Educational programs to help patients with diabetic kidney disease maintain and continue to be healthy. To enable people with difficulties.

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10817
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Kanazawa Medical University
• Principal Investigator: MATSUI Kiyoko 金沢医科大学, 看護学部, 教授 (90283118)
• Co-Investigator(Kenkyū-buntansha): 中川 淳 金沢医科大学, 医学部, 教授 (70262574)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 糖尿病 / 糖尿病性腎臓病 / 経験学習 / 療養認識 / 教育プログラム

Outline of Final Research Achievements

We developed the "Self-care Perception Scale for DN Patients" based on previous research on "Perception of Complications in Type 2 DN Patients." Patients with a high sense of affirmation had longer periods of nephropathy management and also reported higher quality of life . Self-care perception revealed three patterns: "high affirmation," "escape from reality," and "sense of unknown cause." When applied to type 2 DN patients, the self-care perception scale revealed three patterns, with those exhibiting "high affirmation" showing higher adherence to diet, exercise, and medication therapy. They maintained this perception even in longitudinal follow-up surveys, thereby sustaining their self-care behaviors and kidney function. It was hypothesized that those with a "high affirmation" perception, who continued to improve their lifestyle habits, were advancing in their learning process regarding health.

Free Research Field

慢性疾患看護学

Academic Significance and Societal Importance of the Research Achievements

療養認識パターンと経験学習プロセスに特徴があるとは統計的には明らかにできなかった。また、質的調査においても経験学習プロセスのサイクル段階は、具体的経験10名、内省6名、抽象的概念化2名、能動的実験として療養への適応に至っていたのは3名（うち「高肯定感」2名）であった。経験学習プロセスをサイクルの最終段階に進めていた3名は、血糖コントロールを一定の期間の中で考え、対策を立てていたため、学習プロセスを踏めることは必要と言えた。医師の言う通り、遺伝であるとする対象は、経験学習プロセスを進めていないと考えられた。