外来通院でインスリン自己注射を行っている糖尿病患者の導入時ならびに現状の課題

diabetic

看護総合科学研究会誌

The purposes of this study are to clarify the issues at the induction and the current state in outpatient diabetics under insulin self-injection therapy and to examine an appropriate supportive advice and guidance. A questionnaire survey was carried out to eighty-four diabetics (type 1 and 2) at the outpatient clinic in the A hospital which was certified as the specified functional hospital by the Ministry of Health, Labour and Welfare. The data obtained were analyzed from following three aspects, namely 1) general characteristics of the diabetics, 2) physical and mental condition at the induction of insulin self-injection, 3) present control state of diabetes by insulin self-injection therapy. A type 2 diabetic, 67% of the patients, was twice more of type 1. It was revealed that many of the each type of diabetes felt uneasiness at the beginning of insulin selιinjection. Half of type 2 diabetics were in bad blood sugar control due to disability of self discipline. On the contrary, type 1 diabetics had higher risks for hypoglycemic episode or diabetic coma, despite many of them were in good blood sugar control. It was concluded that the appropriate supportive advice and guidance, with taking a certain time and including a psychological approach, based on the issues of each outpatient diabetic under insulin self-injection therapy was important.