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Ikemoto, Atsumi ; Inagaki, Michiko ; Tasaki, Keiko ; Horiguchi, Tomomi ; Asada, Yuya ; 池本, 温美 ; 稲垣, 美智子 ; 多崎, 恵子 ; 堀口, 智美 ; 浅田, 優也
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Kato, Chinatsu ; Inagaki, Michiko ; Tasaki, Keiko ; 加藤, 千夏 ; 稲垣, 美智子 ; 多崎, 恵子
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[Aim] The definition of good adherence to continuous positive airway pressure (CPAP)therapy for obstructive sleep apnea
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syndrome (OSA) is a utilization rate of ≥70% and amean usage time on usage days of ≥ 4 hours, and users who deviate from this definitionare regarded as having poor adherence. Personalized guidance is required to improve theadherence of users with poor adherence. Hence, a more detailed classification is neededrather than simply classifying users as having poor and good adherence. Thus, this studyaimed to clarify the significance of classification of adherence into four groups based onthe two indices of utilization rate (%) and mean usage time (hours).[Method] This study examined CPAP users at the CPAP specialist outpatient departmentfrom October to November 2016. In total, 535 patients were included, and informationon CPAP adherence, physical data at initial consultation, and data on motivation forconsultation were collected. The survey period was set as 2 months. The CPAP userswere divided into four groups, and a 4-group comparison was conducted on factors thataffect adherence, using the χ ² test, the Kruskal-Wallis test, and the pairwise method.The utilization rate was set as the vertical axis and the mean usage time on usage dayswas set as the horizontal axis to create a scatter plot. The four segments were created byintersecting the axes with the values of “70%” and “4 hours”, with the top right set asthe good adherence group “≥70%/≥ 4 hours”; moving counterclockwise, the next segmentswere set as the insufficient adherence time group “≥70%/<4 hours,” poor adherence group“≤70%/<4 hours,” and insufficient adherence days group “<70%, ≥ 4 hours.”[Results] The good adherence group (n=393) accounted for 70% of users; the remaining30%, conventionally classified together as users with poor adherence, were distributed intoinsufficient adherence time group (n=31), poor adherence group (n=49), and insufficientadherence days group (n=62). No significant differences in sex or residual AHI wereobserved, but significant difference was observed in age, usage history, and BMI betweenthe good adherence group and poor adherence group. The percentage of patients withhypertension was significantly different between the good adherence group and insufficientadherence days group. There was a significant difference in the percentage of patientswho sought consultation due to subjective symptoms between the insufficient adherencedays group and insufficient adherence time group. The percentage of patients who soughtconsultation due to a recommendation by a company medical checkup showed a significantdifference between the good adherence group and insufficient adherence days group.[Conclusion] These results suggest that adherence can be divided into four groups basedon utilization rate and mean usage time on usage days, and that these classifications maybe helpful for constructing a guidance management system that emphasizes personalizedguidance systems.
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Fujita, Yuko ; Inagaki, Michiko ; Tasaki, Keiko ; Horiguchi, Tomomi ; Asada, Yuya ; 藤田, 祐子 ; 稲垣, 美智子 ; 多崎, 恵子 ; 堀口, 智美 ; 浅田, 優也
概要:
Background: Issues with hemodialysis initiation in patients with diabetic nephropathy canbe largely attributed to diffic
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ulty in accepting this procedure. Vascular access constructionis essential for initiation of dialysis, but there has been no focus on the patient’s conditionat the time of treatment.Purpose: This study was performed to create a structural model of the effect of vascularaccess construction for maintenance of dialysis and how it influences the acceptance ofdialysis in patients with diabetic nephropathy.Methods: Type 2 diabetes patients with diabetic nephropathy who began receivinghemodialysis less than 5 years prior to the start of the study were included. Patients weresurveyed by completing an anonymous self-recorded questionnaire and data were analyzedusing exploratory factor analysis and structural equation modeling.Results: Data of 90 patients were analyzed. A number of factors related to self-carebehaviors adopted in response to vascular access construction, including “body-consciousdialysis treatment life,” “hoping that one’s body is still fine,” and “recollection of thefeeling of having distanced vascular access construction,” were identified and subsequentlyinserted into our structural model. The structural model by which vascular accessconstruction directly affected dialysis acceptance was then elucidated. The chi-squaredvalue was 117.358, Goodness of Fit Index (GFI) was 0.863, Adjusted Goodness of Fit Index(AGFI) was 0.814, Comparative Fit Index (CFI) was 0.945, and Root Mean Square ErrorApproximation (RMSEA) was 0.044, indicating slightly lower values for GFI and AGFI.GFI was higher than AGFI and RMSEA was < 0.050. Therefore, the model was suggestedto show goodness of fit.Conclusion: The structural model by which vascular access construction affects dialysisacceptance in patients with diabetic nephropathy was clarified.
