Uche-Okoye Demelum, Ajemba Michael Nnaemeka, Amy Bendall, Arene Ebube Chinwe, Ugo Chinemerem Henry, Eze Ngozi Perpetua, Anyadike Ikenna Kelechi, Onuorah Uju Maryanne, Chiwenite Chijioke Michael
NHS Dumfries and Galloway, Dumfries, DG1 4AP UK.
University of Nicosia Medical School, Egkomi, Cyprus.
Bull Natl Res Cent. 2023;47(1):13. doi: 10.1186/s42269-023-00980-8. Epub 2023 Feb 1.
Pulmonary rehabilitation (PR) has proven to improve the physical and psychosocial function in patients with chronic obstructive pulmonary disease (COPD). However, the gains achieved during pulmonary rehabilitation diminish over time without an effective maintenance strategy. With several factors affecting access to pulmonary rehabilitation, calls for innovative models were made, which saw the emergence of studies exploring telerehabilitation (TR) as an alternative to traditional pulmonary rehabilitation models. Although there are current reviews exploring the effectiveness of telerehabilitation as an alternative for conventional PR, no review has considered telerehabilitation effectiveness in the long term. Hence, this review aims at examining the effectiveness of telerehabilitation following to pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.
A systematic review of the literature using CINAHL, MEDLINE, SCOPUS, Web of science PEDRO, AMED and EMBASE databases was conducted to assess the effectiveness of telerehabilitation following PR in patients with COPD. Health-related quality of life (HRQoL) and exercise capacity was maintained within 6-12 months of a TR maintenance programme. However, there was no significant increase in HRQoL and exercise capacity between the intervention and control groups in 6-12 months.
This review suggests that a TR maintenance strategy effectively maintains benefits gained and may improve HRQoL and exercise capacity within 6-12 months for patients with COPD. Nonetheless, it is impossible to extrapolate the findings to the general population due to the paucity of included studies. Further high quality randomised controlled trials examining TR in the long-term is required in the future.
The online version contains supplementary material available at 10.1186/s42269-023-00980-8.
肺康复（PR）已被证明可改善慢性阻塞性肺疾病（COPD）患者的身体和心理社会功能。然而，在没有有效维持策略的情况下，肺康复期间取得的效果会随着时间推移而减弱。由于有多个因素影响肺康复的可及性，人们呼吁采用创新模式，这促使了一些研究的出现，这些研究探索远程康复（TR）作为传统肺康复模式的替代方案。尽管目前有综述探讨远程康复作为传统肺康复替代方案的有效性，但尚无综述考虑远程康复的长期有效性。因此，本综述旨在研究慢性阻塞性肺疾病患者在肺康复后进行远程康复的有效性。
使用CINAHL、MEDLINE、SCOPUS、科学网PEDRO、AMED和EMBASE数据库对文献进行系统综述，以评估慢性阻塞性肺疾病患者在肺康复后进行远程康复的有效性。在远程康复维持计划的6至12个月内，健康相关生活质量（HRQoL）和运动能力得以维持。然而在6至12个月时，干预组和对照组之间的健康相关生活质量和运动能力没有显著提高。
本综述表明，远程康复维持策略能有效维持已获得的益处，并可能在6至12个月内改善慢性阻塞性肺疾病患者的健康相关生活质量和运动能力。尽管如此，由于纳入研究数量有限，无法将研究结果外推至一般人群。未来需要进一步开展高质量的长期随机对照试验来研究远程康复。
在线版本包含可在10.1186/s42269-023-00980-8获取的补充材料。
