Educational Support for Elderly People with Type 2 Diabetes—Nurses’ Evaluation of the Potentiality to Change Self-Care Patterns—

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  • Kawamura Takao
    School of Nursing at Narita, International University of Health and Welfare
  • Ota Kikuko
    Nursing and Medical Care, Keio University

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Other Title
  • 2型糖尿病を有する高齢者への教育的支援の方向づけ
  • 2型糖尿病を有する高齢者への教育的支援の方向づけ : 療養スタイルの変化の可能性の評価という看護師の見極め
  • 2ガタ トウニョウビョウ オ ユウスル コウレイシャ エ ノ キョウイクテキ シエン ノ ホウコウズケ : リョウヨウ スタイル ノ ヘンカ ノ カノウセイ ノ ヒョウカ ト イウ カンゴシ ノ ミキワメ
  • ―療養スタイルの変化の可能性の評価という看護師の見極め―

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Abstract

<p>Purpose: This study identified how outpatient nurses determine the aim of educational support for the elderly with type 2 diabetes mellitus.</p><p>Methods: The participants in this study were six outpatient nurses who provided educational support to the elderly with type 2 diabetes mellitus. We conducted semi-structured interviews and analyzed the interview data using the grounded theory approach.</p><p>Results: The phenomenon of [Evaluation of the Potentiality to Change Self-Care Patterns] which consisted of 12 categories, was identified. The aim of educational support varied according to nurses’ [Evaluation of the Potentiality to Change Self-Care Patterns]. This phenomenon consisted of several processes that led to three different consequences: «Education Aimed at Change», «Directionality of Maintaining the Status Quo», and «Reconsidering the Treatment Plan».</p><p>Conclusion: [Evaluation of the Potentiality to Change Self-Care Patterns] is necessary to guide the delivery of individual educational support and to ensure safety for elderly people. It cannot be necessarily said that «Education Aimed at Change» is appropriate for all patients. Therefore, it is necessary that nurses consider switching to «Directionality of Maintaining the Status Quo» by considering the goal of self-care, goal sharing, and evaluating the motivation of each patient.</p>

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