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Maruyama, Ikuko ; Inagaki, Michiko ; Tasaki, Keiko ; Horiguchi, Tomomi ; Asada, Yuya ; 丸山, 育子 ; 稲垣, 美智子 ; 多崎, 恵子 ; 堀口, 智美 ; 浅田, 優也
概要:
Purpose: This study was performed to quantitatively verify the relationships among the“trust state” of patients with typ
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e 2 diabetes, recognition of disease uncertainty, and selfcarebehavior.Method: The present study based on Mishel’s theory of uncertainty in illness had a crosssectionalsurvey design. A questionnaire was developed to identify the state of trust. Thestudy population consisted of adults with type 2 diabetes. A total of 204 questionnaireswere distributed, and 125 completed questionnaires were recovered (response rate 61%).Participants had an average age of 53.6 (SD 9.6) years and included 71 men (62.8%) and42 women (37.2%). State of trust, awareness of disease uncertainty, and self-care behaviorwere evaluated using the questionnaire. To classify the state of trust, the factor structurewas confirmed by exploratory factor analysis of the state-of-trust questionnaire. One-wayanalysis of variance and multiple comparisons were used to examine each relationship.Results: The number of items in the state of trust questionnaire was changed from tento six. As a result of the promax rotation of the main factor method, the following threefactors were extracted: “wants compatible doctors,” “trusts doctor easily,” and “receivemedical care at one’s own convenience.” Cluster analysis using factor scores of six itemsand three subscales from the state of trust questionnaire created four clusters. Thenumbers of participants per cluster were as follows: cluster 1 (high scores for “wantscompatible doctors” and “trusts doctors easily”), 22 (19%); cluster 2 (low scores for“wants compatible doctors,” “trusts doctors easily,” and “receive medical care at one’sown convenience”), 18 (16%); cluster 3, (low score for “wants compatible doctors,” butnot for “trusts doctors easily”), 21 (19%); cluster 4 (lower score for “trusts doctors easily”than “wants compatible doctors”), 52 (46%). For each of the four clusters for the state oftrust, the mean total score of uncertainty in illness perception was not equally distributed.Therefore, Welch’s test was performed, which revealed significant differences in self-carebehavior and meals between clusters 1 and 4 (p < 0.0001).Conclusion: The high rate of meals in cluster 1 suggested that creating a state of trust, i.e.,“wants compatible doctors” and “trusts doctors easily,” is important in nursing. Educationfor diabetes patients should consider their state of trust.
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Takahashi, Kei ; Inagaki, Michiko ; Tasaki, Keiko ; Horiguchi, Tomomi ; 髙橋, 慧 ; 稲垣, 美智子 ; 多崎, 恵子 ; 堀口, 智美
概要:
Education for patients with newly diagnosed type 2 diabetes is important because it canhelp to reduce the risks of compl
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ications by encouraging strict blood glucose control fromthe earliest stages of the disease. In education for newly diagnosed type 2 diabetes, it isimportant for patients to develop a deep understanding of having diabetes along with anattitude toward preparing for medical treatment. Moreover, an index is needed to evaluatewhether patients receiving such education after diagnosis are properly prepared for life asa diabetes patient. This study was performed to develop a scale for evaluating recuperationattitude at the time of education for patients with newly diagnosed type 2 diabetes.Twenty-four items were created for the draft scale by referring to previous research andHerzberg’s motivation-hygiene theory, which was then administered to 174 patients withtype 2 diabetes. Exploratory factor analysis yielded four factors with 16 items: undertakingrecuperation as a diabetes patient (Factor 1), looking back on a poor diet and trying tofix it (Factor 2), trying to study diabetes comprehensively (Factor 3), doing what can bedone now (Factor 4). The cumulative contribution of these factors before rotation was65.58%, indicating good construct validity. Significant and positive correlations were foundbetween this scale and the Self-Efficacy Scale for Diabetes Self-care and the JapaneseTranslated “The Summary of Diabetes Self-Care Activities Measure”; thus, the criterionrelatedvalidity was secured. The average item-level content validity index (S-CVI/Ave)was 0.90, indicating good content validity. Finally, the internal consistency was securedwith a Cronbach’s α coefficient of 0.86. Overall, the reliability and validity of this scalewere confirmed. This scale can be used to evaluate recuperation attitude at the time ofeducation for patients with newly diagnosed type 2 diabetes.
