2013年12月
Systematic review and meta-analysis of studies involving telehome monitoring-based telenursing for patients with chronic obstructive pulmonary disease
JAPAN JOURNAL OF NURSING SCIENCE
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- 巻
- 10
- 号
- 2
- 開始ページ
- 180
- 終了ページ
- 192
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1111/j.1742-7924.2012.00228.x
- 出版者・発行元
- WILEY
AimThis systematic review evaluated the effects of telehome monitoring-based telenursing (THMTN) on health outcomes and use of healthcare services and compared them with the effects of conventional treatment in patients with severe and very severe chronic obstructive pulmonary disease (COPD).MethodsAn extensive published work search of several databases was performed in May and October 2011. Randomized controlled trials and non-randomized controlled clinical trials were evaluated. Parameters included hospitalization rate, number of visits to the emergency department, exacerbations, mean number of hospitalizations, mean duration of bed days of care, mortality, and health-related quality of life by the duration of THMTN and COPD severity. A random effects model was applied. Risk ratio and mean difference were calculated. Heterogeneity was assessed using the I-2 statistic.ResultsNine original articles involving 550 participants were identified in the meta-analysis. THMTN decreased hospitalization rates, emergency department visits, exacerbations, mean number of hospitalizations, and mean duration of bed days of care in severe and very severe COPD patients. Hospitalization rates and emergency department visits were comparable between patients undergoing THMTN of different durations. In addition, THMTN had no effect on mortality.ConclusionTHMTN significantly decreases the use of healthcare services; however, it does not affect mortality in severe and very severe COPD patients.
- リンク情報
- ID情報
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- DOI : 10.1111/j.1742-7924.2012.00228.x
- ISSN : 1742-7932
- eISSN : 1742-7924
- PubMed ID : 24373441
- SCOPUS ID : 84891361164
- Web of Science ID : WOS:000328907100008