Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.


Sumiyoshi, Kazuko Faculty of Health and Welfare Science, Okayama Prefectural University
Kawata, Chieko Health and Nursing Sciences Masters Program, Wakayama Medical University
Okamoto, Tatsuo Ryobi General Research Institute of Community Care
Ohashi, Mutsuko Department of Nursing, Okayama University Hospital
Mikane, Sakae Faculty of Health and Welfare Science, Okayama Prefectural University
Takabayashi, Noriko Faculty of Health and Welfare Science, Okayama Prefectural University
Futoyu, Yoshiko School of Health Science and Social Welfare, Kibi International University
Kim, Woesook College of Nursing Art and Science, University of Hyogo
Wada, Jun Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Shikata, Kenichi Center for Innovative Clinical Medicine, Okayama University Hospital
Nakajima, Kazuo Ryobi General Research Institute of Community Care
129_93.pdf 2.02 MB
 The purpose of this study was to establish a measurement scale for "stress recognition in receiving treatment" in patients with diabetes. A self-completed questionnaire was distributed to 149 type-2 diabetes outpatients in March-May 2015 after authorization from Okayama Prefectural University and the ethics committee of the hospital.  The "stress recognition in receiving treatment" scale was designed as a second-order factor model consisting of 14 items and the following four factors : the respondent's sense of (1) the burden of being sick, (2) the burden on interpersonal relationships, (3) the burden of treatment, and (4) the burden of medical expenses.  Stress recognition in treatment means recognition of being stressed in the burdens related to the illness, interpersonal relationships, treatment and medical expenses.  The suitability of the questionnaire data was then evaluated with a structural equation model. The suitability of the factor model to the data satisfied the statistically acceptable standards as Comparative Fit Index (CFI) =0.931, Root Mean Square Error of Approximation (RMSEA) =0.096, Tucker-Lewis Index (TLI) =0.946.  As the construct validity was not examined by the scale created in this study or by existing scale, it was verified by using the degrees of mental healthiness and HbA1c that were proved to be associated with the sense of burden.  In addition, the construct validity of the questionnaire was supported by a significant correlation between the Japanese version of the WHO-Five Well-being Index (S-WHO-5-J) and the patients' HbA1c levels. The use of this measure is expected to contribute to the early detection of a decline in a diabetic patient's activities of daily living and to the early confirmation of patients' support status.
糖尿病患者 (diabetes patients)
治療 (treatment)
ストレス認知 (stress recognition)
尺度開発 (development of a scale)
原著 (Original)