Tele-enfermería en pacientes crónicos: revisión sistemática
DOI:
https://doi.org/10.23938/ASSN.0645Palabras clave:
Tele-enfermería. Enfermedad crónica. Acontecimientos que cambian la vida. Enfermería holística.Resumen
Para proporcionar un cuidado individualizado e integral a los pacientes que conviven con un proceso crónico se aboga en la actualidad por el uso de nuevas tecnologías, como la tele-enfermería. El objetivo es identificar las principales características de la tele-enfermería, así como las barreras y facilitadores para su implantación. Revisión sistemática de las bases de datos PubMed, Cochrane Library, Cinhal, Psycinfo, Cuiden, Dialnet y Scielo entre 2008 y 2019. Los 34 artículos seleccionados identificaron el soporte virtual, el seguimiento telefónico y los dispositivos electrónicos como principales características de la tele-enfermería, el perfil del paciente (no joven, con nivel socioeconómico y educativo bajo) y la resistencia de los profesionales de enfermería fueron las barreras identificadas, mientras que la nueva era tecnológica se identificó como un facilitador para su implementación. Proporcionar una mayor formación entre los profesionales de enfermería para dar a conocer las principales características de la tele-enfermería es fundamental para su aceptación e integración y, consecuentemente, su implantación en la práctica clínica diaria.
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Ministerio de Sanidad, Servicios sociales e Igualdad. Estrategia para el abordaje de la cronicidad en el Sistema Nacional de Salud 2012: 9-75.
Encuesta Europea de Salud (EES) 2009. Instituto Nacional de Estadística [consultado 14 Dic 2018]. Disponible en: http://www.ine.es/jaxi/menu.do?type=pcaxis&path=%2Ft15/p420&file=inebase.
Organización Mundial de la Salud. (OMS) 2018. Enfermedades crónicas. [Actualizado 2018, fecha de citación 22 mar 2018].
Departamento de Salud. Gobierno de Navarra. Estrategia navarra de atención integrada a pacientes crónicos y pluripatológicos 2013. Pamplona.
CANO-IBARRA S, GUAVITA PÉREZ G, ÁNGEL GAZABON MP, LÓPEZ ARCOS N, PACHECO DE LA ROSA M, OROZCO HERRERA C. Tele-enfermería, herramienta de innovación tecnológica al seguimiento continuo del cuidado. Salud Mov 2017; 9: 32-44.
OR C, KARSH, B, SEVERTSON D J, SEVERTSON D, BURKE L, BROWN R, BRENNAN P. Factors affecting home care patients' acceptance of a web-based interactive self-management technology. J Am Med Inform Assoc 2011, 18: 51-59. https://doi.org/10.1136/jamia.2010.007336
LU J, CHI MJ, CHEN CM. Advocacy of home telehealth care among consumers with chronic conditions. J Clin Nurs 2013: 811-819. https://doi.org/10.1111/jocn.12156
DE RAEVE P, GÓMEZ S, HUGHES P, LYNGHOLM T, SIPILA M, KILANSKA D et al. Enhancing the provision of health and social care in Europe through eHealth. Int Nurs Rev 2017; 64: 33-41. https://doi.org/10.1111/inr.12266
RADHAKRISHNAN K, JACELON C. Impact of telehealth on patient self-management of heart failure: a review of literature. J Cardiovasc Nurs 2012; 17: 33-34. https://doi.org/10.1097/JCN.0b013e318216a6e9
ZHAI Y, ZHU W, CAI Y, SUN D, ZHAO J. Clinical- and cost-effectiveness of telemedicine in type 2 diabetes mellitus. Medicine 2014; 93: e312. https://doi.org/10.1097/MD.0000000000000312
SORKNÆS AD, MADSEN H, HALLAS J, JEST P, HANSEN-NORD M. Nurse tele-consultations with discharged COPD patients reduce early readmissions - an interventional study. Clin Respir J 2011; 5: 26-34. https://doi.org/10.1111/j.1752-699X.2010.00187.x
LU JF, CHEN CM, HSU CY. Effect of home telehealth care on blood preassure control: a public healthcare centre model. J Clin Nurs 2014; 23:811-819. https://doi.org/10.1111/jocn.12156
CZAJA S J. Long-term care services and support systems for older adults: the role of technology. Am Psychol 2016; 71: 294-301. https://doi.org/10.1037/a0040258
STEVENTON A, GRIEVE R, BARDSLEY M. An approach to assess generalizability in comparative effectiveness research. Med Decis Mak 2015; 35: 1023-1036. https://doi.org/10.1177/0272989X15585131
GONZALEZ-ORTEGA M, GENÉ-BADÍA J, KOSTOV B, GARCÍA-VALDECASAS V, PÉREZ-MARTÍN C. Randomized trial to reduce emergency visits or hospital admissions using telephone coaching to complex patients Fam Pract 2017; 34: 219-226. https://doi.org/10.1093/fampra/cmw119
CHATWIN M, HAWKINS G, PINICCHIA L, WOODS A, HANAK A, LUCAS R et al. Randomised crossover trial of telemonitoring in chronic respiratory patients (TeleCRAFT trial). Thorax 2016; 71: 305-311. https://doi.org/10.1136/thoraxjnl-2015-207045
PIETTE JC, MARINEC N, GALLEGOS-CABRIALES E, GUTIERREZ-VALVERDE JM, RODRIGUEZ-SALDAÑA J, MENDOZ-ALEVARES M et al. Spanish-speaking patients' engagement in interactive voice response (IVR) chronic disease self-management support calls: analyses of data from three countries. J Tele 2013; 19: 89-94. https://doi.org/10.1177/1357633x13476234
BLACK JT, ROMANO PS, SADEGHI B, AUERBACH A, GANIATS T, GREENFIELD S et al. A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial. Trials 2014; 15. https://doi.org/10.1186/1745-6215-15-124
VINSON MH, MCCALLUM R, THORNLOW DK, CHAMPAGNE MT. Design, implementation, and evaluation of population-specific telehealth nursing services. Nurs Econ 2011; 29: 65-272.
