Effects of uncertainty and coping on dietary behaviors in patients with diabetic nephropathy: Development of a model to predict dietary behavior.
Project/Area Number |
17592245
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Clinical nursing
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Research Institution | Okayama University (2007) Kawasaki University of Medical Welfare (2005-2006) |
Principal Investigator |
ICHIMURA Mituko (2007) Okayama University, Graduate School of Health Sience, Associate Professor (40203111)
住吉 和子 (2005-2006) 川崎医療福祉大学, 医療福祉学部, 講師 (20314693)
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Co-Investigator(Kenkyū-buntansha) |
KAWATA Chieko Aichi Prefectural College of Nursing and Health, 看護学部, professor (60010013)
SHIKATA Kenichi Okayama University, Graduate School of Medicine Dentistry, Pharmaceutical Sciences, associate professor (00243452)
NAKAO Miyuki Kawasaki University of Medical welfare, Department of Nursing, Assistant Professor (00316126)
NAKANISHI Yoshiko Okayama University, Graduate School of Health Science, Assistant Professor (50217783)
一村 光子 岡山大学, 医学部, 助教授 (40203111)
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Project Period (FY) |
2005 – 2007
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Project Status |
Completed (Fiscal Year 2007)
|
Budget Amount *help |
¥2,480,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥180,000)
Fiscal Year 2007: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2005: ¥1,000,000 (Direct Cost: ¥1,000,000)
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Keywords | diabetic nephropathv / patient's education / education program / 教育プロギラム / 糖尿病 / 糖尿病腎症 / パス解析 / 看護介入 / 対処行動 / 不確かさ |
Research Abstract |
A questionnaire survey was conducted among diabetic outpatients to identify their disease-related coping behaviors, disease complexity, future anxiety and uncertainty, physical symptoms, awareness of kidney status, knowledge of nephropathy, and dietary self-management. Path analysis showed that coping behaviors and uncertainty directly affected dietary management. Based on this finding, an educational program was developed by reviewing these interactions with diabetic patients who had stage II-IV nephropathy. A patient with stage II nephropathy was told by Ms attending physician that a test detected micro albuminuria. The patient then worriedly contacted a nurse and told the nurse about Ms test result. The nurse explained the meaning of micro albuminuria and diabetic nephropathy and told the patient that his renal function would recover with proper glycemic control. Since the patient indicated that he would do his best to improve his renal function, the nurse talked to the patient about
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measures that he could take to improve glycemic control. For the last several years, the patient's HbAlc had been 〓8.0%; by eliminating snacks, his HbAlc improved to around 7%. The patient had kidney failure, and though he knew that he needed to restrict his protein and salt intakes, he failed to do so, and his serum creatinine continued increasing. The patient indicated that he felt anxious about his future and isolated from his family. The nurse explained the patient's condition to his family, and she told the family that the patient was trying to do his best. Afterwards, the family was more helpful towards the patient. Based on the above, the following program was designed for diabetics with stage II nephropathy. Since these patients lack symptoms, they are not fully aware that they have nephropathy. However, by mentioning that they have micro albuminuria, nurses can explain how patients can improve their kidney function. For patients who need to restrict their protein intake, nurses provide not only conventional dietary guidance, but they also explain the necessity and effectiveness of protein-restricted diets and ask the family members to support their diabetic relative. Less
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Report
(4 results)
Research Products
(14 results)
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[Journal Article] The precision of the measurement of hemoglobinAic with POCT in hygienic guidance of diabetic patients2006
Author(s)
Mituko, ichimura, Kazuko, Sumiyoshi, Shinich, Usui, Misako, Shibakura, Hiroko, Touge, Satishi, Ikeda, Kenichi, Shikata
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Journal Title
Japanese Journal of medical technology 55(1)
Pages: 41-44
Description
「研究成果報告書概要(欧文)」より
Related Report
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[Presentation] 糖尿病腎症患者の看護モデル作成の試み2007
Author(s)
住吉和子, 川田智恵子, 四方賢一, 槇野博史, 中尾美幸, 大橋睦子, 高取佐智子
Organizer
第12回日本糖尿病教育・看護学会学術集会
Place of Presentation
千葉
Description
「研究成果報告書概要(和文)」より
Related Report
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[Presentation] A trial of nursing model construction of the diabetic nephropathy2007
Author(s)
Kazuko, Sumiyoshi, Chieko, Kawata, Kenichi, Shikata, Hirofumi, Makino, Miyuki, Nakao, Mutuko, Ohashi, Sachiko, Takatori
Organizer
12th Annual Meeting of the Japan Academy of Diabetes Education and Nursing
Place of Presentation
Chiba
Description
「研究成果報告書概要(欧文)」より
Related Report
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[Presentation] Factors affecting the awareness of patients with diabetic nephropathy2006
Author(s)
Kazuko, Sumiyoshi, Chieko, Kawata, Kenichi, Shikata, Hirofumi, Makino, Miyuki, Nakao, Mutuko, Ohashi, Sachiko, Takatori, Mari, Nakauchi
Organizer
11th Annual Meeting of the Japan Academy of Diabetes Education and Nursing
Place of Presentation
Kyoto
Description
「研究成果報告書概要(欧文)」より
Related Report
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[Presentation] Nursing care of diabetic nephropathy : increasing awareness2005
Author(s)
Kana, Sasaki, Yasuko, Okumichi, junko, Miyamura, Masako, Sasada, Akiko, Shimomiya, Kenichi, Shikata, Hirofumi, Makino, Kazuko, Sumiyoshi
Organizer
10th Annual Meeting of the Japan, Academy of Diabetes Education and Nursing
Place of Presentation
Fukuoka
Description
「研究成果報告書概要(欧文)」より
Related Report