インスリン療法を行っている要介護高齢者の訪問介護利用は多い．本研究では訪問介護職のインスリン療法に関する支援の重要性・必要性の認識と知識，不安度を明らかにすることを目的にA県内の訪問介護事業所31か所を対象に，勤務する訪問介護職39名に対してアンケート調査を実施した．

訪問介護職としてインスリン療法に関する支援は大事だと回答した者は33名（86.8％），注射や血糖自己測定に関する声かけ見守りについては7割以上の者が必要と回答した．注射の代行については約1割，注射や血糖自己測定についての準備や片づけの代行は3～4割の者が必要と回答した．また，インスリン療法に関する支援を行ううえで知識がないと回答した者は21名（58.4％），不安があると回答した者は27名（75.0％）だった．

糖尿病医療に関わる看護師や訪問看護師は，訪問介護職とともにインスリン療法に関する支援の必要性を検討する必要がある．

We examined factors that increase requests from family caregivers for the involvement of pharmacists in home healthcare. We recruited community pharmacies at a Kanagawa Pharmaceutical Association-sponsored workshop in which 48 pharmacies participated. Respondents completed a questionnaire survey between July and August 2015 regarding 5 to 10 clients aged 50 and older; 201 questionnaires were analyzed. The median number who recognized pharmacists' work in home healthcare (16 items) was 10 (interquartile range: 4-12). Meanwhile, 8 items had a recognition rate of under 50％. More than 70％ of all respondents answered in all items that pharmacists' work in home healthcare was important. The percentage of people who answered “always request pharmacist home visits even for a fee” was 19.9％ when multiple medicines were used (Case 1), 20.4％ when there were unused medicines (Case 2), and 39.3％ when narcotic analgesics were used (Case 3). The factors related to requests for pharmacist visits for home-care-patient with a problem related to polypharmacy or leftover prescription drugs were analyzed using association analysis; maintaining drug, checking for side effects, checking for drug interactions, advice for drugs, advice for hygiene control, supply of home medical equipment and hygiene products and supply of nursing care products. Thus, understanding of these seven factors may increase requests for the involvement of pharmacists in home healthcare. Therefore, pharmacists should instruct the public on not only drug treatment but also their role in home healthcare.