TELEHEALTH IN THE FOLLOW-UP OF PATIENTS WITH CHRONIC DISEASES DURING THE COVID-19 PANDEMIC: A SYSTEMATIC REVIEW

Authors

DOI:

https://doi.org/10.53612/recisatec.v3i7.297

Keywords:

Telemedicine, Telemonitoring, Chronic disease, COVID-19

Abstract

With the onset of the COVID-19 pandemic, social distancing was adopted as a measure to control the disease, and telehealth was adopted as one of the strategies applied to continue the follow-up of patients with chronic diseases during this period. In this context, a systematic review is proposed, aiming to analyze the use of telehealth as a method of monitoring patients with diabetes mellitus or systemic arterial hypertension during the COVID-19 pandemic. A search was carried out in the CINAHL, Embase, LILACS, Pubmed and Web of Science databases in March 2022, identifying 456 titles. Among these, 13 studies were included in the evidence synthesis. Only 1 (one) complete study obtained results of superiority of non-contact modalities for conventional care. In 50% of the works already completed (n = 3) no significant difference was found for maintenance of care, however, in two cases an improvement in the patient's experience with the use of telehealth practices was evident. It is concluded that, although telehealth practices do not present significant differences when compared to face-to-face and usual treatments, there is still a shortage of studies evaluating this practice during the pandemic. Therefore, more work and evidence on the passage of these practices are needed.

Downloads

Download data is not yet available.

Author Biographies

Thalita Cely Barbosa de Jesus

Graduanda em Medicina pela Universidade Federal do Estado do Rio de Janeiro.

Amanda Mazza Baumeier Merhy

Graduanda em Medicina pela Universidade Federal do Estado do Rio de Janeiro.

Camila Helena Macedo da Costa

Bacharel em Medicina pela Universidade Federal do Estado do Rio de Janeiro.

Kathleen Oliveira Gomes da Silva

Graduanda em Medicina pela Universidade Federal do Estado do Rio de Janeiro.

Hellen Roehrs

Doutora em Enfermagem. Professora Adjunta do Departamento de Enfermagem Fundamental da Universidade Federal do Estado do Rio de Janeiro.

Carlos Roberto Lyra da Silva

Pós-Doutor em Enfermagem. Professor Associado do Departamento de Enfermagem Fundamental da Universidade Federal do Estado do Rio de Janeiro.

Roberto Carlos Lyra da Silva

Doutor em Enfermagem. Professor Titular do Departamento de Fundamentos de Enfermagem da Universidade Federal do Estado do Rio de Janeiro.

References

Organização Pan-Americana de Saúde; Organização Mundial de Saúde. OMS Declara Emergência de Saúde Pública de Importância Internacional Por Surto de Novo Coronavírus. [Internet]. 2020. [acesso em 2022 fev 3]. Disponível em: https://www.paho.org/pt/news/30-1-2020-who-declares-public-health-emergency-novel-coronavirus.

Johns Hopkins University. COVID-19 Map - Johns Hopkins Coronavirus Resource Center. [Baltimore, Estados Unidos]. 2020. [acesso em 2022 fev 3]. Disponível em: https://coronavirus.jhu.edu/map.html.

Tavares DM dos S, Oliveira NGN, Guimarães MSF, Santana LPM, Marchiori GF. Distanciamento social pela covid-19: rede de apoio social, atividades e sentimentos de idosos que moram só. Cogitare Enferm. [Internet]. 2022 [acesso em 2022 fev 3]; 27. Disponível em: http://dx.doi.org/10.5380/ ce.v27i0.78473. DOI: https://doi.org/10.5380/ce.v27i0.78473

Bokolo Anthony Jnr. Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic. J Med Syst 44, 132 (2020). [Internet]. [acesso em 2022 fev 3]. Disponível em: https://doi.org/10.1007/s10916-020-01596-5. DOI: https://doi.org/10.1007/s10916-020-01596-5

Norris AC. Essentials of Telemedicine and Telecare. Wiley; 2002. [Internet]. [acesso em 2022 fev 3] Disponível em: https://doi.org/10.1002/0470846348. DOI: https://doi.org/10.1002/0470846348

de Gois-Santos VT, Freire DA, dos Santos Libório L, et al. Telehealth actions in times of COVID-19: information with evidence. Rev Assoc Med Bras 2020;66(10):1320–1322. [Internet]. [acesso em 2022 fev 3]. Disponível em: https://doi.org/10.1590/1806-9282.66.10.1320. DOI: https://doi.org/10.1590/1806-9282.66.10.1320

Brasil. Ministério da Saúde. Portaria No 467. 2020. [Internet]. [acesso em 2022 fev 3]. Disponível em: https://www.planalto.gov.br/ccivil_03/portaria/prt/portaria%20n%C2%BA%20467-20-ms.htm.

