Amaç: Bu çalışmanın amacı diyabetes mellitus hastalarında sigara içiciliği ile diyabetik komplikasyonlar arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Bu çalışmaya tip 2 diyabetes mellitus tanısı ile takip edilen 757 hasta dahil edildi. Hastaların demografik antropometrik özellikleri, diyabetik komplikasyonlar ve sigara içiciliği ile birlikte içilen sigara miktarı dökümante edildi. Sigara içiciliği ile diyabetik komplikasyonlar arasındaki ilişki irdelendi. Bulgular: Hastaların %54.8’i (415 hasta) sigara içmezken %12’si (91 hasta) sigarayı bırakmış ve %33.2’si de (251 hasta) hala sigara içmekte idi. Sigara içiciliği ile erkek cinsiyet, bel çevresi, HbA1c düzeyi, yaşam biçimi, ilaç uyumu, hipertansiyon ve diyabetik komplikasyonlar arasında anlamlı ilişki saptandı. İçilen sigara miktarı ile erkek cinsiyet, HbA1c düzeyi, bel çevresi, yaşam biçimi, ilaç uyumu ve diyabetik komplikasyonlar arasında anlamlı ilişki saptandı. Sonuç: Çalışmamızda Tip 2 diyabetes mellitus hastalarında hem sigara içiciliğinin hem de içilen sigara miktarının fazla olması ile makrovasküler ve mikrovasküler komplikasyonlar arasında anlamlı ilişki olduğu görüldü. Diyabetik hastalarda sigara, en önemli değiştirilebilir risk faktörüdür. Bu nedenle diyabet ekibinin tüm üyeleri (hekim, hemşire, diyetisyen ve psikolog) diyabetli hastalara sigarayı bırakmalarını her fırsatta ve ısrarla tavsiye etmeli, destek vermelidir.
The aim of this study is to study the relationship between smoking and diabetic complications in diabetes mellitus patients. The study included 757 patients followed by the diagnosis of type 2 diabetes mellitus. The demographic anthropometric characteristics of patients, diabetes complications and the amount of smoking consumed along with smoking were documented. The relationship between smoking and diabetic complications. Results: 54.8% of patients (415 patients) did not smoke, while 12% (91 patients) quit smoking and 33.2% (251 patients) were still smoking. There was a meaningful relationship between smoking and male sex, back environment, HbA1c level, lifestyle, drug consistency, hypertension and diabetes complications. There was a significant relationship between the amount of smoking and male sex, HbA1c level, back environment, lifestyle, drug consistency and diabetes complications. The result: Our study found that in type 2 diabetes mellitus patients there was a significant link between both smoking and excessive amount of smoking and macrovascular and microvascular complications. Smoking is a significant variable risk factor in diabetic patients. Therefore, all members of the diabetes team (the doctor, the nurse, the dietologist and the psychologist) should advise and support the patients with diabetes to quit smoking at every occasion and with insistence.
Purpose: The aim of this study is to investigate the relationship between smoking and diabetic complications in diabetes-mellitus patients. Materials and Methods: This study included 757 patients followed-up with type-2 diabetes-mellitus. Demographic anthropometric characteristics, diabetic complications, cigarette smoking and smoking amount were included in the study. The relationship between smoking and diabetic complications were investigated. Results: All of the patients, 54.8%(415-patients) were smoking, 12%(91-patients) quit smoking and 33.2%(251-patients) were still smoking. There were statistically significant relationship between smoking and amount of smoking with male gender, waist circumference, HbA1c level, lifestyle, drug compliance, hypertension and diabetic complications. Conclusion: There were significant relationship between the cigarette smoking and amount of cigarette smoking with macrovascular and microvascular complications in type-2 diabetes-mellitus patients. Smoking is the most important modifiable risk factor in diabetic patients. For this reason, all members of the diabetes team (physicians, nurses, dieticians, and psychologists) should recommend to quit smoking at every opportunity and persistently.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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