阪神・淡路大震災を被災した糖尿病患者の自己管理行動

概要

論文の詳細を見る
A survey was conducted to investigate the effects of the-great/Awaji earthquake on thedaily lives of diabetic patients, as well as their awareness of post-earthquuake self-management and the extent to which they carried out such activities. The subjects of this survey were 243 patients with diabetes mellitus who had been managed at our outpatient diabetes clinic before the earthquake and who visited our clinic during the three-month period after Febrary 1995 (the month following the earthquake). Of all respondents, 36.5% had their houses either severely or completely destroyed. As for regaining access to life lines, one month was needed before 31 % of all respondents regained access to water suupply and before 51% of all respondents regained access to their gas spply. Patients who had been on drug therapy usually recognized the necessity of self-management on the very day of the earthquake, while patients who had been on diet or exercise therapy usually became aware of this necessity 8 days to one month after the earthquake. The percentage of respondents who took more than one month to begin self-management was 38% for the diet therapy group, 34% for the exercise therapy group, 26% for the oral drug therapy group and 19% for the insulin injection group. Undertaking self-management was found tobe significantly related to the restoration of the water and gas supplies. HbAlc levels were higher for patients whose access to water and gas took a longer time to recover. When the HbAlc level of patients on diet therapy was examined three months after the earthquake, it tended to be higher in patients who were slower to undertake self-management. Where the damage caused by the earthquake was more severe, the time needed for diabetic patients to undertake self-management after the earthquake tended to be longer and the HbAlc level was higher. This suggests that the earthquake had a large effect on the self-management of diabetic patients. These results provide us with basic data when we come to discuss ideal nursing for diabetic patients during disasters.
神戸大学の論文

阪神・淡路大震災を被災した糖尿病患者の自己管理行動

スポンサーリンク

概要

著者

関連論文

スポンサーリンク