Objectives:The management of type 2 diabetes mellitus can be improved for individuals by developing relationships with other patients with diabetes.We created the Relationship Consciousness of Japanese Patients with T...Objectives:The management of type 2 diabetes mellitus can be improved for individuals by developing relationships with other patients with diabetes.We created the Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale to measure the relationship consciousness of type 2 diabetes mellitus patients for other patients based on the Health Belief Model.Methods:This was a cross-sectional study of Japanese patients with type 2 diabetes mellitus(n-289).Data were analyzed via exploratory factor analyses,reliability tests,concurrent validity.Results:The final scale obtained for the Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale comprised a six-factor structure with 36 items.All 36 items had a Cronbach'sαcoefficient of 0.893 and explained 59.38%of the total variance.The scale was significantly correlated with a related reciprocity consciousness scale.Conclusions:The Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale may be an important tool for nurses to assess the relationship consciousness of patients with type 2 diabetes mellitus.In addition,by understanding patients'relationship consciousness for others who share their disease,nurses can begin to recommend ways to establish relationships between patients that suit patients'particular relationship.consciousness levels and to provide better care in their clinical practice.展开更多
Objectives: For the medical care of older adults diagnosed with type 2 diabetes later in life, it is necessary to provide medical staff support considering their life stage and to ensure that they live a stable life w...Objectives: For the medical care of older adults diagnosed with type 2 diabetes later in life, it is necessary to provide medical staff support considering their life stage and to ensure that they live a stable life without fatigue. However, there is no measure for evaluating whether older diabetic patients have a stable life at the time of diagnosis. This study aimed to develop a scale to evaluate self-care stability for diabetic patients and to verify its reliability and validity. Methods: A cross-sectional study was conducted at four hospitals in Japan. A draft scale comprising 39 items was developed to identify patients’ stability of diabetes self-care in life. A total of 69 patients diagnosed with diabetes for the first time at age 60 or older responded effectively to questionnaires. Results: As a result of item analysis and factor analysis, seven factors comprising 20 items were extracted. The cumulative contribution ratio before rotation was 70.577%. Cronbach’s α was 0.700 overall. The total score on this scale and the sum of the revised Philadelphia Geriatric Center Morale Scale scores were significantly positively correlated (r = 0.379). On comparing the total scale score based on glycated hemoglobin level, the scale score of the stable group was found to be higher. Therefore, this scale was found to be reliable and valid. Conclusions: This scale may have utility in the measurement of self-care stability in patients diagnosed with type 2 diabetes later in life.展开更多
文摘Objectives:The management of type 2 diabetes mellitus can be improved for individuals by developing relationships with other patients with diabetes.We created the Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale to measure the relationship consciousness of type 2 diabetes mellitus patients for other patients based on the Health Belief Model.Methods:This was a cross-sectional study of Japanese patients with type 2 diabetes mellitus(n-289).Data were analyzed via exploratory factor analyses,reliability tests,concurrent validity.Results:The final scale obtained for the Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale comprised a six-factor structure with 36 items.All 36 items had a Cronbach'sαcoefficient of 0.893 and explained 59.38%of the total variance.The scale was significantly correlated with a related reciprocity consciousness scale.Conclusions:The Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus scale may be an important tool for nurses to assess the relationship consciousness of patients with type 2 diabetes mellitus.In addition,by understanding patients'relationship consciousness for others who share their disease,nurses can begin to recommend ways to establish relationships between patients that suit patients'particular relationship.consciousness levels and to provide better care in their clinical practice.
文摘Objectives: For the medical care of older adults diagnosed with type 2 diabetes later in life, it is necessary to provide medical staff support considering their life stage and to ensure that they live a stable life without fatigue. However, there is no measure for evaluating whether older diabetic patients have a stable life at the time of diagnosis. This study aimed to develop a scale to evaluate self-care stability for diabetic patients and to verify its reliability and validity. Methods: A cross-sectional study was conducted at four hospitals in Japan. A draft scale comprising 39 items was developed to identify patients’ stability of diabetes self-care in life. A total of 69 patients diagnosed with diabetes for the first time at age 60 or older responded effectively to questionnaires. Results: As a result of item analysis and factor analysis, seven factors comprising 20 items were extracted. The cumulative contribution ratio before rotation was 70.577%. Cronbach’s α was 0.700 overall. The total score on this scale and the sum of the revised Philadelphia Geriatric Center Morale Scale scores were significantly positively correlated (r = 0.379). On comparing the total scale score based on glycated hemoglobin level, the scale score of the stable group was found to be higher. Therefore, this scale was found to be reliable and valid. Conclusions: This scale may have utility in the measurement of self-care stability in patients diagnosed with type 2 diabetes later in life.
