Japan Academy of Diabetes Education and Nursing Volume 9, Issue 2 (September 2005)

Analysis of Daily Life Experiences Associated with Dropout of Diabetes Mellitus Patients from Treatment Programs Akemi Koga 1 , Midori Matsuoka 2 , Kimie Fujita 1 , Kazuko Sato 1 1Institute of Nursing, Faculty of Medicine Saga University 2Oita University Faculty of Medicine School of Nursing Keyword: 糖尿病 , 受診中断 , 療養生活 , 自己管理行動 , Diabetes mellitus , Dropout , Lifestyle during treatment , Self-management pp.114-123
Published Date 2005/9/15
  • Abstract
  • Reference
  • Cited by

 The present study was undertaken to clarify the daily living experiences of diabetic patients who dropped out of diabetes mellitus treatment programs. Sixteen diabetic patients of middle or high age (below 65 years), who were receiving no drug therapy, who had seemed to have characteristics potentially leading to dropout from treatment programs and who were confirmed to have actually dropped out, were enrolled in an interview-based survey under informed consent. The results of the survey were qualitatively analyzed. The patients were divided into four groups according to the type of daily life experiences associated with dropout from the treatment program: the high self-efficacy type (high awareness of the efficacy of self-management of the disease), the potentially compliant type (patients who have the potential of resuming clinic visits), the escape-from-reality type (patients who stop visiting clinics to escape from reality) and the inadequate recognition type (patients with inadequate recognition about mellitus treatment programs ). Daily life experiences were found to involve categories common to all 4 types and categories different among the 4 types. The six categories common for all 4 types were three categories pertaining to the beginning of treatment (“evaluation of diabetes by consultation”, “practice of the advised lifestyle”and “adjustment of job for clinic visits”), three categories pertaining to the dropping out phase (“inefficiency of the treatment system”and “instructions in a tone of command by care providers”and “underestimation of the significance of diabetes by the patient”). Ten categories different among the four types were also extracted. The results suggest that to encourage patients to continue clinic visits, nurses should understand inter-individual differences in daily life experiences related to treatment programs and provide support tailored to individual patients.

Copyright © 2005, Japan Academy of Diabetes Education and Nursing. All rights reserved.


9巻2号 (2005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