Researcher Profile and Settings

Affiliation

• Faculty of Health Sciences　Health Sciences　Fundamental Nursing

Job Title

• Associate Professor

URL

http://kaken.nii.ac.jp/d/r/00431312.ja.html

J-Global ID

• 201301044508718932

Research Interests

• 糖尿病   慢性病看護学   病い経験   ライフスタイル   セルフマネジメント   がん化学療法   外来看護   看護提供システム   がん看護   

Research Areas

• Life sciences / Clinical nursing

Educational Organization

•  Bachelor's degree program　Departments of Health Sciences, School of Medicine
•  Master's degree program　Graduate School of Health Sciences
•  Doctoral (PhD) degree program　Graduate School of Health Sciences

Academic & Professional Experience

• 2014/04 - 2022/03 北海道大学大学院・保健科学研究院 講師
• 2008/04 - 2013/03 北海道大学大学院・保健科学研究院 助教

Research Activities

Published Papers

• 訪問看護サービスの空間的アクセシビリティに関する探索的研究

  大橋 和貴, 金 絢加, 佐藤 三穂, 鷲見 尚己, 谷川 琢海, 小笠原 克彦

  医療情報学連合大会論文集 (一社)日本医療情報学会 43回 744 - 746 1347-8508 2023/11
• 二次救命処置演習における看護学生の学習経験 テキストマイニングによる分析

  川合 咲穂, 大橋 和貴, 金 絢加, 鷲見 尚己, 鈴木 健太郎, 佐藤 三穂

  医療情報学連合大会論文集 (一社)日本医療情報学会 43回 1040 - 1044 1347-8508 2023/11
• Validation of the Japanese version of the Body Image Scale for bladder cancer patients.

  Miho Sato, Takahiro Osawa, Takashige Abe, Michitaka Honda, Madoka Higuchi, Shuhei Yamada, Jun Furumido, Hiroshi Kikuchi, Ryuji Matsumoto, Yasuyuki Sato, Yoshihiro Sasaki, Toru Harabayashi, Satoru Maruyama, Norikata Takada, Keita Minami, Hiroshi Tanaka, Ken Morita, Akira Kashiwagi, Sachiyo Murai, Yoichi M Ito, Katsuhiko Ogasawara, Nobuo Shinohara

  Scientific reports 12 (1) 21544 - 21544 2022/12/13 [Refereed]
   

  The Body Image Scale (BIS) is a 10-item tool that measures the body images of cancer patients. This study aims to validate the Japanese version of the BIS for bladder cancer patients. A multicenter cross-sectional survey was used to identify the participants, which included Japanese bladder cancer patients. The percentage of missing responses, internal consistency, and known-group validity were evaluated. The correlations between the BIS and two HRQOL instruments (the Bladder Cancer Index and the SF-12) were assessed to determine convergent validity. Among 397 patients, 221 patients were treated by transurethral resection of bladder tumor (TURBT) endoscopically, 49 patients underwent cystectomy with neobladder, and 127 patients underwent cystectomy involving stoma. The percentage of missing responses in the BIS ranged from 8.1 to 15.6%. Cronbach's α coefficient was 0.924. Higher BIS scores indicate negative body image, and the median BIS score for patients with native bladders after TURBT (0.5) was significantly lower than those of the patients with neobladder (4.0) and stoma formation (7.0), which indicated the discriminatory ability of the BIS. Each domain of the Bladder Cancer Index and the role summary score of the SF-12 correlated to the BIS scores, which confirmed the convergent validity. A range of BIS scores were identified among patients who reported similar physical summary scores and mental summary scores of the SF-12. This study confirmed the reliability and validity of the Japanese version of the BIS for bladder cancer patients.
• Validity and reliability of the Japanese version of the Nursing Performance Instrument.

  Naotaka Sugimura, Miho Sato, Naomi Sumi, Rika Yano

  Japan journal of nursing science : JJNS e12518  2022/11/07 [Refereed]
   

  AIM: Work performance of nurses is a critical aspect that concerns the safety of both nurses and patients, but also secondarily influences nurses' turnover due to serious fatigue and burnout. Monitoring nursing performance as well as fatigue is important for appropriate safety management of patients and nurses, and the development of a monitoring tool is essential. The Nursing Performance Instrument (NPI) can provide comprehensive and brief monitoring of nursing performance. This study aimed to verify the validity and reliability of a Japanese version of the NPI (NPI-J). METHODS: A cross-sectional study was conducted on nurses who work in inpatient care across five Japanese hospitals. We considered appropriate factor numbers with parallel analysis and the Velicer's minimum average partial test. The construct validity was evaluated using exploratory factor analysis, confirmatory factor analysis (CFA), and Pearson's correlation analysis. Cronbach's alpha was calculated for the internal consistency. RESULTS: A three-factor model eventually showed acceptable fit indices in the CFA. Moreover, the correlation results among the three factors indicated discriminant validity comparable to the original NPI. The correlation results with acute fatigue, chronic fatigue, and burnout verified convergent validity. Internal consistency was insufficient. CONCLUSION: The NPI-J demonstrated acceptable construct validity. This instrument can assess nurses' perceptions of their performance by measuring each item. Future work on the reliability of the sub-concepts will require additional items or reliability testing based on generalizability theory and item response theory.
• Psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery Scale among shift-work nurses.

  Shinya Yamaguchi, Miho Sato, Naomi Sumi, Yoichi M Ito, Peter C Winwood, Rika Yano

  Journal of occupational health 64 (1) e12325  2022/01 [Refereed]
   

  OBJECTIVES: Shift-work nurses are at a higher risk of inadequate recovery from fatigue and developing maladaptive fatigue with significant health consequences. Therefore, it is necessary to monitor fatigue and recovery levels with a reliable scale. We investigated psychometric properties of the Japanese version of the Occupational Fatigue Exhaustion Recovery scale (OFER-J) for shift-work nurses. METHODS: Japanese shift-work nurses responded to self-administered questionnaires at baseline (n = 942) and one month later (n = 334). The confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted to verify the structural validity and the correlation analysis and one-way analysis of variance were conducted to test the construct and discriminative validity. Cronbach's alpha coefficient, intra-class correlation coefficient (ICC), and smallest detectable change (SDC) were calculated to assess reliability. RESULTS: The CFA showed high correlations between the factors and whilst the goodness-of-fit of the three-factor model was suboptimal, it was in an acceptable range. Most modifications included the error covariance of the Acute Fatigue (AF) and Intershift Recovery (IR) items. The EFA showed that Chronic Fatigue (CF) and AF were not clearly separated, indicating that the two AF items dropped out. Construct and discriminative validity were also well indicated. Cronbach's alpha coefficients were 0.75-0.85. Only CF showed sufficient reproductivity (ICC = 0.74). The SDC for CF, AF, and IR was 14.0, 17.1, and 18.7, respectively. CONCLUSIONS: The validity and reliability of the OFER-J were verified as acceptable for shift-work nurses. The OFER-J could contribute to a data-based approach to fatigue management in nursing management practice.
• COVID-19患者の看護を実践した病棟看護師の心理状況

