Psychological Changes in Diabetic Patients with Pharmacist Intervention

2019 Fiscal Year Final Research Report

• Project/Area Number: 17K08439
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical pharmacy
• Research Institution: Kanazawa University
• Principal Investigator: Arai Kunizo 金沢大学, 薬学系, 教授 (50126562)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Keywords: 糖尿病 / 糖尿病イメージ / 服薬アドヒアランス / セルフケア / 患者心理 / 薬剤師介入

Outline of Final Research Achievements

In this study, the relationship between diabetes image and medication adherence in the psychological aspect of patients, which has not been examined until now, was measured using the diabetes image questionnaire as a numerical value of "sick" as a semantic experience of patients, and intervention study of diabetic patients by pharmacists was carried out. As a result, it was clarified that multiple factors such as "image of Living an orderly life ", "Feeling of fear " and " Feeling of neglect of health " of the diabetes image were related to the medication adherence as an internal factor of the patient. These three images are all factors related to self-care ability, suggesting a link between medication adherence in type 2 diabetic patients and self-care in diabetic patients.

Free Research Field

医療薬学

Academic Significance and Societal Importance of the Research Achievements

薬剤師に求められているものは服薬指導以外にも療養指導、患者の心理と行動に配慮した療養指導およびセルフケア行動支援であり、継続セルフケアの意識づけを行い、患者をエンパワーメントすることが必要である。薬剤師は患者の糖尿病イメージを変えるようなセルフケア能力を高めるような介入を行うことにより、服薬アドヒアランスの改善につながる心理変化をもたらすのではないかと考えられ、薬剤師により糖尿病患者への具体的な介入方法を提案できた。