2023 Fiscal Year Final Research Report
Translational research for ensuring acceptability of lifestyle management of older people with diabetes
| Project/Area Number |
18K10269
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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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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | Kyoto University (2023)
Komatsu University (2018-2022) |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
任 和子 京都大学, 医学研究科, 教授 (40243084)
北田 宗弘 金沢医科大学, 医学部, 准教授 (40434469)
古家 大祐 金沢医科大学, 医学部, 客員教授 (70242980)
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| Project Period (FY) |
2018-04-01 – 2024-03-31
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| Keywords | 高齢者糖尿病 / 老年症候群 / 糖尿病発症・重症化予防 / 糖尿病自己管理 / アクセプタビリティ / 生活習慣改善 / 動機づけ面接 / 橋渡し研究 |
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| Outline of Final Research Achievements |
Older adults with diabetes have unique issues which impact self-management.As people with older adults with diabetes,health status(multiple cormobidities, geriaric syndrome)and physical and mental abilities and nutricion requirements hanged. Althogh older adults with diabetes respond well to the evidence based by CDC national diabetes prevention program(Prevent T2).In the Prevent T2,the role of lifestyle coach is very important,lifestyle coach is collaborating with medical care providers, and lifestyle coach's main role is to help participant's knowledge acquisition and behavior change. Older adults with diabetes, they have individual lifestyle and acceptability. In the recent overview of the flamework of acceptability consisted from Burden and Attitude and other 5 definition.
Behavior change is very difficult for older adults with diabetes, in the one's manhood,weight decrease is easy by hard exercise, but it is impossible for older adults. Prevent T2 is very important and effective.
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| Free Research Field |
看護学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究では、超高齢化のわが国において、高齢者糖尿病の更なる増加と重症化に伴う要介護・QOL低下・死のリスクを軽減し、高額医療費を抑えることを目指している。 米国ではCDC（疾病管理予防センター）によるNational Diabetes Prevention Program が開発され、生活習慣改善のための事業が行われてきた。しかし、高齢者糖尿病では、糖尿病合併症の重症化や、老年症候群により、食事・運動などの自己管理能力の習得が困難な患者も多い。また一方では、約1億人の耐糖能異常者に対する医療資源は不足しており、費用対効果や利便性に配慮したオンライン教育など、多様なアプローチが求められている。
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