Co-medical Staff Research Articles

A clinical survey on the compliance of exercise therapy for diabetic outpatients

To clarify the present state of exercise therapy for diabetes mellitus, we conducted a survey of 570 diabetic outpatients by written questionnaires. The results revealed that approximately 30% of the patients did not implement the prescribed exercise regimen. The principal reasons for low compliance were ‘lack of time to do’ and ‘lack of mind to do’. ‘Lack of time to do’ was particularly numerous in male patients. Other reasons were ‘lack of guidance by physician’, ‘lack of interest’, ‘lack of understanding of procedure’. These findings indicated that the patients should be motivated adequately when they are diagnosed as having diabetes and subsequently encouraged to reinforce their intentions by the physician and co-medical staff. Furthermore, they showed that specific approaches suitable for each individual patient and not standardized guidelines should be devised. As regards the daily environment of patients, the cooperation of the patient's family would be effective and the exercise facilities and the exercise guidance personnel should be augmented.

病院図書室におけるＭＥＤＬＩＮＥ ＣＤ‐ＲＯＭと医中誌ＣＤ‐ＲＯＭの利用

The authors sent questionnaires on the CD-ROM information retrieval system to libraries in hospitals. The purpose was to obtain information on (1) prevalence, (2) changes caused by the system's introduction and (3) the actual situation of management of the CD-ROM system. Seventy-eight of 110 libraries answered the questionnaire. Fifty-one percent and 72% of the libraries had already acquired or planned to acquire the system by March and December of 1993, respectively. In 67% of libraries, the CD-ROM system was highly evaluated in terms of having improved the information retrieval service, especially from the following two aspects. With the introduction of the CD-ROM system, users have increased in number because of end-user searching, and significant numbers of nurses and co-medical staff were noted to be among them. Some libraries stopped subscribing to bibliographic materials like Index Medicus, Cumulated Index Medicus, and Igaku Chuo Zasshi at the time of introduction. The actual situation of management of the system is far from satisfactory. It is important for the library staff to acquire sufficient information skills, along with the help of Japan Medical Library Association, to provide better educational opportunities.