Study on Continuous Self-Management Support for Early-Stage Diabetes Patients by Telenursing

• Project/Area Number: 24593322
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: University of Hyogo
• Principal Investigator: AZUMA Masumi 兵庫県立大学, 応用情報科学研究科, 教授 (50310743)
• Co-Investigator(Kenkyū-buntansha): ISHIGAKI Kyoko 兵庫県立大学, 大学院応用情報科学研究科, 教授 (20253619) ; KANZAKI Hatsumi 兵庫医療大学, 看護学部, 教授 (80295774) ; RIKISO Yukio 兵庫県立大学, 大学院応用情報科学研究科, 教授 (60128783) ; FUJINAGA Shinko 甲南女子大学, 看護リハビリテーション学部, 講師 (70508663) ; ISHIBASHI Nobue 兵庫県立大学, 看護学部, 助教 (50453155)
• Project Period (FY): 2012-04-01 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000); Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000); Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000); Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 遠隔看護 / 糖尿病 / 自己管理支援 / タブレット型端末

Outline of Final Research Achievements

The purpose of this study was to help diabetes patients establish their own self-management methods that would suit their individual lifestyle, by providing continuous self-management support by telenursing from the time of educational hospitalization until after discharge. The patients used a tablet terminal to enter their daily self-management data into the "diabetes self-management support system" and took photographs of their meals. They received advice from a nurse once a week. As a result of conducting telenursing for three months, the patients’ diabetes self-management behavior scores increased, and their scores of the Problem Areas in Diabetes Survey decreased, although their HbA1c levels did not improve. Therefore, this system is considered to provide patients with an opportunity to review their lifestyle and behavior.

Research Products

• [Presentation] Development of a Diabetes Self-Management Support System for Tablet Devices (2015)
  • Author(s): Masumi Azuma, Satoshi Inagaki, Yoshitaka Nakagawa, Tatsuya Tohyama,
  • Organizer: The 3rd International Conference on Prevention and Management of Chronic Conditions
  • Place of Presentation: Bangkok（THAILAND）
  • Year and Date: 2015-02-25 – 2015-02-27
• [Presentation] 糖尿病患者に対するiPadを使用した自己管理支援システムの設計と構築 (2014)
  • Author(s): 中川芳剛、當山達也、稲垣聡、力宗幸男、東ますみ
  • Organizer: 第15回日本医療情報学会看護学術大会
  • Place of Presentation: いわて県民情報交流センター・アイーナ（岩手県盛岡市）
  • Year and Date: 2014-08-02 – 2014-08-03
• [Presentation] Effectiveness of Telenursing Using a Diabetes Self-Management Support System (2013)
  • Author(s): Masumi Azuma
  • Organizer: ICN 25th Quadrennial Congress（ICN Conference 2013）
  • Place of Presentation: Melbourne Convention and Exhibiton Centre（Australia）
• [Presentation] ２型糖尿病患者に対する遠隔看護介入の自己管理行動への影響 (2012)
  • Author(s): 東ますみ
  • Organizer: 平成24年度日本遠隔医療学会学術大会
  • Place of Presentation: シーサイドホテル舞子ビラ神戸（兵庫県）
• [Presentation] Determining information service needs of cancer patients and their families through text mining of telephone records (2012)
  • Author(s): Miwa Mitoma, Masumi Azuma, Kyoko Ishigaki, Chiaki Funada, Kanetoshi Hattori
  • Organizer: The 9th International Conference with the Global Network of WHO Collaborating Centres for Nursing and Midwifery
  • Place of Presentation: Kobe Portopia Hotel, Kobe, Japan（Hyogo）