Metting Esther, Dassen Lizayra, Aardoom Jiska, Versluis Anke, Chavannes Niels
Data Science Center in Health, University of Groningen, University Medical Center Groningen, 9713 BZ Groningen, The Netherlands.
Department of Operations, Faculty of Economics and Business, University of Groningen, 9724 AV Groningen, The Netherlands.
Life (Basel). 2021 Nov 10;11(11):1215. doi: 10.3390/life11111215.
Asthma and chronic obstructive pulmonary diseases (COPD) are highly prevalent chronic lung diseases that require ongoing self-management, which itself is often suboptimal. Therefore, telemonitoring has been used to help patients measure their symptoms, share data with healthcare providers and receive education and feedback to improve disease management. In this study, we conducted a narrative review of recent evidence on the effectiveness of telemonitoring for asthma and COPD in adults. Of the thirteen identified studies, eleven focused on COPD and two focused on asthma. All studies were reviewed, and effects were compared between intervention and care as usual groups. Of the study interventions, seven showed a positive outcome on at least one outcome measure, and six had no significant results on any of the outcome measures. All of the interventions with a positive outcome included an educational component, while only one of the six interventions without positive outcomes included an educational component. We conclude that telemonitoring interventions for asthma and COPD seem more effective if they included an educational component regarding different aspects of self-management.
哮喘和慢性阻塞性肺疾病（COPD）是高度流行的慢性肺部疾病，需要持续的自我管理，而这种自我管理往往并不理想。因此，远程监测已被用于帮助患者测量症状、与医疗服务提供者共享数据，并接受教育和反馈以改善疾病管理。在本研究中，我们对近期关于远程监测对成人哮喘和COPD有效性的证据进行了叙述性综述。在确定的13项研究中，11项聚焦于COPD，2项聚焦于哮喘。对所有研究进行了审查，并比较了干预组和常规护理组的效果。在研究干预措施中，7项在至少一项结局指标上显示出积极结果，6项在任何结局指标上均无显著结果。所有取得积极结果的干预措施都包括一个教育组成部分，而6项无积极结果的干预措施中只有1项包括教育组成部分。我们得出结论，如果哮喘和COPD的远程监测干预措施包括关于自我管理不同方面的教育组成部分，那么它们似乎更有效。
