Telenursing in Chronic Conditions
Advances in computer science and information technology (IT) are giving rise to the rapid development of health-care databases and related information systems. The health-care environment is undergoing rapid changes as information systems develop. Disease structure is also changing, from being dominated by acute and chronic infectious diseases to being dominated by lifestyle-related diseases. As the size of the elderly population increases, this change in disease structure is becoming more pronounced. Periods of illness are becoming longer, and an increasing number of people have illnesses or disorders. There are an increasing number of cases in which patients undergo treatment as they go about their regular lives in the community and family. The World Health Organization (WHO) announced that an increasing number of people are suffering from chronic diseases worldwide, such as heart disease, stroke, cancer, and diabetes. These disorders will claim the lives of an estimated 35 million people in 2005, representing 60% of all deaths. In such situations, patient health-care needs become more diverse and there is a demand for high-quality health-care services that offer the types and levels of service that can be tailored to meet the needs of individuals.
KeywordsBulletin Board Disease Structure Chronic Infectious Disease Continuous Nursing Nursing Information
American Nurses Association
Body Mass Index
Cognitive Behavioral Therapy
College of Nursing Art and Science, Hyogo, JAPAN
Information and Communications Technology
Personal Handy-phone System
Total Hip Arthroplasty
World Health Organization
We are thankful to our supervisor, Kenichi Ohta, whose encouragement, guidance, and support from the initial to the final level enabled us to develop an understanding of the subject. Finally, we are also grateful to all who supported us in any way during the completion of the project.
Have persistent or recurring health consequences lasting for years. They are illnesses or impairments that cannot be cured. Some of the most prevalent chronic conditions, such as sinusitis or hay fever, are generally not disabling; however, others, such as heart disease and arthritis, can cause significant limitations in people’s ability to perform certain basic activities of daily living (ADLs). Thus, in addition to medical services, people who have chronic conditions often need personal, social, or rehabilitative care over a prolonged period of time. Source: National Academy on an Aging Society (homepage on the Internet). Washington: The Academy; c1999–2009. Chronic conditions: A challenge for the twenty-first century. 1999; 1, November: 2. Available from http://hpi.georgetown.edu/agingsociety/pdfs/chronic.pdf (cited 9 March 2010).
Are non-communicable illnesses that are prolonged in duration, do not resolve spontaneously, and are rarely cured completely. Examples of chronic diseases include heart disease, cancer, stroke, diabetes, and arthritis. Source: Centers for Disease Control and Prevention (homepage on the Internet). Atlanta: The Centers; c1946–2009. Chronic disease prevention and health promotion: What are chronic diseases? Available from http://www.cdc.gov/nccdphp/publications/AAG/chronic.htm (updated 24 November 2008; cited 9 March 2009).
Is the disease group related to lifestyles such as a dietary habits and exercise habits, rest, smoking, and drinking.
Electronic-health it is a relatively recent term for health-care practice which is supported by electronic processes and communication
Electronic-hospitals it brings learning opportunities to the reach of hospital patients
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