  新谷理恵子, 佐藤三穂, 大友里奈, 佐藤靖, 佐藤隆太, 中山瑛里, 大萱生一馬, 奥村美灯, 逸見奈緒, 矢野理香, 髙橋久美子

  日本看護研究学会雑誌 45 (1) 2022/01 [Refereed]
  
• Relationships between management factors in dairy production systems and mental health of farm managers in Japan

  H. Kato, H. Ono, M. Sato, M. Noguchi, K. Kobayashi

  Journal of Dairy Science 105 (1) 441 - 452 0022-0302 2022/01 [Refereed]
   

  To facilitate sustainable dairy farming, it is essential to assess and support the mental health of dairy farm workers, which is affected more than that of workers in other industries, as indicated by the relatively few studies to date. In addition, the limited investigations on mental health in dairy workers minimize the opportunities to suggest practical approaches of improvement of their mental health. Therefore, further data acquisition and analysis is required. In the present study, we undertook quantitative surveys on 17 management factors and administered a mental health questionnaire to 81 dairy farm managers (80 male, 1 female) in Hokkaido, northern Japan. The management factors were categorized into 3 groups: production input, production output, and facility indicator; mental health was evaluated based on the Center for Epidemiologic Studies Depression Scale (CES-D). Principal component analysis assigned the factors into 2 groups: intensiveness factors of dairy production systems (PC1: livestock care cost, fat- and protein-corrected milk, stocking density, medical consultation fee per unit time per animal unit, nonfamily wages, fertilizer and pesticide expenses, and net agricultural income ratio) and basic dairy management factors (PC2: net agricultural income ratio, quantity of concentrate feed, and milk quality variable). The depression symptoms of dairy farm managers were not significantly associated with PC1 and milking methods; however, they were significantly negatively associated with PC2, which integrated 3 management factors, including factors related to finances, feeding, and milk quality. According to the findings of the present study, the efforts needed for stable economic farm management, adequate feed supply, and milk quality maintenance may increase the depression levels of dairy farm managers and negatively affect their mental health. These findings could be the basis for future studies on the relationship between the mental health of farm managers and sustainable dairy farm management and production.
• Work engagement and its related factors for dairy farmers

  Miho SATO, Hiromi KATO, Makiko NOGUCHI, Hiroshi ONO, Kuniyuki KOBAYASHI

  Japanese Journal of Health and Human Ecology 87 (4) 195 - 202 2432-6712 2021/07/31 [Refereed]
  
• Gender Differences in Depressive Symptoms and Work Environment Factors among Dairy Farmers in Japan.

  Miho Sato, Hiromi Kato, Makiko Noguchi, Hiroshi Ono, Kuniyuki Kobayashi

  International journal of environmental research and public health 17 (7) 2020/04/09 [Refereed][Not invited]
   

  Dairy farmers are more likely than nonfarmers to experience high demands and are at risk of mental health problems. However, there is scarce evidence on the current state of psychological health and related factors among dairy farmers, and the knowledge of potential gender differences is limited. This study aimed to examine the prevalence of depressive symptoms assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and its association with work environment characteristics and to identify gender differences. Data were collected from 273 dairy farmer participants (169 males and 104 females) in Japan. Females were more likely to be depressed, and young and middle-aged women appeared to be at risk of depression. For both genders, a demanding work environment was related to depression. There were some gender differences; for example, worries about the harmful effects of pesticides on health and the balancing of family roles and work roles were related to depression in men, while worries about one's financial situation and the health status of livestock were associated with depression in women. Females benefited from support through direct interaction, while males benefited from involvement in social activities. These findings will contribute to the development of a gender-specific approach to promote psychological health in the dairy farming community.
• Denture Wearing and Malnutrition Risk Among Community-Dwelling Older Adults.

  Ya Su, Michiko Yuki, Kengo Hirayama, Miho Sato, Tianfang Han

  Nutrients 12 (1) 2020/01/05 [Refereed][Not invited]
   

  Most studies have associated denture wearing with a higher risk of malnutrition and lower nutritional intake in the elderly. As the effect of wearing dentures remains debatable, the aim of this study was to determine if older adults wearing dentures have a higher risk of malnutrition. We recruited 294 Japanese community-dwelling adults aged ≥65 years from two elderly welfare centers in Sapporo. The Mini Nutritional Assessment-Short Form (MNA-SF) was used to assess their nutritional status. Their demographic characteristics, eating habits, and health status were assessed using a questionnaire. Moreover, salt-impregnated taste paper and bioelectrical impedance analysis were used to obtain salt taste sensitivity and body composition (body mass index and protein mass). The mean age of older adults was 75.8 ± 5.8 years and 71.1% were women. We found that 74.1% of the older adults wore dentures. The proportion of the whole population with a risk of malnutrition was 23.5%. Multivariate analysis revealed that partial denture wearing could be protective against the risk of malnutrition. In this study, we found more partial denture wearers with normal nutritional conditions and cooking by themselves than non-denture-wearing older adults. Furthermore, complete denture wearers were eating significantly less meats or fish every day. This study suggests that using partial dentures to replace the lost teeth to meet the dietary needs of the elderly is critical to maintaining a healthy nutritional status. Moreover, it also indicates the importance of providing education to older adults who wear complete dentures.
• Collaboration between outpatient nurses and multidisciplinary professionals in the community regarding diabetes care

  原千晴, 佐藤三穂

  日本糖尿病教育・看護学会誌 23 (2) 163 - 168 2019/09 [Refereed][Not invited]
  
• Cross-cultural adaptation of the Chronic Illness Resources Survey in Japanese patients with diabetes.

