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Developing a foot care guidance program for diabetics by using an internet videophone system

利用网络可视电话系统开发糖尿病足部护理指导计划

基本信息

批准号：
20791697
负责人：
SUMIKAWA Masuko
金额：
$ 4.33万
依托单位：
Shimane University (2010-2011)Kansai University of Nursing and Health (2009)Kyoto University (2008)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Young Scientists (B)
财政年份：
2009
资助国家：
日本
起止时间：
2009 至 2011
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20791697/
关键词：
慢性病看護学糖尿病フットケアテレビ電話 TV電話

项目摘要

Diabetics were provided with foot care guidance with the help of videophones, and subsequent changes in foot care behavior were examined. A nurse conducted guidance sessions during the 2-to 3-week interval between doctor consultations, with the duration of the first session being 30 minutes and that of subsequent sessions being 10 to 15 minutes. Guidance sessions via videophone consisted of a review of foot care activities of the patient in the previous week, and confirmation of guidance given during the hospital visits. Foot care activities were evaluated using the J-SDSCA scale. Consequently, activities such as "foot monitoring,""wiping of areas between toes," and "monitoring of shoe interiors" improved. Regular reviews of the patient's foot care increased the patient's awareness about their own feet. This seems to have improved their foot care behavior. For ailments such as foot lesions that need to be checked regularly, using a videophone allows for precise and repeated guidance in real time, in the patient's domestic life. Furthermore, such a system is considered beneficial in terms of medical economic effects such as the decrease in the number of hospital consultations, and in terms of infection prevention in such times as outbreaks of infectious disease.

糖尿病患者提供足部护理指导的帮助下，视频电话，并随后改变足部护理行为进行了检查。在医生咨询的2至3周间隔期间，护士进行指导会议，第一次会议的持续时间为30分钟，随后的会议为10至15分钟。通过视频电话进行的指导会议包括回顾前一周患者的足部护理活动，并确认医院访视期间提供的指导。使用J-SDSCA量表评价足部护理活动。因此，诸如“足部监测"、“脚趾间区域的擦拭”和“鞋内部的监测”等活动得到了改善。定期检查患者的足部护理，提高患者对自己足部的认识。这似乎改善了他们的足部护理行为。对于需要定期检查的足部病变等疾病，使用可视电话可以在患者的家庭生活中真实的时间内进行精确和重复的指导。此外，这种系统被认为在医疗经济效果方面是有益的，例如减少医院咨询的数量，以及在传染病爆发时的感染预防方面。