Ph.D. Candidate in Medical Informatics, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Pulmonary and Critical Care Department, Thoracic Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Int J Med Inform. 2022 Nov;167:104861. doi: 10.1016/j.ijmedinf.2022.104861. Epub 2022 Sep 5.
Long-term care combined with complex follow-up processes is among the essential needs of lung transplantation. Therefore, Telemedicine-based strategies can provide an effective approach for both patients and clinicians by applying remote patient monitoring. Hence, the main objective of this study was to investigate Telemedicine and telehealth usage in lung transplantation.
A systematic review was conducted in four databases using keywords. Eligible studies were all English papers that developed Telemedicine-based programs to enhance patient care in lung organ transplantation. The interventions were analyzed analysis to determine the main descriptive areas. The quality of the included articles was evaluated using Mixed Methods Appraisal Tool (MMAT) tool by two authors.
Of the 261 retrieved articles, 27 met our inclusion criteria. Of these, 22 studies were devoted to the post-transplantation phase. All articles were published from 2002 to 2021 and the trend of publications has increased in recent years. Most of the studies were conducted in the United States and Canada. All eligible studies can be categorized into five types of Telemedicine interventions, 15 (55.56%) articles devoted to Telemonitoring, four (14.81%) for Teleconsultation, four (14.81%) articles for Telerehabilitation, three (11.11%) articles for Telespirometery, and one (3.70%) article were done regarding Tele-education.
This integrated review provides researchers with a new understanding of Telemedicine-based care solutions. Findings show that remote patient care in lung transplantation includes various aspects, especially self-care improvement.
长期护理与复杂的随访过程是肺移植的基本需求之一。因此，基于远程医疗的策略可以通过远程患者监测为患者和临床医生提供有效的方法。因此，本研究的主要目的是调查肺移植中远程医疗和远程保健的使用情况。
使用关键词在四个数据库中进行系统评价。符合条件的研究均为英文论文，这些论文开发了基于远程医疗的方案，以增强肺器官移植患者的护理。对干预措施进行分析以确定主要描述性领域。两名作者使用混合方法评估工具（MMAT）评估纳入文章的质量。
在 261 篇检索到的文章中，有 27 篇符合纳入标准。其中 22 项研究致力于移植后阶段。所有文章均发表于 2002 年至 2021 年，近年来发表的文章数量有所增加。大多数研究在美国和加拿大进行。所有符合条件的研究都可以分为五种类型的远程医疗干预措施，15 篇（55.56%）文章致力于远程监测，4 篇（14.81%）用于远程咨询，4 篇（14.81%）用于远程康复，3 篇（11.11%）文章用于远程肺活量计，1 篇（3.70%）文章用于远程教育。
本综合综述为研究人员提供了对基于远程医疗的护理解决方案的新认识。研究结果表明，肺移植中的远程患者护理包括多个方面，特别是自我护理的改善。
