Recognition of Complications in Type 2 Diabetes Mellitus Patients Undergoing Hemodialysis

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  • Matsui Kiyoko
    Divison of Health Sciences, Kanazawa University Graduate School Medical Science
  • Inagaki Michiko
    Divison of Health Sciences, Kanazawa University Graduate School Medical Science

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  • 透析に至った２型糖尿病患者における糖尿病合併症のとらえ方
  • トウセキ ニ イタッタ 2ガタ トウニョウビョウ カンジャ ニ オケル トウニョウビョウ ガッペイショウ ノ トラエカタ

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Abstract

This study of type 2 diabetes patients undergoing hemodialysis investigated qualitative factors related to the recognition of complications by patients and the clinical significance of complications they might experience. Data collected by interview from 12 subjects showed that patients with type 2 diabetes mellitus undergoing hemodialysis tend to become aware of their potential for developing complications only after they have experienced inconveniences in their daily lives due to the onset of such complications. However, the structure of what patients remember is not linked to the progression of complications following onset. Furthermore, patients tended to be self-critical for having developed diabetic complications, and were dealing with these feelings. ("Koukai Wo Osameru" in Japanese.) This study suggests that patients would not worry as much about diabetic complication if there were no chance of being aware of symptomatic onset of diabetic complication or facing inconvenience in daily life. It is thought that this issue should become an aspect of education regarding diabetic complications, i.e. coping with the process and progression of concrete symptoms and diabetic complications in daily life.

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