  Sato M, Miyoshi H, Nakamura A, Sumi N, Kamoshima H, Ono Y

  Japan journal of nursing science : JJNS 17 (1) e12279  1742-7932 2019/07 [Refereed][Not invited]
   

  AIM: The Chronic Illness Resources Survey (CIRS) is a tool for assessing multiple levels of resources for self-management in people with chronic illnesses. This study aimed to examine the reliability and validity of the Japanese version of the CIRS (CIRS-J) among patients with diabetes. METHODS: This study included 102 Japanese patients with diabetes. Patients completed the CIRS-J on two occasions with additional measurements, including the multidimensional scale of perceived social support (MSPSS), the summary of diabetes self-care activities (SDSCA), and the perceived health competence scale (PHCS). The construct validity, internal consistency reliability, and test-retest reliability were evaluated. RESULTS: Factor analysis resulted in six factors. The Cronbach's α coefficient was 0.82, indicating a high internal consistency. The intraclass correlation coefficient was 0.87, indicating that the CIRS-J is stable over time. The CIRS-J showed a positive moderate association with MSPSS, SDSCA, and PHCS, with a correlation coefficient value ranging from .34 to .44. CONCLUSION: This study showed preliminary support for the reliability and validity of the CIRS-J. The availability of this instrument will help identify the spectrum of resources available for Japanese people with diabetes in both research and practical settings.
• Examination of Factors to Influence the QOL after the Discharge of the Heart Disease Patient

  島田詩絵奈, 小野加奈, 佐藤三穂

  看護総合科学研究会誌 18 (2) 29 - 36 2018/01 [Refereed][Not invited]
  
• Validity and reliability of the Japanese version of the Care Transitions Measure.

  Yoshimura M, Sato M, Sumi N

  The International journal of health planning and management 33 (2) 380 - 390 0749-6753 2017/10 [Refereed][Not invited]
   

  OBJECTIVE: To evaluate the validity and reliability of the Japanese Version of the Care Transitions Measure (J-CTM-15). DESIGN: Questionnaire items were translated, and a longitudinal study was conducted. SETTING: Three urban hospitals: a special functioning hospital, a regional-designated cancer care hospital, and a private hospital in the northern part of Japan. PARTICIPANTS: Patients, aged 20 years and older, who were discharged from hospitals. MAIN OUTCOME MEASURE: Reliability was measured using Cronbach α and item-total correlations. Convergent validity was measured using a Pearson correlation with the Self-Care Agency Questionnaire. Construct validity was examined by an exploratory factor analysis. Predictive validity was examined by the ability to discriminate negative post hospital experiences, including anxiety, problems at home, readmission, emergency visit, consultation via telephone, poor health condition without consultation, and by the correlation with the 12-item Short Form Health Survey (SF-12v2). RESULTS: A total of 223 and 158 participants were selected for data analyses. The Cronbach α was 0.90. The J-CTM-15 differed from the original factor model, but significantly correlated with Self-Care Agency Questionnaire and SF-12v2 scores. The J-CTM-15 also significantly discriminated between patients who did and did not display anxiety, problems at home, and poor health condition, but did not discriminate for readmission, emergency visits, and consultation via telephone. CONCLUSION: The J-CTM-15 is a valid and reliable measure of the quality of care transitions. However, insufficient levels of predictive validity and a lack of generalizability are limitations of the current study.
• 特定機能病院における糖尿病療養支援の方向性に関する一考察 外来初診患者の臨床的特徴から

  佐藤 三穂, 佐藤 仁美, 鷲見 尚己, 中村 昭伸, 三好 秀明, 渥美 達也

  糖尿病ケア (株)メディカ出版 13 (12) 1146 - 1150 1348-9968 2016/12 [Refereed][Not invited]
  
• 看護学分野の大学院生による小学生へのがん教育に関する報告(第2報) 北海道A市立小学校の児童を対象としたがん予防教育の実践

  宍戸 穂, 葛西 理沙, 佐藤 三穂, 鷲見 尚己

  看護総合科学研究会誌 看護総合科学研究会 17 (1) 41 - 47 1344-381X 2016/09 [Refereed][Not invited]
  
• 看護学分野の大学院生による小学生へのがん教育に関する報告(第1報) がん予防教育のプログラム作成に向けた取り組み

  葛西 理沙, 宍戸 穂, 佐藤 三穂, 鷲見 尚己

  看護総合科学研究会誌 看護総合科学研究会 17 (1) 33 - 39 1344-381X 2016/09 [Refereed][Not invited]
  
• 高齢糖尿病患者のインスリン自己注射に関するセルフケアと糖尿病の負担感情の実態および社会的支援と医療者との関わりの関連

  大嶋 美紀, 横井 亜友美, 冨樫 恵美, 藤田 真善美, 棚田 郁子, 岡林 靖子, 佐藤 三穂

  日本糖尿病教育・看護学会誌 (一社)日本糖尿病教育・看護学会 20 (2) 193 - 199 1342-8497 2016/09 [Refereed][Not invited]
  
• Factors related to self-efficacy among men and women undergoing outpatient chemotherapy in Japan

  Miho Sato, Naomi Sumi

  SCANDINAVIAN JOURNAL OF CARING SCIENCES 29 (4) 745 - 750 0283-9318 2015/12 [Refereed][Not invited]
   

  Objective: This study aims to examine factors that influence self-efficacy in Japanese patients with cancer receiving outpatient chemotherapy and to identify whether there are gender-specific similarities or differences that determine self-efficacy in this setting. Methods: A cross-sectional survey was conducted among 156 patients with cancer (86 men and 70 women) undergoing chemotherapy as outpatients across five hospitals in Japan. The patients completed the European Organization for Research and Cancer Core Quality of Life questionnaire (EORTC QLQ-C30), the Self-Efficacy for Advanced Cancer questionnaire (SEAC) which consists of three subscales (affect regulation efficacy, symptom-coping efficacy and activities of daily living efficacy), and a patient information form. Multiple regression analysis was conducted to identify factors associated with self-efficacy in men and women. Results: In both men and women, insomnia was related to affect regulation efficacy, while fatigue and nausea/ vomiting correlated with activities of daily living efficacy. For male patients, fatigue and nausea/vomiting also correlated with affect regulation efficacy and symptom-coping efficacy. Emotional functioning influenced self-efficacy for both genders, while physical functioning affected self-efficacy in female patients only. Conclusions: These results suggest that to enhance self-efficacy in Japanese patients with cancer undergoing outpatient chemotherapy, effective intervention is required with regard to the management of both emotional and physical functioning, specifically symptoms such as fatigue, nausea/vomiting and insomnia in both genders. Furthermore, women with a reduced level of physical function may require particular attention, as they may be at risk of lower levels of self-efficacy.
• 通院がん患者の支援に対する外来看護師と他職種・他部門との連携の実態