Nilson LG, Maeyama MA, Dolny LL, et al. Telessaúde: Da Implantação Ao Entendimento Como Tecnologia Social. Revista Brasileira de Tecnologias Sociais 2018;5(1):33. [Internet]. [acesso em 2022 fev 3]. Disponível em: https://doi.org/10.14210/rbts.v5n1.p33-47. DOI: https://doi.org/10.14210/rbts.v5n1.p33-47

Cruz A, Maldonado JMSV, Gadelha CAG. Telemonitoramento e a dinâmica empresarial em saúde: desafios e oportunidades para o SUS. Rev Saude Publica. 2020;54:65. [Internet]. [acesso em 2022 fev 3]. Disponível em: https://doi.org/10.11606/s1518-8787.2020054001996 DOI: https://doi.org/10.11606/s1518-8787.2020054001996

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde. Informações sobre domicílios e acesso e utilização dos serviços de saúde. 2019. [acesso em 2022 fev 3]. [Internet]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/saude/9160-pesquisa-nacional-de-saude.html?edicao=28655&t=resultados.

Organização Mundial da Saúde. OMS Revela Principais Causas de Morte e Incapacidade Em Todo o Mundo Entre 2000 e 2019. 2020. [Internet]. [acesso em 2022 fev 3]. Disponível em: https://www.paho.org/pt/noticias/9-12-2020-oms-revela-principais-causas-morte-e-incapacidade-em-todo-mundo-entre-2000-e

Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2015 (GBD 2015) Life Expectancy, All-Cause and Cause-Specific Mortality 1980-2015. Seattle, United States of America: Institute for Health Metrics and Evaluation (IHME), 2016. [acesso em 2023 fev 18]. Disponível em: https://ghdx.healthdata.org/record/ihme-data/gbd-2015-life-expectancy-all-cause-and-cause-specific-mortality-1980-2015.

Barroso WKS, Rodrigues CIS, Bortolotto LA, et al. Brazilian guidelines of hypertension - 2020. Arq Bras Cardiol 2021;116(3):516–658. [Internet]. [acesso em 2022 fev 16]. Disponível em: https://doi.org/10.36660/abc.20201238. DOI: https://doi.org/10.36660/abc.20201238

Brasil. Ministério da Saúde. Estratégia para o Cuidado da Pessoa com Doença Crônica Hipertensão Arterial Sistêmica. 2013. [Internet]. [acesso em 2022 fev 16]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_pessoa_doenca_cronica.pdf

Arrais KR, Máximo LWM, Rodrigues A dos S de A, et al. Hospitalizations and deaths by Diabetes Mellitus / Internações e óbitos por Diabetes Mellitus. Revista de Pesquisa Cuidado é Fundamental Online 2022;14:1–6. [acesso em 2022 fev 16]. Disponível em: https://doi.org/10.9789/2175-5361.rpcfo.v14.10633 DOI: https://doi.org/10.9789/2175-5361.rpcfo.v14.10633

Brasil. Ministério da Saúde. Cadernos de Atenção Básica - n° 16; Diabetes Mellitus. 2006. [Internet]. [acesso em 2022 fev 16]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diabetes_mellitus_cab16.pdf

Higgins J, Thomas J, Chandler J, et al. Cochrane Handbook for Systematic Reviews of Interventions. Version 6.3, 2022. [acesso em 2022 fev 16]. Disponível em: https://training.cochrane.org/handbook/current

Sterne JAC, Savović J, Page MJ, et al. RoB 2: A revised tool for assessing risk of bias in randomised trials. The BMJ 2019;366:14898. [acesso em 2022 fev 16]. Disponível em: https://doi.org/10.1136/bmj.l4898. DOI: https://doi.org/10.1136/bmj.l4898

