Verification of an effectiveness of long-term telenursing practice forpreventing home respiratory failure patient's exacerbations, anddeveloping the telenursing guidelines.

本研究有四个目标和项目。第一个目标是引入一种新的基于家庭监测的远程护理系统“Iki-Iki HOT Nagomi”，用于慢性阻塞性肺疾病（COPD）患者的家庭氧气治疗（HOT）。我们进行了一项随机对照试验，结果表明并验证了该系统可以防止住院和疾病恶化，降低医疗费用。第二个目的是进行一项荟萃分析，以评估提供这种远程护理服务是否可以预防COPD恶化和再次住院，并在此评估的基础上改善COPD患者的生活质量。第三个目标是根据第一个和第二个项目中展示的证据，创建并发布一套实用的居家病人护理远程护理指南。最后，我们试图通过计划和举办远程护理实践研讨会来推广这些实用的远程护理指南，这些研讨会以护士为目标，并评估项目内容。

The present study had four objectives and projects. The first objective was to introduce a new home monitoring-based telenursing system, “Iki-Iki HOT Nagomi”, for chronic obstructive pulmonary disease (COPD) patients with home oxygen therapy (HOT). We conducted a randomized controlled trial which showed and verified that this system prevents hospitalization and exacerbation of the disease and reduce medical costs. The second objective was to perform a meta-analysis to evaluate whether providing such a telenursing service could prevent COPD exacerbations and hospital readmission as well as improve the quality of life in patients with COPD based on this evaluation. The third objective was to create and publish a set of practical telenursing guidelines for at-home patient care based on the evidence demonstrated in the first and second projects. Finally, we sought to promote these practical telenursing guidelines by planning and conducting practical seminars in telenursing, which targeted nurses and evaluated the program content.