Qi KaiXin, Koike Tomoko, Yasuda Youko, Tayama Satoko, Wati Itsumi
School of Keio University, Tokyo, Japan.
Int J Nurs Stud Adv. 2023 Aug 25;5:100151. doi: 10.1016/j.ijnsa.2023.100151. eCollection 2023 Dec.
The number of people with heart failure is increasing. These patients have a high readmission rate and need ongoing health care and follow-up after hospital discharge. However, face-to-face nursing care is expensive; therefore, remote care options are required.
To determine whether there are differences in the effects (rehospitalization rate and drug adherence) between face-to-face transitional care and remote technology, such as information and communication technologies, for transitional care in patients with heart failure within 30 days post-discharge.
A scoping review.
Patients with heart failure who received an intervention using information and communication technologies within 30 days of discharge after being hospitalized for heart failure, based on published studies.
Eight English, Japanese, and Chinese databases were searched for research papers published between January 2000 and November 2021 that examined outcomes such as readmission rates in patients with heart failure who received transitional care using remote technologies. This study followed the screening criteria outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines.
Seventeen studies were included in this review. Among them, 14 studies reported lower readmission rates in the transitional care group using information and communication technologies compared to the control group, and the difference was statistically significant in nine studies. In addition, one paper showed that the transitional care group experienced more significant improvements in patient satisfaction and quality of life.
Transitional care using information and communication technologies can provide necessary guidance according to the patient's schedule, regardless of the patient's location and time. Patients can share their self-monitored information with medical practitioners and receive timely feedback and guidance. With continuous follow-up support from medical practitioners, patients can adjust their care plans to ensure optimal execution, and the patient's doubts and anxieties can be quickly resolved, increasing the patient's self-confidence. As a result, patients' self-care ability was improved, and controlling symptoms and preventing deterioration became easier. We inferred that the transitional care group achieved a higher self-care ability compared with the control group. Transitional care using remote technologies, such as information and communication technologies following discharge for heart failure patients, can help to reduce readmission rates within 30 days of discharge compared to face-to-face care. In addition, the study demonstrated that remote technologies may improve quality of life and patient satisfaction.
心力衰竭患者数量正在增加。这些患者再入院率高，出院后需要持续的医疗保健和随访。然而，面对面护理成本高昂；因此，需要远程护理选项。
确定出院后30天内，心力衰竭患者的面对面过渡性护理与远程技术（如信息通信技术）在过渡性护理效果（再入院率和药物依从性）上是否存在差异。
一项范围综述。
根据已发表的研究，对因心力衰竭住院后30天内接受信息通信技术干预的心力衰竭患者进行研究。
检索了8个英文、日文和中文数据库，查找2000年1月至2021年11月期间发表的研究论文，这些论文研究了使用远程技术接受过渡性护理的心力衰竭患者的再入院率等结局。本研究遵循《系统评价和Meta分析优先报告项目2020指南》中概述的筛选标准。
本综述纳入了17项研究。其中，14项研究报告称，与对照组相比，使用信息通信技术的过渡性护理组再入院率较低，9项研究中的差异具有统计学意义。此外，一篇论文表明，过渡性护理组患者满意度和生活质量有更显著改善。
使用信息通信技术的过渡性护理可以根据患者的日程安排提供必要指导，无论患者的位置和时间如何。患者可以与医护人员分享自我监测信息，并获得及时反馈和指导。在医护人员的持续随访支持下，患者可以调整护理计划以确保最佳执行，患者的疑虑和焦虑可以迅速得到解决，增强患者的自信心。结果，患者的自我护理能力得到提高，控制症状和预防病情恶化变得更容易。我们推断，与对照组相比，过渡性护理组实现了更高的自我护理能力。心力衰竭患者出院后使用远程技术（如信息通信技术）进行过渡性护理，与面对面护理相比，有助于降低出院后30天内的再入院率。此外，该研究表明远程技术可能改善生活质量和患者满意度。