  佐藤 三穂, 鷲見 尚己

  日本がん看護学会誌 (一社)日本がん看護学会 29 (2) 98 - 104 0914-6423 2015/09 [Refereed][Not invited]
  
• がん患者が外来化学療法を受けながら仕事を継続するうえでの困難と取り組み,およびそれらの関連要因

  佐藤三穂, 吉田恵, 前田美樹, 鷲見尚己

  日本がん看護学会誌 日本がん看護学会 27 (3) 77 - 84 0914-6423 2013/12 [Refereed][Not invited]
  
• Action plan for the home oxygen therapy patient at the time of the disaster learned from the Great East Japan Earthquake

  Mitsuzuka Yuka, Takahashi Tsuneyuki, Iida Satomi, Sato Miho, Adachi Tetsuya, Yuki Michiko

  The Journal of the Japan Society for Respiratory Care and Rehabilitation 一般社団法人 日本呼吸ケア・リハビリテーション学会 23 (1) 72 - 77 1881-7319 2013/04 [Refereed][Not invited]
   

  東日本大震災では宮城県のほぼ全域で停電し，多くの在宅酸素療法（HOT）患者が酸素吸入の困難な状況に陥った．今後の災害発生時の適切な対応を検討するため，震災発生時におけるHOT患者の行動とその問題点を調査した．今回の大災害では電話による安否確認が困難であったため，本人または家族の直接来院や，HOTプロバイダーからの情報によって安否確認できたケースが多かった．早期に安否確認できたケースに酸素吸入の中断はなかったが，震災後に酸素供給に関する行動を起こさず，安否確認の遅れがある患者に，酸素中断の傾向がみられた．酸素吸入中断患者の一部は状態悪化につながり入院となった．停電や災害時にどう対応するべきなのかを，家族，病院およびHOTプロバイダーとの間で取り決めておくことが重要であり，特に酸素中断のハイリスク患者においては個別のアクションプランを設定する必要がある．
• Work-related factors associated with self-care and psychological health among people with type 2 diabetes in Japan

  Miho Sato, Yoshihiko Yamazaki

  NURSING & HEALTH SCIENCES 14 (4) 520 - 527 1441-0745 2012/12 [Refereed][Not invited]
   

  This study on individuals with type 2 diabetes living in Japan aimed to examine work-related factors that influence self-care and psychological health among people. A cross-sectional survey was conducted among 121 working adults with type 2 diabetes. A self-report questionnaire assessed demographics, work characteristics, self-disclosure of diabetes, support in the workplace, work-related difficulties due to diabetes, and workplace conformity. Dietary self-care, exercise, depression, and emotional distress were also evaluated. The results indicated statistically significant influence of working night shifts, self-disclosure of diabetes, and workplace conformity on dietary self-care. Work-related difficulties due to diabetes had negative effects on depression and emotional distress, and job control and support in the workplace were found to be correlated with emotional distress. These findings suggest that work-related factors have an impact on some forms of self-care activities and psychological health and that it is important to increase understanding of these issues and provide appropriate support for workers through education and counseling and adjustments in the workplace.
• 糖尿病療養指導士の認定資格を有さない病棟看護師の糖尿病看護実践の困難から考える有資格看護師の役割―A大学病院の調査から―

  原千晴, 佐藤三穂

  日本糖尿病教育・看護学会誌 15 (2) 163 - 171 1342-8497 2011/09 [Refereed][Not invited]
  
• 外来化学療法を受ける患者の精神的問題とその関連要因の検討

  佐藤三穂, 鷲見尚己, 浅井香菜子

  日本がん看護学会誌 一般社団法人 日本がん看護学会 24 (1) 52 - 60 0914-6423 2010/05 [Refereed][Not invited]
   

  Abstract

  The purpose of this study was to examine the association of anxiety and depression with demographic characteristics, disease-related characteristics, and social participation in cancer outpatients. Furthermore, the extent that cancer outpatients received psychological support and its relationship with anxiety and depression for those receiving chemotherapy was identified.

  Self-reported questionnaires were distributed to 90 cancer outpatients and responses obtained from 77 of these patients were analyzed. The Hospital Anxiety and Depression Scale revealed that patients with partners had lower depression scores. Those with more severe side effect symptoms, those taking sick leave, and those who did not engage in social activities had higher anxiety and depression scores. Approximately 70～90 percent of patients received psychological support. Obtaining enough information was associated with lower anxiety and depression scores, expressing emotions was associated with lower depression scores, and receiving advice from medical staff was associated with higher anxiety scores. There was an interaction effect between the extent of side effect symptoms and psychological support on anxiety levels. [KT1]

  Our findings suggest that a thorough understanding of these factors will assist nurses in maintaining the psychological well-being of cancer outpatients who receive chemotherapy.

• Social relationships and their effects on anxiety, depression, and hope in people with rheumatoid arthritis in Japan

  SAKITA Mayumi, YAMAZAKI Yoshihiko, SATO Miho, INOUE Yoji, TOGARI Taisuke, MIZOTA Yuri

  Japanese Journal of Health and Human Ecology The Japanese Society of Health and Human Ecology 75 (1) 3 - 16 0368-9395 2009 [Refereed][Not invited]
   

