Outcome evaluation and effective use of Telecare in home care

本研究的目的是通过对老年人和护理人员的调查，找出一种沟通方式、指导和护理技术在家庭护理需求和使用FOMA电视电话。在Telecare评估的37个项目中，Care在27个项目中有效。客户需要更多的医疗护理，护理需求的“改善”或“解决”率达到更高。许多客户报告说，远程医疗设备使他们“感觉舒适”，“感觉接近来访的护士”。护士认为Telecare比客户更有用。病人反映的有用项目最多的是“早期发现”、“沟通”和“观察”，护士反映的有用项目最多的是“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。在护理人员中使用FOMA的效果和满意度高于家庭护理人员。在假设使用FOMA的情况下，调查显示客户对FOMA的期望高于护士，但在实际使用FOMA后，情况则相反。家庭护理人员报告说，FOMA屏幕太小，看不到。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.