青年期発症1型糖尿病患者における「希望」の構成要素と看護的支援  [in Japanese] Components of hope in diabetic patients of adolescent-onset type 1 and nursing supports  [in Japanese]

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Abstract

青年期に発症した1型糖尿病患者が抱く「希望」の構成要素を明らかにし,その結果から,育年期発症1型糖尿病患者への看護的支援を考察した.その結果,患者が抱く「希望」の構成要素として,『自己に対する希望』と『社会に対する希望』に分類された.『自己に対する希望』では,【自己変容】,【生活の変化】,【血糖コントロール】,【合併症の予防】,【将来】,【神仏への祈り】の6カテゴリーが抽出され,『社会に対する希望』では,【1型糖尿病に対する社会認識】,【社会環境】,【同病者の存在】,【医学の進歩に対する期待】の4カテゴリーが抽出された.『自己に対する希望』では, 1型糖尿病患者である自己を肯定的に捉え,積極的な未来志向が希望を推し進める第一のものであった.その時,青年期の心理的問題も同時に考慮していく必要がある.一方,『社会に対する希望』では,あらゆる場面及び人間関係において,1型糖尿病に対する誤解や偏見,差別がなくなることを強く望んでいた.看護的支援においては,「患者自身への支援」と「社会への啓蒙活動」の2つの側面から関わっていくことが重要であるといえる.

The purpose of this study was to clarify the components of hope in diabetic patients of adolescent-onset type 1 and to discuss on nursing supports of it for them. The components were classified into two groups: hope to oneself and hope to society. The former was classified into 6 categories: personal change, change of life, blood sugar control, prevention of diabetic complications, future and prayer to gods and Buddha. The latter was classified into 4 categories: social understanding of type 1 diabetes mellitus, social environment, existence of fellow sufferers and expectation to medical progress. As to hope to oneself, they affirmatively recognized the fact that they are type 1 diabetic patients. This positive attitudes for their future pushed their hope greatly. However, simultaneously it seems to be necessary to consider on their psychological issues of adolescence. As to hope to society, they keenly hoped that misunderstanding, prejudice and discrimination to type 1 diabetes mellitus should be conquered in every cases of human relations. On the nursing supports, it is important to make efforts from the two aspects of the supports to patients and enlightenment to society.

Journal

  • The Journal of the Nursing Society of the Toyama Medical and Pharmaceutical University

    The Journal of the Nursing Society of the Toyama Medical and Pharmaceutical University 5(1), 49-59, 2003-11

    University of Toyama

Cited by:  1

Keywords

Codes

  • NII Article ID (NAID)
    110000036404
  • NII NACSIS-CAT ID (NCID)
    AA11340152
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • Journal Type
    大学紀要
  • ISSN
    13441434
  • NDL Article ID
    6782877
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z74-B352
  • Data Source
    CJPref  NDL  NII-ELS  IR 
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