原著論文
糖尿病患者の血糖管理に影響を及ぼす心理的要因の研究
～血糖変動に注目して～
2006 年 4 巻 2 号 p. 29-35
詳細
2006 年 4 巻 2 号 p. 29-35
The purpose of this study was to investigate the relation between change of Diabetes Mellitus（DM）patients’ blood sugar conditions（HbA1C）and patients’ illness experiences. For this purpose, a questionnaire investigation（by Cornell Medical Index and original questionnaire for subjective illness experiences）was performed seventy seven type II DM patients（43 men, 34 women）. The difference of HbA1C between the time of investigation and one year ago was an index of the changes of HbA1C. As the results, in male participants, changes of HbA1C negatively correlated with subjective sense of stability of the disease condition. Otherwise, in female, the significant negative correlation between the changes of HbA1C and anxiety was found. In spite of increasing HbA1C, it was found participants felt illness condition was good. And, we also analyzed 24 DM patients who were seen remarkable changes of HbA1C. As this results, in male participants, HbA1C decreased group（DG）was significantly higher in “awareness for illness” and “active coping with illness by own way” than HbA1c increased group（IG）. In female, as contrasted with male, IG was higher in “awareness for illness” and “active coping with illness by own way” than DG. So, illness experience with diabetic self care was different between male and female participants. It was subjective sense of illness stability（in male）and, anxiety（in female）affected of the effects of diabetic self-care.