Klarskov CK, Windum NA, Olsen MT, et al. Telemetric Continuous Glucose Monitoring During the COVID-19 Pandemic in Isolated Hospitalized Patients in Denmark: A Randomized Controlled Exploratory Trial. Diabetes Technol Ther 2022;24(2):102–112. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.1089/dia.2021.0291. DOI: https://doi.org/10.1089/dia.2021.0291

Vluggen S, Candel M, Hoving C, et al. A web-based computer-tailored program to improve treatment adherence in patients with type 2 diabetes: Randomized controlled trial. J Med Internet Res 2021;23(2):e18524. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.2196/18524. DOI: https://doi.org/10.2196/18524

Alessi J, de Oliveira GB, Franco DW, et al. Telehealth strategy to mitigate the negative psychological impact of the COVID-19 pandemic on type 2 diabetes: A randomized controlled trial. Acta Diabetol 2021;58(7):899–909. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.1007/s00592-021-01690-1. DOI: https://doi.org/10.1007/s00592-021-01690-1

Fraticelli F, Nicola M di, Vitacolonna E. A nutritional web-based approach in obesity and diabetes before and during the COVID-19 lockdown. J Telemed Telecare 2023;29(2):91–102. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.1177/1357633X20966933. DOI: https://doi.org/10.1177/1357633X20966933

Oh SW, Kim KK, Kim SS, et al. Effect of an Integrative Mobile Health Intervention in Patients with Hypertension and Diabetes: Crossover Study. JMIR Mhealth Uhealth 2022 Jan 11;10(1):e27192. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.2196/27192. DOI: https://doi.org/10.2196/27192

Guo M, Meng F, Guo Q, et al. Effectiveness of mHealth management with an implantable glucose sensor and a mobile application among Chinese adults with type 2 diabetes. Journal of Telemedicine and Telecare. 2021;0(0). [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.1177/1357633X211020261. DOI: https://doi.org/10.1177/1357633X211020261

Taher M, Yule C, Bonaparte H, et al. Telehealth versus self-directed lifestyle intervention to promote healthy blood pressure: A protocol for a randomised controlled trial. BMJ Open 2021;11:3044292. [acesso em 2022 ago 28]. Disponível em: https://doi.org/10.1136/bmjopen-2020-044292. DOI: https://doi.org/10.1136/bmjopen-2020-044292

Gustafson DH, Mares ML, Johnston DC, et al. A web-based ehealth intervention to improve the quality of life of older adults with multiple chronic conditions: Protocol for a randomized controlled trial. JMIR Res Protoc 2021;10(2):e25175. [acesso em 2022 ago 29]. Disponível em: https://doi.org/10.2196/25175. DOI: https://doi.org/10.2196/25175

Wang Z, Li C, Huang W, et al. Effectiveness of a pathway-driven eHealth-based integrated care model (PEICM) for community-based hypertension management in China: study protocol for a randomized controlled trial. Trials 22, 81 (2021). [acesso em 2022 ago 28]. Disponível em: https://doi.org/10.1186/s13063-021-05020-2. DOI: https://doi.org/10.1186/s13063-021-05020-2

Ye R, Shi R, Liu K, et al. Internet-based patient- primary care physician-cardiologist integrated management model of hypertension in China: Study protocol for a multicentre randomised controlled trial. BMJ Open 2020;10:e039447. [acesso em 2022 ago 27]. Disponível em: https://doi.org/10.1136/bmjopen-2020-039447. DOI: https://doi.org/10.1136/bmjopen-2020-039447

Rising KL, Kemp M, Davidson P, et al. Assessing the impact of medically tailored meals and medical nutrition therapy on type 2 diabetes: Protocol for Project MiNT. Contemporary Clinical Trials, volume 108, 2021, 106511. [acesso em 2022 ago 29]. Disponível em: https://doi.org/10.1016/j.cct.2021.106511. DOI: https://doi.org/10.1016/j.cct.2021.106511

Shen X, Xiao S, Liu R, et al. Personalized hypertension management based on serial assessment and telemedicine (PHMA): a cluster randomize controlled trial protocol in Anhui, China. BMC Cardiovasc Disord 21, 135 (2021). [acesso em 2022 ago 29]. Disponível em: https://doi.org/10.1186/s12872-021-01943-5. DOI: https://doi.org/10.1186/s12872-021-01943-5

