2024 Fiscal Year Final Research Report

Effectiveness of a Self-Care Power-Up Program through Collaboration between Certified Diabetes Educators and Patient Associations

Research Project

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Project/Area Number	18K10313
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	Oita University
Principal Investigator	Waki Sachiko 大分大学, 医学部, 教授 (10274747)
Co-Investigator(Kenkyū-buntansha)	清水安子大阪大学, 大学院医学系研究科, 教授 (50252705) 濱口和之大分大学, 医学部, 客員研究員 (60180931) 瀬戸奈津子関西医科大学, 看護学部, 教授 (60512069) 大野夏稀大分大学, 医学部, 講師 (20818596) 佐藤昂太朗大分大学, 医学部, 助手 (70963247)
Project Period (FY)	2018-04-01 – 2025-03-31
Keywords	セルフケア支援 / 地域協働活動 / ACP / CDE / セルフヘルプグループ
Outline of Final Research Achievements	This study focused on two main areas: expanding web-based support to help people who have difficulty attending health-related events due to work, and organizing engaging health classes not limited to diabetes. It also explored ways to strengthen collaboration among community members, Certified Diabetes Educators (CDEs), support groups, and facilities, while considering joint programs with local governments, universities, and welfare organizations. The findings suggest that decision-making processes such as Advance Care Planning (ACP), where individuals reflect on their future based on their own values and judgments, can help deepen mutual self-assessment. To support diverse values and perspectives, CDEs need continuous development of professional knowledge and sensitivity. The importance of providing opportunities for dialogue and interaction to enhance self-care abilities was also highlighted.
Free Research Field	臨床看護
Academic Significance and Societal Importance of the Research Achievements	本研究の成果は、ACPのように個人が自身の価値観や判断をもとに将来について考える自己決定のプロセスが、相互的な自己評価を深める手段となり得ることが示唆された。このことは、セルフケアの困難性にも対応できる手がかりだと考える。また研究期間は、喫緊のコロナ禍の社会的課題に見舞われた。この経験は、外来や入院といった社会資源のみでは対応できず、医療の現場や人々の健康に多大な影響を与えた。セルフケアの大半は、日常生活の中で繰り広げられるものであり、病院に限らず産業や地域の多様な場や機会を設けて、対話を通して自分の健康や人生について振り返ることの重要性、および、その場や機会を設けることの難しさが示唆された。