Objective: This study aimed to clarify the relationship between daily time management and quality of life (QOL) in employed patients with type 2 diabetes and consider methods for patient education utilizing daily time management. Method: A questionnaire survey was administered to employed patients with type 2 diabetes. The survey consisted of basic attributes, daily time management, and health-related QOL. Regarding statistical analyses, multiple regression and decision tree analysis were performed with health-related QOL as the dependent variable and daily time management as the independent variable. Results: The analysis set consisted of 187 subjects. Multiple regression analysis found relationships between daily time management and both mental and role/social aspects of health-related QOL. Decision tree analysis showed that the item most closely related to mental aspects was "time control" while the item most closely related to role/social aspects was "adjustment of work." Conclusion: When providing care to patients from the perspective of daily time management, it is beneficial to help patients learn how to manage their time while focusing on "time control" and emphasizing independent decision making by the patient.

This study aims to identify psychological and social factors related to the self-care abilities of patients with adult-onset type 1 diabetes. A self-rating anonymous questionnaire was administered to 98 patients. The inclusion criteria for the study were that participants were diagnosed with type 1 diabetes in adulthood. The relationship between self-care abilities, uncertainty in illness, sense of coherence (SOC), and family support were analyzed using the covariance structure analysis. We collected 92 valid responses. The results showed that factors related to self-care abilities in adult-onset type 1 diabetes are family support and Complexity of interpretation of information, which is a subscale of uncertainty in illness, and SOC. In the family support and instability of self-confidence in carrying on a struggle sufficient concurrent illness and unpredictability of daily life among the subscales for uncertainty in illness, it was suggested that self-care ability indirectly affects the SOC. It may be inferred that family support has a significant influence on self-care ability. Both the direct and total effect of family support on the self-care agency were higher than other pass coefficients, and the importance of the nursing care to support family support was suggested.

The purpose of this study was to analysis the role of the Nurses who are Certified Diabetes Educator of Japan (CDEJN), and a questionnaire was administered to 481 CDEJNs at 81 institutions who responded that they could cooperate with the study, and 199 responded to the questionnaire (41.4% response rate). The results of exploratory factor analysis revealed that the CDEJNs play six roles and behaviors: guidance for diabetic patients, guidance for complications and complication prevention, cooperation and collaboration in the diabetes guidance team, support for diabetes activities in the community, support for multidisciplinary guidance for diabetes care, reflection on diabetes nursing practice. Factor correlation coefficients ranged from 0.249 to 0.714, and Cronbach' s alpha coefficient for each factor was 0.939 for the entire CDEJN role behavior, and 0.822 to 0.915 within each factor. This study' s results suggest that more experience as a CDEJN is associated with more role behavior as a CDEJN.