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Tele-nursing model using AI to recognize acute exacerbations in patients with chronic respiratory failure.

Research Project

Project/Area Number 19K10853
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58060:Clinical nursing-related
Research InstitutionMiyagi University

Principal Investigator

Shimoyama Makoto  宮城大学, 看護学群, 准教授 (00626559)

Co-Investigator(Kenkyū-buntansha) 佐藤 大介  福井大学, 学術研究院医学系部門, 教授 (20524573)
鈴木 優  宮城大学, 事業構想学群, 准教授 (70612779)
Project Period (FY) 2019-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2022: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2021: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords慢性呼吸不全 / 遠隔看護システム / 急性増悪 / 遠隔看護 / セルフケア / COPD / 遠隔医療 / セルフマネジメント / ICT
Outline of Research at the Start

近年、ICT技術の進歩とともに遠隔医療は目覚ましい発展を遂げ、在宅療養中の慢性疾患患者のセルフマネジメント能力の維持のための方策として提供されている。特に慢性呼吸不全患者の急性増悪の約3割が原因不明であり、患者が身体状況の微妙な変化を認識する能力が予後を左右する。疾患の特性上、患者は高齢で自らの身体状況の変化に気づくことが困難な状況である。そこで、本研究では人工知能(AI)技術を用いて、入力された生活情報から慢性呼吸不全患者の急性増悪の兆候を速やかに認識することができるAIを開発、重症化を予防する新たな遠隔看護モデルの構築を目的とする。

Outline of Final Research Achievements

In this study, as a verification of the long-term effects of telenursing for patients with chronic respiratory failure, we requested a research partner to secure the subjects, and then operated a telenursing system for home-care patients with chronic respiratory failure. During the period of this study, the clinical nurses were able to operate the tele-nursing system, but because the data collection period was short due to changes in the subject's condition and other factors, they were not able to build an AI. However, we were able to gain insight into the problems and adjustments that clinical nurses face when operating the tele-nursing system. In addition, we believe that we were able to gain important knowledge regarding the practical application of tele-nursing systems in clinical settings in the future.

Academic Significance and Societal Importance of the Research Achievements

本研究を通して、臨床看護師が遠隔看護システムを運用する際の困りごとや調整事項について知見を得ることができた。また、今後の臨床現場における遠隔看護システムの実用化に関する重要な知見を得ることができた。これらの成果から、臨床現場における遠隔看護の運用上の課題と利点について明らかにすることができる。臨床看護師による実践能力を高めることで、患者はより適切に医療介入を受け、増悪を防ぐことができると考えた。

Report

(6 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (15 results)

All 2024 2023 2022 2021 2019

All Journal Article (9 results) (of which Peer Reviewed: 7 results,  Open Access: 7 results) Presentation (6 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Pre- and Post-Study of Self-Care Abilities in a Tele-Nursing Program for Patients with NPPV Chronic Respiratory Failure2024

    • Author(s)
      霜山 真、三塚 由佳、高橋 識至、小川 浩正、佐藤 冨美子
    • Journal Title

      The Journal of the Japan Society for Respiratory Care and Rehabilitation

      Volume: 32 Issue: 2 Pages: 205-211

    • DOI

      10.15032/jsrcr.21-40

    • ISSN
      1881-7319, 2189-4760
    • Year and Date
      2024-04-30
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of a telenursing intervention program in reducing exacerbations in patients with chronic respiratory failure receiving noninvasive positive pressure ventilation: A randomized controlled trial2023

    • Author(s)
      Shimoyama Makoto、Yoshida Shiori、Takahashi Chikako、Inoue Mizue、Sato Naoko、Sato Fumiko
    • Journal Title

      PLOS ONE

      Volume: 18 Issue: 10 Pages: e0269753-e0269753

    • DOI

      10.1371/journal.pone.0269753

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of a Telenursing System on Side Effects of Chemotherapy by a Crossover Trial2022

    • Author(s)
      Daisuke Sato, Makoto Shimoyama
    • Journal Title

      Open Journal of Nursing

      Volume: 12 Issue: 12 Pages: 817-830

    • DOI

      10.4236/ojn.2022.1212057

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 外来化学療法中のがん患者に対するAI機能を用いた遠隔看護システムの開発と介入プロトコル2022

