成人2型糖尿病患者の抱く健康観・価値観 : 過去10年間の国内文献の検討

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  • セイジン 2ガタ トウニョウビョウ カンジャ ノ イダク ケンコウカン カチカン カコ 10ネンカン ノ コクナイ ブンケン ノ ケントウ
  • Literature review regarding the sense of health and values among adults with type 2 diabetes in Japan
  • 成人2型糖尿病患者の抱く健康観・価値観 : 国内文献の検討

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Objectives : The purpose of this study was to review literature published over a １０-year period focusing on the sense of health and values among adults with type ２ diabetes in Japan. Methods : We used Ichushi-Web（Ver．４）to identify literature published from １９９６ to ２００６. Operationally, we defined the sense of health and values as “ the basic way of thinking and understanding one’ s own life and the behaviors that adults with type ２ diabetes value highly in their individual lives” . Results : １．A total of ２３ primary studies were selected. ２．Adults with type２diabetes thought a great deal about living their lives with minimal disorder and inconvenience. Furthermore, they consider self-control to be important for facilitating their understand of the difficulty of managing diabetes and the possible complications. ３．Other important items for adults with type ２ diabetes were diet, family members who tried to support the patients' individuality, hobbies, and their favorite food. These items had developed over a long period of time and are thought to facilitate the individuality of the patients and enrich their lives. However, these items not only helped the patients to perform self-care behaviors（SCB）, but also prevented SCB. The patients considered SCB were their responsibility, but felt they were physically, mentally, and socially painful. Conclusion : Before helping with SCB through nursing interventions, nurses must recognize the sense of health and values among adults with type ２ diabetes in addition to their backgrounds and self-control processes. If changes to the patients’ sense of health and values are required, nurses should take the necessary steps to ensure that the patient agrees with and accepts the changes. Further research should attempt to identify methods for facilitating SCB. In addition, nursing interventions should also attempt to identify methods of changing the factors that negatively affect SCB while maintaining respect for the patients’ sense of health and values.

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