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Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study

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  • Tomoko Kamei
  • Yuko Yamamoto
  • Takuya Kanamori
  • Yuki Nakayama
  • Sarah E. Porter

Abstract

Chronic diseases, such as chronic obstructive pulmonary disease, amyotrophic lateral sclerosis, and diabetes mellitus, require long‐term management, which daily telenurse monitoring can provide. The aim of the present feasibility study was to determine if using a telenursing protocol with home monitoring during a 12 week implementation could also identify early signs of deterioration and factors correlated with participants' change in status, while attaining patient acceptance and satisfaction. The purposive sample of 43 participants provided 4533 combined days of monitoring. Outcome feasibility indicators were the range of triggering protocol alerts (70~100%) and diagnoses with exacerbations (20~29.3%). Highly correlated were participants' activity limitation and palpitations with chronic obstructive pulmonary disease, activity limitation and ineffective sputum clearance with amyotrophic lateral sclerosis, and fatigue with diabetes. Acceptance and adherence were high with daily monitoring, including “feelings of safety,” and “understanding own condition”. Telenursing with home monitoring indicated a trend to accurately detect early‐stage changes. Participant acceptance was acceptable. It would be feasible to conduct a randomized, controlled trial using this model with some modifications.

Suggested Citation

  • Tomoko Kamei & Yuko Yamamoto & Takuya Kanamori & Yuki Nakayama & Sarah E. Porter, 2018. "Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(3), pages 313-322, September.
    • Handle: RePEc:wly:nuhsci:v:20:y:2018:i:3:p:313-322
    DOI: 10.1111/nhs.12563
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    References listed on IDEAS

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    1. Shawn P E Nishi & Wei Zhang & Yong-Fang Kuo & Gulshan Sharma, 2015. "Oxygen Therapy Use in Older Adults with Chronic Obstructive Pulmonary Disease," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-12, March.
    2. Irene Bos-Touwen & Marieke Schuurmans & Evelyn M Monninkhof & Yvonne Korpershoek & Lotte Spruit-Bentvelzen & Inge Ertugrul-van der Graaf & Niek de Wit & Jaap Trappenburg, 2015. "Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A ," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-15, May.
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