Improvement of Self-Monitoring in Elderly Chronic Heart Failure Patients through Telenursing Interactions with Nurses

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  • 高齢慢性心不全患者への遠隔看護介入での看護師と患者のやり取りの変容とセルフモニタリングの向上
  • コウレイ マンセイ シンフゼン カンジャ エ ノ エンカク カンゴ カイニュウ デ ノ カンゴシ ト カンジャ ノ ヤリ トリ ノ ヘンヨウ ト セルフモニタリング ノ コウジョウ

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Abstract

Objective: This study investigated if elderly chronic heart failure patients’ self-monitoring behavior improved through telenursing by analyzing changes in nurse-patient interactions. Methods: Video call records of 15 telenursing intervention sessions over 12 months were analyzed by focusing primarily on interactions with nurses about predetermined checks on three patients’ condition. The interactions were assessed with a scale using the criteria: “increasing the patient’s awareness, and assisting in interpretation.” The scale scores for each item were compared between the first six sessions (first 3 months) and the last four sessions (last 4 months) of the intervention. Results: Most interactions for “increasing the patient’s awareness, and assisting in making interpretations” took place in the first six sessions, which decreased significantly in the last four sessions, as indicated by the test of independence and Mann-Whitney U test. Consequently, the interventions in the final phase were shorter than in the initial phase. Conclusion: Analysis of telenursing intervention records confirmed improvements in the patients’ self-monitoring ability through telenursing. It is concluded that the telenursing intervention model is effective for improving self-monitoring in elderly patients with chronic heart failure.

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