Alghamdi Saeed Mardy
Respiratory Care Program, Clinical Technology Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 21961, Saudi Arabia.
Healthcare (Basel). 2023 Dec 14;11(24):3164. doi: 10.3390/healthcare11243164.
Telehealth (TH) solutions for Chronic Obstructive Pulmonary Disease (COPD) are promising behavioral therapeutic interventions and can help individuals living with COPD to improve their health status. The linking content, mechanism, and outcome of TH interventions reported in the literature related to COPD care are unknown. This paper aims to summarize the existing literature about structured TH solutions in COPD care. We conducted an electronic search of the literature related to TH solutions for COPD management up to October 2023. Thirty papers presented TH solutions as an innovative treatment to manage COPD. TH and digital health solutions are used interchangeably in the literature, but both have the potential to improve care, accessibility, and quality of life. To date, current TH solutions in COPD care have a variety of content, mechanisms, and outcomes. TH solutions can enhance education as well as provide remote monitoring. The content of TH solutions can be summarized as symptom management, prompt physical activity, and psychological support. The mechanism of TH solutions is manipulated by factors such as content, mode of delivery, strategy, and intensity. The most common outcome measures with TH solutions were adherence to treatment, health status, and quality of life. Implementing effective TH with a COPD care bundle must consider important determinants such as patient's needs, familiarity with the technology, healthcare professional support, and data privacy. The development of effective TH solutions for COPD management also must consider patient engagement as a positive approach to optimizing implementation and effectiveness.
慢性阻塞性肺疾病（COPD）的远程医疗（TH）解决方案是很有前景的行为治疗干预措施，有助于慢性阻塞性肺疾病患者改善健康状况。文献中报道的与慢性阻塞性肺疾病护理相关的远程医疗干预措施的关联内容、机制和结果尚不清楚。本文旨在总结有关慢性阻塞性肺疾病护理中结构化远程医疗解决方案的现有文献。我们对截至2023年10月的与慢性阻塞性肺疾病管理的远程医疗解决方案相关的文献进行了电子检索。30篇论文将远程医疗解决方案作为管理慢性阻塞性肺疾病的创新疗法。在文献中，远程医疗和数字健康解决方案可互换使用，但两者都有改善护理、可及性和生活质量的潜力。迄今为止，慢性阻塞性肺疾病护理中的现有远程医疗解决方案具有多种内容、机制和结果。远程医疗解决方案可以加强教育并提供远程监测。远程医疗解决方案的内容可概括为症状管理、促进身体活动和心理支持。远程医疗解决方案的机制受内容、交付方式、策略和强度等因素的影响。远程医疗解决方案最常见的结果指标是治疗依从性、健康状况和生活质量。将有效的远程医疗与慢性阻塞性肺疾病护理包相结合，必须考虑患者需求、对技术的熟悉程度、医疗专业人员的支持和数据隐私等重要决定因素。为慢性阻塞性肺疾病管理开发有效的远程医疗解决方案还必须将患者参与视为优化实施和有效性的积极方法。
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