Experiences of Mid-to-long-term Residents with Type 2 Diabetes in Japan: A Qualitative Interview-based Study Rikako Tachibana 1 , Kaori Hatanaka 2 , Nobuko Kawai 3 , Hiromi Kitamura 4 , Yasuko Shimizu 3 1Osaka Medical College Hospital 2Faculty of Nursing, Kansai Medical University 3Division of Health Sciences, Osaka University Graduate School of Medicine 4Tabunka Kyosei Center-Hyogo Keyword: 外国人患者 , 中長期在留者 , 2型糖尿病 , 生活体験 , 文化 , Foreign patients , Mid-to-long-term residents , Type 2 diabetes , Life experience , Culture pp.661-671
Published Date 2020/12/31
  • Abstract
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 Aim: This study aims to clarify the experiences of mid-to-long-term residents of Japan with type 2 diabetes who were being followed up at a hospital.

 Methods: A semi-structured interview was conducted among 6 mid-to-long-term residents with type 2 diabetes who were being followed up at a hospital in Japan. Their responses were analyzed using the KJ method, a qualitative synthesis method; then, the whole analysis was performed.

 Results: Individual analysis of the responses of the 6 residents was conducted, and 39 concepts were derived. As a result of the whole analysis, 7 categories were extracted from the interview data: “the fear of diabetes observed in Japan,” “the self-management approach applied in Japanese medical care is better than their home country,” “the self-treatment method without medical staff reliance,” “the difference in the food culture between my home country and Japan in terms of its impact on self-management,” “my own life with diabetes,” “the fear and anxiety associated with living with diabetes in different countries,” and “the expectations of foreigners for diabetes treatment.”

 Conclusions: The self-management of mid- to long-term residents and their lives with diabetes were affected by the cultural gap with respect to a participant's home country and how Japanese medical care was implemented, indicating the presence of specific contributing factors and conditions. Therefore, the consideration of the need to address cultural diversity is recommended.

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