Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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diabetes is also a subject to probe. Evaluation results will be
presented during the sharing.
Associations of Life Events/Life Stress
with Diabetes Control
S27-1
Diabetes control in the life context: Support for reconciling
self-management and lifestyle
Sanae IHA 1. 1Kusatsu General Hospital, Shiga, Japan
People with diabetes perform self-management of diabetes in
their lives. There are many stressful life events and daily
activities, therefore, people with diabetes have difficulties of
self-management in dealing with those events and activities.
I am in charge of patient education on an outpatient clinic in
the general hospital as a CNS and CDE. So far in one year, I had
intake one hundred patients.
I analyzed factors in poor glycemic control of the 80 patients
among them. I figured out the factors of the patients who did
not succeed in control. I classified the factors into the patterns
of typical behaviors. The common behavior patterns are
classified as follows; the insufficient exercise (24.6%), over-
eating (20.3%), meal 2 hours before going to bed (14.5%), many
snacks (18.8%), and low compliance of insulin (11.6%).
I have to recognize some background factors in each behavior
such as the insufficient exercise and overeating. The insuffi-
cient exercise and late dinner were related to long work and
night shifts. There were also some relations between late
dinner and many snacks with family-centered life. However, I
found no specific factors in injection compliance.
Patients may not have the economic flexibility to lead their
lives, and may be overwhelmed with shift work and long
work. In addition, housewives with diabetes often give priority
to that of the family than that of their own. Furthermore,
conflicts between wives and mothers-in-law sometimes
happen as well.
Key points of consultations are reconciling their lifestyles
and self-management. People often attach value to things in
their lives and they also have preferences. Stress arises when
diabetes self-management behaviors conflict with what
patients value in life. Expert nurses support patients to
reconcile treatment methods and their lifestyles, while trying
to understand the meaning of the lives of patients as “people”.
In this session, I will explain several cases that I consulted the
patients at my clinic. I will emphasize three key points; to
become more manageable by changing family-centered life to
oneself-centered life, to change the way of thinking about
taking care of their bodies, and to reconcile while working.
However, there is a limitation to reconcile self-management
withwork, examplingwhen blue-collar workers do shiftworks,
they have difficulties in incorporating treatment regimen.
S27-2
Perceived control of patients with diabetes in Taiwan:
Exploring the relationships among illness attributions, illness
representations, and self-care behavior
Ting-Chun CHEN 1, Yaw-Sheng LIN2, Wen-Yaw HSU3,
Chiung-Wen CHANG 4. 1Department of Psychology, National
Chengchi University, 2Department of Psychology, National Taiwan
University, 3Department of Psychology, National Chengchi
University, 4Department of Psychiatry, En Chu Kong Hospital, New
Taipei, Taiwan
Background: Control representation relates to patients’ con-
sistent self-care behavior. However, the factors that affect
control representation are not yet known clearly.
Purpose: This study explores the impact of illness attributions
on control representation and discusses the concept of control
in Chinese culture.
Methods: In this study, 146 participants with type II diabetes
were recruited at an outpatient clinic and were assessed with
self-report questionnaires about illness representations and
self-care behavior. Illness attributions were also included in
the questionnaire on illness representations.
Results: Four factors of illness attributions were extracted:
“psychosocial attributions”, “environment”, “lifestyle ”, and
“physical attributions ”. Lifestyle and environment attributions
had positive and negative impacts on control representations,
respectively, and both affected self-care behavior through
control representations.
Conclusion: The relationships among illness attributions,
illness representations, and self-care behavior are discussed.
The existence of a holistic, harmonious control concept in
Chinese culture is postulated.
Association of Daily Problem Solving/
Coping/Social Supports with Diabetes
Control
S32-1
Impact of the peer counseling for dissolving a negative
cognition toward diabetes
Yasuko UCHIGATA1, Hiroko TAKAIKE1, Masato TAKII2.
1Diabetes Center, Tokyo Women’s Medical University, Tokyo,
Taiwan; 2Department of Psychosomatic Medicine, Graduate School of
Medical Sciences, Kyushu University, Fukuoka, Japan
The global Diabetes, Attitudes, Wishes and Needs (DAWN)
survey in 2001 showed that psychosocial problems can be
barriers to achieving adequate glycemic control, and that
people with diabetes lack psychological support and that
interdisciplinary care teams need to promote chronic illness
care. Among the psychosocial problems in DAWN survey,
people with type 1 diabetes had depression and anxiety and
those with type 2 diabetes had sense of sin when diabetes was
diagnosed. Such psychosocial problems can induce poor
glycemic control, which may cause a negative cognition
toward diabetes (absence of a reason for living, burden of
diabetes, district toward medical tretent, watching and
meddling by surrounding people, sense of alienation, rejection
of antidiabetic drugs or insulin, and pressure related to
diabetes self-management).
We started a group meeting held in Tokyo three times per year
for young-aged diabetic patients since 2008, in which around
20 patients and 20 medical staffs were recruited through Web
site for people with diabetes. People who want to participate
the meeting are registered in the order to receipt. In the group
meeting, we assist all of the patients to talk about negative
cognitions toward diabetes and all of medical staffs to listen to
what the patients talk to.
From 2008, the total of more than 150 patient-participants
(mostly, type 1 diabetes) aged 20–40 years old had the various
durations: from the 2 months to more than 30 years. A total of
80 medical staff-participants consisted from all but nurse and
several % of physicians. The family, father, mother, and sons/
daughters sometimes attended this meeting together. A half
of patient-participants attendedmore than twice. The patients
gave us their sentiments that they were able to share
cognitions of others which relieved themselves, realized the
presence of their own diabetes, got new skills for insulin
injection and monitoring of blood glucose from other patients,
and learned the earnest attitude from the medical staffs.
Speech Abstracts / Diabetes Research and Clinical Practice 120S1 (2016) S1–S39 S30