A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure

Authors

  • Audria Ersananda Masters Program in Public Health, Universitas Sebelas Maret
  • Hanung Prasetya Study Program of Acupuncture, Health Polytechnics, Ministry of Health Surakarta
  • Burhannudin Ichsan Faculty of Medicine, Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.26911/thejhpm.2024.09.01.11

Abstract

Background: Modern and sophisticated self-care education programs such as web-based methods and wireless networks can make changes in patient behavior to improve self-care management. Telemedicine is a potential alternative to continue providing patient health services by minimizing the risk of exposure and physical contact. This study aims to investigate relevant primary studies in order to assess the effectiveness of telemedicine to improve self-care in heart failure patients.

Subjects and Method: This study used a systematic review and meta-analysis with PICO namely, P: Patients with heart failure, I; using telemedicine, C: not using telemedicine, O: increasing self care for heart failure patients. By searching for articles in 3 databases namely PubMed, Google Scholar, Cochrane which were published from 2013 to 2023, entering the following keywords (“Heart Failure” OR “congestive heart failure”) AND (Telemedicine OR “electronic health record” OR mHealth OR “ mobile health” OR “mobile app” OR “telehealth” OR “healthcare system information”) AND “self care” AND “randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application.

Results: Meta-analysis was carried out on 9 primary studies using RCT study designs from several countries such as Canada, the United States, Colombia, Australia, Hong Kong, Finland with a total sample size of 1.018. The processed meta-analysis data found that telemedicine is effective for improving self-care in heart failure patients, and is statistically close to significant. Heart failure patients who received telemedicine-based education had an average self-care value of 0.33 SMD units higher than those who did not receive the intervention (SMD= 0.33; 95% CI= 0.15 to 0.52; p= 0.004).

Conclusion: Telemedicine is effective for improving self care in heart failure patients.

 

Keywords: Heart Failure, Self Care, Telemedicine.

 

Correspondence:

Audria Ersananda, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: audriaersa@gmail.com. Mobile: 082233999407.

References

Alfridsyah H, Iskandar (2017). Faktor risiko terjadinya penyakit jantung koroner pada pasien rumah sakit umum meuraxa banda Aceh. Aceh Nutr J, 2(1): 32–42. https://doi.org/10.30867/action.v2i1.34

Athilingam P, Jenkins B, Johansson M (2017). A mobile health intervention to improve self-care in patients with heart failure: pilot randomized control trial. Cardio.Jmir.Org, 1(2):1-14. https://doi.org/10.2196/cardio.7848

Bashi N, Windsor C, Douglas C (2016). Evaluating a web-based self anagement intervention in heart failure patients: a pilot study. JMIR Res Protoc, 5(2): 1-10. https://doi.org/10.2196/resprot.5093

Bekelman DB, Plomondon ME, Carey EP, Sullivan MD, Nelson KM, Hattler B, McBryde CF., et al (2015). Primary results of the patient entered disease management (pcdm) for heart failure study a randomized clinical trial. JAMA Intern Medi, 175(5):725–732. http-s://doi.org/10.1001/jaainternmed.2015.0315

Chen C, Li X, Sun L, Cao S, Kang Y, Hong L, LiangY., et al (2019). Post ischarge short message service improves short-term clinical outcome and self-care behaviour in chronic heart failure. ESC Hear Fail, 6(1):164–173. https://doi-.org/10.1002/ehf.12380

Clays E, Puddu PE, Lustrek M, Pioggia G, Derboven J, Vrana M, De Sutter J., et al (2021). Proof-of-concept trial results of the heartMan mobile personal health system for self-management in congestive heart failure. Sci Rep, 11(1): 1–10. https://doi.org/10.1038/s41598-021-84921-4

Corwin (2010). Buku Saku Patofisiologi. EGC.

