糖尿病児の自己管理の可能性予測への試み―注射に対する気持ちの母子一致度の視点から

An attempt on Estimating Self-care Management of Diabetic Children : Feelings of Children and Mothers Toward Insulin Injections

要旨

　糖尿病児の自己管理状況が，児の発達と共にどのように変化していくのかを予測する方法を求めて，交流分析理論・人格発達理論を援用して，①注射への気持ち，②注射をする時の他者への気持ち，について，アンケート項目を作成した．

　母子が独立に記入したアンケートを，母子の一致を指標として，児自身および母子関係の発達に応じて分類したものと，自己管理状況の臨床的直観による分類との相互関係について，比較検討した．

　その結果，自己管理の良・不良の両極を予測するのには，このアンケートは，かなり役立つ可能性があることが見出された．

　今後さらに，個別のケースの詳細を吟味することによって，より予測精度の高いアンケート項目を作っていきたい．

Abstract

　The purpose of this studys is to find a measure to estimate the developmental of self-care behaviors of diabetic children. A questionnaire was constructed, using the theories of transactional-analysis and personality development, to investigate (1) how diabetic children were feeling about insulin injections and (2) how they were feeling toward others when doing injections.

　35 couples of diabetic children and their mothers completed the questionnaire independently.

　The data were analyzed in terms of the degree of agreement between children and moters, and the developmental levels of children's attitude toward injections. Also they were compared with clinical observations of nurses in Diabetic Clinic.

　The results indicated the usefulness of the questionnaire as a measure to estimate the developmental status of self-care behaviors. More favorable feelings and attitudes toward injections and mothers appeared to exist among children with good clinical evaluation, less favorable and immature feelings and attitudes among those with poor clinical evaluation.

　Further studys is expected to revise the questionnaire to get more accurate estimation with higher reliability.