Systematic review and meta-analysis of studies involving telehome monitoring-based telenursing for patients with chronic obstructive pulmonary disease
Article first published online: 1 OCT 2012
© 2012 The Authors. Japan Journal of Nursing Science © 2012 Japan Academy of Nursing Science
Japan Journal of Nursing Science
Volume 10, Issue 2, pages 180–192, December 2013
How to Cite
Kamei, T., Yamamoto, Y., Kajii, F., Nakayama, Y. and Kawakami, C. (2013), Systematic review and meta-analysis of studies involving telehome monitoring-based telenursing for patients with chronic obstructive pulmonary disease. Japan Journal of Nursing Science, 10: 180–192. doi: 10.1111/j.1742-7924.2012.00228.x
- Issue published online: 27 DEC 2013
- Article first published online: 1 OCT 2012
- Manuscript Accepted: 5 AUG 2012
- Manuscript Received: 30 JAN 2012
- JSPS KAKENHI. Grant Number: 22390446
- chronic obstructive pulmonary disease;
- telehome monitoring;
This 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).
An 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 I2 statistic.
Nine 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.
THMTN significantly decreases the use of healthcare services; however, it does not affect mortality in severe and very severe COPD patients.