Basic Study on Elderly Tele-nursing Model for Emote Nursing by Smart Device

Abstract

This study was carried out to examine the development of an "elderly tele-nursing model" for care provided in-home by family members and through remote nursing systems in a super-aging society. This model studied the travel time, cost, and means of transportation of care providers. The pre-survey results regarding elderly tele-nursing show that a son/daughter can visit a parent more than once a week. In the results, the time required for elderly tele-nursing was influenced by whether or not the visitor uses the shinkansen (bullet train of Japan). In the main survey, based on 40 questionnaires, clear differences were observed according to whether visits were "every two weeks" or "once per month". Furthermore, this result was also indicated by t-tests.

A Study on Interregional Differences in Elderly Person’s Remote Care in Terms of Traveling Time and Expense: Comparative Consideration in TOKYO Area and OSAKA Area

“…In addition to the emergence of an enormous care burden for families (in many cases, the children of those receiving care), trends such as a falling birth rate, and households that consist only of the nuclear family have led to an ongoing tendency for older households to comprise a married couple or one person to be isolated and live apart from their families, making it likely that the provision of care by the family will become more difficult. Meanwhile, in recent years, there has been an increase in the living arrangement wherein adult children and parents live separately but nearby 3 . Because they mutually set a distance appropriate to their living environments, this arrangement leads to a high level of satisfaction in families that put it into practice from the viewpoint of securing mutual privacy and independence [1].…”

“…To maintain the state of relationships under this arrangement requires finding the time and money to meet face to face when necessary. In previous reports [2][3][4], the current authors used the term "older person tele-nursing model" 4 to describe the concept of a distance from which it is possible for an adult child providing remote care and support to comfortably travel between their own household and their parent's household. The reports identified the ideal visiting frequency (monthly, weekly), the distance that it is acceptable to travel, and the maximum acceptable cost of travel for a putative family living in the Kansai region in separate but nearby households.…”

“…The reports identified the ideal visiting frequency (monthly, weekly), the distance that it is acceptable to travel, and the maximum acceptable cost of travel for a putative family living in the Kansai region in separate but nearby households. A survey was also included about attitudes to new initiatives related to living environment provisions for older adults, with the aim of creating a mathematical model that accounts, not simply for place and distance, but also for qualitiative factors that allow people to feel 3 The Japanese phrase here is "oyako no kinkyo" (parent and child living close together), referring to parents and adult children having separate households that are a short distance apart. The distance involved is not strictly defined, but it refers to a living arrangement whereby the distance between residences enables ordinary appropriate meetings as necessary, while each household has an independent living environment.…”

“…Thus, this report aims, as a continuation of an earlier report [3], to survey the Tokyo metropolitan region and use the older person tele-nursing model and time-cost maps constructed from the data thus obtained to clarify regional differences with the Kansai region, which has differing transport conditions, and analyze trends in remote care that are unique to the Tokyo metropolitan region.…”

“…In this report, a paper survey of participants' attitudes was conducted using the same method as the survey of attitudes in the Kansai region used in previous reports [2,3]. An outline is shown in Table 1.…”