@article{oai:kanazawa-u.repo.nii.ac.jp:00050505,
 author = {丸山, 育子 and 稲垣, 美智子 and 多崎, 恵子 and 堀口, 智美 and 浅田, 優也 and Maruyama, Ikuko and Inagaki, Michiko and Tasaki, Keiko and Horiguchi, Tomomi and Asada, Yuya},
 issue = {2},
 journal = {Journal of wellness and health care, Journal of wellness and health care},
 month = {Feb},
 note = {Purpose: This study was performed to quantitatively verify the relationships among the
“trust state” of patients with type 2 diabetes, recognition of disease uncertainty, and selfcare
behavior.
Method: The present study based on Mishel’s theory of uncertainty in illness had a crosssectional
survey design. A questionnaire was developed to identify the state of trust. The
study population consisted of adults with type 2 diabetes. A total of 204 questionnaires
were distributed, and 125 completed questionnaires were recovered (response rate 61%).
Participants had an average age of 53.6 (SD 9.6) years and included 71 men (62.8%) and
42 women (37.2%). State of trust, awareness of disease uncertainty, and self-care behavior
were evaluated using the questionnaire. To classify the state of trust, the factor structure
was confirmed by exploratory factor analysis of the state-of-trust questionnaire. One-way
analysis of variance and multiple comparisons were used to examine each relationship.
Results: The number of items in the state of trust questionnaire was changed from ten
to six. As a result of the promax rotation of the main factor method, the following three
factors were extracted: “wants compatible doctors,” “trusts doctor easily,” and “receive
medical care at one’s own convenience.” Cluster analysis using factor scores of six items
and three subscales from the state of trust questionnaire created four clusters. The
numbers of participants per cluster were as follows: cluster 1 (high scores for “wants
compatible doctors” and “trusts doctors easily”), 22 (19%); cluster 2 (low scores for
“wants compatible doctors,” “trusts doctors easily,” and “receive medical care at one’s
own convenience”), 18 (16%); cluster 3, (low score for “wants compatible doctors,” but
not for “trusts doctors easily”), 21 (19%); cluster 4 (lower score for “trusts doctors easily”
than “wants compatible doctors”), 52 (46%). For each of the four clusters for the state of
trust, the mean total score of uncertainty in illness perception was not equally distributed.
Therefore, Welch’s test was performed, which revealed significant differences in self-care
behavior and meals between clusters 1 and 4 (p < 0.0001).
Conclusion: The high rate of meals in cluster 1 suggested that creating a state of trust, i.e.,
“wants compatible doctors” and “trusts doctors easily,” is important in nursing. Education
for diabetes patients should consider their state of trust.},
 pages = {45--54},
 title = {Relationships among the state of trust, recognition of uncertainty in illness, and self-care behavior in adults with type 2 diabetes},
 volume = {43},
 year = {2020}
}