糖尿病患者の血糖コントロールの程度がセルフケアへの影響過程に及ぼす効果に関する研究  [in Japanese] Study on Effect of Blood Sugar Control Level of Diabetic Patients on Self-Care Influence Process  [in Japanese]

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Abstract

本研究は,糖尿病患者の個人要因とセルフケアの程度が血糖コントロールの程度により異なるのか,また,セルフケアへの影響過程に違いがあるのかを検討することを目的とした。この論文は,糖尿病患者を用いた自尊心からセルフケアに至る影響過程を検討した論文(大山・岩永,投稿中)の再分析を行ったものである。血糖値の程度により,良好群・中間層群・不良群の3群に分けた。3群間の比較を行った結果,自己効力感,セルフコントロール,動機づけは,不良群よりも良好群で高いことがわかった。しかし,自尊心に3群間の違いは認められなかった。セルフケアへの影響過程を検討するために共分散構造分析を行った結果,良好群と不良群において要因の基本的な関係性は同じであったが,関連の程度が異なり,主要な経路に違いが認められた。良好群では,自尊心から自己効力感を経てセルフケアに向かう経路が中核的であるのに対して,不良群ではセルフコントロールから動機づけを介してセルフケアに至る経路が中核的な経路であった。血糖コントロールの程度によって,セルフケアに影響している個人要因が異なることが示唆された。

The current study aimed to examine whether levels of personal factors and self-care of diabetic patients may differ depending on the degree of blood sugar control and there is any difference in influence process to self-care. This research paper is based on a reanalysis of a literature(Oyama & Iwanaga, submitted) in which influence process from self-esteem to selfcare was examined utilizing diabetic patients. Subjects were divided into three groups according to degrees of blood sugar level, i.e. favorable, medium, and poor groups. As a result of a comparison between the three groups, it has been proved that self-efficacy, self-control and motivation were higher in favorable group compared with poor group. However, no difference was observed in self-esteem between three groups. As a result of a covariance structure analysis conducted to examine influence process to self-care, basic relationship of factors was the same both in favorable and poor groups but difference was obtained in main pathways along with difference in degree of association. Core pathway in favorable group was from self-esteem through self-efficacy to self-care, whereas that in poor group was from selfcontrol through motivation to self-care. It has been suggested that personal factors to affect self-care differ depending on degree of blood sugar control.

Journal

  • 共立女子大学・共立女子短期大学総合文化研究所紀要 = Bulletin of Center for Interdisciplinary Studies of Science and Culture, Kyoritsu Women's University & Junior College

    共立女子大学・共立女子短期大学総合文化研究所紀要 = Bulletin of Center for Interdisciplinary Studies of Science and Culture, Kyoritsu Women's University & Junior College (25), 39-50, 2019

    共立女子大学・共立女子短期大学総合文化研究所

Codes

  • NII Article ID (NAID)
    120006604571
  • NII NACSIS-CAT ID (NCID)
    AA12578761
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    2434-1320
  • NDL Article ID
    030269523
  • NDL Call No.
    Z22-B126
  • Data Source
    NDL  IR 
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