2007 Fiscal Year Final Research Report Summary
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 |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Okayama University (2007)
Kawasaki University of Medical Welfare (2005-2006) |
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Principal Investigator |
ICHIMURA Mituko Okayama University, Graduate School of Health Sience, Associate Professor (40203111)
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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)
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| Project Period (FY) |
2005 – 2007
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| Keywords | diabetic nephropathv / patient's education / education program |
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| 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
… More
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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[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
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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
Year and Date
20070915-16
Description
「研究成果報告書概要(和文)」より
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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
Year and Date
20070900
Description
「研究成果報告書概要(欧文)」より
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[Presentation] 糖尿病性腎症の患者の認識に影響を与える要因2006
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, 中内麻里
Organizer
第11回日本糖尿病教育・看護学会学術集会
Place of Presentation
京都
Year and Date
20060916-17
Description
「研究成果報告書概要(和文)」より
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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
Year and Date
20060900
Description
「研究成果報告書概要(欧文)」より
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[Presentation] 糖尿病腎症の看護 〜意識付けへのアプローチ〜2005
Author(s)
佐々木可菜, 奥道保子, 宮村純子, 笹田雅子, 下宮暁子, 四方賢一, 槇野博史, 住吉和子
Organizer
第10回日本糖尿病教育・看護学会学術集会
Place of Presentation
福岡
Year and Date
20050917-18
Description
「研究成果報告書概要(和文)」より
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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
Year and Date
20050900
Description
「研究成果報告書概要(欧文)」より
