Development of Nursing model (coaching) to a diabetes patient in outpatient

糖尿病门诊护理模式（辅导）的建立

• 批准号: 10672250
• 负责人: NANAMI Yoko
• 金额: $ 0.45万
• 依托单位: COLLEGE OF NURSING ART & SCIENCE, HYOGO
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672250/
• 关键词: life history of diabetes patient; life history approach; phenomenological approach; coaching; a diabetes patient; diabetes nursing; 糖尿病; 病気の軌跡; ライフヒストリー

The purpose of this research were to clarify, 1) a illness trajectory of a diabetes patient by using life history research method, 2) the meaning of nursing experience to patients with diabetes among expert nurses by using phenomenology, 3) to obtain the suggestion for nursing model (coaching ) to a diabetes patient.An interview was utilized to 13 diabetes patients in hospitalization for 3 months in 1998. As a result, a diabetes patient expressed his experience as the patient that interpreted the body and time has lived in a dimension called the present.Six expert nurses of diabetes nursing were interviewed for 5 months in 1999. As a result, 4 elements were emerged.1) Nurse helps that a patient is going to heal with himself.2) Nurse supports that a patient can experienced a change of a body.3) Nurse tailors a patient to be the person who lives diabetes independently.4) Nurse gets on a flow in time with a patient.As the result, nursing model (coaching )including 4 elements was developed.

本研究以生活史研究法探讨一位糖尿病患者的疾病轨迹，以现象学方法探讨专家型护理人员对糖尿病患者护理经验的意义，并对1998年住院三个月的13位糖尿病患者进行访谈，以了解专家型护理人员对糖尿病患者护理经验的意义。结果，一位糖尿病患者表达了他的经验，作为一个病人，解释身体和时间已经生活在一个称为现在的维度。结果显示：护理人员帮助病人自我康复;护理人员支持病人经历身体的改变;护理人员将病人塑造成独立生活的人;护理人员与病人及时沟通，形成了包括4个要素的护理模式（教练）。