2型糖尿病成人期男性の感情

Emotion in Type 2 Diabetic Adult Males

　目的：2型糖尿病成人期男性が，糖尿病とともに生活する体験を通して，どのような感情を抱いているかを明らかにすることである．対象：継続して6か月以上外来受診し，食事・運動・経口血糖降下剤による治療を受け，かつ日常生活に支障となる合併症のない，職業をもつ2型糖尿病成人期男性10名．方法と分析：外来受診時に半構成的面接法を用いてインタビューを行い，その内容を患者の許可を得て録音し，逐語録を作成した．逐語録の一文一文に対し，継続比較分析法を用い，糖尿病とともに生活するなかで抱く感情を抽出した．結果：糖尿病とともに生活するなかで抱く感情には，「怒り」「悲しさ」「苦しさ」「不安」「喜び」の5つの感情があった．「怒り」は，〈感染しやすい身体への嫌悪感〉・〈不規則な生活習慣に対する後悔〉．「悲しさ」は，〈男性性の喪失感〉・〈順調な人生に対する喪失感〉・〈しかたがない状況に対するあきらめ〉．「苦しさ」は，〈自制や制約に対する負担感〉・〈一生病気とともに過ごすことへの負担感〉・〈ひもじいことによるつらさ〉・〈家族に対する責任への負担感〉・〈仕事に対する責任への負担感〉．「不安」は，〈周囲の目に対する気がかり〉・〈症状の進行に対する心配〉，〈合併症の出現に対する恐怖感〉・〈子どもへの影響に対する気がかり〉であった．「喜び」は，〈症状の改善による解放感〉・〈治癒に対する希望〉・〈新薬の開発に対する期待〉・〈コントロールできた満足感〉であった．

　Purpose: This study was conducted for the purpose of identifying what types of emotions are felt by type 2 diabetic adult males during the course of their experiences in dealing with diabetes. Subjects: The subjects of this study consisted of 10 type 2 diabetic adult males who were currently employed, had been examined on an out-patient basis for at least six consecutive months, were receiving treatment through diet, exercise and administration of oral hypoglycemic agents and were free of complications that impaired their daily lives. Methods and Analysis: The subjects were interviewed using semi-structured interviews when they were examined as out-patients. The contents of those interviews were recorded with the patient's permission and verbatim transcriptions were prepared from those recordings. Those emotions felt by the subjects during the course of their living with diabetes were extracted using continuous comparative analysis for each sentence contained in the verbatim transcriptions. Results: Those emotions felt by the subjects during the course of their living with diabetes consisted of anger, sadness, anguish, apprehension and happiness. Emotions categorized as anger consisted of “disgust with own body being susceptible to infection”and “regret over irregular lifestyle”. Emotions categorized as sadness consisted of “sense of loss of male sexuality”,“sense of loss of normal life”and“despair over unavoidable circumstances”. Emotions categorized as anguish consisted of “sense of burden with respect to self-control and restrictions”, “sense of burden having to live entire life with this disease”, “difficulty in always being hungry”, “sense of placing burden of responsibility on family”and “sense of placing burden of responsibility with respect to job”. Emotions categorized as anxiety consisted of “awareness of being watched by others”, “concern over progression of symptoms”, “fear over appearance of complications”and “apprehension over effects on children”. Emotions categorized as“happiness”consisted of “sense of release resulting from improvement of condition”,“hope for being cured”, “expectations on development of new drugs”and “satisfaction in having achieved control”.