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Fujita, Yukari ; Inagaki, Michiko ; Tasaki, Keiko ; 藤田, 結香里 ; 稲垣, 美智子 ; 多崎, 恵子
概要:
Background and Purpose: To prevent interruption of diabetic care, it is necessary for patients with type 2 diabetes mell
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itus (T2DM) to build good relationships with medical staff. It is important that both patients with T2DM and medical staff strive for the common goal of good diabetes control. Therefore, measures capable of considering more concrete skills specific to patients with T2DM than the existing scale are required. Here, a skill scale for patients with type 2 diabetes mellitus to build relationships with medical staff was developed, and its reliability and validity were verified. Methods: As a theoretical framework for our scale, we used the 50-item list of social skills for adolescents created by Goldstein et al. We created 76 items based on a previous study, interviews with nurses specializing in diabetes care, and our own clinical experiences. The content validity and surface validity were verified, and we carefully selected 56 items for use in the scale. All items were evaluated using a 5-point Likert scale. Valid responses to the questionnaire were obtained from 262 Japanese patients with T2DM. Exploratory factor analysis was performed to verify the construct validity. The 18-item Kikuchi Scale of Social Skills (KiSS-18) was used to investigate the criterion-related validity. The content validity index (CVI) was used to assess of content validity. The skill scale scores between the continuous diabetes care group and those with a history of diabetes care interruption were compared to determine the known-groups validity. Cronbach’s alpha, item-total correlations, and good-poor analysis were used to determine the internal consistency of the scale. Results: Our scale contained four factors and 36 items based on exploratory factor analysis: “problem-solving skills” (Factor 1), “coping skills” (Factor 2), “communication skills” (Factor 3), and “feelings-consciousness skills” (Factor 4). The four factors of this scale together had a cumulative contribution ratio of 56.12%, and construct validity was confirmed. The correlation coefficient with KiSS-18 was r = 0.590, and was significant (p < 0.01). The item-level content validity indexes ( I-CVIs) of the scale were 0.80 – 1.00, the scale-level content validity index ( S-CVI/Ave) was 0.95: CVI exceeded the standard. The total score of the scale was significantly lower for patients with a history of diabetes care interruption (p < 0.01). The Cronbach’s alpha coefficient of the four factors for the 36 items was 0.960, while that of the factors was 0.791 – 0.960. Item-total correlation analysis indicated that all items were significantly correlated (r = 0.313 – 0.798, p < 0.01), and good-poor analysis indicated that all items showed a significant difference (p < 0.001). Conclusions: This study confirmed the reliability and validity of a new scale for patients with T2DM in Japan. This scale could be useful to support patients with T2DM.<br />背景・目的：糖尿病の通院中断予防には、患者と医療者が良好な関係を築けるようなスキルを高めることが必要である。 2 型糖尿病患者と医療者は良好な糖尿病コントロールの維持を共通目標とし、両者の努力が重要である。これより、 2 型糖尿病患者には既存尺度よりも特有で具体的なスキルを考慮した尺度が必要と考えた。本研究は 2 型糖尿病患者における医療者との関係構築スキル尺度を開発し、信頼性と妥当性を検証することを目的とした。 方法：本尺度の理論的枠組みには、ゴールドステインらの作成した若者のための社会的スキルを用いた。先行研究、糖尿病看護に携わる看護師への面接、研究者の臨床経験を基に 76 項目を作成した。その後、内容妥当性と表面妥当性を検証し、原案 56 項目を作成した。全項目は 5 段階のリッカート尺度で評価した。日本の 2 型糖尿病患者 262 名の有効回答を得た。データは探索的因子分析を行った。妥当性の検討として、基準関連妥当性はKiSS-18、内容妥当性は内容妥当性指標 (CVI) を用い、既知集団妥当性は通院中断経験の有無と尺度得点の比較を行った。信頼性の検討はクロンバックα、I-T 相関分析、G-P 分析を行った。結果：探索的因子分析により 4 因子 36 項目を抽出した。 4 因子は、「問題解決スキル」、「対処スキル」、「コミュニケーションスキル」、「感情自覚スキル」と命名した。本尺度の累積寄与率は56.12%であった。KiSS-18との相関係数は0.590と有意な相関であった（p < 0.01）。 CVI は各項目 0.80 〜 1.00、尺度全体 0.95 と基準を上回っていた。通院中断経験者は尺度総得点が有意に低かった（p < 0.01）。尺度全体のクロンバックα係数は 0.960 であった。全項目において、I-T 相関分析は有意な相関であり (r = 0.313 〜 0.798, p < 0.01)、G-P 分析では有意差が得られた（p < 0.001）。 結論：本研究は日本の 2 型糖尿病を持つ患者において信頼性と妥当性のある尺度と確認できた。
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| 7.
