Coping with Stigma among Working Patients with Type 2 Diabetes Tomomi Nakao 1,2 , Yumi Takataru 3 , Kayo Yokota 4 , Shizuka Masai 5 , Chiaki Kataoka 6 , Naoko Nakamura 7 1St. Mary's College 2St. Mary's Hospital 3Okayama UNIV. Hospital 4Kansai Electric Power Hospital 5Hyogo Prefectural Kakogawa Medical Center 6University of Hyogo 7Kobe City Medical Center General Hospital Keyword: 糖尿病 , 有職者 , スティグマ , diabetes , working patients , stigma pp.121-130
Published Date 2015/9/15
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 The purpose of this study was to clarify the ways in which patients with type 2 diabetes experience and cope with stigma. We interviewed 12 patients with type 2 diabetes and then qualitatively analyzed the content of their responses.

 We identified the following three types of stigmata experienced by type 2 diabetes-patients : “a sense of having an imperfect body” ; “excessive reflection leading to a lazy personality” ; and “group considered as the handicapped in social life”. Five strategies that patients use to cope with these stigmata emerged. When their medical condition was relatively mild, these patients coped with stigma by “hiding their diabetes” and “neglecting their self-care behavior”. When their diabetes symptoms were overt and insulin injections became necessary, they coped by “gradually speaking out to those around them about their illness” and by “withdrawing from social life to hide their diabetes”. Moreover, as their diabetes progressed, to control their blood glucose levels, they had no choice but to improve their self-care behavior, which they coped with by “pretending to be healthy while managing self-care behavior”.

 These findings suggest that support, including that for coping with diabetes-related stigmata, is needed for patients with type 2 diabetes from the early stage of onset.

Copyright © 2015, Japan Academy of Diabetes Education and Nursing. All rights reserved.


電子版ISSN 2432-3713 印刷版ISSN 1342-8497 日本糖尿病教育・看護学会