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Videoconferencing for Management of Heart Failure: An Integrative Review.
Journal of Gerontological Nursing
|February 14, 2018
Summary
Telemonitoring with videoconferencing shows promise for improving heart failure (HF) outcomes like hospital use and quality of life (QOL). However, its impact on patient self-care requires further investigation.
Area of Science:
- Gerontology
- Cardiovascular Nursing
- Health Services Research
Background:
- Heart failure (HF) significantly impacts older adults' quality of life (QOL), prognosis, and healthcare costs.
- Effective HF management relies on patient self-care skills, including symptom monitoring, interpretation, and decision-making.
- Telemonitoring (TM) is a growing strategy to mitigate HF symptom exacerbations and reduce rehospitalizations.
Purpose of the Study:
- To conduct an integrative review of telemonitoring (TM) interventions incorporating videoconferencing (VC).
- To evaluate the efficacy of TM with VC on hospital service utilization, self-care, and QOL in heart failure (HF) patients.
- To identify gaps in current research regarding TM and VC in HF management.
Main Methods:
- An integrative review methodology was employed.
- Eleven studies utilizing videoconferencing (VC) combined with remote physiological monitoring were analyzed.
- Outcomes assessed included hospital service use, self-care behaviors, and quality of life (QOL).
Main Results:
- TM interventions integrating VC demonstrated promising effects on reducing hospital service use.
- Improvements were noted in the quality of life (QOL) for patients with heart failure (HF).
- The efficacy of TM with VC on enhancing patient self-care skills was not clearly demonstrated.
Conclusions:
- Telemonitoring (TM) interventions featuring videoconferencing (VC) show potential for improving certain heart failure (HF) outcomes.
- Further research is necessary to define specific goals and mechanisms of VC interventions.
- Investigating the impact of VC interventions across diverse racial and ethnic populations is crucial.
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