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Practical introduction of telenursing for chronic respiratory failure patients for preventing hospital readmission of which increasing rapidly into Japan.

Research Project

Project/Area Number 19390570
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionSt. 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.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (47 results)

All 2010 2009 2008 2007 Other

All Journal Article (8 results) (of which Peer Reviewed: 8 results) Presentation (10 results) Book (5 results) Remarks (18 results) Patent(Industrial Property Rights) (6 results)

  • [Journal Article] テレナーシングを受ける在宅慢性呼吸不全患者のアウトカム評価研究(中間報告)-在宅療養者の問診データによる看護トリアージとテレメンタリングの実践評価-2010

    • Author(s)
      亀井智子、山本由子、梶井文子、亀井延明
    • Journal Title

      日本遠隔医療学会誌 5(2)

      Pages: 128-130

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] テレナーシングを受ける在宅慢性呼吸不全患者のアウトカム評価研究(中間報告)-在宅療養者の問診データによる看護トリアージとテレメンタリングの実践評価-2010

    • Author(s)
      亀井智子, 山本由子, 梶井文子, 亀井延明
    • Journal Title

      日本遠隔医療学会誌 5(2)

      Pages: 128-130

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 問診回答方式による在宅酸素療法実施者のためのテレナーシングシステムの開発2009

    • Author(s)
      亀井延明、亀井智子, 他
    • Journal Title

      日本人間工学会看護人間工学研究誌 9

      Pages: 27-33

    • NAID

      40017073663

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 問診回答方式による在宅酸素療法実施者のためのテレナーシングシステムの開発2009

    • Author(s)
      亀井延明, 亀井智子, 他
    • Journal Title

      日本人間工学会 看護人間工学研究誌 第9巻

      Pages: 27-33

    • NAID

      40017073663

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development and Cost Effectiveness of a Telenursing System for Home Oxygen Therapy Patients and an Educational Program for Telenurses2007

    • Author(s)
      Tomoko Kamei, Nobuaki Kamei, Sumio Murase
    • Journal Title

      ournal of eHealth Technology and Application 5(3)

      Pages: 304-308

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 慢性呼吸不全・在宅酸素療法実施者に求められる新たな看護-テレナーシング(遠隔看護)システムの開発と長期利用効果の分析から-2007

    • Author(s)
      亀井智子
    • Journal Title

      聖路加看護学会誌 11(1)

      Pages: 143-145

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Development and Cost Effectiveness of aTelenursing System for Home Oxygen Therapy Patients and an Educational Programfor Telenurses2007

    • Author(s)
      Tomoko Kamei, Nobuaki Kamei, Sumio Murase
    • Journal Title

      Jourllal of eHealth Tbchnology and Application 5(3)

      Pages: 304-308

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 慢性呼吸不全・在宅酸素療法実施者に求められる新たな看護-テレナーシング(遠隔看護)システムの開発と長期利用効果の分析から-2007

    • Author(s)
      亀井 智子
    • Journal Title

      聖路加看護学会誌 11(1)

      Pages: 143-145

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 在宅酸素療法実施者への長期テレナーシング実践におけるトリアージとテレメンタリング内容の検討2009

    • Author(s)
      亀井智子
    • Organizer
      第29回日本看護科学学会学術集会
    • Place of Presentation
      幕張メッセ
    • Year and Date
      2009-11-28
    • Related Report
      2009 Annual Research Report 2009 Final Research Report
  • [Presentation] A Self-Monitoring Based Telenursing System for Home Oxygen Therapy(HOT)Patients Yielded Prevention of Hospital Readmission2009

    • Author(s)
      Tomoko Kamei, Fumiko Kajii, Waka Itoi, Nobuaki Kamei
    • Organizer
      The 4^<th> international conference on community health nursing research
    • Place of Presentation
      Adelaide convention center, Australia
    • Year and Date
      2009-08-17
    • Related Report
      2009 Annual Research Report
  • [Presentation] 呼吸音解析システム2009

    • Author(s)
      西倉健介、金杉成昭、亀井延明、亀井智子
    • Organizer
      日本設計工学会平成21年度春季大会研究発表講演会
    • Place of Presentation
      東京都市大学
    • Year and Date
      2009-05-23
    • Related Report
      2009 Final Research Report
  • [Presentation] 呼吸音解析システム2009

    • Author(s)
      西倉健介, 金杉成昭, 亀井延明, 亀井智子
    • Organizer
      日本設計工学会平成21年度春季大会研究発表講演会
    • Place of Presentation
      東京都市大学工学部
    • Year and Date
      2009-05-23
    • Related Report
      2009 Annual Research Report
  • [Presentation] A Self-Monitoring Based Telenursing System for Home Oxygen Therapy (HOT) Patients Yielded Prevention of Hospital Readmission2009

    • Author(s)
      Tomoko Kamei, Fumiko Kajii, Waka Itoi, Nobuaki Kamei
    • Organizer
      The 4th international conference on community health nursing research
    • Place of Presentation
      アデレードコンベンションセンター
    • Related Report
      2009 Final Research Report
  • [Presentation] 長期テレナーシング実践によるアウトカム評価-在宅酸素療法利用者への効果、および医療コストの検討2008

