原著

Original Article

黒田, 久美子

内海, 香子

正木, 治恵

Kuroda, Kumiko

Uchiumi, Kyoko

Masaki, Harue

シミズ, ヤスコ

クロダ, クミコ

ウチウミ, キョウコ

マサキ, ハルエ

self-care agency

elements

diabetes

The purpose of this study was to extract the self-care agency elements for patients with diabetes toward the development of nursing effect measurement tools. From among the masters' and doctoral theses written by students of the Graduate School of Nursing at Chiba University after 1990, which involved the provision of nursing support for or interviews with diabetics, eight theses that dealt with qualitative study were selected to extract the self-care agency elements for diabetics by qualitative analysis. As a result, the structure of these elements was drawn. The nine self-care agency elements extracted are as follows: "basic knowledge of diabetes and self-management," "stress-coping ability," "ability to make the most of support," "monitoring ability," "application ability," "adjustment ability," "ability to obtain a clear understanding of one's body," "ability to promote self-management," and "ability to achieve self-realization despite having diabetes." With "basic knowledge of diabetes and self-management" as the starting point, the self-care agency elements are divided into two directions. One direction is toward the 'establishment of self-management methods' while enhancing "application ability" and "adjustment ability." The other is toward 'deeper self-understanding and self-realization' while enhancing the "ability to obtain a clear understanding of one's body" and the "ability to promote self-management." On the other hand, the "monitoring ability" is positioned at the center of those two directions. As a result, the structure was found wherein, the utilization of these abilities in a comprehensive manner leads to the enhancement of the "ability to achieve self-realization despite having diabetes" and the eventual fusion of the two directions. The "stress-coping ability" and the "ability to make the most of support" are positioned as the abilities used in all processes.