The Journal of Japan Academy of Diabetes Education and Nursing
Online ISSN : 2432-3713
Print ISSN : 1342-8497
ISSN-L : 1342-8497
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  • Ayumi Amemiya, Nobue Nakamura, Yukiko Nakashima, Aya Nakai, Sohei Shit ...
    2020 Volume 24 Issue 2 Pages 103-109
    Published: September 30, 2020
    Released: January 26, 2021
    JOURNALS FREE ACCESS

    Continuous subcutaneous insulin infusion (CSII) has shown its effectiveness in children, and the number of users are increasing. However, the actual situation of CSII troubles in children has not been clarified. Therefore, we aimed to clarify the actual condition of the skin troubles observing the skin manifestation of the child undergoing CSII in this study. Interviews were conducted with individuals and guardians regarding care methods and symptoms. The stratum corneum hydration around the puncture site, the thickness of the subcutaneous tissue by ultrasound and skin temperature on thermography were measured. When wounds were present, photographs were taken, and the size was measured by image analysis. This survey was approved by the Ethical Review Board of the affiliated institution. Eight children undergoing CSII were participated in this study. This survey was conducted in October to November (the average temperature was 14.4°C and the average humidity was 74.5%); it was revealed that tape-rash and itch were observed. The stratum corneum hydration was significantly lower in the group with rash (p=0.002). In addition, it was clarified from the interview that there was induration, redness and pus in hot and humid season. Therefore, it was indicated that the type of skin trouble depends on the season, and that the care method needs to be changed.

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  • Miho Nakahara, Harue Masaki, Nobuko Kawai
    2020 Volume 24 Issue 2 Pages 111-119
    Published: September 30, 2020
    Released: January 26, 2021
    JOURNALS FREE ACCESS

    To describe the interpretation of the educational admission experiences of patients newly diagnosed with type2 diabetes from the viewpoint of adult learning.

    Targeting four patients diagnosed with type 2 diabetes within the past six months, data were collected through observations of experiences during the educational admission process and semi-structured interviews after discharge.

    The collected data were analyzed using the nursing quality integration method (the KJ method).

    Three core titles were identified from the data.

    The core title [New understanding about the one's own body, acquisition of knowledge and technology] included the title < Changes in body and feelings that are discovered during the hospitalization experience affect the images of future life>.

    The core title [Critical reflection and quest for a new life] included the title <Remembering past experiences and interpreting them with the new knowledge gained during hospitalization and one's own tendencies or situation>.

    The core title [Building ability and confidence by trying, living on the basis of modified frames of reference] included the title < If it does not work as well as life in the hospital, life after discharge must be planned out with an eye toward balance>.

    The findings of this research show that the educational admission experience of patients newly diagnosed with type 2 diabetes involves forming new frames of reference for living with diabetes and living on the basis of frames of reference represented in the learning process.

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