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

本研究通过对养老院老年糖尿病患者自我管理的支持，构建养老院护士的教育点，并对养老院护理人员进行半结构式访谈，了解老年糖尿病患者自我管理的支持情况。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名护士进行访谈，收集、分析和分类29名老年糖尿病患者的支持细节(自我管理问题、对他们的实际支持问题和支持问题)。在第一次会议上，介绍了访谈结果，并收集了专家的意见，以确定支助主题。支持主题分别为“激活日常生活”、“实现良好生活规范”、“支持…更多是为了提高自尊“、”实现适度治疗“、”目标设定和评估“。在第二次会议上，介绍了根据第一次会议的访谈结果和专家意见提出的教育要点，并收集了进一步的意见。需要的护理内容有：“激活生活、规范生活”、“保持自尊”、“呼吁活力生活”、“不打开焦虑档案”、“发挥力量”、“激活大脑”、“重视大脑、感受生命”、“创造个人快乐”、“从自我选择和失败中学习”、“从护士的案例积累中学习”。在此基础上，在冲绳县A区规划了面向健康、医疗和福利领域的老年糖尿病护理人员的“老年糖尿病支持核心研究项目”。较少

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