PMID: 11915093Mar 28, 2002Paper

Assessing elderly patients with congestive heart failure via in-home interactive telecommunication

Journal of Gerontological Nursing
R L Jenkins, M McSweeney

Abstract

The efficacy of telemedicine technology was tested for equivalence of nursing assessment with chronic congestive heart failure (CHF) home care patients (N = 28). The equivalence of nurses' physical assessment findings was estimated using an innovative two-way, telemedicine audiovisual system. Nurses were randomly assigned to a method of client assessment: on-site (real time) or telemedicine (monitor time). Each assessment was performed within 10 minutes of each other. Assessment variables compared were auscultation of lung sounds, heart sounds, rate and rhythm, blood pressure, weight, edema, respiratory effort, and client's face, lip, and nail color. Eighteen physiological parameters were analyzed, using either the Wilcoxon signed ranks test or the McNemar test. Results indicate few significant differences between the assessments of the real time and monitor time nurses. The monitor nurse was more likely to claim abnormality than the real nurse was when assessing the color of nails (p = .048). The real nurse picked up ankle edema (p = .024), pedal edema (p = .099), and inspiratory wheeze (p = .01) more frequently than did the monitor nurse. Kappa coefficients to determine the extent of agreement between nurse's assessments were...Continue Reading

References

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Citations

Dec 1, 2010·Heart & Lung : the Journal of Critical Care·Patricia Flatley BrennanBillie Sturgeon
Jan 1, 2008·Research in Gerontological Nursing·Kathryn H DanskyKathryn Bowles
Jul 26, 2012·Journal of Clinical Nursing·José M PeetersAnneke L Francke
May 26, 2010·Journal of Advanced Nursing·Christina HarreforsStefan Sävenstedt
Nov 22, 2005·International Journal of Medical Informatics·Sabine Koch
Dec 19, 2013·International Journal of Qualitative Studies on Health and Well-being·Patrik LyngåKatarina Bohm
Oct 3, 2006·Home Healthcare Nurse·Christina Quinn
Jun 7, 2008·Journal of Telemedicine and Telecare·Taxiarchis Botsis, Gunnar Hartvigsen
Sep 23, 2011·Health Informatics Journal·Margrethe AanesenFrank Olsen
Sep 23, 2006·Journal of Telemedicine and Telecare·William R HershMark Helfand
Aug 12, 2003·The Journal of Nursing Administration·Kathryn H DanskyCheryl Dellasega
Feb 8, 2013·Journal of Telemedicine and Telecare·Geneviève LemayChristine Struthers
Apr 15, 2008·Home Healthcare Nurse·Madeline M Lorentz
Apr 19, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jeongeun KimKyungsoon Lee
Oct 17, 2009·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stuti DangGeetanjali Kelkar
Nov 1, 2015·The Cochrane Database of Systematic Reviews·Sally C InglisJohn G F Cleland
Jan 17, 2007·The Journal of Cardiovascular Nursing·Ruth M Kleinpell, Boaz Avitall
Jan 17, 2007·The Journal of Cardiovascular Nursing·Nancy T Artinian
Apr 25, 2009·The Journal of Cardiovascular Nursing·Louise M LaFramboiseBernice C Yates
Jan 17, 2007·The Journal of Cardiovascular Nursing·Kathryn H Bowles, Amy C Baugh

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