{"created":"2023-06-19T07:17:46.614770+00:00","id":234,"links":{},"metadata":{"_buckets":{"deposit":"ccda1da8-cc01-4277-8599-8075100adcae"},"_deposit":{"created_by":15,"id":"234","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"234"},"status":"published"},"_oai":{"id":"oai:tenshi.repo.nii.ac.jp:00000234","sets":["2:11:28:27"]},"author_link":["586","1059","575","1061"],"control_number":"234","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-11-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"39","bibliographicPageStart":"19","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"天使大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of Tenshi College","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"継続栄養指導を受けながら効果の得られなかった患者に健康行動理論のトランスセオレティカルモデル(TTM)を付加した再教育を行なうことにより、血糖、体重、血圧、血中脂質諸値を良好なコントロール状態に近づけ、さらに今後の栄養指導のあり方(教育プログラム)について検討することを目的とした。当初の対象者は80名であったが、ドロップアウトした10名を除外して6ヶ月間の継続栄養指導を終了した70名のデータを解析した。指導前の70名の患者は肥満度が高く、血糖コントロール不良であった。また行動変容ステージは無関心期、関心期、準備期が約70%を占めており、糖尿病治療を実行している患者は30%であった。指導6ヶ月後には、BMI、腹囲、HbA1c、収縮期血圧、エネルギー、脂質摂取量に有意な改善が認められた。また、身体活動レベルが有意に改善され、行動変容ステージが無関心期、関心期、準備期の患者は57%に減少し、糖尿病治療行動に改善を認める患者が増加した。本プログラムでの栄養指導方法は、問題点の発見を問診票で行い、問題点を解決するためにそれぞれに合ったリーフレットを使用した継続指導である。無関心期、関心期、準備期で有効とされる意識の高揚、感情的経験、自己の再評価の考えが網羅された問診票とそのマッチされたリーフレットを使用することでステージに合わせた指導が可能であり、病態の改善につながったと考えられる。継続栄養食事指導患者において効果の得られなかった患者に再教育を行なうことにより、患者は自ら糖尿病治療行動の問題点に気づくと同時に自己効力感を高めることができ、食事習慣と運動習慣の改善を進めることが可能になったと推察される。継続的に栄養指導を行う場合、指導者だけでなく患者自身が自らの行動変容ステージや問題点、課題を把握した上で、栄養指導を随時受けることは効果的であった。今回のTTMを加えた教育プログラムを用いた栄養指導は、糖尿病患者治療を行う上で有用であることが示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"An educational program that used a transtheoretical model of health behavior change was conducted to improve the dietary and exercise habits of patients with type 2 diabetes who have been unable to adhere to their nutritional instructions. A comparison was made before the program and 6 months later to estimate its effectiveness. Data for 70 patients who received dietary counseling for 6 months were analyzed, excluding 10 dropout patients. Prior to participation in this program, these patients were highly obese with poor control of blood glucose. Furthermore, approximately 70% of the patients were either in the precontemplation, contemplation, or preparation stage of the behavior stage model, and only 30% were receiving treatment for diabetes. Six months after the program, a significant improvement in the values for body mass index, abdominal circumference, HbA1c, systolic blood pressure, and energy and lipid consumption was observed. In addition, the intensity of the physical activity level was significantly better. The proportion of patients in the precontemplation, contemplation, or preparation stages decreased to 57%, with more patients demonstrating readiness to initiate behavior changes to improve their diabetes. Interview sheets and leaflets were used to collect information about \"elevation of consciousness\" and \"re-evaluation of self\" parameters that effectively estimate the number of patients undergoing transition from the precontemplation to preparation stage of the behavior stage model. This program might enable patients to recognize difficulties experienced with diabetes treatment themselves and attain self-efficacy, which could lead to improvements in dietary and exercise habits. Both the program instructors and patients themselves could recognize their respective conditions through this program. Therefore, regular educational programs with a transtheoretical model of health behavior change could be effective in treating patients with type 2 diabetes.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"天使大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-4388","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"中川, 幸恵","creatorNameLang":"ja"},{"creatorName":"ナカガワ, ユキエ","creatorNameLang":"ja-Kana"},{"creatorName":"NAKAGAWA, Yukie","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"586","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"森谷, [キヨシ]","creatorNameLang":"ja"},{"creatorName":"モリヤ, キヨシ","creatorNameLang":"ja-Kana"},{"creatorName":"MORIYA, Kiyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1059","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000040000939","nameIdentifierScheme":"NRID","nameIdentifierURI":"http://rns.nii.ac.jp/nr/1000040000939"},{"nameIdentifier":"40000939","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=40000939"},{"nameIdentifier":"00207985","nameIdentifierScheme":"NDL著者名典拠ID","nameIdentifierURI":"http://id.ndl.go.jp/auth/ndlna/00207985"},{"nameIdentifier":"255434439","nameIdentifierScheme":"VIAF","nameIdentifierURI":"http://viaf.org/viaf/255434439"}]},{"creatorNames":[{"creatorName":"伊藤, 和枝","creatorNameLang":"ja"},{"creatorName":"イトウ, カズエ","creatorNameLang":"ja-Kana"},{"creatorName":"ITOH, Kazue","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"575","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000080104983","nameIdentifierScheme":"NRID","nameIdentifierURI":"http://rns.nii.ac.jp/nr/1000080104983"},{"nameIdentifier":"80104983","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=80104983"}]},{"creatorNames":[{"creatorName":"関谷, 千尋","creatorNameLang":"ja"},{"creatorName":"セキヤ, チヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"SEKIYA, Chihiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1061","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000030109384","nameIdentifierScheme":"NRID","nameIdentifierURI":"http://rns.nii.ac.jp/nr/1000030109384"},{"nameIdentifier":"30109384","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=30109384"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-02-25"}],"displaytype":"detail","filename":"2013113004.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"2型糖尿病患者における健康行動理論を加えた継続栄養指導の有用性の検討","url":"https://tenshi.repo.nii.ac.jp/record/234/files/2013113004.pdf"},"version_id":"ad033100-4855-429d-bc10-a8d1e7849983"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"2型糖尿病患者","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"血糖値コントロール","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"継続栄養指導","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"行動変容ステージ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"自己効力感","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"type_2_diabetic_patients","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"blood_glucose_control","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"continued_nutritional_instruction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"stages_of_behavior_change","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"self-efficacy","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental 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