Summary
Background
Telemonitoring is an innovative model of care being implemented to address the growing
burden of chronic and complex disease.
Objectives
This paper explores the perceptions of community dwelling older people with chronic
and complex conditions towards a general practice nurse-led telemonitoring intervention.
Method
A pre-test post-test intervention study was conducted with consumer surveys administered
before and after the intervention. The telemonitoring intervention consisted of a
period of home monitoring during which daily vital signs and symptoms were transmitted
to the general practice nurse.
Results
21 participants completed both pre and post-test surveys. There was a significant
difference between pre and post ratings on the survey item “the use of telemonitoring
equipment seems difficult to me” (p = 0.013), and “telemonitoring will be a standard way of health care delivery in the future”
(p = 0.032). Approximately half of the participants reported that telemonitoring provided them
with a sense of security and peace of mind, assisted them to manage their health,
in addition to improving their confidence in managing their care. Most participants
felt more involved and expressed that daily monitoring helped them to understand changes
in their condition.
Conclusion
Telemonitoring is acceptable to Australian community dwelling older persons with chronic
conditions. Prior experience with computers and technology may not be a meditating
factor in acceptability. The use of telemonitoring not only provided important physiological
information to health professionals but also has the potential to empower older people
by allowing them to better understand their own health.
Keywords
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Article info
Publication history
Published online: October 24, 2015
Accepted:
September 25,
2015
Received in revised form:
September 25,
2015
Received:
February 6,
2015
Identification
Copyright
© 2015 Australian College of Nursing Ltd. Published by Elsevier Ltd.
