日本糖尿病療養指導士の認定資格を有する看護師の役割行動の分析

An analysis of role behavior of the nurses who are Certified Diabetes Educator of Japan

　本研究の目的は看護師のCDEJ（Nurses who are Certified Diabetes Educator of Japan：CDEJN）の役割行動を明らかにすることである．CDEJNの役割行動に関連すると考えられる項目についての質問紙調査を協力可能であると返答のあった81施設に在籍する481名のCDEJNに実施し199名から回答を得た（回答率41.4％）．回答結果を探索的因子分析で分析し，CDEJNの役割行動として「糖尿病患者への療養指導」，「合併症・合併症予防への療養指導」，「糖尿病療養指導チームでの協働・連携」，「地域の糖尿病活動の支援」，「多職種の糖尿病療養指導の支援」，「糖尿病看護実践の省察」の6つが存在することが明らかになった．因子間相関係数は0.249〜0.714，クロンバックのα係数はCDEJNの役割行動全体で0.939，各因子で0.822〜0.915だった．CDEJN経験年数，糖尿病療養指導患者数が多く糖尿病療養指導時間が長いほどCDEJNの役割行動の得点が高くなる傾向にあり，CDEJNとしての経験を重ねることでCDEJNとしての役割行動が発揮されていると考えられる．

　The purpose of this study was to analysis the role of the Nurses who are Certified Diabetes Educator of Japan (CDEJN), and a questionnaire was administered to 481 CDEJNs at 81 institutions who responded that they could cooperate with the study, and 199 responded to the questionnaire (41.4% response rate). The results of exploratory factor analysis revealed that the CDEJNs play six roles and behaviors: guidance for diabetic patients, guidance for complications and complication prevention, cooperation and collaboration in the diabetes guidance team, support for diabetes activities in the community, support for multidisciplinary guidance for diabetes care, reflection on diabetes nursing practice. Factor correlation coefficients ranged from 0.249 to 0.714, and Cronbach's alpha coefficient for each factor was 0.939 for the entire CDEJN role behavior, and 0.822 to 0.915 within each factor. This study's results suggest that more experience as a CDEJN is associated with more role behavior as a CDEJN.