{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T20:13:32Z","timestamp":1776024812142,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T00:00:00Z","timestamp":1584489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Yamaji Fumiko Nursing Research Fund"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the unique contents of difficulties experienced in daily life among adult type 1 diabetes mellitus patients and to determine how basic characteristics and diabetic\u2010related self\u2010care agency are associated with difficulties in daily life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used two surveys: \u201cDifficulties in Daily Life,\u201d which was a questionnaire developed for this survey and \u201cInstrument of Diabetes Self\u2010Care Agency.\u201d These two measures were then used with demographic information for cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The final sample included 321 type 1 diabetes mellitus patients. Difficulties in daily life were composed of four factors: \u201cDifficulties in diseases disclosure,\u201d \u201cDifficulties accommodating diabetes into daily life,\u201d \u201cDifficulties in employment or continuing education\u201d and \u201cLack of knowledge of diabetes.\u201d The instrument of Diabetes Self\u2010Care Agency was found to be associated with all four factors of difficulties in daily life. In addition, sex and diabetes duration were shown to be important predictors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.466","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T21:17:23Z","timestamp":1584566243000},"page":"943-950","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Difficulties in daily life and the association with self\u2010care ability in adults with type 1 diabetes mellitus in Japan: A cross\u2010sectional study"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9738-3700","authenticated-orcid":false,"given":"Eiko","family":"Umeda","sequence":"first","affiliation":[{"name":"Division of Health Science Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuko","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Division of Health Science Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuko","family":"Kawai","sequence":"additional","affiliation":[{"name":"Division of Health Science Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6823-13-25"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S209711"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945914522718"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945912473370"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291401"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01925.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2015.01.012"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-015-0694-2"},{"key":"e_1_2_10_11_1","first-page":"e019764","article-title":"Concealment of type 1 diabetes at work in Finland: A mixed\u2010method study","volume":"8","author":"Hakkarainen P.","year":"2018","journal-title":"British Medical Journal Open"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1353\/dem.0.0091"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.4.816"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018163"},{"key":"e_1_2_10_15_1","volume-title":"Handbook on Diabetes Management in Childhood and Adolescence","author":"Japan Diabetes Society","year":"2017"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12428"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13656"},{"key":"e_1_2_10_18_1","first-page":"173","article-title":"The Epidemiology Data Committee, the Japan Diabetes Society. 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