Review Educational Program for Diabetics in Nagano Matsushiro General Hospital: Diabetic Patients' Lifestyle Compared with the Results of the 2007 Health and Nutrition Survey in Nagano in Prefecture
10.2185/jjrm.60.758
- VernacularTitle:糖尿病患者の栄養指導内容の検討
- Author:
Akiko IHARA
;
Mayumi MIYAO
;
Sawako YOKOTA
;
Toshiaki SAKAI
;
Shaw AKIZUKI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2012;60(6):758-763
- CountryJapan
- Language:Japanese
-
Abstract:
The purpose of this study was to investigate the characteristics of the lifestyle of our diabetic patients under treatment in our hospital in order to provide them with a more effective education.
Method:A questionnaire survey was conducted on the diabetics to find their lifestyle. The results were compared with the data on the lifestyle of the general population (GP) in Nagano prefecture, obtained from the 2007 Health and Nutrition Survey in Nagano. The relationship between lifestyle of the diabetics and stages of change model was also examined.
Results and discussion:The ratio of those who did not have breakfast and ate between meals was larger in our diabetic subjects than the corresponding figure of the GP. Diabetic women in the stage of maintenance ate breakfast more regularly than diabetic women in the other stages. This suggested that it was necessity to recognize the stage of diabetics and to educate them according to the stage. More people in the diabetics were smokers than in the GP, and the frequency was higher in diabetic men in the stage of preparation and maintenance than in the other stages. Therefore, diabetics in the stage of preparation and higher should be advised to quit smoking, if they are smokers. The diabetics seemed to feel stressed less than the GP. Those diabetics who habitually slept less than six hours said that they were under stress. This indicated that there was a possibility of deterioration in blood sugar level, and that sleeping time was one of the important factors. The diabetics did not take less exercise than the GP, especially in diabetic men in the stage of preparation and diabetic women in the stage of pre-contemplation and contemplation. This showed that the diabetics without regular exercise should be aware of the necessity of therapeutic exercise, and require individual programs.