Effectiveness of telemonitoring
exacerbations, hypercapnea, type II respiratory failure, chronic respiratory failure, shortness of breath
COMMON COLD, CHRONIC RESPIRATORY FAILURE, TYPE II RESPIRATORY FAILURE
We found that patients with chronic respiratory failure receiving NPPV routinely experience respiratory symptoms, symptoms of hypercapnea, and pressure of the face mask during their recuperation. Some participants recognized the various symptoms as age-related changes or those of the common cold and took necessary coping actions, such as resting and monitoring the symptoms. Some participants thought that they should not attempt outpatient visits outside of their regular appointments and chose to wait until the next regular outpatient visit, despite having symptoms of an acute exacerbation. These results indicate that although signs of an acute exacerbation were detected, participants did not take prompt medical attention. The SCAQ score, which indicates self-care ability, was significantly higher in the intervention group than in the control group, suggesting that the intervention program may have improved the self-management ability of the participants.When the participants experienced a change in physical condition, they were instructed to contact the researcher for a telehealth counseling session. The researcher confirmed the results of the telemonitoring and explained the meaning of the symptoms and coping behaviors, which may have led the participant to learn the meaning of the change in the physical condition and visit an outpatient clinic. According to previous studies using ICT, the number of visits to the emergency room was reduced because patients were able to receive direct instructions on medical care to be provided at home from medical personnel as a result of telemonitoring [It is difficult to link these subtle sensations to therapeutic actions, and many participants decided to wait and observe symptom progression without consulting a doctor. Symptoms of acute exacerbations, such as shortness of breath, sputum volume, and changes in sputum coloration, rarely appear more than once. As they are short-lived, they are not easily judged to be acute exacerbations [Patients with type II respiratory failure are treated with pharmacotherapy and non-pharmacological therapies, such as respiratory rehabilitation from the stable stage. The emergence of acute exacerbations is related to complex pathological conditions, such as CO