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Development and Validation of a Human Caring Approach for Diabetic Patients

糖尿病患者人文关怀方法的开发和验证

基本信息

批准号：
16390643
负责人：
NANAMI Yoko
金额：
$ 6.11万
依托单位：
University of Hyogo
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2007
项目状态：
已结题

项目摘要

In this study, based on Benner, P.'s caring theory, we developed a caring model for patients with early diabetes and examined its validity.1. Development of a caring approach model for diabetic patientsWe performed meta-synthesis of eight studies. As a result, we developed “embodiment care for diabetic patients" as a nursing care process to obtain knowledge about the body, as a basis for intellectual and physical action, of patients. The main characteristics of the care process are “Clarify ambiguous experience", “Promotion of understanding of their own bodies", “Restoration of trust in their own bodies", and “Acquisition of a new lifestyle (coping methods)".2. Development of an intervention protocol for “embodiment care for diabetic patients"We developed an intervention protocol consisting of the caregiver's attitude, posture, and height from the floor, the distance between the caregiver and the patient, physical actions and hand gestures when asking questions and giving instructions, interaction with patients, and interpretation of responses from patients. Basic knowledge, equipment, and materials required for the care, as well as recording formats, were also included in the protocol. The intervention protocol was designed to “clarify ambiguous experience".3. Validation of the care to “clarify ambiguous experience"We provided five Type-2 early diabetic patients with the care to evaluate the efficacy. During the care process, the patients made remarks and took actions that demonstrate their concern for their bodies, indicating “how they live with their own bodies"-experience acquired through a long period of their lives. The care proved to clarify the experience of patients.

本研究以本纳、S的护理理论为基础，构建了早期糖尿病患者的护理模式，并对其有效性进行了检验。为糖尿病患者开发护理方法模型我们进行了八项研究的综合集成。因此，我们开发了“糖尿病患者的体现护理”作为一种护理过程，以获取关于患者身体的知识，作为患者智力和身体行动的基础。护理过程的主要特点是“澄清模棱两可的经历”、“促进对自己身体的了解”、“恢复对自己身体的信任”和“获得新的生活方式(应对方法)”。我们制定了一套干预方案，包括护理者的态度、姿势和离地面的高度、护理者和患者之间的距离、询问和指示时的身体动作和手势、与患者的互动以及对患者反应的解读。护理所需的基本知识、设备和材料以及记录格式也包括在协议中。干预方案旨在“澄清模棱两可的经验”。验证护理以“澄清模棱两可的经验”我们为5名2型糖尿病早期患者提供了护理，以评估其疗效。在护理过程中，患者的言论和行动表明了他们对自己身体的关心，表明了他们是如何与自己的身体生活在一起的--这是他们在漫长的生活中获得的经验。事实证明，这种护理澄清了患者的经历。