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Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study
Author(s) -
Kamei Tomoko,
Yamamoto Yuko,
Kanamori Takuya,
Nakayama Yuki,
Porter Sarah E.
Publication year - 2018
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12563
Subject(s) - medicine , palpitations , amyotrophic lateral sclerosis , randomized controlled trial , disease monitoring , medical diagnosis , physical therapy , diabetes mellitus , feeling , intensive care medicine , disease , pathology , psychology , social psychology , endocrinology
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.