远程医疗对心力衰竭患者自我管理的影响：文献综述。

Impact of telehealth on patient self-management of heart failure: a review of literature.

机构信息

School of Nursing, University of Massachusetts-Amherst, 01003, USA.

出版信息

J Cardiovasc Nurs. 2012 Jan-Feb;27(1):33-43. doi: 10.1097/JCN.0b013e318216a6e9.

DOI:10.1097/JCN.0b013e318216a6e9

PMID:21558862

Abstract

PURPOSE

The objective of the study was to explore the impact of telehealth interventions on individuals' self-care of heart failure (HF).

BACKGROUND

Heart failure is a chronic illness that requires a complex treatment regimen over a long period. Historically, effective self-care has been difficult for this population. There is a need for innovative and effective approaches to improve individual self-care. Telehealth can potentially help individuals with HF follow the plan of care resulting in improved health outcomes and a better quality of life.

REVIEW METHODS

A comprehensive computer-assisted literature search using the terms "(telemedicine OR telehealth) AND (self-care OR self-management) AND (heart failure)" was conducted using electronic databases of ASP, CINAHL, Cochrane reviews, ERIC, PubMed, PsychINFO, Social Sciences Abstracts Index, and Web of Science for studies published between 2000 and 2010 to find research that met the inclusion criteria.

RESULTS

Fourteen studies were included in the review. Telehealth resulted in significant improvement of HF self-care behaviors of daily weighing, medication management, exercise adherence, fluid and alcohol restriction, salt restriction, or stress reduction in the telehealth intervention group in 5 studies. Participants reported improved HF self-care behaviors in 3 other studies with pretest-posttest design. Five others found no difference between the intervention and control groups. Content analysis of the data in the qualitative study revealed themes suggesting that telehealth can be effective in promoting self-care for individuals with HF. However, small sample size and inadequate measurement methods limit the generalizability of the findings of the studies included in this review.

CONCLUSION

Although this review included several studies with flawed design issues, the available evidence supports the use of telehealth in enabling self-care of HF. Further exploration is needed to determine the effect of telehealth on HF self-care outcomes using studies with high-quality design and improved data collection procedures.

摘要

目的

本研究旨在探讨远程医疗干预对心力衰竭（HF）患者自我护理的影响。

背景

心力衰竭是一种慢性病，需要长期进行复杂的治疗方案。从历史上看，该人群的有效自我护理一直很困难。需要创新和有效的方法来改善个人的自我护理。远程医疗有可能帮助 HF 患者遵循护理计划，从而改善健康结果和生活质量。

综述方法

使用电子数据库（包括 ASP、CINAHL、Cochrane 评论、ERIC、PubMed、PsychINFO、社会科学摘要索引和 Web of Science），通过术语“（远程医疗或远程健康）和（自我护理或自我管理）和（心力衰竭）”进行了全面的计算机辅助文献检索，以查找符合纳入标准的研究。检索时间范围为 2000 年至 2010 年。

结果

共纳入 14 项研究。在 5 项研究中，远程健康干预组在日常称重、药物管理、运动依从性、液体和酒精限制、盐限制或减轻压力等 HF 自我护理行为方面显著改善。在另外 3 项具有前后测试设计的研究中，参与者报告 HF 自我护理行为有所改善。其他 5 项研究发现干预组和对照组之间没有差异。定性研究的数据内容分析显示，远程医疗可以有效地促进 HF 患者的自我护理。然而，样本量小和测量方法不足限制了本综述纳入研究结果的普遍性。