BURSELL SE, BRAZIONIS L, JENKINS A. Telemedicine and ocular health in diabetes mellitus. Clin Exp Optom 2012; 95: 311-327. https://doi.org/10.1111/j.1444-0938.2012.00746.x
CABELLO, JB. CASPE. Guías CASPe de lecturas críticas de la Literatura Médica. Alicante: CASPe 2005: 13-17.
CONSORT.org. Checklist of information to include when reporting a randomised trial. 2010.
STROBE.org. STROBE Statement-checklist of items that should be included in reports of cross-sectional studies. 2007.
DES JARLAIS, LYLES C, CREPAZ N, TREND group. Improving the reporting quality of nonrandomized evaluations of behavioural and public health interventions: the TREND statement. Am J Public Health 2004; 94: 361-366. https://doi.org/10.2105/AJPH.94.3.361
ALLEY S, JENNNINGS C, PLOTNIKOFF RC, VANDELANNOTE C. Web-based video-coaching to assist an automated computer-tailored physical activity intervention for inactive adults: a randomized controlled trial. J Med Internet Res 2016; 18: 1-15. https://doi.org/10.2196/jmir.5664
ESTEBAN C, MORAZA J, IRIBERRI M, AGUIRRE U, GOIRIA B, QUINTANA JM. Outcomes of a telemonitoring-based program (telEPOC) in frequently hospitalized COPD patients. Int J COPD 2016; 11: 2919-2930. https://doi.org/10.2147/COPD.S115350
GEORGSSON M, STAGGERS N. Quantifying usability: an evaluation of a diabetes mHealth system on effectiveness, efficiency, and satisfaction metrics with associated user characteristics. J Am Med Informatics Assoc 2016; 23: 5-11. https://doi.org/10.1093/jamia/ocv099
KAO DP, LINDENFELD J, MACAULAY D, BIRNBAUM HG, JARVIS JL, DESAI US et al. Impact of a telehealth and care management program on all-cause mortality and healthcare utilization in patients with heart failure. Telemed e-Health 2016; 22: 2-11. https://doi.org/10.1089/tmj.2015.0007
KERR DA, HARRAY AJ, POLLARD CM, DHALIWAL SS, DELP EJ, HOWAT PA et al. The connecting health and technology study: a 6-month randomized controlled trial to improve nutrition behaviours using a mobile food record and text messaging support in young adults. Int J Behav Nutr Phys Act 2016; 13: 1-14. https://doi.org/10.1186/s12966-016-0376-8
KUIJPERS W,WIM GG, NEIL A,WIM H. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res 2013; 15: 1-18. https://doi.org/10.2196/jmir.2281
LEÓN A, CÁCERES C, FERNÁNDEZ E, CHAUSA P, MARTIN M, CODINA C et al. A new multidisciplinary home care telemedicine system to monitor stable chronic human immunodeficiency virus-infected patients: a randomized study. PLoS One 2011; 6: 311-327. https://doi.org/10.1371/journal.pone.0014515
MAIR FS, HISCOCK J, BEATON SC. Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease. Chronic Illn 2008; 4: 110-117. https://doi.org/10.1177/1742395308092482
MILANI RV, LAVIE CJ, BOBER RM, MILANI AR, VENTURA HO. Improving hypertension control and patient engagement using digital tools. Am J Med 2017; 130: 14-20. https://doi.org/10.1016/j.amjmed.2016.07.029
ROSEN D, MCCALL JD, PRIMACK BA. Telehealth protocol to prevent readmission among high-risk patients with congestive heart failure. Am J Med 2017; 130: 1326-1330. https://doi.org/10.1016/j.amjmed.2017.07.007
RITCHIE CS, HOUSTON TK, RICHMAN JS, SOBKO HJ, BERMER ES, TAYLOR BB et al. The E-Coach technology-assisted care transition system: a pragmatic randomized trial. Transl Behav Med 2016; 6: 428-437. https://doi.org/10.1007/s13142-016-0422-8
SHEA K, CHAMOFF B. Telehomecare communication and self-care in chronic conditions: moving toward a shared understanding. Worldviews Evidence-Based Nurs 2012; 9: 109-116. https://doi.org/10.1111/j.1741-6787.2012.00242.x
SORKNÆS AD, MADSEN H, HALLAS J, JEST P, HANSEN-NORD M. Nurse tele-consultations with discharged COPD patients reduce early readmissions - an interventional study. Clin Respir J 2011; 5: 26-34. https://doi.org/10.1111/j.1752-699X.2010.00187.x
