{"created":"2023-07-27T06:57:59.669472+00:00","id":55563,"links":{},"metadata":{"_buckets":{"deposit":"94c4d15c-acf7-46db-8623-b9c10967ceb0"},"_deposit":{"created_by":18,"id":"55563","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"55563"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00055563","sets":["2812:2813:2826"]},"author_link":["285","75943"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-02-03","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"1p.","bibliographicVolumeNumber":"2005 – 2007","bibliographic_titles":[{"bibliographic_title":"平成19(2007)年度 科学研究費補助金 基盤研究(C) 研究成果報告書概要"},{"bibliographic_title":"2007 Fiscal Year Final Research Report Summary","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{}],"nameIdentifiers":[{},{}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】若年発症1型糖尿病患者が食行動に対してどのような思いを抱いて生きてきたのかについて、彼らによって語られた内容を質的手法を用いて分析し、導き出された心理的特徴をもとにした質問紙を作成・使用し、質問紙によって患者が類型化できるかどうかを検証した。【結果】語られた内容から19のテーマ(エピソードを象徴するもの)が抽出された。この19テーマに基づいて対象を質的手法を用いて類型化することを試みたところ、類型化には3つの解が関係していることを見出した。3つの解は、解1が「発達段階と関係する普通ではないことに対する思い」、解2が「糖尿病であることでの不安や欲求が満たされないことの不満」、解3が「食事制限に関する親への依存と自己責任のバランス」と命名できた。次に19テーマをもとに作成したアンケートの得点についての因子分析の結果、3因子が抽出され、第1因子は「糖尿病であることへの不安や不満などのネガティブな感情をあらわす尺度」(尺度1)、第2因子は「家族と関係するところでの食行動に対する感情をあらわす尺度」(尺度2)、第3因子は「糖尿病であるためにやらなければならないことをポジティブに考え、積極的に対処していこうとする感情をあらわす尺度」(尺度3)と命名できた。すなわち患者を類型化するにはこの3つの因子が関係しているのではないかということが示唆された。これらの結果より3つの解と3つの尺度はそれぞれ対応するものが存在していると考えられ、質的手法で行った類型化の方法が適切であったことが量的手法によって検証できたことが示唆された。【研究の意義および重要性】患者の特徴を捉え個々の状況にあわせた介入方法を検討していくことが今後の看護には必要であり、そのための患者の類型化の方法として、この研究で見出した2つの方法すなわち患者とゆっくりかかわる時間がもてる入院患者などの場合には面接法を用いた質的手法での類型化を、また外来患者のように短時間でしか関われない場合にはアンケート方法を用いた介入方法をというように、患者に合わせた類型化の活用が将来的には可能ではないかと考える。","subitem_description_type":"Abstract"},{"subitem_description":"1) We investigated views and understandings about eating behaviors of youth-onset patients with IDDM. The data was obtained by means of qualitative and analysis of the subjects' narratives. The result, 19 themes extracted.]:Stress due to forced food ingestion or restriction of diet, 2: Always having evident or latent anxiety about possible onset of hyperglycemia or complications, 3: Hardness and difficulty in keeping blood glucose at a moderate level, 4: Pain or discomfort about the concern of surrounding people about my eating behavior, 5: Resistance to parents who believe that I should not eat sweets or take a large-volume dish, 6: I have got accustomed to making a self-injection of insulin after eating, 7: Resistance to the necessity of continued insulin injection, 8: I feel troublesome in doing not needed for healthy people, 9: Unpleasant feeling of being treated in a different way due to the disease, diabetes mellitus, 10: I think there is no other way than making efforts by mysel f, 11: How to deal with episodes of hypoglycemia have become a part of my daily life, 12: I have some days when I can eat as I want, 13: Eating behind parents' back, 14: Pleasure in taking supplementary food to deal with hypoglycemia, 15: Desire to eat, 16: Anxiety about the possibility of hypoglycemia, 17: Blood glucose control is more important than becoming slim, 18: I have a reliable person to whom I can inform my disease and from whom I can receive mental support when needed, 19: Type I rather than Type II has a way of escape.\n2) The question paper (questionnaire of the thought about the eating in the direction of type 1 diabetes) based on the drawn mental feature was designed, it was actually used, and it was verified whether a patient could typify in question paper. Three factors are extracted when factor analysis is conducted about the score of 19 themes. The 1st factor \"The measure showing the uneasiness and which negative dissatisfied feeling of being diabetes\" (measure 1), The 2nd factor has been named \"the measure showing the feeling over the eating behavior related to a family\" (measure 2), and the 3rd factor has been named \"the measure showing the feeling of considering positively it having to do since it is diabetes, and trying to cope with it positively\" (measure 3). That is, it was suggested whether for typifying a patient, these three factors are related. L","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:17592294, 研究期間(年度):2006 – 2007","subitem_description_type":"Other"},{"subitem_description":"出典：「若年発症1型糖尿病患者の食行動に関する心理過程解明のための尺度開発」研究成果報告書　課題番号17592294\n（KAKEN：科学研究費助成事業データベース（国立情報学研究所））\n（https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-17592294/175922942007kenkyu_seika_hokoku_gaiyo/)を加工して作成","subitem_description_type":"Other"}]},"item_9_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学医薬保健研究域医学系","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00061838","subitem_identifier_reg_type":"JaLC"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/search/?kw=50251963"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/search/?kw=50251963","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-17592294/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-17592294/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-17592294/175922942007kenkyu_seika_hokoku_gaiyo/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-17592294/175922942007kenkyu_seika_hokoku_gaiyo/","subitem_relation_type_select":"URI"}}]},"item_9_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-05-17"}],"displaytype":"detail","filename":"ME-PR-KAWAMURA-K-kaken 2010-1p.pdf","filesize":[{"value":"151.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-KAWAMURA-K-kaken 2010-1p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/55563/files/ME-PR-KAWAMURA-K-kaken 2010-1p.pdf"},"version_id":"ee6eddf8-7cf0-445a-ad3f-b975a26e0b9b"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"若年発症1型糖尿病患者の食行動に関する心理過程解明のための尺度開発","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"若年発症1型糖尿病患者の食行動に関する心理過程解明のための尺度開発"},{"subitem_title":"Measure development for the mental process elucidation about youth-onset typel diabetes mellitus patients'eating behaviors","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2826"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-05-17"},"publish_date":"2021-05-17","publish_status":"0","recid":"55563","relation_version_is_last":true,"title":["若年発症1型糖尿病患者の食行動に関する心理過程解明のための尺度開発"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T14:22:32.084510+00:00"}