Development of a Telenursing System for Home Oxygen Therapy Patients and an Educational Program for Telenurses.

为家庭氧疗患者开发远程护理系统和远程护士教育计划。

基本信息

批准号：
15390685
负责人：
KAMEI Tomoko
金额：
$ 9.34万
依托单位：
St.Luke's College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2006
项目状态：
已结题

项目摘要

We developed the Life Management Telenursing System for Home Oxygen Therapy (LMS-HOT) for chronic respiratory failure patients to prevent acute exacerbation of respiratory failure and detect it early.LMS-HOT consists of four systems administered by the nursing monitoring center : internet terminals in the patient's home for physical and mental self-assessment ; telemonitoring with literature-based algorithms that trigger individualized response messages; the server supporting the interactions and care system; and educational systems to guide patient compliance.Five volunteers (a sixth withdrew at day 6 due to another disease) used this system for more than two months (total 953 days experience). Their self-monitoring data, system responses, and patient responses to the Health-Related QOL SF-36 and statements about using LMS-HOT provided data for our evaluation.1. Patients submitted 876 reports. 701 possible exacerbation episodes were identified when one or more parameters triggered the … More emergency alarm, an over-all incidence rate of 80%. Of the possible exacerbation episodes, 67.1% were judged to be emergencies ; the number of emergencies per reports per patient varied (4/55, 48/230, 301/340, 71/79, 164/172). On the day of triggering parameters were significantly lower for SpO_2, peak flow, pulse rate, systolic blood pressure, body temperature, Borg scale score, and daily total points. There were no hospital readmissions.2. HR-QOL (SF36) was improved in function related to physical (RP), body pain (BP), vitality (VT) but changes were not statistically significant.3 The patients reported that LMS-HOT alleviated anxieties in daily life, resolved problems at early stage, improved self-care consciousness, and provided a sense of security.4. The cost of maintaining a patient at home using LMS-HOT was 25% of a usual readmission hospital stay.5. We organized two telementoring seminars in 2006-2007 attended by 146 people (37.7% nurses ; 29.5% other health professionals ; 32.9% others). 87.5% gave positive evaluations. We prepared a telementoring textbook and distributed it to each participant. Less

我们开发了用于慢性呼吸衰竭患者的家庭氧疗法（LMS-HOT）的生命管理远程远程研究系统，以防止急性加剧呼吸道衰竭并提早检测到它。LMS-HOT由护士监测中心管理的四个系统：患者家中的互联网终端用于身体和心理自我评估；使用基于文献的算法进行远程监控，这些算法触发个性化响应消息；支持交互和护理系统的服务器；和指导患者合规性的教育系统。自愿者（由于另一种疾病，第六天退出）使用该系统超过两个月（总共953天经验）。他们对与健康相关的QOL SF-36的自我监控数据，系统响应以及患者的反应以及有关使用LMS-HOT的陈述为我们的评估提供了数据。1。患者提交了876份报告。当一个或多个参数触发…更多紧急警报，所有事件率为80％时，发现701个可能的加重发作。在可能的加重发作中，有67.1％被认为是紧急情况。每名患者的紧急情况数量各不相同（4/55、48/230、301/340、71/79、164/172）。在触发参数的当天，SPO_2，峰流量，脉搏率，收缩期没有医院再入院。2。 HR-QOL（SF36）在与身体（RP），身体疼痛（BP），活力（VT）相关的功能方面得到了改善，但变化在统计学上并不显着。使用LMS摄入的患者在家中维护患者的成本为通常的再入院住院住院。5。我们在2006 - 2007年组织了两名远程服务，有146人参加（37.7％的护士；其他卫生专业人员为29.5％；其他32.9％的人）。 87.5％进行了肯定评估。我们准备了一本秘密教科书，并将其分发给每个参与的教科书。较少的