Vinolo-Gil M J, Herrera-Sánchez C, Martin-Vega F J, Martín-Valero R, Gonzalez-Medina G, Pérez-Cabezas V
Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia. Universidad de Cádiz. España..
Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga. España.
An Sist Sanit Navar. 2022 Jun 30;45(2):e0999. doi: 10.23938/ASSN.0999.
The COVID-19 pandemic has required the use of new technologies to carry out rehabilitation sessions for COP D remotely. The aim of this systematic review was to analyse the available evidence on the efficacy of telerehabilitation in COPD patients. PubMed, WOS, PEDro and Cochrane databases were consulted. The systematic review included nine clinical trials, 55.5% of which display good methodological quality. The most commonly used rehabilitation methods were applications or software for real-time video-calls, visualisation of exercises and recording progress. TR was as effective as outpatient pulmonary rehabilitation, with greater benefits in functional capacity, self-efficacy, mental health, exacerbations and emergency care visits, offering a cost-effective option with high patient satisfaction. The small number of studies and the variety of rehabilitation methods examined limit the value of the evidence obtained.
新冠疫情使得有必要利用新技术为慢性阻塞性肺疾病（COPD）患者远程开展康复治疗。本系统评价的目的是分析有关远程康复对COPD患者疗效的现有证据。查阅了PubMed、WOS、PEDro和Cochrane数据库。该系统评价纳入了9项临床试验，其中55.5%显示出良好的方法学质量。最常用的康复方法是用于实时视频通话、锻炼可视化和记录进展的应用程序或软件。远程康复与门诊肺部康复同样有效，在功能能力、自我效能感、心理健康、病情加重和急诊就诊方面有更大益处，提供了一种具有成本效益且患者满意度高的选择。研究数量较少以及所研究的康复方法种类繁多限制了所得证据的价值。
