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未来用于居家护理的信息和通信技术。

Information and communication technology for home care in the future.

作者信息

Kamei Tomoko

机构信息

St Luke's College of Nursing, Gerontological Nursing, Tokyo, Japan.

出版信息

Jpn J Nurs Sci. 2013 Dec;10(2):154-61. doi: 10.1111/jjns.12039.

Abstract

AIM

This paper discusses how nurses can utilize information and communication technology (ICT) to provide care to patients with chronic diseases who are receiving home care, with particular focus on the development, basic principles, research trends, recent evidence, and future direction of telenursing and telehealth in Japan and overseas.

METHODS

This review was based on a published work database search.

RESULTS

Telenursing and telehealth use telecommunications technology to provide nursing care to patients living at a distance from healthcare facilities. This system is based on patient-nurse interaction and can provide timely health guidance to patients in any area of residence. Because of the increase in the rate of non-communicable diseases, the World Health Organization established and adopted a resolution (WHA58.28) to promote the e-health program, which uses ICT. This strategy, which was introduced throughout the world from the 1990s up to 2000, was used for the healthcare of patients with chronic diseases and pregnant women and was implemented through cooperation with various professionals. A telenursing practice model has been reported along with the principles involved in its implementation.

CONCLUSION

Telenursing and telehealth are effective in decreasing the costs borne by patients, decreasing the number of outpatient and emergency room visits, shortening hospital stays, improving health-related quality of life, and decreasing the cost of health care.

摘要

目的

本文探讨护士如何利用信息通信技术(ICT)为接受居家护理的慢性病患者提供护理,特别关注日本和海外远程护理及远程医疗的发展、基本原则、研究趋势、最新证据及未来方向。

方法

本综述基于已发表的工作数据库搜索。

结果

远程护理和远程医疗利用电信技术为居住在远离医疗机构的患者提供护理。该系统基于患者与护士的互动,可为任何居住地区的患者提供及时的健康指导。由于非传染性疾病发病率上升,世界卫生组织制定并通过了一项决议(WHA58.28)以促进使用ICT的电子健康计划。这一在20世纪90年代至2000年期间推广至全球的策略,被用于慢性病患者和孕妇的医疗保健,并通过与各类专业人员合作实施。已报道了远程护理实践模式及其实施所涉及的原则。

结论

远程护理和远程医疗在降低患者负担的费用、减少门诊和急诊就诊次数、缩短住院时间、改善健康相关生活质量以及降低医疗保健成本方面均有效。

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