マルチメディアによる在宅テレケアシステムの開発

随着社会的老龄化和经济对医疗保健需求的不断增长，发展一个有效和高效的老年人支持系统已成为一个至关重要的问题。为了建立一个更好的残疾老年人支助系统，社会上正在探索和应用远程护理-一种利用交互式电影传输的护理服务系统，以满足社区病人/服务对象的医疗和福利需要。本研究计划的目的是评估现有的可视电话用于远程护理;开发一个新的中心系统，以支持家庭远程护理;开发一个用于家庭远程护理的心脏监测器;通过进行现场试验来评估新开发的家庭远程护理系统的有效性和实用性;开发一个协议，以最有效地使用远程护理系统;并提出了通过有效应用多媒体技术来推广家庭远程护理所需的条件。将ISDN上的远程护理系统应用于家庭保健服务的干预试验结果表明，远程护理服务提高了客户的日常生活活动（ALD）独立性、沟通独立性和社会认知独立性。通过极大地提高残疾老年人的独立性，老年护理中心能够为社区老年人提供更高质量的护理。远程医疗系统的协议需要包括以下方面：促进多媒体信息的使用，分享专业人员的技能，提供满足个体患者需求的远程医疗指南，以及鼓励远程医疗中的新干预技术。广泛使用远程护理系统，并充分支持该协议和家庭保健专业人员的参与，被认为能够为老年人提供有效和高效的护理。

With the aging of the society and growing economic demands on medical care, the development of an effective and dfficient support system for the aged has become a crucial concern. To develop a better support system for the disabled elderly, telecare -- a care service system using interactive motion picture transmission to meet patients/client's medical and welfare needs in the community -- is being explored and applied in society. The purpose of this research project was to evaluate the existing videophones for the use of telecare ; to develop a new center system to support home telecare ; to develop a heart monitor for home telecare use ; to evaluate the effectiveness and utility of the use of the newly developed home telecare system by carrying out field trials ; to develop a protocol to make use telecare system most effectively ; and to propose conditions required for the wider use of home telecare with the effective application of multimedia technology. Results of the intervention trials using telecare systems on ISDN into home healthcare services showed that telecare service improved the clients'independence in activity of daily living (ALD), communication independence, and social cognition independence. Telecare is able to provide higher quality care for the elderly in communities by greatly improving the level of independence of the elderly with disbilities. The followings are the areas that the protocol of telecare system need to cover : to facilitate use of multimedia information, to share skills of the professionals, to provide guidelines of telecare which meet indivedual patients'needs, and to encourage new intervention techniques in telecare. Wider use of telecare systems with sufficient support of the protocol and involvement of home healthcare professionals was considered to be able to provide effective and efficient care for the elderly.