Sağlık İletişiminde Motivasyona Yönelik Bir Çaba: Öz Yeterlilik İnancının ve Kişilerin Diyete İkna Edilmesi Sürecinin Analizi


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Yazgan A. M.

OPUS Uluslararası Toplum Araştırmaları Dergisi, cilt.18, sa.40, ss.2085-2115, 2021 (Hakemli Dergi) identifier

Özet

A preventive and protective health framework for individuals is likely to be established through effective health communication. Since the progress of scientific medicine, the necessity of communication with patients has been realized. The connection between the physician and the patient has been established.  While the doctors are tending to explain more details in everyday language, the patients are more encouraged to ask questions about their health conditions.

By regarding healthy eating and healthy life understanding, rapid changing conditions today based on the concept and understanding of health have gained considerable importance. It is obvious that in literature only the persons who are ready to improve themselves are getting successful on a healthy diet programs (Norris, Engelgau, & Narayan, 2001, s. 561-587). Besides being ready for a change, a persuasive and empathetical communication style leads to significant changes in the cognitive structure of the person towards proper nutrition and the attitudes of the patients in case of illness. Many people wish to be convinced during decision-making.  In this case, it is necessary to know the demographic structure of the patient well, to apply an appropriate diet program to the patient’s thoughts, attitudes, and behaviors. As this study focuses on analyzing the person’s perceptions on healthy living eating, it aims to examine herself/himself from the perspective of her/his education, living conditions, and lifestyle. Evaluation of the patients’ self-efficacy in terms of educational level, sociocultural and living conditions, and lifestyles in the process of persuasion in terms of knowing themselves and believing in their physicians is almost non-existent in the literature. For this reason, it is very vital to understand the success measure of persuasion and to obtain data to close the gap in the literature for the people who strive for healthy living.

Whether the demographic structure of the people has an impact on self-actualization and whether it is important in terms of persuading people to embrace a healthy diet are the two basic variables to be conducted in this research. The research design is on the quantitative method. The survey data is applied to 100 residents in İstanbul Kadıköy district Fenerbahçe neighbourhood and Maltepe district Yali neighbourhood. Frequency analysis is taken, and the results are entered into the 23.00 package program. In the demographic structure of the participants, it is seen that most of them (64%) are university graduates. In total, 72% of the participants are married. As a result of the descriptive analysis obtained in the field, the highest scores that could be obtained were 171 and 198, while the scores of the participants were 135.25 and 182.09. In this sense, the examined impact coefficients are generally at an upper level with 0.54 and 0.41 points. This situation shows that both dietary self-actualization and embracing a healthy diet persuasion of the study group are at a high level. The study has shown that educational status is an important variable in a healthy diet understanding. By self-efficacy scale means, it is observed that secondary school graduates are higher than university graduates with 89 points and high school graduates with 64.50 points, with 38.85 points. In the persuasion scale, participants with a master's / doctorate degree are at the top of the scale with 76.50 points. It seems that people with a high level of education are easier to be convinced about a healthy diet. Age variability is an important factor in self-efficacy beliefs and in persuading people to a healthy lifestyle. In this case, it is seen that the 40-50 age group, called the young middle age, has more difficulty in persuasion. This shows that the young generation tries the new generation cuisine, while the 40-50 age group insists on staying with more traditional tastes and unhealthy habits. Considering the differences between the districts, it is seen that the average rank of those living in Kadıköy / Fenerbahçe is lower than those living in Maltepe / Yali in terms of persuasion to diet and dietary self-efficacy. However, when the effect sizes are examined, it is found as 0.31 and 0.46. Accordingly, the effect is moderate on the dietary self-efficacy scale and high on the persuasion scale. The fact that a more collectivist family profile resides in Maltepe district and individualistic culture is more widespread in Kadıköy / Fenerbahçe is reflected in the results. In the study, it is observed that the occupational groups are variable, and housewives take a more active role in this issue. The housewife group seems to be in the front phase with 87.94 points on the diet self-efficacy scale and 65.12 points on the persuasion scale. In the research, it is found out that they can concentrate on a healthy lifestyle by using the advantage of being at home. In the indicators of self-efficacy and persuasion belief, the advantage of marital status is understood with the excess. Scores are 20 to 72 on both scales. Since the married group has a more regular life, they approach healthy nutrition and diet issues more comfortably than the single ones.

In this case, healthy dietary self-efficacy beliefs and dietary persuasion are unsurprisingly high. As a result, it is realized that education level, age, district of residence, socio-cultural conditions, profession, and marital status differ significantly in terms of self-efficacy and persuasion. Healthy living is an important element in creating and maintaining a stable social life. It is in an important position for the development of societies, nutrition and self-care, the need for love, emotional development, and psychological development. Nutrition and care are the services that family members should receive from birth, within the framework of correct health communication with at least one of the healthcare professionals; dieticians, family physicians, pediatricians, or endocrinologists. A preventive and protective health framework can be drawn for individuals who are encouraged to maintain a healthy and balanced diet with correct guidance. That preventive health care is supported before diseases occur will be ensured. This situation will contribute not only to the individual but also to the nation socioeconomically. In this context, it is also recommended to appoint a dietician to family physicians’ polyclinics of each neighborhood. Generalizing the study to other districts of Istanbul or other provinces other than Istanbul and working on a wider sample will add a more visionary perspective in terms of preventive health.