Shiramizu, M., Sugimoto, T., Mase, Y., Okui, R., Tanaka, H., Kanemathu, Y., et al. (2011) Actual Condition of Diabetes Education Program for Patients with Type 2 Diabetes in Facilities to Which Certified Nurse in Diabetes Nursing or Certified Nurse Specialist in Chronic Care Nursing Belongs—Focusing on Contents and Methods of Program. Journal of Japan Academy of Diabetes Education and Nursing, 15, 179-187.

has been cited by the following article:

• TITLE: Development of a Measurement Scale to Evaluate Self-Care Stability for Patients Diagnosed with Type 2 Diabetes at an Older Age

  AUTHORS: Eri Konda, Michiko Inagaki, Keiko Tasaki

  KEYWORDS: HbA1c, Older Adults, Self-Care, Type 2 Diabetes

  JOURNAL NAME: Open Journal of Nursing, Vol.8 No.12, December 29, 2018

  ABSTRACT: Objectives: For the medical care of older adults diagnosed with type 2 diabetes later in life, it is necessary to provide medical staff support considering their life stage and to ensure that they live a stable life without fatigue. However, there is no measure for evaluating whether older diabetic patients have a stable life at the time of diagnosis. This study aimed to develop a scale to evaluate self-care stability for diabetic patients and to verify its reliability and validity. Methods: A cross-sectional study was conducted at four hospitals in Japan. A draft scale comprising 39 items was developed to identify patients’ stability of diabetes self-care in life. A total of 69 patients diagnosed with diabetes for the first time at age 60 or older responded effectively to questionnaires. Results: As a result of item analysis and factor analysis, seven factors comprising 20 items were extracted. The cumulative contribution ratio before rotation was 70.577%. Cronbach’s α was 0.700 overall. The total score on this scale and the sum of the revised Philadelphia Geriatric Center Morale Scale scores were significantly positively correlated (r = 0.379). On comparing the total scale score based on glycated hemoglobin level, the scale score of the stable group was found to be higher. Therefore, this scale was found to be reliable and valid. Conclusions: This scale may have utility in the measurement of self-care stability in patients diagnosed with type 2 diabetes later in life.