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.

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.

[Objective] To clarify the status of self-management support and its problems in patients with diabetes and cancer from the perspective of nurses specializing in diabetes.

[Methods] Focus group interviews were conducted with a total of 16 nurses specializing in diabetes, and the results were analyzed qualitatively and inductively.

[Results] Self-management support for blood glucose control was given to patients in accordance with the content and timing of their cancer treatments and the nurses' expertise. However, the nurses experienced difficulties with self-management support, such as problems with finding a time and place to listen to patients diagnosed with cancer, with constructing a relationship with patients, and with the hesitation of rigorous blood glucose control in relation to malignancy. They felt that information-sharing and understanding between the cancer and diabetes fields were lacking. Because the medical treatment for patients with diabetes and cancer was complicated, self-management support required specialized knowledge from both the cancer field and the diabetes field.

[Conclusion] For nurses to cope with the difficulties in supporting the self-management of patients with diabetes and cancer, we need to improve knowledge and awareness and promote cooperation between the cancer and diabetes fields.

This study aims to describe the structure of the "knowing what to do but can't" phenomenon in patients with type 2 diabetes. We analyzed mentality transformation in 11 patients by the modified grounded theory approach. The structure of this phenomenon was described as follows: it began with the stage [afflicted by one's hunger-sensitive body], went through the stages of [having developed medical experience through one's lifestyle], [no longer feeling one's body as being normal] and <always feeling weakness of will>, then coming to the turning point of [unable to tell if one's dietary therapy is unsuccessful due to one's own inadequate execution, or if one cannot be successful due to reduced physical abilities], finally reaching the stage of [coping with "cannot be successful due to reduced physical abilities" situations through patience].

These results suggest that it is important to focus on diabetic patients' bodily sensations when they say "I cannot do it."

Medical staff must understand that patients are not confident in their physical sensations, and therefore need to distinguish between situations where they are unsuccessful due to their own inadequate execution and situations where they cannot be successful due to their reduced physical abilities.