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oai:mejiro.repo.nii.ac.jp:00001662 2023-06-19T07:51:22Z 1:19:131

診断後1年以内の壮年期2型糖尿病患者が療養法を生活に組み込む様相 Effort to incorporate therapy in daily life by middle-aged patients in the first year after the diagnosis of type 2 diabetes 友竹, 千恵 4074 TOMOTAKE, Chie 4075 2型糖尿病 壮年期 診断1年以内 療養法 type 2 diabetes middle-aged patients first year after diagnosis implement therapy pdf 《目的》2型糖尿病の診断後1年以内の壮年期患者が療養法を生活に組み込む様相を質的に明らかにする。 《方法》2型糖尿病の診断後1年以内の壮年期の方22名を対象に半構成的面接インタビューを行い、質的記述的に分析した。 《結果》分析の結果、【療養法を日課に組み込むことへの挑戦】【生活をコントロールし続けることへの心理的負担】【今後も療養法をできそうかどうかの選択】が見出された。【療養法を日課に組み込むことへの挑戦】は〈療養法を知るための学習とサポート作り〉〈療養法を生活に組み込むための準備と工夫〉が見出された。【生活をコントロールし続けることへの心理的負担】は〈桁違いの我慢〉〈努力し続けることへのしんどさ〉が見出された。【今後も療養法をできそうかどうかの選択】は〈手近で都合のよい方法の選択〉〈効力のある療養法の選択〉が見出された。 《結論》診断後1年以内の壮年期にある本研究の参加者は、診断されたことへのショックを感じながらも、様々な形で自分らしい療養法を確立させていた。食べられない苦しさを感じている人や取り組みが消極的に見える人への関わりを強化する必要性が示唆された。 Purpose: This study aims to qualitatively describe the efforts made by middle-aged patients to incorporate therapy in daily life in the first year after the diagnosis of type 2 diabetes. Methods: Semi-structured interviews were conducted with 22 middle-aged patients in the first year after the diagnosis, and the interview data were qualitatively and descriptively analyzed. Results: The results of the analysis showed [Challenges to incorporate therapy in daily routines], [Mental burden of continuing to control daily life], and [Choosing whether to be able to continue the therapy]. [Challenges to incorporate therapy in daily routines] included <Learning to know the therapy and making arrangements to obtain support> and <Preparation for and ideas to incorporate the therapy in daily life>. [Mental burden of continuing to control daily life] included <Need for a very high degree of endurance> and <Feeling it difficult to continue making efforts>. [Choosing whether to be able to continue the therapy] included <Choosing easy and convenient methods> and <Choosing the therapy that seems effective>. Conclusions: Middle-aged participants in this study who were in the first year after the diagnosis established their own therapeutic responses in various ways while feeling shocked at the diagnosis. The findings suggest the necessity to strengthen the interaction with patients who feel it difficult to restrict diets and who seem to be passive in making the effort. departmental bulletin paper 目白大学 2020-03-31 VoR application/pdf 目白大学健康科学研究 13 77 86 Mejiro Journal of Health Care Sciences AA1232537X 1882-7047 https://mejiro.repo.nii.ac.jp/record/1662/files/MJHCS_13_77.pdf https://mejiro.repo.nii.ac.jp/records/1662 jpn 目白大学