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The Study of Experiences during Pregnancy in a Woman with Type 1 Diabetes
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作者 ikuko nishio Daisaku Nishimoto Masami Chujo 《Open Journal of Nursing》 2020年第11期1095-1108,共14页
<strong>Background:</strong> This study aimed to elucidate the experiences of a woman with type 1 diabetes during the course of her pregnancy. <strong>Method:</strong> This case study involved ... <strong>Background:</strong> This study aimed to elucidate the experiences of a woman with type 1 diabetes during the course of her pregnancy. <strong>Method:</strong> This case study involved 1 participant. Data were collected through a semi-structured interview. <strong>Results:</strong> The data of experiences during pregnancy of Mrs. A comprised 20 codes, 5 categories, and 11 subcategories. The 5 categories were [abnormalities in the delicate body], [difficulty in blood glucose control for safe childbirth], [the burden of visiting both obstetrics] and [internal medicine departments], and [hope for safe childbirth]. <strong>Conclusion:</strong> The categories extracted in this study included terms that suggested negative experiences, such as “abnormality”, “difficulty”, “inconvenience”, and “burden”. Mrs. A might have used these negative terms due to the difficulties in controlling her blood glucose levels. 展开更多
关键词 Type 1 Diabetes Experiences PREGNANCY INSULIN
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Comparing Lifestyle Convenience of Multiple Daily Injection and Continuous Subcutaneous Insulin Infusion
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作者 ikuko nishio 《Open Journal of Nursing》 2017年第12期1365-1374,共10页
Aim: This study investigated the lifestyle convenience of Insulin therapy for adult women patients with type 1 diabetes. Methods: Participants were type 1 diabetes adult women patients who switched from multiple daily... Aim: This study investigated the lifestyle convenience of Insulin therapy for adult women patients with type 1 diabetes. Methods: Participants were type 1 diabetes adult women patients who switched from multiple daily injection (MDI) therapy to Continuous Subcutaneous Insulin Infusion (CSII) therapy. We conducted semi-structured interviews with participants. To analyze, we referenced the classification table of Hamada’s study comparing the usefulness of both the NovoPen? and CSII. Semi-structured interviews were conducted with the research subjects. The questions focused mainly on diabetes management, instrument operation, everyday life, and social, psychological and lifestyle convenience aspects during MDI and CSII. Results: Research subjects were 4 women patients with type 1 diabetes. The average age was 35.3 ± 6.24 (SE) years old. Participants were undergoing MDI therapy;however, in the middle, they switched to CSII therapy. CSII therapy is convenient in terms of diabetes management, social and psychological. MDI therapy is convenient in terms of instrument operation and daily life. Compared to MDI therapy, CSII therapy is less convenient in terms of instrument operation and everyday life. However, since CSII therapy has more stable HbA1c and blood glucose levels compared to MDI therapy, it is more convenient in terms of social and psychological aspects and reduces those burdens. About economy CSII therapy, patients paid about 5000 yen more per month compared to MDI therapy. Conclusion: It is believed that patients prioritize therapeutic effects, and choose CSII, which is stable in psychological and social aspects, even though it is inconvenient with life. 展开更多
关键词 Insulin INFUSION Systems LIFESTYLE Disease Management MULTIPLE DAILY INJECTION Type 1 Diabetes Women’s Health
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