Japan Academy of Diabetes Education and Nursing Volume 20, Issue 2 (September 2016)
Japanese

The effects of the receipt of the medical fee “charge for medical instruction to prevent dialysis in diabetes” on the nurses' performance of self-management consultation for outpatients with diabetic nephropathy by nurse specialists : a cross-sectional study Taiga Shibayama 1 , Michiko Aoki 2 , Namiko Oe 3 , Yuko Kubooka 4 , Yasuko Shimizu 5 , Harumi Nishihara 6 , Megumi Hiraoka 7 , Kyoko Yanaida 8 , Akiko Yoneda 9 , Michiko Inagaki 10 1Faculty of Medicine, University of Tsukuba 2Japanese Red Cross Narita Hospital 3Kyushu Central Hospital 4Hyogo College of Medicine Hospital 5Osaka University 6Chiba Cerebral and Cardiovascular Center 7Yokkaichi Hazu Medical Center 8Kawasaki Municipal Kawasaki Hospital 9Yamanashi Prefectural University 10Kanazawa University Keyword: 糖尿病腎症 , 外来 , 療養指導 , 診療報酬 , 糖尿病透析予防指導管理料 , diabetic nephropathies , outpatients , self care , patient education , medical fees pp.167-174
Published Date 2016/9/15
  • Abstract
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We conducted a cross-sectional study to investigate the current conditions of self-management consultation for outpatients with diabetic nephropathy by nurses. The effect of the receipt of the medical fee “Tounyoubyou touseki yobou shidou kanri ryou (charge for medical instruction to prevent dialysis in diabetes, MIPDD)” on the nurses' performance was also studied.

We sent self-administered questionnaires by mail to 472 nurses who were the certified nurses in diabetes nursing and the certified nurse specialists in chronic care nursing and took in 224 returns. Many nurses provided self-management consultation for the patients and 73.2% of them charged MIPDD fee. Multiple logistic regression analysis revealed that the nurses who charged MIPDD tended to consult for patients to improve the knowledge of their own kidney disease (odds ratio (OR)=3.19, 95% confidence interval (CI)=1.18-8.60) and to give them the consultation corresponding to the stage of diabetic nephropathy (OR=2.82, 95% CI=1.05-7.56). These findings suggest that the self-management consultation for outpatients with diabetic nephropathy by nurses has become popular among nurse specialists in Japan and that the charge of MIPDD could enhance consultation quality.


Copyright © 2016, Japan Academy of Diabetes Education and Nursing. All rights reserved.

基本情報

13428497.20.2.jpg
日本糖尿病教育・看護学会誌
20巻2号 (2016年9月)
電子版ISSN 2432-3713 印刷版ISSN 1342-8497 日本糖尿病教育・看護学会

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