Almasi Sohrab, Shahbodaghi Azam, Asadi Farkhondeh
Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Library and Information Science, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos. 2022 Feb;21(2):132-145.
Considering the increased prevalence of asthma and its consequences for individuals and society, its effective management and close monitoring is essential. Awareness of the effects of telemedicine can improve asthma management. The present study aimed to systematically review articles examining the effect of telemedicine on the management of asthma, including control of the symptom, patients' quality of life, costs, and adherence to treatment programs.
A systematic search was performed on four databases: PubMed, Web of Science, Embase, and Scopus. English language clinical trials investigating the effectiveness of telemedicine in asthma management published from 2005 to 2018 were selected and retrieved. The present study was designed and conducted based on the PRISMA guidelines.
Out of 33 articles included in this research, telemedicine was employed by 23 studies for the promotion of patient adherence to treatment in the form of reminders and feedback, by 18 for telemonitoring and communicating with healthcare providers, by six for offering remote patient education, and by five for counseling. The most frequently used telemedicine approach was asynchronous (used in 21 articles), and the most commonly utilized tool was Web-based (utilized in 11 articles).
Telemedicine can improve symptom control, patients' quality of life, and adherence to treatment programs. However, little evidence exists confirming the effectiveness of telemedicine in decreasing costs.
鉴于哮喘患病率上升及其对个人和社会造成的影响，对其进行有效管理和密切监测至关重要。了解远程医疗的作用有助于改善哮喘管理。本研究旨在系统回顾探讨远程医疗对哮喘管理效果的文章，包括症状控制、患者生活质量、成本以及对治疗方案的依从性。
在四个数据库进行系统检索：PubMed、科学网、Embase和Scopus。选取并检索2005年至2018年发表的关于远程医疗在哮喘管理中有效性的英文临床试验。本研究依据PRISMA指南设计并开展。
在本研究纳入的33篇文章中，23项研究采用远程医疗以提醒和反馈的形式促进患者对治疗的依从性，18项用于远程监测及与医疗服务提供者沟通，6项用于提供远程患者教育，5项用于咨询。最常用的远程医疗方式是异步方式（21篇文章中使用），最常用的工具是基于网络的工具（11篇文章中使用）。
远程医疗可改善症状控制、患者生活质量以及对治疗方案的依从性。然而，几乎没有证据证实远程医疗在降低成本方面的有效性。
