2019 Fiscal Year Final Research Report
Diabetic nephropathy education program utilizing "Scale to classify treatment recognition pattern of diabetic nephropathy patients"
| Project/Area Number |
15K11579
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Kanazawa Medical University (2018-2019)
Kanazawa University (2015-2017) |
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Principal Investigator |
MATSUI Kiyoko 金沢医科大学, 看護学部, 准教授 (90283118)
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| Co-Investigator(Kenkyū-buntansha) |
稲垣 美智子 金沢大学, 保健学系, 教授 (40115209)
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| Project Period (FY) |
2015-04-01 – 2020-03-31
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| Keywords | ２型糖尿病 / 糖尿病腎症 / 療養認識 / 悪化防止 |
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| Outline of Final Research Achievements |
There were three patterns of medical treatment recognition in diabetic renal failure patients. The three patterns were “Higher sense of affirmation”, “Unclear cause”, and “Escape from reality”. It was verified whether the treatment recognition of these three treatment patterns could be used for diabetic nephropathy patients.We followed the status of renal function in diabetic nephropathy patients for 3 or 4 years. The recognition of diabetic nephropathy patients could also be identified．
As a result, patients with a “higher sense of affirmation” were more likely to perform self-care and prevented a decline in renal function. Patients with an "Escape from reality" perception tend to worsen and need care.
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| Free Research Field |
糖尿病腎症患者の患者心理
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| Academic Significance and Societal Importance of the Research Achievements |
糖尿病腎不全患者の療養認識パターン分類を使用し、糖尿病腎症患者の療養認識のパターンで分類可能であることを確認できた。各療養認識パターンの患者の認識の変化、療養行動の実施度、腎機能の推移を縦断的に追跡した。その結果、療養認識パターンは、変化しにくいことがわかり、高肯定感パターンの認識の療養行動の実施度も高かった。さらに、腎機能の維持もされた。最も療養行動の実施度が低く、腎機能の悪化傾向が強かったのは、現実逃避であった。このことから腎機能が悪化の可能性がある腎症患者を識別でき、重点的な教育が必要である患者として抽出できる。これは、糖尿病腎症から透析導入患者の減少または腎症進行の遅延に貢献できる。
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