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Okayama, Miki ; Inagaki, Michiko ; Tasaki, Keiko ; 岡山, 未来 ; 稲垣, 美智子 ; 多崎, 恵子
概要:
Purpose:When beginning dialysis treatment, patients with type ２ diabetes face a need to build new relationships, as supp
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ort receivers, with the people close to them, who become support givers. Taking as our base “social competence”, i.e. the ability to connect with people and build society, we created a social competence scale for Japanese patients with type ２ diabetes receiving dialysis. This study tested the reliability and validity of the scale. Method:This is a cross-sectional study that focuses on Japanese patients with type ２ diabetes receiving dialysis (n=１６３, males=１２１, females=４２). The mean age of the patients was ６５.１±１０.３ (range ４４-９１). The mean duration of dialysis was ６.０±４.７ years (range ０.５-２５). Our data were analyzed using exploratory factor analysis, criterion related validity, and reliability testing.Results:The final version of the social competence scale for patients with type ２ diabetes receiving dialysis was composed of ５ factors, with ３２ items. All ３２ items had a Cronbach’s α of ０.８９, with a total distribution of ４９.０５%. The scale showed a significant correlation with KiSS-１８.Conclusion:This study suggests that a social competence scale for Japanese patients with type ２ diabetes receiving dialysis may be used as an essential tool for nurses in assessing the relationships between patients and those close to them. Also, by clarifying the constituent factors of social competence in patients with type ２ diabetes receiving dialysis, the study enables nurses to develop education programs for patients to cultivate their social competence. The study therefore facilitates the provision of better care in practical clinical care settings.
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Ohashi, Kayo ; Inagaki, Michiko ; Tasaki, Keiko ; Horiguchi, Tomomi ; Asada, Yuya ; 大橋, 佳代 ; 稲垣, 美智子 ; 多崎, 恵子 ; 堀口, 智美 ; 浅田, 優也
概要:
Purpose: Hemodialysis patients create perspectives based on their current medical condition, ranging from acute exacerba
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tion or terminal manifestation, and we believe that such perspectives may serve as the foundation of patient self-care. We developed a questionnaire to clarify the aspect of perspective in hemodialysis patients, and aimed to structuralize the relationship between their perspectives and self-care agency (SCAQ) and other associated factors.Method: Based on the chronic illness trajectory framework, we developed a ２５-item questionnaire regarding perspective for patients on hemodialysis, to identify factor structure through exploratory factor analysis. We also used structural equation modeling (SEM) to develop a structural model. Results: We obtained a total of １０４ valid responses. From the questionnaire, １７ out of ２５ items were extracted to develop questions comprising a five-factor structure, with a ６３.９４３% contribution ratio. The five factors included "perspective of uncontrollable sickness" as the first factor, followed by "perspective of getting one's own life back”, "perspective of life going on as a hemodialysis patient", "perspective of maintaining socialization or pastimes”, and " perspective of recovery from sickness”. The structural model consisted of eight items: four factors from the questionnaire, as well as physical symptoms, age, cohabitating individuals, and SCAQ. The measurement of fit had chi-squared value = １５１.７２４ (P-value = ０.０６７), GFI = ０.８６５, AGFI = ０.８１９, CFI = ０.９４３, and RMSEA = ０.０４３, meeting the criteria as a model. Of the five factors, two ("perspective of getting one's own life back" and "perspective of life going on as a hemodialysis patient") showed significant effects on self-care agency. In addition, the factor "perspective of maintaining socialization or pastimes" was demonstrated to enhance those two factors. Discussion: Our findings indicate a relationship between the structural model and the items extracted for effective perspective for self-care in patients on hemodialysis.
