Department of Health Sciences (SACS), University of Aveiro, Aveiro, Portugal; School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal.
Graduate Department of Rehabilitation Science, Department of Physical Therapy, University of Toronto, Toronto, Canada.
Int J Med Inform. 2014 Apr;83(4):249-63. doi: 10.1016/j.ijmedinf.2014.01.008. Epub 2014 Jan 23.
This systematic review aimed to provide a comprehensive description of the methodologies used in home telemonitoring interventions for Chronic Obstructive Pulmonary Disease (COPD) and to explore patients' adherence and satisfaction with the use of telemonitoring systems.
A literature search was performed from June to August and updated until December of 2012 on Medline, Embase, Web of Science and B-on databases using the following keywords: [tele(-)monitoring, tele(-)health, tele(-)homecare, tele(-)care, tele-home health or home monitoring] and [Chronic Obstructive Pulmonary Disease or COPD]. References of all articles were also reviewed.
Seventeen articles were included, 12 of them published from 2010 to the present. The methodologies were similar in the training provided to patients and in the data collection and transmission processes. However, differences in the type of technology used, telemonitoring duration and provision of prompts/feedback, were found. Patients were generally satisfied and found the systems useful to help them manage their disease and improve healthcare provision. Nevertheless, they reported some difficulties in their use, which in some studies were related to lower compliance rates.
Telemonitoring interventions are a relatively new field in COPD research. Findings suggest that these interventions, although promising, present some usability problems that need to be considered in future research. These adjustments are essential before the widespreading of telemonitoring.
本系统评价旨在全面描述慢性阻塞性肺疾病（COPD）家庭远程监测干预中使用的方法，并探讨患者对远程监测系统使用的依从性和满意度。
2012 年 6 月至 8 月在 Medline、Embase、Web of Science 和 B-on 数据库中使用以下关键字进行文献检索，并于 2012 年 12 月进行了更新：[远程监测、远程健康、远程家庭护理、远程护理、远程家庭保健或家庭监测]和[慢性阻塞性肺疾病或 COPD]。还回顾了所有文章的参考文献。
共纳入 17 篇文章，其中 12 篇发表于 2010 年至目前。患者培训和数据收集及传输过程中所采用的方法相似，但所使用的技术类型、远程监测持续时间和提示/反馈的提供存在差异。患者普遍满意，并认为这些系统有助于他们管理疾病和改善医疗服务。然而，他们报告了一些使用上的困难，在某些研究中，这些困难与较低的依从率有关。
远程监测干预是 COPD 研究中的一个相对较新的领域。研究结果表明，这些干预措施虽然有前景，但存在一些可用性问题，需要在未来的研究中加以考虑。在广泛推广远程监测之前，这些调整是必要的。