  This study elucidates the characteristics of social relationships of people with rheumatoid arthritis (RA), from the viewpoints of social difficulties attributable to RA, interpersonal difficulties, social support, physician satisfaction, and social participation. It also assesses their effects on anxiety, depression, and hope. The following results were obtained from an Internet survey of 20-59-year-old people suffering from RA in Japan (N=238). Experiences of negative social relationships, such as the deterioration of workplace (33%) and family relationships (13%) because of RA and misunderstanding (98%) or criticism (68%) were common. Receiving emotional and instrumental support and providing support were reported less by males than females. After controlling for demographic characteristics and physical disability, most variables related to social relationships were directly or indirectly associated with anxiety, depression, or hope. However, each social relationship variable directly affected anxiety, depression, and hope in different ways. The variables that indicated direct, independent associations with anxiety or depression were mainly negative social relationships, such as deterioration of family relationships (β=.248, p<.001 ; β=.192, p=.003), misunderstandings (β=.151, p=.021 ; β=.179, p=.006), criticism (β=.144, p=.041), and receiving emotional support (β=−.216, p=.006 ; β=−.215, p=.007). Meanwhile, variables indicating direct, independent associations with hope were positive or active social relationships, such as providing and receiving social support (β=.227, p=.003 ; β=.189, p=.014), physician satisfaction (β=.150, p=.017), and social participation (β=.213, p<.001).
  These results suggest that it is important to maintain social relationships of people with RA and focus on these from the perspective of the enhancement of hope in addition to the alleviation of anxiety and depression for the improvement of the psychological well-being.
• Benefit-finding among people with rheumatoid arthritis in Japan

  Miho Sato, Yoshihiko Yamazaki, Mayumi Sakita, Thomas J. Bryce

  NURSING & HEALTH SCIENCES 10 (1) 51 - 58 1441-0745 2008/03 [Refereed][Not invited]
   

  The realization of positive life influences resulting from the experience of chronic illness has been conceptualized as "benefit-finding". This study of individuals with rheumatoid arthritis in Japan aimed to describe the nature of benefit finding; examine its predictive social factors and evaluate its impact on mental health. A web-based questionnaire was conducted, with valid responses obtained from 364 persons aged 20-59 years. The results indicated that a majority of the participants reported engaging in some type of benefit-finding. "Developing compassion towards others" and "an appreciation of things not previously important" were the most commonly reported. The patients reporting larger emotional support networks and those performing more self-care activities reported achieving higher levels of benefit-finding. Of all the factors examined, benefit-finding was the most significant predictor of mental health. These results expand the base of knowledge regarding living with rheumatoid arthritis and offer practical suggestions for the promotion of well-being.
• Characteristics of Benefit-finding and Factors Related to its Formation among People with Collagen Disease

  佐藤 三穂

  看護総合科学研究会誌 看護総合科学研究会 10 (2) 15 - 25 1344-381X 2007/10 [Refereed][Not invited]
   

  本研究では，膠原病を持つ人を対象に，病いによる肯定的な変化と言われているベネフィットファインディングの特性とその獲得に関わる要因について明らかにすることを目的とし，外来通院している膠原病患者7名を対象に半構造化面接を行った。ベネフィットファインディングの特徴として《困難に対処していけると思えるようになった》，《自分自身を大切にして生きようと思うようになった》，《感謝の気持ちが深まった》，《他者の痛みに共感できるようになった》，《新しい友人と出会うことができた》，《他者に貢献したいと思うようになった》という6つのカテゴリーが抽出され，ベネフィットファインディングの獲得に関わる要因として《困難で、あった経験》，《治療を続けていく上での支え》，《信じている人からの言葉》，《信じられるものの存在》の4つのカテゴリーが抽出された。実践への示唆として，ベネフィットファインディングを含め患者の病い経験を幅広く理解していくことと，必要な支えや励ましを送り続ける支援の重要性が示された。The purpose of this study was to clarify the characteristics of benefit-finding, which is defined as identification of benefits or positive changes from illness experience, and the factors which related to the formation of benefit-finding. Subjects were seven persons with collagen disease receiving outpatient services, and semi-structured interviews were conducted. Six categories were emerged as the characteristics of benefit-finding; "coping difficulties in life", "having consideration for oneself", "having deeper appreciation", "feeling sympathy for pain of others", "meeting new friends" and "wish to make a contribution to others". Four categories were found as factors related to the formation of benefit-finding; "difficulty expenences", "support for life with illness", "the word from significant persons" and "existence one can believe". The results of this study suggest the importance of deeper understanding of the illness experience, not only the negative aspects but also positive aspects, and provision of support which assist patients in managing difficulties resulting living with illness.
• The Herth Hope Index (HHI) and related factors in the Japanese general urban population

  HIRANO Yuko, SAKITA Mayumi, YAMAZAKI Yoshihiko, KAWAI Kaoru, SATO Miho

  Japanese Journal of Health and Human Ecology The Japanese Society of Health and Human Ecology 73 (1) 31 - 42 0368-9395 2007 [Refereed][Not invited]
   

  In this study we sought to demonstrate the reliability and validity of the Japanese Herth Hope Index (HHI) 12, a psychometric instrument for measuring hope, in a general urban population, and to investigate factors correlated with the HHI score. Anonymous written surveys were collected from 255 male and female residents living in Tokyo "N" ward and Saitama "T" township aged 20-69. The Cronbach α coefficient was 0.89, and confirmatory factor analysis showed three-dimensionality. We also observed hope to strongly correlate with having reasons for living and benefit-finding, confirming the reliability and validity of the Japanese HHI scale. Mean HHI score was 35.5. Stratified multi ple linear regression analysis on factors which correlated with the HHI score showed HHI scores to correlate positive with age, the presence of a spouse, and sufficient psychosocial support. We also found that younger subjects receiving sufficient social support enjoyed HHI scores equivalent to older subjects, while women's higher HHI scores appeared attributable to extensive social support networks. No correlation was observed with adverse experiences or history of illness. This study shows that HHI scores in the general urban population are not unexpectedly high compared with pre viously studied subjects with serious disease, that advanced age correlates with higher HHI scores, and that receipt of social support may mediate positive influences on the HHI score.
• Benefits and Potential Problems of Internet Survey

  佐藤 三穂

  看護総合科学研究会誌 看護総合科学研究会 9 (3) 59 - 64 1344-381X 2006/12 [Refereed][Not invited]
   

  コンピューターの普及、インターネット利用者の増加に伴い、欧米を中心にインターネットを調査に利用することへの関心が増加している。従来の面接・電話・郵送調査に比べ、簡便かつ迅速であるという利点が主張される一方、問題点の存在も指摘されている。しかし、国内の保健医療看護の分野ではこの新しい調査方法について体系的な報告の蓄積は少ない。そこで本稿では先行研究を参考にインターネット調査の意義や問題点について考察することを試みた。As the growth of people owing personal computers with access to the internet, internet survey has received increasing academic attention especially in western countries. Although existing literature has focused on the benefits of internet survey, potential problems are known to exist. In Japan, however, limited systematic review regarding this new survey method has conducted on public health and nursing areas. The purpose of this paper is to discuss benefits and potential problems of internet survey based on the previous literature.

