2023 Fiscal Year Final Research Report

Usefulness of Telenursing for Type 2 Diabetes Patients Who Do Not Continue Behavior Change in Outpatient Nursing Diabetic Clinic

Research Project

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Project/Area Number	19K10892
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58060:Clinical nursing-related
Research Institution	Kobe Women's University
Principal Investigator	AZUMA Masumi 神戸女子大学, 看護学部, 教授 (50310743)
Co-Investigator(Kenkyū-buntansha)	藤永新子四條畷学園大学, 看護学部, 教授 (70508663) 大田博福岡大学, 医学部, 准教授 (10739775) 石橋信江神戸市看護大学, 看護学部, 准教授 (50453155) 橋弥あかね大阪教育大学, 教育学部, 准教授 (00457996) 三苫美和兵庫医療大学, 看護学部, 講師 (60618304)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	2型糖尿病 / 遠隔看護 / 看護外来 / 行動変容
Outline of Final Research Achievements	The purpose of this study was to verify whether a telenursing intervention utilizing the Welby MyChart (hereinafter referred to as “MyChart”), which could visualize the patients’ lifestyle habits, would be useful for behavior change in lifestyles of patients with type 2 diabetes. We asked three patients to enter their data on exercise, weight, etc. into their MyChart for 4 weeks, and interviewed them regarding their self-management on those items. In addition, we also asked three nurses to review the patients’ data and interviewed them regarding the possibility of using MyChart when they provide guidance to their patients. The results suggested that visualization of data on exercise, weight, etc. using MyChart could be useful for patients' self-management, and for nurses, it could be utilized to make their guidance more efficient and specific as it enables them to “see” their patients' lives in advance.
Free Research Field	看護情報学
Academic Significance and Societal Importance of the Research Achievements	2型糖尿病患者は、血糖をコントロールし合併症を予防するために自分に合った療養法を身につけ、社会的役割を果たしながら、食事・運動療法等を１年365日継続しなければならない。しかし、患者は孤独を感じ、時間の経過とともに都合のよい判断によって療養行動の中断や低下を招くことが報告されている。本研究によって、マイカルテによる運動や体重等のデータの可視化が患者の自己管理に役立ち、看護師にとっては事前に患者の生活が見えることで、具体的な指導に活用できることが示唆されたことは、患者と医療機関の繋がりを強化し、オーダーメイドの自己管理方法が確立でき、受診の中断が抑制され重症化予防に繋がると考えられる。