The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursing Professionals for Diabetic Outpatients Not Using Insulin in Japan Taiga Shibayama Koji Kobayashi Keiko Kazuma 30 200 179 281 10 70.128.5 72.1 To clarify the actual conditions under which counseling services are performed by nursing professionals in Japan for diabetic outpatients not using insulin, a postal survey was conducted using a self-administered questionnaire. The subjects of the survey consisted of nursing professionalsnurses, public health nurses, midwives, and jyun-kangoshiwho worked at 179 hospitals containing more than 200 beds, acted as counselors in outpatient clinics, and who spent more than 30 minutes with each patient. Overall, 70.1 of the nursing professionals who responded to the survey had worked in an outpatient Accepted : October 18, 2003 1 Department of Adult Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo 2 Department of Adult Nursing/Terminal & Long-term Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo Vol 7, No 2, 2004 19
clinic for more than 10 years, and 28.5 held administrative positions. This finding indicates that counseling requires a high level of skill and relevant clinical experiences. In hospitals where nursing professionals counseled outpatients with diabetes, the nurses accounted for 72.1 of the medical team for diabetes. This finding suggests that nursing professionals play an important role in the medical teams that are responsible for the management of diabetes. The fact that most nursing professionals counseled their patients while performing other work suggests that consultation systems engaging nursing professionals have not been established in many hospitals in Japan. Many nursing professionals used a single roomnot specifically for counseling purposesto counsel patients to assure patient s privacy. Nursing professionals tended to counsel outpatients who also saw a physician specializing in diabetes or who had been the hospital before. However, only a few diabetic patients who were seeing other specialist were counseled by the nursing professionals. Nevertheless, such patients may also be in need of counseling. Key words : diabetes mellitus, outpatient, nursing professionals, counseling service 14 2001 200 2,237 13 58 1,083 490 490 66 56 200 13 1 30 30 131,083 179 20 Vol 7, No 2, 2004
1 30 2 179 A 2002 1018 11 5 11 6 A2 2 B B 1 11 6 12 2 8 3 2 11 2 15 3 AB 1 1 1 1 4 123 4 Vol 7, No 2, 2004 21
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55392 962003 9 2 29 onlinehttp://wwwdbtk.mhlw.go.jp/toukei/ youran/data13/2-29.htm. Accessed 28 Mar 2003. 10 pp1 231995 11 onlinehttp://www.nurse.or.jp/kiyose/ kango/index.html. Accessed 28 Mar 2003. 12 3 1992 389711 7201995 13 pp34 351995 30 Vol 7, No 2, 2004