Assessment of Comprehension Levels of Inpatients with Diabetes Mellitus. Educational Significance for Enhancement of Therapeutic Outcome.

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  • Akabane Michiya
    Department of Hospital Pharmacy, Shiga University of Medical Science
  • Chiba Mikio
    Department of Hospital Pharmacy, Shiga University of Medical Science
  • Konishi Hiroki
    Department of Hospital Pharmacy, Shiga University of Medical Science
  • Minouchi Tokuzo
    Department of Hospital Pharmacy, Shiga University of Medical Science
  • Yamaji Akira
    Department of Hospital Pharmacy, Shiga University of Medical Science
  • Nagata Hiromi
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Araki Noriko
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Usui Rika
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Iha Sanae
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Hirano Takako
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Ishii Jyunko
    The Internal Medicine III Ward of Hospital Nursing, Shiga University of Medical Science
  • Kurihara Mika
    Department of Nutritional Science and Education, Shiga University of Medical Science
  • Nishio Yoshihiko
    The Third Department of Medicine, Shiga University of Medical Science
  • Haneda Masakazu
    The Third Department of Medicine, Shiga University of Medical Science

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Other Title
  • 糖尿病患者に対する理解度チェック実施の教育的意義と治療効果に与える影響

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We evaluated the comprehension levels of inpatients with diabetes mellitus at the hospital of Shiga University of Medical Science using an originally-developed checklist. The checklist consisted of ten basic points in a written questionnaire and twelve applied points in a hearing questionnaire. The first evaluation was made after the patients were admitted to the hospital. Based on the results, we repeatedly educated the patients regarding any issues that they could not still understand, and their comprehension levels were later re-evaluated using the same checklist just before being discharged. These trials contributed to the general improvement of the patient comprehension levels. Furthermore, the effect of the comprehension levels on HbA 1c was monitored in the forty-three inpatients until six months after discharge. There was no significant difference in the backgrounds of the patients and the prescribed medicines between the checked group and the non-checked group. We classified the checked groups into the improved comprehension group, the non-improved group and the already-good comprehension group, according to the comprehension levels. Although the HbA 1c values of the patients tended to decrease probably due to diabetic therapy, the HbA 1c in the improved group was found to be significantly lower than that in the non-checked group at three months after discharge. These results suggest that pharmaceutical education to improve the patient comprehension level including drug therapy and diabetes resulted in a clinically significant enhancement of the therapeutic effect.

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