Abstract
The purpose of this study is to develop a way to educate diabetics more effectivery. In order to know how the changes in their life-styles affected the changes in FBS, we examined relationships between the changes in FBS of diabetics and the changes in their life-styles, and analyzed the affecting factors.
This study was conducted in the two steps.
In the first step 108 Type II diabetics were selected as subjects. All of those diabetics had consulted at the special outpatient section at T hospital from Sep. to Nov.'87. We collected the data of individual FBS from their chart and surveyed each patient's life-style via questionnaire. Individual FBS changes were caluculated by subtracting the FBS of those attending T hospital from the FBS at the time of their previous admission where they received diabetic education.
In the second step 16 were selected out of the subjects in the first step. We interviewed them and sent their families questionnaire by mail.
The results through the first and second steps are as follows: (1) The change amount of FBS correlated closely with the patients' length of time since diagnosis, treatment, dietary volume and the frequencies of eating out. (2) Patients' dietary volume and frequency of eating out were affected by their ability to recognize DM as their own problems, the existence of their own health philosophy, their coping mechanism as it relates to their diet, and the learning during their educational admission. (3) Especially they were affected largely by the family support. When a patient's family understood and knew the DM treatment properly and co-operated with each other, the patient was found to cope with DM well.
