兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Effects of telerehabilitation interventions on heart failure management (2015-2020): Scoping review

2021-11-1

BACKGROUND: Heart failure is one of the world's most frequently diagnosed cardiovascular diseases. An important element of heart failure management is cardiac rehabilitation, the goal of which is to improve patients' recovery, functional capacity, psychosocial well-being, and health-related quality of life. Patients in cardiac rehabilitation may lack sufficient motivation or may feel that the rehabilitation process does not meet their individual needs. One solution to these challenges is the use of telerehabilitation. Although telerehabilitation has been available for several years, it has only recently begun to be utilized in heart failure studies. Especially within the past 5 years, we now have several studies focusing on the effectiveness of telerehabilitation for heart failure management, all with varying results. Based on a review of these studies, this paper offers an assessment of the effectiveness of telerehabilitation as applied to heart failure management. OBJECTIVE: The aim of this scoping review was to assess the effects of telerehabilitation in the management of heart failure by systematically reviewing the available scientific literature within the period from January 1, 2015, to December 31, 2020. METHODS: The literature search was carried out using PubMed and EMBASE. After duplicates were removed, 77 articles were screened and 12 articles were subsequently reviewed. The review followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews) guidelines. As measures of the effectiveness of telerehabilitation, the following outcomes were used: patients' quality of life, physical capacity, depression or anxiety, and adherence to the intervention. RESULTS: A total of 12 articles were included in this review. In reviewing the effects of telerehabilitation for patients with heart failure, it was found that 4 out of 6 randomized controlled trials (RCTs), a single prospective study, and 4 out of 5 reviews reported increased quality of life for patients. For physical capacity, 4 RCTs and 3 systematic reviews revealed increased physical capacity. Depression or depressive symptoms were reported as being reduced in 1 of the 6 RCTs and in 2 of the 5 reviews. Anxiety or anxiety-related symptoms were reported as reduced in only 1 review. High adherence to the telerehabilitation program was reported in 4 RCTs and 4 reviews. It should be mentioned that some of the reviewed articles described the same studies although they employed different outcome measures. CONCLUSIONS: It was found that there is a tendency toward improvement in patients' quality of life and physical capacity when telerehabilitation was used in heart failure management. The outcome measures of depression, anxiety, and adherence to the intervention were found to be positive. Additional research is needed to determine more precise and robust effects of telerehabilitation.

研究类型
系统评价再评价
人群
混合人群
主题
["技术资源","心理/精神卫生"]
作者
Cathrine Skov Schacksen; Nanna Celina Henneberg; Janusiya Anajan Muthulingam; Yuh Morimoto; Ryuichi Sawa; Masakazu Saitoh; Tomoyuki Morisawa; Nobuyuki Kagiyama; Tetsuya Takahashi; Takatoshi Kasai; Hiroyuki Daida; Jens Refsgaard; Malene Hollingdal; Birthe Dinesen
国家
Denmark
关键词
CVD; adherence; anxiety; cardiac rehabilitation; cardiovascular disease; depression; heart failure; mental health; physical capacity; quality of life; rehabilitation; telehealth; telerehabilitation.
来源期刊
JMIR Rehabil Assist Technol .
发布日期
2021-11-1
全文链接
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相关网址
https://www.healthsystemsevidence.org/articles/62fe6fc4ef088708d8e0c711-effects-of-telerehabilitation-interventions-on-heart-failure-management-2015-2020-scoping-review?source=saved_email
DOI
10.2196/29714
学科领域
DiseasesNon-communicable diseasesCardiovascular diseaseSectorsHome and community careRehabilitation care