A Study of Support for Self-management of Older-old, People with Diabetes in Nursing Homes

本研究的目的在于建立护理院护士的教育点，以确保护理院对老年糖尿病患者自我管理的支持。计划对养老院护士进行半构式访谈，了解老年糖尿病患者自我管理支持的实际情况。根据访谈结果，计划召开专家会议，讨论养老院护士的教育要点。对17名护理人员进行访谈，收集29名老年糖尿病患者的护理细节（自我管理问题、实际支持情况、支持中存在问题）并进行分析分类。专家会议举行了两次。在第一次会议上，提出了访谈的结果，并收集了专家的意见，以确定支持主题。支持对象为“日常生活的激活”、“良好生活的实现”、“更多地支持提高自尊”、“治疗适度的实现”、“目标设定与评价”。在第二次会议上，提出了从访谈结果和第一次会议专家意见中得出的教育要点，并收集了进一步的意见。需要的护理是“激活生命和调节生活”、“保持自尊”、“吸引能量生活”、“不打开焦虑档案”、“最大限度地发挥力量“激活大脑”、“优先考虑大脑和活着的感觉”、“创造个人快乐”、“从自我选择和失败中学习”和“从护士案例研究积累中学习”。这些关怀可归纳为“对大脑的关怀”和“个性导向的个案研究”两种学习活动方式。根据这些研究结果，在冲绳县a区规划了针对卫生、医疗和福利领域护理专业人员的“老年糖尿病患者支持核心研究项目”。少

The purpose of this research was to build up the educational points for nurses in nursing homes, by making sure the support for self-management of older-old people with diabetes in nursing homes.Semi-constructed interviews, about the actual situations of support for self-management of older-old with diabetes, for nurses in nursing homes were planned. Based on the results of the interviews, specialist meetings were planned for discussing about the educational points for nurses in nursing home.Interviews were made for 17 nurses, and the details (problems on self-management, actual support for them and problems in support) of the support for 29 older-old with diabetes were collected, analyzed and classified.The specialist meetings were held twice. At the first meeting, the results of interviews were presented and the opinions of specialists were collected for defining the support subjects. The support subjects were "activation of daily life", "realization of well-regulated life", "support … More for raising self-esteem", "realization of therapeutic moderation", objective setting and evaluation". At the second meeting, the educational points which were made from the results of interviews and the opinions of specialists in the first meeting were presented and further opinions were collected. The needed care were for "activation of life and well-regulated life", " keeping self-esteem", "appealing to the energy to live", "not opening the file of anxiety", "making the most of the strength "activation of brain" "putting priority on brain and feeling of being alive ", "making individual pleasure", "leaning from self selection and failure" and "leaning from accumulation of case study in nurses". These care were concluded in the two ways of learning activity, "the care for brain" and "individuality oriented case study".According to these results, "the core study program for the support of older-old with diabetes" for the caring professionals in health, medical and welfare field, is planned in A-district in Okinawa Prefecture. Less