Publication: Aile hekimliğine başvuran bireylerde tip 2 diyabet risk düzeyinin belirlenmesi
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Amaç: Tip 2 Diyabetes Mellitus (T2DM), dünya çapında önemlibir halk sağlığı sorunu olan kronik metabolik bir hastalıktır. Uzunyıllar boyunca asemptomatik olabilir ve ilerleyicidir. Buna bağlıolarak kronik komplikasyonların görülme riski ve hastalık yüküartmaktadır. Bu çalışma aile hekimliği polikliniğine başvuran bireylerin diyabet risk düzeyini belirlemek, yüksek riskli olanlarıtanı ve müdahale için yönlendirmek amacıyla yapılmıştır.Yöntem: Tanımlayıcı tipte olan bu çalışma herhangi bir nedenleaile hekimliği polikliniklerine başvuran 171 kişinin katılımıylagerçekleştirilmiştir. Araştırmacılar tarafından geliştirilmiş olananket formu yüz yüze uygulanmış; boy, kilo ve bel çevresiölçümü yapılmıştır. Anket formu katılımcıların sosyo-demografiközellikleri, hastalık ve sağlık alışkanlıkları ile ilgili sorular yanısıra Finlandiya Diyabet Risk Anketi’ni (FINDRISK) içermekteydi. İstatistiksel anlamlılık düzeyi p˂0,05 olarak alınmıştır.Bulgular: Katılımcıların %61.4’ü kadın, yaş ortancası (25.p75.p); 41 (33-52) olup; beden kütle indeksi (BKİ) ortancası26,42 (23,83-31,14) kg/m2’dir. Kadınların bel çevresi ortalaması90,63±14,69 (ort±ss) cm olup; erkeklerin ise 99,53±12,81 cm’dir.Tüm katılımcıların FINDRISK puan ortancası 10 (6-13) ikenkadınların 11 (6-13) olup erkeklerin ise 8 (5-13)’dir. FINDRISK’egöre katılımcıların %19.3’ü yüksek-çok yüksek, %22.2’si orta,%58.5’i hafif-düşük diyabet risk düzeyinde yer almaktadır. FINDRISK puanı ile yaş, BKİ ve bel çevresi arasında pozitif yöndeve istatistiksel olarak ileri düzeyde anlamlı bir ilişki bulunmuştur.Sonuç: Aile hekimleri başta olmak üzere erişkin nüfusa hizmetveren klinisyenlerin günlük pratiklerinde kendilerine herhangibir nedenle başvuran hastaları diyabet açısından taramaları önem arz etmektedir. FINDRISK bu amaçla kullanılabilir; hızlıve kolay uygulanabilir olması yanı sıra basit, ucuz ve anlaşılırbir tarama yöntemidir.
Objevtive: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease and an important public health problem worldwide. T2DM is a progressive disease and can exist without symptoms for many years. Therefore, the risk of chronic complications and the burden of disease increase. The aim of this study was to determine the diabetes risk level of the individuals who applied to the family medicine outpatient clinic and to guide the high-risk patients for diagnosis and intervention. Methods: This descriptive study was carried out with the participation of 171 people who applied to family medicine outpatient clinics. The questionnaire form developed by the researchers was applied face to face; height, weight and waist circumferences were measured. The questionnaire included questions about the socio-demographic characteristics, disease and health habits of the participants, as well as The Finnish Diabetes Risk Score (FINDRISC). The statistical significance level was accepted as p˂0.05. Results: The median (25.p-75.p) age of participants is 41 (33-52) and 61.4% (n:105) of the subjects were female; the median body mass index (BMI) is 26,42 (23,83-31,14) kg/m2 . The mean waist circumference of the women is 90,63±14,69 cm (mean±sd); and 99,53±12,81 cm for males. The median FINDRISC scores of all participants were 10 (6-13), 11 (6-13) in women and 8 (5-13) in men. According to the FINDRISC, %19.3 of the individuals had a high to very high, %22.2 had a moderate and %58.5 had a slightly elevatedlow risk for diabetes. There were positive and statistically significant correlations between FINDRISC scores and age, BMI and waist circumference. Conclusion: It is important that clinicians especially family physicians, who serve the adult population should screen patients who apply for any reason for diabetes in their daily practices. FINDRISK which can be implemented quickly and easily is a simple, inexpensive and clear scanning method.
Objevtive: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease and an important public health problem worldwide. T2DM is a progressive disease and can exist without symptoms for many years. Therefore, the risk of chronic complications and the burden of disease increase. The aim of this study was to determine the diabetes risk level of the individuals who applied to the family medicine outpatient clinic and to guide the high-risk patients for diagnosis and intervention. Methods: This descriptive study was carried out with the participation of 171 people who applied to family medicine outpatient clinics. The questionnaire form developed by the researchers was applied face to face; height, weight and waist circumferences were measured. The questionnaire included questions about the socio-demographic characteristics, disease and health habits of the participants, as well as The Finnish Diabetes Risk Score (FINDRISC). The statistical significance level was accepted as p˂0.05. Results: The median (25.p-75.p) age of participants is 41 (33-52) and 61.4% (n:105) of the subjects were female; the median body mass index (BMI) is 26,42 (23,83-31,14) kg/m2 . The mean waist circumference of the women is 90,63±14,69 cm (mean±sd); and 99,53±12,81 cm for males. The median FINDRISC scores of all participants were 10 (6-13), 11 (6-13) in women and 8 (5-13) in men. According to the FINDRISC, %19.3 of the individuals had a high to very high, %22.2 had a moderate and %58.5 had a slightly elevatedlow risk for diabetes. There were positive and statistically significant correlations between FINDRISC scores and age, BMI and waist circumference. Conclusion: It is important that clinicians especially family physicians, who serve the adult population should screen patients who apply for any reason for diabetes in their daily practices. FINDRISK which can be implemented quickly and easily is a simple, inexpensive and clear scanning method.