Systematic review and meta‐analysis of studies involving telehome monitoring‐based telenursing for patients with chronic obstructive pulmonary disease

Abstract

Aim: This systematic review evaluated the effects of telehome monitoring-based telenursing (THMTN) on health outcomes and use of healthcare services and compared them with the effects of conventional treatment in patients with severe and very severe chronic obstructive pulmonary disease (COPD). Methods: An extensive published work search of several databases was performed in May and October 2011. Randomized controlled trials and non-randomized controlled clinical trials were evaluated. Parameters included hospitalization rate, number of visits to the emergency department, exacerbations, mean number of hospitalizations, mean duration of bed days of care, mortality, and health-related quality of life by the duration of THMTN and COPD severity. A random effects model was applied. Risk ratio and mean difference were calculated. Heterogeneity was assessed using the I 2 statistic.Results: Nine original articles involving 550 participants were identified in the meta-analysis. THMTN decreased hospitalization rates, emergency department visits, exacerbations, mean number of hospitalizations, and mean duration of bed days of care in severe and very severe COPD patients. Hospitalization rates and emergency department visits were comparable between patients undergoing THMTN of different durations. In addition, THMTN had no effect on mortality. Conclusion: THMTN significantly decreases the use of healthcare services; however, it does not affect mortality in severe and very severe COPD patients.

Impact of a nurse led telephone intervention on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized clinical trial

“…In this study, satisfaction was the most positively impacted outcome showing that children with inflammatory rheumatic diseases and their family were appreciative of the support and information provided by the Telenursing nurse. These results are consistent with other studies performed mainly in the adult population suffering from chronic conditions such as diabetes, cancer, chronic pulmonary disease, heart failure, complex endocrinology patients or Parkinson’s disease, where Telenursing had a positive impact on several outcomes, including satisfaction [13, 29–33, 36–39]. Telehealth in the pediatric population has been less studied so far, but satisfaction and patient’s perception have been investigated.…”

“…These types of nursing care can be provided via telephone, so called Telenursing (TN) [8]. Impact of TN has mostly been studied in adult patients with chronic disease and showed decreased hospitalization rates, emergency department visits, exacerbations, hospitalizations number, and mean duration of bed days [9–13]. In the pediatric setting, the literature review highlighted the paucity of studies demonstrating strong evidence of the benefits of TN.…”

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

“…TM can be defined as: "the information, communication and monitoring technologies which allow healthcare providers to remotely evaluate health status, give educational intervention, or deliver health and social care to patients in their homes" (Solli, Bjørk, Hvalvik, & Hellesø, 2012, p. 2813. TM care for patients with COPD has been shown to be clinically effective (Polisena et al, 2010) by decreasing the use of healthcare services (Kamei, Yamamoto, Kajii, Nakayama, & Kawakami, 2013) and reducing hospital admissions and emergency department visits (Cruz, Brooks, & Marques, 2014;McLean et al, 2012;Pedone & Lelli, 2015), thereby improving the quality of life for patients (Cruz et al, 2014). Nevertheless, these reviews have focused mostly on the efficiency (Cruz et al, 2014;Pedone & Lelli, 2015), mortality, and hospital admission rates (Kamei et al, 2013;McLean et al, 2012), or health-related quality of life (Gregersen et al, 2016) with uncertain conclusions and a lack of clear clinical evidence (Cruz et al, 2014;Gregersen et al, 2016;Pedone & Lelli, 2015) and overlooked how patients with COPD experience care via TM.…”

Unlocking the limitations: Living with chronic obstructive pulmonary disease and receiving care through telemedicine—A phenomenological study

“…Although follow-up of patients with COPD using TM has shown promising results, there is still ambiguity with regard to efficiency (Cruz, Brooks, & Marques, 2014;Pedone & Lelli, 2015;Wotton, 2012). The uncertainty pertains particularly to the effects of hospital admissions and mortality (Kamei, Yamamoto, Kajii, Nakayama, & Kawakami, 2012;McLean et al, 2012) and to the effect on quality of life (Gregersen et al, 2016;McLean et al, 2012).…”