Research on preventing re-hospitalization for heart failure and strengthening regional cooperation using ICT

2024 Fiscal Year Final Research Report

• Project/Area Number: 22K17468
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Chiba University
• Principal Investigator: SANO Motohiro 千葉大学, 大学院看護学研究院, 助教 (70877000)
• Project Period (FY): 2022-04-01 – 2025-03-31
• Keywords: 心不全 / 多職種連携 / ICT / 在宅看護 / 移行期ケア / 再入院予防 / QOL向上

Outline of Final Research Achievements

Toward seamless heart failure management using ICT and strengthening regional collaboration, we conducted a needs survey regarding the transition period for medical professionals in hospitals and home setting. The results revealed that the information needed during the transition period for heart failure differed in part depending on the type of job and characteristics of the affiliation.

In addition, to improve the quality of heart failure management and serve as a bridge for regional collaboration, we developed a heart failure exacerbation response flow and heart failure symptom scoring system that can be used regardless of setting, such as in hospitals or home setting, and that allows for the sharing of patient information in real time, and examined the contents using a Delphi survey. Based on the results, we obtained suggestions for establishing a highly feasible heart failure management system that utilizes ICT.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

本研究は、各医療専門職ごとに発展してきた心不全管理の効果的な方法について、多職種協働の視点で、ニーズ、介入方法を検討した数少ない研究である。特に、多職種多施設を対象としたニーズ調査では、これまで単一の職種のみの研究成果がほとんどである中、包括的な観点から心不全の移行期ケアの新たな方略の開発に寄与する知見の創出があった。
また、心不全症状早期発見に向けた対応フローおよびスコアリングシステムにおいても、多職種多施設の医療専門職を対象としてデルファイ調査を実施したことで、実臨床における実現可能性の高い調査結果を得ることができた。