Title Alternative The development of a scale to measure stress recognition during the treatment of diabetes patients
Author Sumiyoshi, Kazuko| Kawata, Chieko| Okamoto, Tatsuo| Ohashi, Mutsuko| Mikane, Sakae| Takabayashi, Noriko| Futoyu, Yoshiko| Kim, Woesook| Wada, Jun| Shikata, Kenichi| Nakajima, Kazuo|
Abstract  The purpose of this study was to establish a measurement scale for "stress recognition in receiving treatment" in patients with diabetes. A self-completed questionnaire was distributed to 149 type-2 diabetes outpatients in March-May 2015 after authorization from Okayama Prefectural University and the ethics committee of the hospital.  The "stress recognition in receiving treatment" scale was designed as a second-order factor model consisting of 14 items and the following four factors : the respondent's sense of (1) the burden of being sick, (2) the burden on interpersonal relationships, (3) the burden of treatment, and (4) the burden of medical expenses.  Stress recognition in treatment means recognition of being stressed in the burdens related to the illness, interpersonal relationships, treatment and medical expenses.  The suitability of the questionnaire data was then evaluated with a structural equation model. The suitability of the factor model to the data satisfied the statistically acceptable standards as Comparative Fit Index (CFI) =0.931, Root Mean Square Error of Approximation (RMSEA) =0.096, Tucker-Lewis Index (TLI) =0.946.  As the construct validity was not examined by the scale created in this study or by existing scale, it was verified by using the degrees of mental healthiness and HbA1c that were proved to be associated with the sense of burden.  In addition, the construct validity of the questionnaire was supported by a significant correlation between the Japanese version of the WHO-Five Well-being Index (S-WHO-5-J) and the patients' HbA1c levels. The use of this measure is expected to contribute to the early detection of a decline in a diabetic patient's activities of daily living and to the early confirmation of patients' support status.
Keywords 糖尿病患者 (diabetes patients) 治療 (treatment) ストレス認知 (stress recognition) 尺度開発 (development of a scale)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 93
End Page 99
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.93
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.93
JaLCDOI 10.18926/11740
Title Alternative A subjective well-being of the aged - psychological characteristics of elderly people of 90 or older -
FullText URL 006_035_040.pdf
Author Ikeda, Toshiko| Kondo, Masuko| Sakurai, Keiko| Futoyu, Yoshiko| Ashiki, Akemi| Seita, Reiko| Tanimoto, Nobuko| Ando, Sakiko|
Abstract 高齢化社会の到来に伴い一言で老人といっても幅広い年代が対象となり、一律に老人では説明できない。実際看護をしていると90歳をすぎた老人はその年代迄にはない、穏やかさ、焦りのなさ、人生を達観しているような感じを受けることが多い。そこで90歳以上の老人にみられるイメージや心理面の特徴を明らかにし看護実践の一助としたいと考えた。方法は80歳以上の入院患者50名に身体、生活、家族面からみた現状、他者から見たイメージ、主観的幸福感を調査した。その結果、90歳以上は80歳代にくらべ看護者に肯定的イメージに受け取られる傾向にあった。主観的幸福感を示すモラール得点の総合点では差はなかったが得点する内容に差が見られ、80歳は積極的な生き方で得点しているものが多く90歳代は現状に満足している点で得点している者が多かった。看護者からみたイメージと本人の主観的幸福感は両年代とも肯定的イメージで相関した。
Abstract Alternative The population of the aged is currently increasing with advanced medical science and technology. The aged have become to keep their lives long. In this paper, We especially focused on their psychological characteristics of elderly people of 90 and older to offer high quality of nursing care for them. We interviewed 50 patients of 80 years and older about a subjective well-being, using a questionaire based on Philadelphia Geriatric Center Morale Scale. And also we asked 50 nurses, who took care of them exclusively, a questinaire about their images of the aged. We report as follows : 1. The nurses estimated that their images of the second group (range : 90 years old ~) were better than the first group (range : 80~89 years old). 2. In subjective well-being which Philadelphia Geriatric Center Morale Scale showed, above-mentioned both groups were similar in total scores. However, each item was marked differently by them. 3. In both groups, their subjective well-being correlated with good images for them.
Keywords 高齢者 (the aged people) イメージ (image of the aged) 幸福感 (well-being)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1996-02-29
Volume volume6
Start Page 35
End Page 40
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313362