Paper
Thursday, July 14, 2005
This presentation is part of : Managing Chronic Illness
Identifying Nursing Problems of Chinese Type 1 Diabetic Patients
Shu Chun Chien, RN, PhD, Nursing, Miyazaki Prefectural Nursing University, Miyazaki, Japan
Learning Objective #1: Learn more about the dialectic "opposing powers" concept
Learning Objective #2: Use "opposing powers" to promote a healthier life in young type 1 diabetic patients

From a universal point of view, a human is one member on the earth which is part of the universe. All over the universal phenomena, a unity of opposing powers exists which is the same for human's health phenomenon. Opposing powers within human beings tend to be polar in nature. One example is respiratory inhaling versus exhaling. Conflicting phenomena of these opposing powers occur between the human's body, cognition, and social relationships. Therefore, professional nurses' thinking process should be dialectic. Objective: to identify nursing problems of type 1 diabetic Chinese patients by applying a dialectic "opposing powers" concept. Methods: Three IT instruments (blood sugar, amount of meals and exercise) were utilized to collect patients' daily life data. Participants included 1 young male (A) and 2 young females (B and C). Participants life styles, blood sugar fluctuations, stress, and other factors were recorded and assessed on an every-day-basis for one year. Findings: A's metabolic control was not poor in general, so he was confident in handling it, but often exhibited reckless behavior with the result of daily fluctuating blood sugar levels. He was advised of a possible angiopathy if he continued such a life style by his traditional Chinese medical doctor. For A, the opposing powers can be identified as his cognition versus his body's metabolic condition. The same analysis was conducted for B and C to identify potential nursing problems. For B, opposing powers were her cognition versus her social relationship, and for C it was her intra-individualness versus her social relationship. Conclusion: For nursing interventions, it is important to identify a patients occurrence of opposing situations and to help them both unify together or dissolve one of the opposing powers for the promotion of a healthier life.