    • Author(s)
      亀井智子
    • Organizer
      第11回日本地域看護学会学術集会
    • Place of Presentation
      琉球大学
    • Year and Date
      2008-07-05
    • Related Report
      2009 Final Research Report 2008 Annual Research Report
  • [Presentation] 在宅酸素療法実施者のためのテレナーシング実践開発と評価2007

    • Author(s)
      亀井智子、高橋正光、辻洋介
    • Organizer
      第17回日本呼吸ケア・リハビリテーション学会
    • Place of Presentation
      ホテルグランパシフィックメリディアン
    • Year and Date
      2007-11-16
    • Related Report
      2009 Final Research Report
  • [Presentation] 在宅酸素療法実施者のためのテレナーシング実践開発と評価2007

    • Author(s)
      亀井 智子, 高橋 正光, 辻 洋介
    • Organizer
      第17回目本呼吸ケア・リハビリテーション学会
    • Place of Presentation
      東京都
    • Year and Date
      2007-11-16
    • Related Report
      2007 Annual Research Report
  • [Presentation] Effectiveness of a Telenursing System for Home Oxygen Therapy in Preventing Acute Exacerbation2007

    • Author(s)
      Tomoko Kamei, Nobuaki Kamei, Masamitsu Takahashi
    • Organizer
      21st Pacific Science Congress
    • Place of Presentation
      沖縄コンベンションセンター
    • Year and Date
      2007-06-16
    • Related Report
      2009 Final Research Report
  • [Presentation] Effectiveness of a Telenursing System for Home Oxygen Therapy in Preventing Acute Exacerbation2007

    • Author(s)
      Tomoko Kamei, Nobuaki Kamei, Masamitsu Takahashi
    • Organizer
      21st Pacific Science Congress
    • Place of Presentation
      沖縄県
    • Year and Date
      2007-06-16
    • Related Report
      2007 Annual Research Report
  • [Book] 在宅看護論、第3章在宅看護の実際、III特殊な技術をともなう在宅看護、1. 在宅酸素療法2010

    • Author(s)
      杉本正子、眞船拓子
    • Publisher
      ヌーベルヒロカワ
    • Related Report
      2009 Final Research Report
  • [Book] 在宅看護論、第3章在宅看護の実際、III特殊な技術をともなう在宅看護、1.在宅酸素療法2010

    • Author(s)
      杉本正子, 眞船拓子編, 亀井智子, 他分担執筆
    • Total Pages
      337
    • Publisher
      ヌーベルヒロカワ
    • Related Report
      2009 Annual Research Report
  • [Book] 明日の在宅医療第4巻高齢者ケアと在宅医療、第4章高齢者ケアと在宅看護2008

    • Author(s)
      佐藤智
    • Publisher
      中央法規
    • Related Report
      2009 Final Research Report
  • [Book] テレメンタリング(日本遠隔医療学会編)2007

    • Author(s)
      村瀬澄夫、亀井智子, 他
    • Total Pages
      136
    • Publisher
      中山書店
    • Related Report
      2009 Final Research Report
  • [Book] テレメンタリング2007

    • Author(s)
      日本遠隔医療学会編:村瀬 澄央, 亀井 智子, 他
    • Total Pages
      136
    • Publisher
      中山書店
    • Related Report
      2007 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/paxhot_v1/index.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_08.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_04.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_06.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_07.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_13.html

    • Related Report
      2009 Final Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/paxhot_vl/index.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_08.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_04.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_06.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_07.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_13.html

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/paxhot_v1/index.html

    • Related Report
      2008 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_04.html

    • Related Report
      2008 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_06.html

    • Related Report
      2008 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/paxhot_v1/index.html

    • Related Report
      2007 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_06.html

    • Related Report
      2007 Annual Research Report
  • [Remarks]

    • URL

      http://www.kango-net.jp/project/04/04_2/p04_04.html

    • Related Report
      2007 Annual Research Report
  • [Patent(Industrial Property Rights)] 測定データ読取装置及びこれを用いたデータ読み取り・送信システム2008

    • Inventor(s)
      亀井智子
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Industrial Property Number
      2008-287590
    • Filing Date
      2008-11-10
    • Related Report
      2009 Final Research Report
  • [Patent(Industrial Property Rights)] 特許2008

    • Inventor(s)
      亀井智子
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Industrial Property Number
      2008-287590
    • Filing Date
      2008-11-10
    • Related Report
      2008 Annual Research Report
  • [Patent(Industrial Property Rights)] 商標2008

    • Inventor(s)
      亀井智子
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Acquisition Date
      2008-06-13
    • Related Report
      2008 Annual Research Report
  • [Patent(Industrial Property Rights)] 遠隔看護システムおよび遠隔看護の方法2007

    • Inventor(s)
      亀井智子
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Industrial Property Number
      2007-182020
    • Filing Date
      2007-07-11
    • Related Report
      2009 Final Research Report
  • [Patent(Industrial Property Rights)] LMSHOT2007

    • Inventor(s)
      亀井智子
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Filing Date
      2007-06-13
    • Related Report
      2009 Final Research Report
  • [Patent(Industrial Property Rights)] 遠隔看護システムおよび遠隔看護の方法2007

    • Inventor(s)
      亀井 智子, 亀井 延明
    • Industrial Property Rights Holder
      学校法人聖路加看護学園
    • Industrial Property Number
      2007-182020
    • Filing Date
      2007-07-11
    • Related Report
      2007 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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