Creber R, Patey M, Dickson V (2015). Motivational interviewing tailored interventions for heart failure (MITI-HF): study design and methods. Elsevier, 41(1): 62-68. https://doi.o-rg/10.1016/j.cct.2014.12.019

Culha I, Kosgeroglu N, Bolluk O (2016). Effectiveness of self care education on patients with stomas. IOSR J Nurs Heal Sci, 1(2): 3–6. https://doi.org/10.9790/195905217076

Dachi RA. (2017). Proses dan analisis kebijakan kesehatan (suatu pendekatan konseptual) (Health policy processes and analysis (a conceptual approach). Deepublish.

Dewi R, Rahardjo S, Behavior BMHP (2019). Path analysis on the factors affecting the use of personal protection equipment among airport construction workers in Yogyakarta. Core.Ac.Uk, 4(1): 12–21. https://doi.org/10.26911/thejhpb.2019.04.01.02

Dobke M, Bhavsar D, Herrera F (2011). Do telemedicine wound care specialist consults meet the needs of the referring physician? A survey of primary care providers. Int J Telemed Appl, 11 (1): 1-6. https://doi.org/10.1155/2011/321376

Dorsch MP, Farris KB, Rowell BE, Hummel SL, Koelling TM (2021). The effects of the managehf4life mobile app on patients with chronic heart failure: randomized controlled trial. JMIR MHealth UHealth, 9(12): 1-10. http-s://doi.org/10.2196/26185

Evangelista LS, Lee JA, Moore AA, Motie M, Ghasemzadeh H, Sarrafzadeh M, Mangione CM. (2015). Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. J Cardiovasc Nurs, 30(1): 51–57. https://doi.org/10.1097/JCN.000-0000000000110

Heriansyah T. (2019). Gagal jantung (Heart Failure). UB Press.

Husnaniyah D, Riyanto, Kamsari. (2022). Buku ajar keperawatan keluarga. Deepublish.

Irwan. (2016). Epidemiologi Penyakit Tidak Menular. Deepublish.

Janssen-Boyne JJ, Vrijhoef HJM, Spree-uwenberg M, De Weerd G, Kragten J, Gorgels APM (2014). Effects of tailored telemonitoring on heart failure patients’ knowledge, self-care, self-efficacy and adherence: A randomized controlled trial. Eur J Cardiovasc Nurs, 13(3): 243–252. https://doi.org/10.1-177/1474515113487464

Kasron (2012). Kelainan dan penyakit jant-ung pencegahan serta pengobatannya (Disorders and heart disease prevention and treatment). Nuha Medika.

Kuntardjo C (2020). Dimensions of ethics and telemedicine in indonesia: enough of permenkes number 20 year 2019 as a frame of telemedicine practices in indonesia. J Huk Kesehat, 6(1): 1-14. http://dx.doi.org/10.24167/shk.v6i1.2606

Laksono S, Achadi A, Halomoan R (2021). Systematic review: telemedicine dalam manajemen pasien gagal jantung semasa pandemi. J Kesehat Vokasional, 6(2):130.http://dx.doi.org/10.22146/jkesvo.62300

Maulana M (2023). Meta-analysis of the effect of internet-based self-management on blood glucose control in type 2 diabetes melitus patient. JHPM, 8(2): 86-95. https://doi.org/10.26911/thejhpm.2023.08.02.02

Mulyati L, Yeti K, Sukamrini L (2014). Analisis faktor yang mempengaruhi self management behaviour pada pasien hipertensi. J Keperawatan Padjajaran, 1: 12–23. https://dx.doi.org/10.24198/jkp.v1i2.59

Muller KI (2017). Headache patients satisfaction with telemedicine:A 12-month follow-up randomized non-inferiority trial 1-9. Eur J Neurol. 24(6):807-815. https://doi.org/10.1111/ene.13294

Murti B (2018). Prinsip dan Metode Riset Epidemiologi (Edisi V). Bintang Fajar Offset.