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宮崎, 彩乃 ; 稲垣, 美智子 ; 多崎, 恵子 ; 浅田, 優也
概要:
【目的】現在，透析導入原因疾患第１位は糖尿病であり，糖尿病患者の透析予防の重要性が 高まっている。先行研究にて，自覚症状に乏しい糖尿病性腎症患者は，「状況の捉え方」が 療養行動に繋がる可能性が示唆された。そこで本研究では，「糖尿病性腎症患者
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の状況の捉 え方質問紙」を作成し，信頼性と妥当性を検討した。 【研究方法】質問項目作成の理論的枠組みには，先行研究の成果である糖尿病性腎症患者の 診断時の認識を説明する10 のカテゴリーと24 のサブカテゴリーを用いた。調査方法は，質 問紙原案28 項目（５段階リッカート尺度），基本属性について自記式質問紙法を用いた。 【調査対象者】研究協力の同意の得られた透析予防指導を実施している病院６施設の糖尿病 性腎症２・３期患者175 名であった。 【結果】４因子20 項目で，因子寄与率50.56％の「糖尿病性腎症患者の状況の捉え方質問紙」 を作成した。本質問紙は，信頼性に関してCronbach` α係数が.594 ～ .768 であり，一定程度 確保できていること，構成概念妥当性・弁別的妥当性の検討，およびMishel（1988）の不確 かさ理論との比較から妥当性を確保できていることを確認した。質問紙の因子名はそれぞれ、 第１因子「将来，糖尿病や糖尿病性腎症が悪化することへの懸念」，第２因子「自分の身体 に覚悟をもった冷静さ」，第３因子「腎症と診断された小さな衝撃」，第４因子「糖尿病性腎 症は自分の力が及ばない感覚」と命名した。
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高橋, 純子 ; 稲垣, 美智子 ; 多崎, 恵子
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堀口, 智美 ; 稲垣, 美智子 ; 多崎, 恵子
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村角, 直子 ; 稲垣, 美智子 ; 多崎, 恵子 ; 井上, 克己
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多崎, 恵子 ; 稲垣, 美智子
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多崎, 恵子 ; 稲垣, 美智子 ; 松井, 希代子 ; 村角, 直子
概要:
本研究の目的は、糖尿病チーム医療における看護師の役割をモデルとなりうる経験豊富な看護師の認識から明らかにすることである。糖尿病チーム医療を積極的に行っている４施設７名の経験豊富な看護師を対象にフォーカスグループインタビューを行い質的に分析し
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た。その結果、７つの役割：≪患者の生命と生活の質を守ることを認め合い専門性を発揮する≫、≪患者の生活の中の迷いや声をききとり生活の実像を意味づけして示す≫、 ≪患者の代弁者であることを示す≫、≪看護師の仕事に自信を持ち形あるものにして示 す≫、≪専門職として他職種を尊重していることを基盤とした信頼関係を築く≫、≪患者 目線に立つチーム作りに意図的に取り組む≫、≪他職種の力を信頼し委ねる≫が導き出された。これら７つの役割は、チーム医療における看護師の心がまえといえ、チームにおいて看護師が意図的にこれらを最大限に発揮することが、理想的な糖尿病チーム医療の推進につながる可能性が示唆された。 The objective of the present research was to clarify the roles of nurses who are members of diabetes care teams, on the basis of the nurses’ own understanding of these roles, who can become an experience-rich model. Focus-group interviews were carried out, involving seven proficient nurses at four clinical institutions that carry out vigorous team-based care of diabetes, the interviews being followed by qualitative analysis. The outcome was that the following seven roles were identified: (i) ensuring that the patient’s life and quality of life are maintained, making full use of one’s specialized ability; (ii) listening carefully to the patient, trying to understand the doubts and perplexity in his/her daily life, so as to achieve a meaningful and realistic image of his/her life; (iii) showing that one acts as the patient’s spokesperson or ally; (iv) showing that one is confident in one’s position as a nurse; (v) building a relationship of trust on the basis of respect for other occupations as areas of specialist expertise; (vi) getting to grips, as planned, with building the team that is in direct contact with the patient; and (vii) trusting the abilities of personnel in other occupational areas, so as to entrust tasks to them. These seven roles can be seen as constituting the position of the nurses within the care team, and, it is suggested that the maximum possible fulfillment of these roles by the nurses within the team may be linked to progress with optimal diabetes team-based care.
