Mechanisms Involved the Continuation of Exercise in Patients with Type Diabetes Mellitus.

Transcription

1 原 著 Mechanisms Involved the Continuation of Exercise in Patients with Type Diabetes Mellitus. Matsumi Yamazaki Michiko Inagaki Key Words diabetes, exercise, patient education Ⅰ. はじめに, QOL % School of Nursing, Kanazawa Medical University Institute of Medical, pharmaceutical and Health Sciences, Faculty of Health Sciences, Kanazawa University Vol. No.

2 Ⅱ. 方法 1. 研究デザイン 2. 研究参加者 3. データ収集方法とデータ収集期間 N HbAc BMI SD... 半構成的面接 焦点化面接 Vol. No.

3 4. データ分析方法 5. 研究の厳密性 6. 倫理的配慮 Ⅲ. 結果 1. 運動療法継続への発展プロセスの概要 2. 各カテゴリーの説明と定義 1) コアカテゴリー 運動療法は運動ではない Vol. No.

4 2) 運動療法への割り切り Vol. No.

5 Vol. No. 3) 人から勧められて得た知識 4) 運動療法の影響を自分の体で納得 a b c Ac 5) 療養生活の振り返りと解釈

6 Vol. No. 6) 運動療法の理想のあらわれ 7) 自分なりの運動療法の確立 8) 糖尿病をもつ体へのいたわり 4.2 型糖尿病患者にとっての運動療法の継続とは

7 Vol. No. 5.2 型糖尿病患者の運動療法のパターンについて Ⅳ. 考察 1. コアカテゴリー 運動療法は運動ではない について

8 2. 運動療法への割り切り と運動療法のとらえ方について QOL 3. 運動療法の方法について 4. パターン分類と行動について PrecontemplationContemplation PreparationActionMaintenance Vol. No.

9 Ⅴ. 本研究の限界と展望 Ⅵ. 結論 謝辞 要 旨 Vol. No.

10 Abstract The aim of this qualitative factor-searching study is to elucidate perceptions of exercise and mechanisms that are involved in its continuation in patients with type diabetes mellitus. Using a grounded theory approach, eleven patients, who were hospitalized primarily to improve glycemic control or for diabetic education, participated in the study, with interviews conducted four times over a period of six months. From the collected data, a development process mechanism was found in the continuation of therapeutic exercise in patients with type diabetes mellitus. The core category, a key requirement in the development process was the perception that therapeutic exercise was not recreational exercise. Then, through the interpretation and reflection of their own medical treatment patients developed their acceptance of the need for therapeutic exercise and their understanding of the effects of therapeutic exercise through their own body. These results suggest that it is important to support the perception that therapeutic exercise is not recreational exercise from an early stage for the continuance of therapeutic exercise. 文献, --, -, -,,,,,,, Cardiac Practice,, -,,,, -, Wei, M., Gibbons, L.W., et allow cardiorespiratory fitness and physical inactivity as predictors of mortality in men with type diabetes, Annals of internal medicine,, -, Batty, G.D., Shipley, M.J., et alphysical activity and causespecific mortality in men with Type diabetes/impaired glucose tolerance: evidence from the Whitehall study, Diabetic Medicine,, Tanasescu, M., Leitzmann, M.F., et alphysical activity in relation to cardiovascular disease and total mortality among men with type diabetes, Circulation,, -, Hu, G., Eriksson, J., et al.occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type diabetes, Circulation,, -,, -,,, Nelson, K.M., Reiber, G., et aldiet and exercise among adults with type diabetesfindings from the third national health and nutrition examination surveynhanes, Diabetes Care,, -, Kirk, A.F., Barnett, J., et alphysical activity consultation for people with Type diabetesevidence and guidelines, Diabetic Medicine,, -, Prochaska, J.O., DiClemente, C.C., et alin search of how people change. Applications to addictive behaviors, American Psychologist,, -,,, -, Di Loreto, C., Fanelli, C., et alvalidation of a counseling strategy to promote the adoption and the maintenance of physical activity by type diabetic subjects, Diabetes Care,, -,, --, kenkou/undou/pdf/data.pdf Strauss, A.L., Corbin, J.,,,,,,, -, American Diabetes AssociationStandards of medical care in diabetes-, diabetes care supplement, S-S,, -,,,.,,, S S,,,, -,,,, -, Vol. No.