Prendergast HM, Petzel-Gimbar R, Kitsiou S, et al. Targeting of uncontrolled hypertension in the emergency department (TOUCHED): Design of a randomized controlled trial. Contemporary Clinical Trials, volume 102, 2021, 106283. [acesso em 2022 ago 29]. Disponível em: https://doi.org/10.1016/j.cct.2021.106283. DOI: https://doi.org/10.1016/j.cct.2021.106283

Ekeland AG, Bowes A, Flottorp S. Effectiveness of Telemedicine: A Systematic Review of Reviews. International Journal of Medical Informatics, volume 79 (11), 2010, 736–771. [acesso em 2022 fev 16]. Disponível em: https://doi.org/10.1016/j.ijmedinf.2010.08.006. DOI: https://doi.org/10.1016/j.ijmedinf.2010.08.006

Baker J, Stanley A. Telemedicine Technology: A Review of Services, Equipment, and Other Aspects. Curr Allergy Asthma Rep 18, 60 (2018). [acesso em 2022 fev 16]. Disponível em: https://doi.org/10.1007/s11882-018-0814-6. DOI: https://doi.org/10.1007/s11882-018-0814-6

da Silva Negreiros FD, de Araújo AL, Mattos SM, et al. Digital technologies in the care of people with diabetes during the COVID-19 pandemic: a scoping review. Revista da Escola de Enfermagem USP 55, 2021. [acesso em 2022 fev 20]. Disponível em: https://doi.org/10.1590/1980-220X-REEUSP-2021-0295. DOI: https://doi.org/10.1590/1980-220x-reeusp-2021-0295

Ferreira D da S, Maciel N de S, Chaves G dos S, et al. Telessaúde no contexto da pandemia da COVID-19: revisão de escopo. Revista Enfermagem Atual In Derme [Internet]. 7° de junho de 2021;95(34):e-021087. [acesso em 2022 fev 20]. Disponível em: https://doi.org/10.31011/reaid-2021-v.95-n.34-art.1015. DOI: https://doi.org/10.31011/reaid-2021-v.95-n.34-art.1015

Bitar H, Alismail S. The Role of EHealth, Telehealth, and Telemedicine for Chronic Disease Patients during COVID-19 Pandemic: A Rapid Systematic Review. Digital Health. 2021;7. [acesso em 2022 fev 20]. Disponível em: https://doi.org/10.1177/20552076211009396. DOI: https://doi.org/10.1177/20552076211009396

Teixeira MA, Oliveira LA de, Stefani CM, et al. A contribuição da telessaúde para as consultas de enfermagem durante a pandemia de Covid-19: uma revisão sistemática / the contribution of telehealth to nursing consultations during the Covid-19 pandemic: a systematic review. Brazilian Journal of Health Review , 5(2), 4387–4402. [acesso em 2022 fev 20]. Disponível em: https://doi.org/10.34119/bjhrv5n2-033. DOI: https://doi.org/10.34119/bjhrv5n2-033

Lopes JR, Berardinelli LMM, Albuquerque NMQ de, et al. O uso da telessaúde na abordagem as Doenças Crônicas não Transmissíveis em tempos de pandemia pela Covid-19: uma revisão integrativa. Research, Society and Development, [S. l.], v.11, n.10, p. e238111032646, 2022. [acesso em 2022 fev 20]. Disponível em: https://doi.org/10.33448/rsd-v11i10.32646. DOI: https://doi.org/10.33448/rsd-v11i10.32646

Published

2023-06-29

How to Cite

de Jesus, T. C. B., Merhy, A. M. B., da Costa, C. H. M., da Silva, K. O. G., Roehrs, H., da Silva, C. R. L., & Silva, R. C. L. da. (2023). TELEHEALTH IN THE FOLLOW-UP OF PATIENTS WITH CHRONIC DISEASES DURING THE COVID-19 PANDEMIC: A SYSTEMATIC REVIEW. RECISATEC - SCIENTIFIC JOURNAL HEALTH AND TECHNOLOGY, 3(7), e37297. https://doi.org/10.53612/recisatec.v3i7.297

Similar Articles

<< < 1 2 3 > >> 

You may also start an advanced similarity search for this article.