    • Author(s)
      佐藤大介 , 霜山真 , 吉田詩織
    • Journal Title

      Medical Science Digest

      Volume: 48 Pages: 32-33

    • Related Report
      2022 Research-status Report
  • [Journal Article] Effectiveness of a telenursing intervention program in reducing exacerbations in patients with chronic respiratory failure receiving noninvasive positive pressure ventilation: A randomized controlled trial2022

    • Author(s)
      Makoto Shimoyama, Fumiko Sato, Naoko Sato, Shiori Yoshida, Chikako Takahashi, Mizue Inoue
    • Journal Title

      medRxiv

      Volume: preprint Pages: 1-39

    • DOI

      10.1101/2022.05.30.22275763

    • Related Report
      2022 Research-status Report
    • Open Access
  • [Journal Article] Relationship between acute exacerbation and self-care agency in patients with chronic respiratory failure receiving noninvasive positive pressure ventilation in home care2021

    • Author(s)
      霜山 真, 佐藤 冨美子, 佐藤 菜保子
    • Journal Title

      Journal of Japan Academy of Critical Care Nursing

      Volume: 17 Issue: 0 Pages: 21-30

    • DOI

      10.11153/jaccn.17.0_21

    • NAID

      130008058502

    • ISSN
      1880-8913, 2187-400X
    • Year and Date
      2021-03-31
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 外来化学療法中のがん患者に対する症状の増悪予防を目的とした遠隔看護システムの有効性2021

    • Author(s)
      佐藤大介、霜山真
    • Journal Title

      日本遠隔医療学会雑誌

      Volume: 17 Pages: 148-151

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluating the Pilot Usability for Telenursing-based Cancer Pain Monitoring System2021

    • Author(s)
      吉田詩織、佐藤冨美子、田上恵太、霜山真、高橋信
    • Journal Title

      Palliative Care Research

      Volume: 16 Issue: 1 Pages: 99-108

    • DOI

      10.2512/jspm.16.99

    • NAID

      130008002573

    • ISSN
      1880-5302
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of a Telenursing System to Prevent the Exacerbation of Symptoms in Patients with Cancer Undergoing Outpatient Chemotherapy2021

    • Author(s)
      Sato Daisuke、Shimoyama Makoto
    • Journal Title

      Open Journal of Nursing

      Volume: 11 Issue: 06 Pages: 466-476

    • DOI

      10.4236/ojn.2021.116040

    • NAID

      40022684013

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 在宅NPPV患者に対する遠隔看護とその効果について2022

    • Author(s)
      霜山真
    • Organizer
      第35回非侵襲的換気療法研究会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 外来化学療法中のがん患者に対する症状の増悪予防を目的とした遠隔看護システムの有効性2021

    • Author(s)
      佐藤大介、霜山真
    • Organizer
      日本遠隔医療学会
    • Related Report
      2021 Research-status Report
  • [Presentation] Current Status and Issues of Tele-Nursing Methods in Japan: A Literature Study2021

    • Author(s)
      Kazuya Toyoshima, Makoto Shimoyama, Nao Saito
    • Organizer
      ICN Congress
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] NPPVを受けている慢性呼吸不全患者における急性増悪の関連要因2019

    • Author(s)
      霜山真、佐藤冨美子、佐藤菜保子
    • Organizer
      第15回日本クリティカルケア看護学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] NPPV慢性呼吸不全患者に対する遠隔看護プログラムのセルフケア能力における効果2019

    • Author(s)
      霜山真、三塚由佳、高橋識至、小川浩正
    • Organizer
      第29回日本呼吸ケア・リハビリテーション看護学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] セルフマネジメントを高めるオンライン看護システムの構築を目指して2019

    • Author(s)
      佐藤大介、霜山真、千葉詩織
    • Organizer
      第39回日本看護科学学会学術集会
    • Related Report
      2019 Research-status Report

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Published: 2019-04-18   Modified: 2025-01-30  

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