Effectiveness of telehealth counseling
respiratory diseases, cognitive decline, shortness of breath
RESPIRATORY DISEASE
Generally, patients undergoing NPPV receive self-management support from medical staff on how to manage NPPV equipment and knowledge and skills for medical treatment. Then, they are discharged home. However, in recent years, there have been many older patients with cognitive decline in the latter half of their lives, and there are cases where it is difficult for them to utilize the knowledge and skills they have received at home. In this program, the participants entered information about NPPV management, medication, diet, excretion, and physical activity, and the researcher provided telehealth counseling for questions and concerns regarding daily life. As a result, the participants were able to reconfirm the points to keep in mind during their medical treatment and may have been able to maintain their health management behavior.Patients with respiratory diseases who continue appropriate self-management have reduced shortness of breath, improved health-related QOL, and decreased number of respiratory-related hospitalizations [Patients living with NPPV at home face challenges and questions they do not face during hospitalization. In this study, telehealth counseling allowed participants to respond immediately to any changes in symptoms or questions about treatment. As a result, they could easily cope with the situation and acquire new knowledge and skills from the experience. For effective self-management support, behavioral change theory is used, and it is important to provide education and explanation promptly when the patient is conscious [Self-management education using ICT has been practiced in Japan and abroad and has been reported to be effective in reducing the number of hospitalizations and maintaining adherence [