Japan Academy of Diabetes Education and Nursing Volume 5, Issue 2 (September 2001)

The Planning and Evaluation of A Long-term Individual Instruction Program for Diabetic Patients Akiyo Itagaki 1 , Yasuko Kawashima 2 1Department of Nursing, School of Health Sciences, Ibaraki Prefectural University of Health Sciences Keyword: 自己効力 , 個別性 , 心理的支援 , Self-efficacy , Characters of individual patients , Psychological support pp.120-129
Published Date 2001/9/15
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 The objectives of this study are to analyze a long-term individual instruction program of psychological support for ambulatory diabetic patients to enhance their self-efficacy, and to evaluate the effects of the program based on the scales of self-efficacy (SE scales) and controlled blood sugar levels. The instruction program was drawn up with reference to previous studies based on Bandura's self-conscious efficacy theory. The program is characterized in that it not only allows the patients to relax emotionally from their suffering of the disease and treatment, but also enhances the efficacy of treatment considering the diversities of life styles and characters of individual patients. Forty-five subjects participating in the study were ambulatory patients (40 years old or over) with Type II diabetes, who are receiving regular outpatient treatment in a general hospital. 32 patients were finally screened and divided into two groups, 17 in the participating group and 15 in the non-participating group. 20 weeks after starting the program, a significant improvement was observed in only HbA1c values for the participant group (p=0.01). Multi-logistic progression analysis showed that the program had a positive effect on HbA1c values (odds ratio 6.4, 95%confidence interval 1.0-41.0). Thus, the effectiveness of the program was proven.

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5巻2号 (2001年9月)
電子版ISSN 2432-3713 印刷版ISSN 1342-8497 日本糖尿病教育・看護学会