Abstract

Study objective: To elucidate the support strategy of certified nurses who provide support for type 1 diabetes patients in puberty/adolescence.
Study methods: We conducted focus group interviews with eight certified nurses who had at least one year of activity after certification and experience of providing support to type 1 diabetes patients in puberty/adolescence. The contents of the interviews were transcribed as data. We conducted qualitative and descriptive analysis with a focus on the context of conscious involvement, efforts, and thoughts toward patients being able to effectively manage their own condition.
Results: The result of the analysis led to 12 subcategories which were grouped into five main categories as follows: << Adjusting the parent-child relationship associated with the care >>, << Linking the relationship with patients >>, << Being involved with the patient’s own perspective >>, << Identifying the management method that utilizes patients’ strength >>, and << Understanding and managing financial problems that develop from changes in the insurance system >>.
Conclusions: As a strategy, certified nurses interacted with patients based on the developmental characteristics of puberty and adolescence, and adjusted relationships within the family in order to promote independence of the patient. In addition, certified nurses made efforts and provided support to prevent interruption of care management due to financial problems for patients at 20 years of age, when the medical care system changes.