2型糖尿病とともにある人の連続性（continuity）

Continuity of people with type 2 diabetes

　本研究は，2型糖尿病とともにある人の連続性（Continuity）を明らかにすることを目的とし，外来通院中の5名を対象に面接調査を行い，その逐語内容を質的統合法（KJ法）により分析した．その結果，2型糖尿病と共にある人の連続性は，【変化が実感できないことによる現状把握の困難さ】，【身体状態の不確かさからくる将来を見据えることの不安定さ】，【人生上の出来事によって引き起こされた自己の再考】という現在-未来の不連続の中で，【楽しみの実感を通した望むあり方の志向】，【身体状態悪化の回避と健康の維持】，【生活調整とのすりあわせによる習慣の維持】といった形で連続性を保持し，この全体が【自己を超えた意識の広がり】へとつながっているということが明らかとなった．この結果より，2型糖尿病とともにある人が未来を見据え望むあり方に沿って生活調整出来ることを支援する際，連続性をともに見いだしていくことが重要であることが示唆された．

　The aim of this study was to describe the continuity of people with type2 diabetes. We conducted interviews with five people who visit a diabetes clinic regularly about past experience, current condition, and anticipated future. The data were analyzed by Qualitative Synthesis Method (KJ Method).

　Three themes were identified relating to discontinuity, [difficulty of capturing current condition because of lack of feeling of change in the body], [unsteadiness of looking ahead to the future because of uncertainty of the body], [being faced to rethink ways to be through life events]. Three themes were identified relating to maintain continuity were [intention to what they want to be through feeling pleasure], [avoidance of body deterioration and maintenance of health], [maintenance of lifestyle through common practice by approximation]. These themes led to [expanding consciousness to others]. The results showed that seeing continuity with patients was important for nurses to help people with type2 diabetes, so they able to look ahead to their future and manage their life in line with what they want to be,