 2 diabetes mellitusu olan bireylerle yapılan çalışmalarda diyabetin zararlı etkilerini azaltmada ya da önlemede bireylerin hastalık yönetimine uyumunu artırmak ve sağlıkla ilgili davranışlarını değiştirmede özellikle transteo-retik model ve motivasyonel görüşme tekniği kullanılmaktadır. Transteoretik model temelli motivas-yonel görüşme kullanılarak yapılan müdahaleler ile glisemik kontrolde ve fiziksel aktivite düzeylerinde genel bir iyileşme sağlandığı, değişim aşamaları boyunca anlamlı ilerlemeler kaydedildiği gösterilmiş-tir. Transteoretik model temelli motivasyonel görüşme davranış değişimine ulaşmak için kolay ve etkili bir danışmanlık tekniğidir.
Motivational Interview Method Based on Transtheoretical Model of Health Behaviour Change in Type 2 Diabetes Mellitus
Precautions taken in early stages of diabetes mellitus are more beneficial in terms of quality of life. The risk of Type 2 diabetes mellitus has been shown to be reduced at rates up to 58% or its emergence may be delayed with healthy lifestyle changes in different studies. Transtheoretical model and motivational interview method are especially used to increase the adaptation of individuals to disease management and to change behaviours about diabetes mellitus for decreasing or preventing the harmful effects of diabetes mellitus in studies conducted with individuals with Type 2 diabetes mellitus. Interventions using motivational interview method based on transtheoretical model demonstrated that a general improvement in glycaemic control and in physical activity level can be achieved and significant progress has been made during the stage of change. Motivational interview method based on transtheoretical model is an easy and efficient counselling method to reach behavioural change.

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