Conference Activities & Talks

• Inter-professional collaboration in diabetes care in clinical settings  [Invited]

  Sato M

  3rd Java International Nursing Conference  2015/08
• Self-care in adults with diabetes  [Invited]

  Sato M

  The First FHS International Conference  2013/07

MISC

• 妊娠糖尿病と診断された妊婦の心理的負担とその関連要因

  松田 恵, 桑原 温美, 栗山 智実, 舘山 奈菜, 糀田 リカ, 佐藤 三穂  糖尿病と妊娠  19-  (3)  S  -88  2019/11  [Not refereed][Not invited]
  
• うつ病を合併する2型糖尿病患者の自己管理行動に影響を及ぼす要因

  藤田 真善美, 棚田 郁子, 中野 政子, 佐藤 三穂  日本糖尿病教育・看護学会誌  23-  (特別号)  127  -127  2019/08  [Not refereed][Not invited]
  
• 糖尿病患者が家族に対して日常の療養の中で感じる思い

  松田 恵, 佐藤 三穂  日本糖尿病教育・看護学会誌  22-  (特別号)  138  -138  2018/08  [Not refereed][Not invited]
  
• 外来看護師における他施設・多職種との連携の実態調査

  原 千晴, 佐藤 三穂  日本糖尿病教育・看護学会誌  22-  (特別号)  134  -134  2018/08  [Not refereed][Not invited]
  
• がん化学療法を受ける消化器がん患者に対する看護師による口腔ケアの実践

  丸山 梨紗, 船木 典子, 佐藤 三穂, 柏崎 晴彦, 鷲見 尚己  日本がん看護学会誌  31-  (Suppl.)  241  -241  2017/01  [Not refereed][Not invited]
  
• 看護大学生のストレスの実態および個人特性、支援者、ソーシャルメディア利用との関連

  加我 友寛, 吉田 未希, 佐藤 三穂  日本看護研究学会雑誌  39-  (3)  119  -119  2016/07  [Not refereed][Not invited]
  
• 健康管理を目的としたICTの活用に関する文献検討

  佐藤 三穂  日本看護研究学会雑誌  39-  (3)  273  -273  2016/07  [Not refereed][Not invited]
  
• がん診療連携拠点病院における看護師の口腔ケアの実践状況とその関連要因の検討

  丸山 梨紗, 佐藤 三穂, 山品 博子, 中野 政子, 成瀬 恭子, 鷲見 尚己  日本口腔ケア学会雑誌  10-  (1)  229  -230  2016/03  [Not refereed][Not invited]
  
• 日本語版The Care Transitions Measureの作成と信頼性・妥当性の検証

  吉村 舞, 佐藤 三穂, 鷲見 尚己  日本看護科学学会学術集会講演集  35回-  207  -207  2015/11  [Not refereed][Not invited]
  
• 慢性心不全患者のセルフケアとQOLに関する文献検討

  葛西 理沙, 佐藤 三穂, 鷲見 尚己  看護総合科学研究会誌  16-  (1)  59  -59  2015/05  [Not refereed][Not invited]
  
• 特定機能病院おける糖尿病外来初診患者の臨床的特徴

  佐藤 三穂, 佐藤 仁美, 鷲見 尚己, 中村 昭伸, 三好 秀明, 渥美 達也  糖尿病  58-  (Suppl.1)  S  -312  2015/04  [Not refereed][Not invited]
  
• がん患者に対するオーラルマネジメントの実態調査 北海道内がん診療連携拠点病院における施設調査より

  丸山 梨紗, 佐藤 三穂, 山品 博子, 中野 政子, 成瀬 恭子, 鷲見 尚己  日本がん看護学会誌  29-  (Suppl.)  196  -196  2015/01  [Not refereed][Not invited]
  
• 診療録における慢性心不全患者の実態調査

  葛西 理沙, 山本 彩乃, 武田 莉奈, 青山 美穂, 新井田 知里, 山品 博子, 佐藤 三穂, 鷲見 尚己  日本慢性看護学会誌  8-  (1)  A106  -A106  2014/05  [Not refereed][Not invited]
  
• 外来で治療を行うがん患者のニーズに関する文献レビューと今後の課題

  佐藤 三穂, 三浦 麻美子, 本井 愛乃, 瀧原 祥恵, 上野 ゆかり  日本がん看護学会誌  28-  (Suppl.)  222  -222  2014/01  [Not refereed][Not invited]
  
• がん治療を受ける患者への看護師による口腔ケア 文献レビュー

  前田 梨紗, 佐藤 三穂, 山品 博子, 鷲見 尚己  日本がん看護学会誌  28-  (Suppl.)  311  -311  2014/01  [Not refereed][Not invited]
  
• 外来通院中のインスリン使用高齢者の心理的負担に関連する要因の検討

  大嶋 美紀, 藤田 真善美, 横井 亜友美, 棚田 郁子, 岡林 靖子, 佐藤 三穂  日本糖尿病教育・看護学会誌  17-  (特別号)  157  -157  2013/08  [Not refereed][Not invited]
  
• 看護者間連携に向けた多部門参加カンファレンスの試行 検討内容の特徴と運用上の課題

  鷲見 尚己, 加賀沼 朋子, 竹田 泰子, 西川 美香, 青柳 道子, 溝部 佳代, 佐藤 三穂  日本がん看護学会誌  27-  (Suppl.)  381  -381  2013/01  [Not refereed][Not invited]
  
• 外来化学療法を受ける患者の自己効力感とQOLとの関連

  佐藤 三穂, 鷲見 尚己, 吉田 恵, 前田 美樹  日本がん看護学会誌  27-  (Suppl.)  376  -376  2013/01  [Not refereed][Not invited]
  
• がん患者看護における部署間での効果的な情報共有のあり方の検討 看護記録に着目した取り組みとその評価

  和佐田 織絵, 種市 愛, 小野塚 美香, 佐藤 三穂, 鷲見 尚己  日本がん看護学会誌  27-  (Suppl.)  379  -379  2013/01  [Not refereed][Not invited]
  
