糖尿病を有する人に対する看護介入とその評価の現状 : 国内での文献検討から

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  • トウニョウビョウ オ ユウスル ヒト ニ タイスル カンゴ カイニュウ ト ソノ ヒョウカ ノ ゲンジョウ コクナイ デ ノ ブンケン ケントウ カラ
  • Literature review of nursing interventions and evaluations for the persons with diabetes mellitus in Japan
  • 糖尿病患者に対する看護介入の効果と評価 : 文献検討

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Objective : The purpose of this study was to review published studies focusing on nursing interventions, which were effective in solving problems for persons with diabetes mellitus（hereinafter persons） in Japan. Method : We used the Ichushi-Web（Ver．３）to search from １９９４ through to ２００４. Results : １．We finally selected １６ primary studies. ２．Eight nursing interventions were related to diet and eating. Nurses supported that persons independently decide their own clinical goals, persons understood what were their problems and what they should do. Nursing involved emotional supports in this situation. ３．Thirteen evaluations were conducted by nurses, and all of evaluations used HbA１c as their control indexes for diabetes mellitus. Conclusion : To be able to support self controlled persons we have to develop ways to intervene, so persons can decide their clinical goals. Allowing them to learn to face their problems independently. It is necessary to evaluate not only HbA１c as diabetes control but also the changes of persons' activities and emotions in order to assess the effects of interventions suitably.

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