Negarandeh R., Zolfaghari M (2019). Evaluating the effect of monitoring through telephone (telemonitoring) on self-care behaviors and readmission of patients with heart failure after discharge. Thieme-Connect.Com, 10-(2): 261-268. https://doi.org/10.1055/s00391685167

Nurhayati, Andari FN, Fredrika L. (2020). Penatalaksanaan Gagal Jantung. KHD Production.

Piette JD, Striplin D, Marinec N, Chen J, Trivedi RB, Aron DC, Fisher L., et al (2015). A mobile health intervention supporting heart failure patients and their informal caregivers: A ran-domized comparative effectiveness trial. J Med Internet Res, 17(6):1-18. https://doi.org/10.2196/jmir.4550

Rabbe S, Blankart CR, Franz W, Hager L, Schreyogg J (2021). Impact of a telemonitoring intervention in patients with chronic heart failure in Germany: A difference-in-difference matching approach using real world data. J Telemed Telecare, 29(5): 365-373. Http-s://doi.org/10.1177/1357633x20984024

Rahma, ASN (2023). Meta analysis the effect of electronic health-based self management in controlling blood pressure in hipertensive patients. JHPM,8(2):105-118. https://doi.o-rg/10.26911/thejhpm.2023.08.02.04

Rahmawati R, Bajorek B (2018). Factors affecting self-reported medication adherence and hypertension knowledge: a cross-sectional study in rural villages, yogyakarta province, indonesia. Chro-nic Illn, 14(3): 212–227. https://doi.o-rg/10.1177/1742395317739092

Richter KP, Shireman T, Ellerbeck EF, Cup-ertino AP, Catley D, Preacher KJ, Spaulding R., et al (2015). Comparative and cost effectiveness of telemedicine versus telephone counseling for smoking cessation. JMIR Publications, 17(5):113-120. https://doi.org/10.2196/jmir.3975

Sari YK, Tanjung S (2022). Meta Analisis Terhadap Pengaruh Pembelajaran Inkuiri (Meta-Analysis of the Influence of Inquiry Learning). EDU Publisher.

Setiawan, Ridwan (2016). Teori dan Praktek Keperawatan Keluarga. Unnes Press.

Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ (2012). Mobile phone-based telemonitoring for heart failure management: A randomized controlled trial. J Med Internet Res, 14(1): 1–14. https://doi.org/10.2196/j-mir.1909

Setyono A, Alam MJ, Eswaran C (2012). The development and implementation of a multimedia messaging service for an enhanced mobile telemedicine system. Int J Healthc Inf Syst and Informatics, 7(1): 13–30. http://dx.doi.org/10.40-18/jhisi.2012010102

Siegel CA (2017). Transforming gastro-enterology care with telemedicine. J Gastro, 152(5): 958-963. https://doi.o-rg/10.1053/j.gastro.2017.01.048

Toback M, Clark N (2017). Strategies to improve self-management in heart failure patients. Contempary Nurse, 53(1): 105–120. https://doi.org/10.1-080/10376178.2017.1290537

Umiati S (2021). Effectiveness of telemedicine on patient satisfaction:meta analysis. JHPM, 6(1):48-56. http-s://doi.or-rg?10.26911/thejhpm.2021.06.01.05

Wijaya AS, Putri YM. (2013). Keperawatan Medical Bedah; Teori Dan Contoh Askep. Nuha Medika.

Yu DSF, Li PWC, Li SX, Smith RD, Yue SCS, Yan BPY. (2022). Effectiveness and cost-effectiveness of an empowerment-based self-care education program on health outcomes among patients with heart failure: a randomized clinical trial. JAMA Netw Open, 5(4):1-13. http://dx.doi.org/10.1001/jamanetworkopen.2022.59

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Published

16-01-2024

How to Cite

Ersananda, A., Prasetya, H., & Ichsan, B. (2024). A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure. Journal of Health Policy and Management, 9(1), 119–130. https://doi.org/10.26911/thejhpm.2024.09.01.11

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