• 看護者間連携に向けた多部門参加カンファレンスの試行 参加した看護師の評価による有用性の検討

  加賀沼 朋子, 竹田 泰子, 西川 美香, 青柳 道子, 溝部 佳代, 佐藤 三穂, 鷲見 尚己  日本がん看護学会誌  27-  (Suppl.)  381  -381  2013/01  [Not refereed][Not invited]
  
• 外来化学療法に初めて移行するがん患者の情報ニーズの現状と精神的健康との関連

  野村杏子, 北本千尋, 山谷奈穂子, 佐藤三穂, 鷲見尚己  日本がん看護学会誌  26-  (Suppl.)  259  -259  2012/01  [Not refereed][Not invited]
  
• 通院がん患者の療養支援における外来看護師と多職種の連携に関する調査

  工藤陽子, 高橋絢子, 野本世菜, 松島加奈, 佐藤三穂, 鷲見尚己  日本がん看護学会誌  25-  (Suppl.)  324  -324  2011/01  [Not refereed][Not invited]
  
• がん診療連携拠点病院における看護師のケア連携に関する現状と認識

  鷲見尚己, 青柳道子, 溝部佳代, 佐藤三穂  日本がん看護学会誌  25-  (Suppl.)  329  -329  2011/01  [Not refereed][Not invited]
  
• 糖尿病を持つ患者に対する看護実践の困難から考えるCDENの役割

  原千晴, 佐藤三穂  日本糖尿病教育・看護学会誌  13-  214  2009/08/21  [Not refereed][Not invited]
  
• 壮年期にある2型糖尿病患者の自主規制とその関連要因

  佐藤三穂  日本慢性看護学会誌  3-  (1)  A63  -A63  2009/05/25  [Not refereed][Not invited]
  
• 外来化学療法を受けている患者の精神的健康とその関連要因

  佐藤三穂, 鷲見尚己, 浅井香菜子, 船木典子, 浅野恵子, 日下部緑  日本がん看護学会誌  23-  153  2009/01  [Not refereed][Not invited]
  
• 関節リウマチを持つ人々におけるベネフィットファインディングとその関連要因

  佐藤 三穂, 山崎 喜比古, 崎田 マユミ  保健医療社会学論集  18-  (特別)  60  -60  2007/05  [Not refereed][Not invited]
  
• インターネット調査についての文献学的検討 その意義と問題点

  佐藤 三穂, 山崎 喜比古  日本公衆衛生学会総会抄録集  64回-  267  -267  2005/08  [Not refereed][Not invited]
  
• 患者・障害者における『希望』とその関連要因(第4報) 一般住民への調査から

  大庭 正裕, 柏原 康佑, 徳田 洋介, 成瀬 久美子, 横山 由香里, 阿部 桜子, 佐藤 三穂, 崎田 マユミ, 平野 優子, 谷口 絢, 板垣 貴志, 鈴木 昭裕, 兵頭 千津, 星野 周也, 松本 佳子, 望月 美栄子, 河合 薫, 山崎 喜比古  日本公衆衛生学会総会抄録集  63回-  310  -310  2004/10  [Not refereed][Not invited]
  
• 障害者への社会の「まなざし」に関する研究(第2報) 一般住民への調査から

  松本 佳子, 谷口 絢, 板垣 貴志, 鈴木 昭裕, 兵頭 千津, 星野 周也, 望月 美栄子, 河合 薫, 柏原 康佑, 徳田 洋介, 成瀬 久美子, 横山 由香里, 阿部 桜子, 大庭 正裕, 佐藤 三穂, 崎田 マユミ, 平野 優子, 山崎 喜比古  日本公衆衛生学会総会抄録集  63回-  480  -480  2004/10  [Not refereed][Not invited]
  

Awards & Honors

• 2016/03 北海道大学 教育総長賞
   奨励賞 

  受賞者: 佐藤三穂
• 2012/07 The 9th international Conference with the Global Network of WHO Collaborating Centers for Nursing and Midwifery Good presentation awards
  

Research Grants & Projects

• The Effects of Animal Welfare Production System on the Physical and Mental Health of Agricultural Workers: Evaluation of the Human-Animal Interactions.

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2023/04 -2026/03 

  Author : 加藤 博美, 佐藤 三穂, 大谷 祐紀, 嶋崎 知哉, 小野 洋, 木村 祐哉, 西島 也寸彦
• 当事者の経験評価に基づく外来在宅療養生活支援モデルの臨床的有用性

  日本学術振興会：科学研究費助成事業

  Date (from‐to) : 2021/04 -2024/03 

  Author : 鷲見 尚己, 佐藤 三穂, 青柳 道子, 矢野 理香, 大島 寿美子

   

  今年度は、1)在宅移行支援に関連する文献検討、２）外来患者を支援する看護実践（意思決定支援）に関する実態調査を実施した。１）においては、外来患者に対する在宅療養支援の特徴や実践的取り組み、先駆的な取り組みを行なっている医療施設での報告書を研究者間で検討した。高齢者への支援ニーズは疾患ニーズとともに生活ニーズを考慮した包括的な支援が必要であることを再確認した。同時に、患者経験や価値に基づく、支援の内容や方向性を示している文献は見当たらなかった。患者経験評価を中心とした質評価尺度は海外においては散見されており、それらの質評価指標の精査を進めるとともに、我々の調査で使用可能な指標を精査する予定である。 ２）がん患者を支援する外来看護師の看護実践、特に患者経験の理解と患者の意向継続に関する看護実践に焦点を当てて横断調査を実施した。がん治療に関する部分では、外来の場面を外来治療室と規定し、国内のがん診療連携拠点病院の外来治療室に勤務する看護師を対象として配票調査（WEB調査）をした。その結果として、外来看護師は患者のこれまでの療養生活の経験、患者の価値観を理解することを実践していること、同時に患者の今後の意向を尊重するっことを重視していることが示された。一方で、患者のエンドオブライフに関わる患者の意向の把握には困難を感じており、患者経験理解と移行の継続のための方策の検討を行う必要性が示唆された。
• 高齢糖尿病患者の足の柔軟性に働きかける足浴プログラムの効果検証

  日本学術振興会：科学研究費助成事業

  Date (from‐to) : 2020/04 -2023/03 

  Author : 佐藤 三穂, 岡田 一範, 矢野 理香, 浅賀 忠義

   

