初期教育時における2 型糖尿病患者の療養心構え評価尺度の開発

Abstract

Education for patients with newly diagnosed type 2 diabetes is important because it canhelp to reduce the risks of complications by encouraging strict blood glucose control fromthe earliest stages of the disease. In education for newly diagnosed type 2 diabetes, it isimportant for patients to develop a deep understanding of having diabetes along with anattitude toward preparing for medical treatment. Moreover, an index is needed to evaluatewhether patients receiving such education after diagnosis are properly prepared for life asa diabetes patient. This study was performed to develop a scale for evaluating recuperationattitude at the time of education for patients with newly diagnosed type 2 diabetes.Twenty-four items were created for the draft scale by referring to previous research andHerzberg’s motivation-hygiene theory, which was then administered to 174 patients withtype 2 diabetes. Exploratory factor analysis yielded four factors with 16 items: undertakingrecuperation as a diabetes patient (Factor 1), looking back on a poor diet and trying tofix it (Factor 2), trying to study diabetes comprehensively (Factor 3), doing what can bedone now (Factor 4). The cumulative contribution of these factors before rotation was65.58%, indicating good construct validity. Significant and positive correlations were foundbetween this scale and the Self-Efficacy Scale for Diabetes Self-care and the JapaneseTranslated “The Summary of Diabetes Self-Care Activities Measure”; thus, the criterionrelatedvalidity was secured. The average item-level content validity index (S-CVI/Ave)was 0.90, indicating good content validity. Finally, the internal consistency was securedwith a Cronbach’s α coefficient of 0.86. Overall, the reliability and validity of this scalewere confirmed. This scale can be used to evaluate recuperation attitude at the time ofeducation for patients with newly diagnosed type 2 diabetes

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