SUH ES, MANDAL S, HART N. Admission prevention in COPD: non-pharmacological management. BMC Med 2013; 11: 1-9. https://doi.org/10.1186/1741-7015-11-247
VOLLENBROCK-HUTTEN M, JANSEN-KOSTERINK S, TABAK M, FELETTI LC, N'DJA A, HERMENS H. Possibilities of ICT-supported services in the clinical management of older adults. Aging Clin Exp Res 2017; 29: 49-57. https://doi.org/10.1007/s40520-016-0711-6
BLAKE HH. Innovation in practice: mobile phone technology in patient care. Br J Community Nurse 2008; 13: 160-165. https://doi.org/10.12968/bjcn.2008.13.4.29024
HALE TM, JETWANI K, KANDOLA SM, SALDANA F, KVEDAR JC. A remote medication monitoring system for chronic heart failure patients to reduce readmissions: A two-arm randomized pilot study. J Med Internet Res 2016; 18: 1-14. https://doi.org/10.2196/jmir.5256
LIN WC, CHIEN HL, WILLIS G, O' CONNELL, RENNIE KS, BOTTELLA HM, FERRIS TG. The effect of a telephone-based health coaching disease management program on medicaid members with chronic conditions. Med Care 2012; 50: 91-98. https://doi.org/10.1097/MLR.0b013e31822dcedf
HOLMES-ROVNER M, STOMMEL M, CORSER WD, OLOMU A, SUMMERS J, SIDDIQI A et al. Does outpatient telephone coaching add to hospital quality improvement following hospitalization for acute coronary syndrome? J Gen Intern Med 2008; 23: 1464-1470. https://doi.org/10.1007/s11606-008-0710-1
KESSING D, DENOLLET J, WIDDERSHOVEN J, KUPPER N. Investigating a TELEmedicine solution to improve MEDication adherence in chronic Heart Failure (TELEMED-HF): study protocol for a randomized controlled trial. Trials 2011; 12: 1-7. https://doi.org/10.1186/1745-6215-12-227
SAN MAURO MARTÍN I, GONZÁLEZ FERNÁNDEZ M, COLLADO YURRITA L. Aplicaciones móviles en nutrición, dietética y hábitos saludables; análisis y consecuencia de una tendencia a la alza. Nutr Hosp 2014; 30: 15-24.
TAKAHASHI PY, HANSON GJ, PECINA JL, STROEBEL RJ, CHAUDHRY R, SHAH ND et al. A randomized controlled trial of telemonitoring in older adults with multiple chronic conditions: The Tele-ERA study. BMC Health Serv Res 2010; 10: 1-7. https://doi.org/10.1186/1472-6963-10-255
BOBROW K, FARMER AJ, SPRINGER D, SHANYINDE M, YU LM, BRENNAN T et al. Europe PMC funders group mobile phone text messages to support treatment adherence in adults with high blood pressure (StAR): a single-blind, Randomized Trial 2016; 133: 592-600. https://doi.org/10.1161/CIRCULATIONAHA.115.017530
CHOW SKY, WONG FKY. Health-related quality of life in patients undergoing peritoneal dialysis: effects of a nurse-led case management programme. J Adv Nurs 2010; 66: 1780-1792. https://doi.org/10.1111/j.1365-2648.2010.05324.x
ERNSTING C, DOMBROWSKI SU, OEDEKOVEN M, O'SULLIVAN JL, KANZLER M, KUHLMEY A et al. Using smartphones and health apps to change and manage health behaviors: a population-based survey. J Med Internet Res 2017; 19: 1-12. https://doi.org/10.2196/jmir.6838
GONZÁLEZ MAESTRE A. La autonomía del paciente con enfermedades crónicas: De paciente pasivo a paciente active. Enferm Clin 2014; 24: 67-73. https://doi.org/10.1016/j.enfcli.2013.11.005
RAMOS-RODRÍGUEZ J, MANUEL J. Las TICs en enfermería de práctica avanzada (Monografía). Repositorio de objetos de docencia e investigación de la Universidad de Cádiz. Crative Commons Liceses. 1ª ed. Vol 1. 2017. Disponible en: http://hdl.handle.net/10498/19361.
BOAMAH S, SPENCE LASCHINGER H, WONG C, CLARKE S. Transfromational lidership on job satisfaction and patient safety outcomes. Nurs Outlook 2018; 66: 180-189. https://doi.org/10.1016/j.outlook.2017.10.004
PATERSON, B.L. The shifting perspective model of chronic illness. J Nurs Scholarsh 2001; 33: 21-26. https://doi.org/10.1111/j.1547-5069.2001.00021.x
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