  令和3年度については、足浴プログラム作成に向けた基礎的な研究、および足浴プログラムの介入研究の準備に取り組んだ。 まず、フットケア看護技術としての足浴の効果に関する基礎的資料として、足浴方法の違いが生体および対象者の主観的評価にどのような影響を与えるかについて検証した。これらは、健康な成人を対象とした介入研究である。具体的には、通常の温湯による足浴と泡を用いた足浴を比較しているクロスオーバー試験を実施した。皮膚表面温度、皮膚水分量、主観的な温かさの感覚を評価した。これらの介入の結果、経過時間による違いはあったものの、両者の介入で同程度の効果が得られた。両郡間に皮膚水分量の変化量の有意差はなかったが、主観的な評価に違いがあることが示唆された。 足浴プログラムの介入研究の準備としては、これまでの期間において取り組んだ文献検討、および上記の結果も参考資料としながら、プロトコール作成に取り組んだ。足浴の時間、温度、深さ、そして測定の場所、タイミングなどを具体的に検討した。糖尿病を持つ高齢者への介入前の基礎的な研究として、健康な高齢者を対象とした介入研究を計画し、倫理審査委員会の承認を得ている段階である。しかし、パイロットスタディを終えた矢先、新型コロナウイルス感染症の感染拡大により調査の実施を中断することとなった。令和4年度には、作成済みのパンフレットを用いて、対象者のリクルートを開始する予定である。
• Evaluation of the dairy farming systems for sustainability using multiple management and health science indicators.

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2018/04 -2022/03 

  Author : KATO Hiromi

   

  This study aimed to examine the prevalence of depressive symptoms assessed using CES-D and its association with work environment characteristics and to identify gender differences. The prevalence of depressive symptoms differed significantly by gender: 17.3% for males and 31.7% for females. For both genders, a demanding work environment was related to depression. Farm managers with higher net agricultural income ratio, good feeding and high milk quality, which indicates the latent meaning of "well-managed farm systems" were associated with depressive symptoms. Improving the mental health of agricultural employees should be emphasized for sustainable agriculture. There is a need to formulate policies and establish social systems that consider the physical and psychological health of dairy farm workers.
• Self-care and related factors for prevention of acute complication among older adults with diabetes

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2017/04 -2020/03 

  Author : Sato Miho

   

  Self-care is characterized as living as they want to live as well as safety in addition to managing blood glucose level in less strict regulation. Safety includes living without states of acute complication such as hypoglycemia and hyperglycemia. It is related to life experiences such as living with multiple chronic illnesses other than diabetes, fluctuating levels of blood glucose due to changes of physical conditions,and having difficulty in complaining of symptoms even when they are under critical condition.Multi-disciplinary including nurse and care worker is an important factor for promoting self-care.
• Development of a nursing practice model for outpatient oral cancer treatment based on oral management

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2014/04 -2017/03 

  Author : Sumi Naomi

   

  It is important for a patient support model that is focused on the oral management of patients receiving outpatient cancer chemotherapy to ensure that nurses, dentists, and dental hygienists actively share information. This is because ward nurses each work in different departments to help in the management of physical conditions and oral health care of patients. In order to improve patients' quality of life during therapy, in addition to managing adverse oral events, it is important to: evaluate systemic conditions, including nutritional status; maintain an oral environment that allows patients to continue eating foods; carry out interventional measures for the preparation and adjustment of dental prostheses, in accordance with the anticipated progress of the cancer treatment course; and share information about cancer treatment strategies and oral management policies among nurses and dentists in order to allow investigation of the specific type of dental treatment to be performed.
• Factors which influence self-management for people with diabetes: the social-ecological perspective

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2013/04 -2016/03 

  Author : Sato Miho, SUMI Naomi

   

  This study aimed to examine factors related to self-management for people with diabetes, based on the social-ecological perspective, which explains that people’s behaviors are influenced by broader factors. We conducted the retrospective study of medical records and questionnaire survey for patients with diabetes. The results showed that self-management for people with diabetes can be influenced by personal factors which are arisen from the background of differentiation and collaboration of medical care. This study also demonstrated the future fusibility of Japanese version of Chronic Illness Resources Survey, which is a tool to measure multiple levels of resources related to self-management form people with chronic illness.
• Construction of the network system among nurses in hospital supporting cancer patients who discharge to home

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2009 -2011 

  Author : SUMI Naomi, AOYANAGI Michiko, MIZOBE Kayo, SATO Miho

   

  In order to support cancer patients are to various stage of cancer survivors they want, using the method in action research with the nurses in a hospital, we examined the current and new network and system for cancer patients. In order to support the life and medical treatment of cancer patients in various stages, nurses need multidisciplinary conferences to collaborate with other wards nurses. Then, they need new standardization of the nursing recording system, and the opportunity of learning the professional knowledge. Moreover, nurses must consider of supports for outpatients with chemotherapy to improve quality of care. These results have shown the essential clinical practices to care for cancer patients
• Managing illness and work-life for people with type 2 diabetes

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2007 -2008 

  Author : SATO Miho

   

  糖尿病は自己管理が必要な病気であるが患者にとってライフスタイルを変容させていくことは容易ではない。特に、職業を持つ糖尿病患者は、社会的役割を担いながら療養を生活に取り入れていくことが求められ、より一層の困難が予測される。本研究では、職業を持つ2型糖尿病患者が就労しながらうまく糖尿病の療養を継続していけるための支援への示唆を得るために、就労している患者の特徴、また患者のセルフケア行動・メンタルヘルスに影響する要因について職場環境に着目し明らかにすることを目的とした。面接調査と配票調査を実施した結果、過重負担や夜勤の頻度などの職場環境要因はセルフケア行動と関連することが示された。就労している糖尿病患者は未就労者の患者に比べ運動の実行程度が低かった。職場で糖尿病について公表している人は約8割であり、公表している人はしていない人に比べ食事に関するセルフケアを実行できており、糖尿病による肯定的な変化を感じていた。糖尿病を持つことによる仕事への影響を感じている人は、良好なメンタルヘルスが保てていなかった。職場で相談できる人がいる人は良好なメンタルヘルスが維持できていた。これらの結果より、職業を持つ2型糖尿病患者の支援を考える上では、対象者が置かれている職場環境とともに、社会関係に着目していくことの必要性が示された。

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