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平松, 知子 ; 津田, 朗子 ; 稲垣, 美智子 ; 島田, 啓子 ; 須釜, 淳子 ; 田淵, 紀子 ; 河村, 一海 ; 泉, キヨ子 ; 長谷川, 雅美 ; 坂井, 明美 ; 木村, 留美子 ; 紺家, 千津子 ; 大桑, 麻由美 ; 多崎, 恵子 ; 松井, 希代子 ; 村角, 直子 ; 正源寺, 美穂 ; 長田, 恭子 ; 亀田, 幸枝 ; 関塚, 真美 ; 小藤, 幹恵 ; 広瀬, 育子 ; 干場, 順子 ; 千代, 恵子 ; 飛田, 敦子 ; 村上, 恵美
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多崎, 恵子 ; 稲垣, 美智子 ; 松井, 希代子 ; 村角, 直子
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多崎, 恵子 ; 稲垣, 美智子 ; 松井, 希代子 ; 村角, 直子
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多崎, 恵子 ; 稲垣, 美智子 ; 松井, 希代子 ; 村角, 直子 ; 河村, 一海
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金沢大学 医学系研究科保健学専攻看護科学領域<br />原著論文
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村角, 直子 ; 稲垣, 美智子 ; 早川, 千絵 ; 多崎, 恵子 ; 松井, 希代子 ; 河村, 一海
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金沢大学 大学院医学系研究科保健学専攻<br />原著論文
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多崎, 恵子 ; 稲垣, 美智子 ; 松井, 希代子 ; 村角, 直子
概要:
金沢大学 大学院医学系研究科保健学専攻看護科学領域<br />原著論文
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松井, 希代子 ; 稲垣, 美智子 ; 多崎, 恵子 ; 村角, 直子 ; 河村, 一海
概要:
金沢大学 大学院医学系研究科保健学専攻<br />原著論文
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多崎, 恵子 ; 稲垣, 美智子
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金沢大学 医学部保健学科看護学<br />原著論文
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| 23.
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多崎, 恵子 ; 稲垣, 美智子 ; 早川, 千絵
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金沢大学 医学部保健学科看護学専攻<br />原著論文
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| 24.
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多崎, 恵子 ; 稲垣, 美智子
概要:
金沢大学 医学部 保健学科<br />原著論文
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25. Development of a scale that assesses diet-related life skills in dialysis patients with diabetes
Hamano, Hatsue ; Tasaki, Keiko ; Horiguchi, Tomomi ; Asada, Yuya ; Inagaki, Michiko ; 濵野, 初恵 ; 多崎, 恵子 ; 堀口, 智美 ; 浅田, 優也 ; 稲垣, 美智子
概要:
Objectives: Hemodialysis patients with diabetes are at high risk of developing specificnutritional disorders; therefore
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nutritional care is important. To achieve this, it is necessaryto improve patients’ dietary self-management skills. Therefore, this study aimed to developa diet-related life skill assessment scale for dialysis patients with diabetes and to verify itsreliability and validity.Method: A draft scale consisting of 59 items with 5 factors was developed based on theWorld Health Organization health education model of life skills. Valid responses wereobtained from 211 dialysis patients with diabetes (168 males and 43 females). Data wereanalyzed using exploratory factor analysis, a criterion-related validity study, and reliabilitytest.Results: As a result of the exploratory factor analysis, 37 items were extracted fromthe following seven factors: 1:“Dialogue to find the best diet for oneself,” 2:“Dietplanning based on one's own physical condition,” 3:“Self-analysis and self-adjustmentto diet therapy,” 4:“Trust and gratitude to those close to oneself,” 5:“Empathy for thosewith the same disease,” 6:“Thoughts on basic dietary therapy for renal protection,”and 7:“Preparedness to continue with the diet therapy.” The overall Cronbach’s alphacoefficient was 0.93, and the cumulative contribution rate was 62.4%. This scale wassignificantly correlated (p < 0.01) with the Diabetes-specific self-management skills scale (r= .508) and the self-care scale for hemodialysis patients (r = .659). The scores of the groupaware of the benefits of diet in diabetes were significantly higher than those of the groupunaware of such benefits (p < 0.01).Conclusion: The reliability and validity of the diet-related life skills assessment scale wereconfirmed, and it was suggested that this scale be used to support dialysis patients withdiabetes in the self-management of their diet.
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