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Comparing Lifestyle Convenience of Multiple Daily Injection and Continuous Subcutaneous Insulin Infusion

Open Journal of Nursing 2017年第12期7卷 1365-1374页

作者： ikuko nishio Department of Adult Nursing Faculty of Nursing Soka University Hachioji City Japan

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.

关键词： Insulin Infusion Systems Lifestyle Disease Management Multiple Daily Injection Type 1 Diabetes Women’s Health

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The Study of Experiences during Pregnancy in a Woman with Type 1 Diabetes

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Open Journal of Nursing 2020年第11期10卷 1095-1108页

作者： ikuko nishio Daisaku Nishimoto Masami Chujo School of Health Sciences Faculty of Medicine Kagoshima University Kagoshima City Japan School of Health Sciences Faculty of Medicine Tottori University Yonago City Japan

Background: This study aimed to elucidate the experiences of a woman with type 1 diabetes during the course of her pregnancy. Method: This case study involved 1 participant. Data were collected through a semi-structured interview. Results: 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]. Conclusion: 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.

关键词： Type 1 Diabetes Experiences Pregnancy Insulin

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