2022, Cilt 9, Sayı 1, Sayfa(lar) 057-063
The Relationship between Nutritional Literacy and Self-Effectiveness and Diabetes Self-Care Activities in Individuals Diagnosed with Type 2 Diabetes Mellitus
Ezgi DURAK1, Medine YILMAZ2
1Bilim Uzmanı, İzmir, Türkiye
2Prof. Dr., İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İzmir, Türkiye
Keywords: Diabetes mellitus, nutrition, self-care, self-efficacy

Aim: This correlational study aimed to examine the relationship between nutritional literacy, self-efficacy, and self-care activities of individuals aged 18-64 years with a Type 2 Diabetes Mellitus (T2DM) diagnosis.

Material and Methods: The study was carried out between December 2018 and May 2019 with 200 adults diagnosed with T2DM registered in a family health center located in the metropolitan city center. The study data were collected using the Information Form, Nutrition Literacy Assessment Scale, Diabetes Self-Care Scale, and Diabetes Self Efficacy Scale. In statistical analysis, t-test, One-Way Analysis of Variance, Pearson Correlation Analysis, Chi-square, and Fisher Exact chi-square tests were used. P values less than 0.05 were considered statistically significant at the 95% confidence interval.

Results: 65% of the participants in the study were women, and the mean age was 52.9±9.34 years. While the nutrition literacy level was sufficient in 74.5% of the participants, it was at borderline in 24.9% and insufficient in 2%. While the senior high school and university graduates had an adequate nutrition literacy level, primary / junior high school graduates had borderline nutrition literacy levels (p<0.000). The participants' mean scores from the overall self-care and self-efficacy were 88.03±14.77 and 69.87±16.60, respectively. There was a significant relationship between nutritional literacy total scale scores and self-care (p=0.001) and self-efficacy scores (p=0.000).

Conclusions: According to the study results, there was a relationship between nutritional literacy, self-efficacy, and self-care behaviors. It will be essential practices for the effective management of diabetes that health care team members, starting from primary care, determine the nutritional literacy levels of individuals, plan individual education, prepare education materials according to their nutritional literacy levels and use them in education.