想定外の大惨事で一変した暮らしから捉える糖尿病の経験—指標を記録しなかったある1名の語りから

Experience of Diabetes Perceived through Daily Living That Was Totally Changed by An Unexpected Disaster: From The Narrative of A Person Who Did Not Record The Indexes

要旨

　目的：糖尿病の指標を記録しなかった1名の語りから，糖尿病とともに暮らす経験を現象学的に記述することである．

　方法：その人に現われている世界を記述する現象学的アプローチである．本稿では，糖尿病手帳開発プロジェクトで出会った指標をつけない研究参加者の経験を非構造化面接の語りを通じて記述した．

　結果：Aさんは大震災に被災し，周りへの様々な気がかりに時間を割いて糖尿病であることが曖昧な様相を呈していた中で注射導入となり，医師に毎回打ってもらうことで自分を労わるようになった．この変化は，時間の経験のされ方と自分へのケアの仕方から生起していた．

　結論：定期受診から生まれる自分へのケアが創出したリズミカルな時間の経験は大惨事からの快復も含意していた．医師に委ねて自分を労わるという方法を選択したAさんには自分で指標をつける必要性が生じなかった可能性がある．セルフモニタリングとは異なった方法でのセルフケアの新たなあり方が示唆された．

　Purpose: To phenomenologically describe the experience of living with diabetes based on the narrative of a person who did not record diabetic indexes.

　Methods: A phenomenological approach was employed, which describes the world as it appeared to the person. This article is based on the narrative obtained from an unstructured interview of a participant the author met during a diabetic logbook development project and found that she was not keeping a record of her diabetic indexes.

　Results: After experiencing a huge earthquake Ms A, due to her various concerns for her loved ones and business, spent more time worrying about them without really paying attention to her own illness of diabetes. As her condition worsened, she was required to get a regular injection which she decided not to do herself but to get from a doctor. This made her become kinder to herself. This change of attitude was derived from the way she perceived her time and the way she cared for herself.

　Conclusion: The experience of the rejuvenating time generated from the rhythm of caring for herself by regularly seeing the doctor was also representative of her recovery from the disaster. Ms. A, who chose to care for herself by relying on the doctor and valuing the conversations with him, may not have needed to self-monitor the indexes. Her case suggests a new way of self-caring that does not necessarily require self-monitoring.