Outcome evaluation and effective use of Telecare in home care

本研究的目的是进行一项调查，在老年人和护理提供者，并确定一种方式的沟通，指导和护理技术，在家庭护理的需求和利用FOMA电视电话。护理是有效的，在27个项目的评估，在37个项目的家庭护理。客户需要更多的医疗服务，更大的"改善"或"解决"率的护理需要实现。许多客户报告说，护理设备使他们"感到舒适"和"感觉接近来访的护士"。护士对病人的评价高于对病人的评价。服务对象最常提及的有用项目是"早期发现"、"沟通"和"观察"，而护士最常提及的有用项目是"咨询"、"观察"和"早期发现"。对于那些严重依赖医疗护理的人，护士和客户在"早期发现"和"观察"方面的评分都更高。使用FOMA的护士比家庭照顾者的效果和满意度更高，假设使用FOMA的调查显示，客户的期望值比护士高，但实际使用后出现了相反的趋势。家庭护理人员报告说，FOMA屏幕太小，看不见。这表明，更大的屏幕有助于提高老年人的有效性和满意度。

The purpose of this study was to conduct a survey in the elderly and care providers, and to identify a way of communication, guidance and care techniques in home care needs and utilization of FOMA TV telephone.Care was effective in 27 of 37 items in the evaluation of Telecare. The clients require more medical care, the greater "improvement" or "solution" rate of care need achieved. Many clients reported that Telecare equipment made them "feeling comfortable" and "feeling being close to visiting nurses". Nurses evaluated Telecare more useful than the clients. The top useful items reported by the clients were "early detection," "communication" and "observation" while those by the nurses were "consultation," "observation" and "early detection". Both the nurses and the clients rated higher in "early detection" and "observation" for those heavily depending on medical care. The use of FOMA demonstrated greater effectiveness and satisfaction in the nurses rather than the family caregivers.The survey assuming that FOMA is used, showed greater expectation in the clients than the nurses, but a reverse tendency was seen after the actual use. The family caregivers reported that the FOMA screen was too small to see. It suggests that a larger screen helps the elderly to improve the effectiveness and satisfaction.