診断後まもない2型糖尿病患者の教育入院の体験の意味づけ—成人学習にもとづいて

Interpreting the educational admission experience of patients newly diagnosed with type 2 diabetes: based on adult learning

【目的】2型糖尿病と診断され教育入院を受けた患者の教育入院の体験の意味づけを，成人学習の視点から明らかにする．

【方法】診断後6か月以内の2型糖尿病患者4名に，教育入院中の参加観察と退院後に半構造化インタビューを実施し，分析は質的統合法（KJ法）を用いた．

【結果】対象の教育入院の体験の意味づけは3つの大タイトルと6つのタイトルで示された．

【知識・技術の獲得と自分の身体の新たな理解】はタイトル《教育入院体験の体感を通じて身体を理解し今後の生活をイメージする》を含んだ．

【批判的な振り返りと新たな生活のための探求】はタイトル《教育入院をきっかけに過去の出来事を想起し，得た知識と自分の傾向や状況と照らし合わせて解釈して今後について考える》を含んだ．

【試しながら能力や自信を構築する修正した準拠枠のもとでの生活】はタイトル《退院後の生活は教育入院生活と同じようにしてもうまくいかないため自分でバランスを見ながら工夫するしかない》を含んだ．

【考察及び結論】診断後まもない2型糖尿病患者の教育入院の体験の意味づけは，糖尿病患者としての新たな準拠枠が形作られ，それをもとに生活するという学習プロセスを表した．

　To describe the interpretation of the educational admission experiences of patients newly diagnosed with type2 diabetes from the viewpoint of adult learning.

　Targeting four patients diagnosed with type 2 diabetes within the past six months, data were collected through observations of experiences during the educational admission process and semi-structured interviews after discharge.

　The collected data were analyzed using the nursing quality integration method (the KJ method).

　Three core titles were identified from the data.

　The core title [New understanding about the one's own body, acquisition of knowledge and technology] included the title <Changes in body and feelings that are discovered during the hospitalization experience affect the images of future life>.

　The core title [Critical reflection and quest for a new life] included the title <Remembering past experiences and interpreting them with the new knowledge gained during hospitalization and one's own tendencies or situation>.

　The core title [Building ability and confidence by trying, living on the basis of modified frames of reference] included the title <If it does not work as well as life in the hospital, life after discharge must be planned out with an eye toward balance>.

　The findings of this research show that the educational admission experience of patients newly diagnosed with type 2 diabetes involves forming new frames of reference for living with diabetes and living on the basis of frames of reference represented in the learning process.