紀要論文 2型糖尿病女性患者の自己管理における負担感情と更年期症状の関連について
The influence of menopausal symptoms on the perception of the burden of diabetes in female patients with type 2 diabetes

笠原, 英里子  ,  青木, 萩子  ,  石田, 真由美  ,  田口, めぐみ  ,  中村, 勝  ,  林, はるみ  ,  坂上, 百重  ,  サトウ, 恵  ,  堀田, かおり  ,  山崎, 芳裕  ,  坂井, さゆり  ,  村松, 芳幸  ,  Kasahara, Eriko  ,  Aoki, Hagiko  ,  Ishida, Mayumi  ,  Taguchi, Megumi  ,  Nakamura, Masaru  ,  Hayashi, Harumi  ,  Sakagami, Momoe  ,  Satoh, Megumi  ,  Hotta, Kaori  ,  Yamazaki, Yoshihiro  ,  Sakai, Sayuri  ,  Muramatsu, Yoshiyuki

15 ( 1 )  , pp.19 - 27 , 2018-03 , 新潟大学医学部保健学科
ISSN:2188-4617
NII書誌ID(NCID):AA12680484
内容記述
壮年期にある2型糖尿病女性患者の自己管理における負担感情と更年期症状との関連を明らかにすることを目的とした。対象者107名,平均年齢58.0歳に厚生労働省栄養摂取状況調査票に基づく質問のほか,糖尿病問題領域質問表(PAID),クッパーマン更年期障害指数安部変法(KKSI)による自記式アンケート調査を実施した。その結果,糖尿病に対する負担感情は更年期症状と弱い正の相関関係を示し,更年期症状の「ゆううつ」はやや強い正の相関関係を示した。更年期前・中・後の3群間で糖尿病に対する負担感情と更年期症状に有意差が認められ,更年期中群は更年期後群と比較し糖尿病に関する負担感情と更年期症状が有意に高かった。糖尿病に対する負担感情を高める影響要因として更年期症状とHbA1c値が推測された。
The purpose of this study was to clarify the influence of menopausal symptoms on the perception of the burden of diabetes in middle-aged female patients with type 2 diabetes. A self-administered questionnaire survey was conducted of 107 patients with a mean age of 58.0 years; the questionnaire contained questions derived from the Nutritional Intake Questionnaire of the Ministry of Health, Labour and Welfare, and the Problem Areas In Diabetes Survey (PAID) and Kupperman Kohnenki Shohgai Index (KKSI), which is otherwise known as the modified Kupperman Menopausal Index. The results revealed a weak positive correlation between menopausal symptoms and the patients’ perception of the burden of diabetes. In particular, depression as a menopausal symptom was found to be relatively strongly positively correlated with patients’ perception of the burden of diabetes. Comparison among three groups of patients, namely, the pre-menopausal, menopausal and post-menopausal groups, revealed significant differences among the three groups in the severity of the menopausal symptoms and the patients’ perception of the burden of diabetes; both were significantly higher in the menopausal group than in the post-menopausal group. In addition, there were weak positive correlations between the patients’ perception of the burden of diabetes. These results suggest that a higher severity of menopausal symptoms and higher plasma HbA1c levels may enhance the perception of the burden of diabetes in female patients with type 2 diabetes.
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http://dspace.lib.niigata-u.ac.jp/dspace/bitstream/10191/49813/1/15(1)_19-27.pdf

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