Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study

Tomoko Kamei, Yuko Yamamoto, Takuya Kanamori, Yuki Nakayama and Sarah E. Porter

Nursing & Health Sciences, 2018, vol. 20, issue 3, 313-322

Abstract: Chronic diseases, such as chronic obstructive pulmonary disease, amyotrophic lateral sclerosis, and diabetes mellitus, require long‐term management, which daily telenurse monitoring can provide. The aim of the present feasibility study was to determine if using a telenursing protocol with home monitoring during a 12 week implementation could also identify early signs of deterioration and factors correlated with participants' change in status, while attaining patient acceptance and satisfaction. The purposive sample of 43 participants provided 4533 combined days of monitoring. Outcome feasibility indicators were the range of triggering protocol alerts (70~100%) and diagnoses with exacerbations (20~29.3%). Highly correlated were participants' activity limitation and palpitations with chronic obstructive pulmonary disease, activity limitation and ineffective sputum clearance with amyotrophic lateral sclerosis, and fatigue with diabetes. Acceptance and adherence were high with daily monitoring, including “feelings of safety,” and “understanding own condition”. Telenursing with home monitoring indicated a trend to accurately detect early‐stage changes. Participant acceptance was acceptable. It would be feasible to conduct a randomized, controlled trial using this model with some modifications.

Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/nhs.12563

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:nuhsci:v:20:y:2018:i:3:p:313-322

Access Statistics for this article

More articles in Nursing & Health Sciences from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().