Project/Area Number |
19390570
|
Research Category |
Grant-in-Aid for Scientific Research (B)
|
Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Community health/Gerontological nurisng
|
Research Institution | St. Luke's College of Nursing |
Principal Investigator |
KAMEI Tomoko St. Luke's College of Nursing, 看護学部, 教授 (80238443)
|
Co-Investigator(Kenkyū-buntansha) |
KAJII Fumiko 聖路加看護大学, 看護学部, 准教授 (40349171)
YAMAMOTO Yuko 聖路加看護大学, 看護学部, 助教 (00550766)
KAMEI Nobuaki 明星大学, 理工学部, 准教授 (20233968)
MURASE Sumio 信州大学, 医学部附属病院・医療情報部, 教授 (70200285)
ITOI Waka 聖路加看護大学, 看護学部, 助教 (30453658)
|
Project Period (FY) |
2007 – 2009
|
Project Status |
Completed (Fiscal Year 2009)
|
Budget Amount *help |
¥18,590,000 (Direct Cost: ¥14,300,000、Indirect Cost: ¥4,290,000)
Fiscal Year 2009: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2008: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2007: ¥10,530,000 (Direct Cost: ¥8,100,000、Indirect Cost: ¥2,430,000)
|
Keywords | テレナーシング / 慢性呼吸不全 / 在宅酸素療法 / 急性増悪 / ランダム化比較試験 / テレナース / テレメンタリング / トリアージ / テレケア / テレヘルス / e-health |
Research Abstract |
To maintain and keep continuous daily life for the chronic respiratory failure patients with Home Oxygen Therapy(HOT), we developed Telenursing system for HOT patients by self- monitoring methods and using touch panel PC terminal. The effect of the telenursing was examined by the randomized-controlled trial and twenty -nine HOT patients consented to participate in the study and were randomly assignment to the intervention (n=16) or control group (n=13). Intervention group was used HOT telenursing system every day for three months and cost-effectiveness was examined between both groups. As a result, a significant difference was not found in the occurrence of the respiratory exacerbation symptoms and readmission ratio for both groups for three month investigation periods. However, the cost-effectiveness ratio (CER) and the incremental cost effectiveness ratio (ICER) which calculated from the medical fee and non-exacerbation ratio of the intervention period were both higher in the intervention group. It was suggested that this telenursing system might be effective for the decrease of the medical cost for HOT patients.
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