Practical introduction of telenursing for chronic respiratory failure patients for preventing hospital readmission of which increasing rapidly into Japan.

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To maintain and keep continuous daily life for the chronic respiratory failure patients with Home Oxygen Therapy(HOT), we developed Telenursing system for HOT patients by self- monitoring methods and using touch panel PC terminal. The effect of the telenursing was examined by the randomized-controlled trial and twenty -nine HOT patients consented to participate in the study and were randomly assignment to the intervention (n=16) or control group (n=13). Intervention group was used HOT telenursing system every day for three months and cost-effectiveness was examined between both groups. As a result, a significant difference was not found in the occurrence of the respiratory exacerbation symptoms and readmission ratio for both groups for three month investigation periods. However, the cost-effectiveness ratio (CER) and the incremental cost effectiveness ratio (ICER) which calculated from the medical fee and non-exacerbation ratio of the intervention period were both higher in the intervention group. It was suggested that this telenursing system might be effective for the decrease of the medical cost for HOT patients.