Patient Follow-up in Respiratory Diseases; Telehealth

Emine TARLABELEN KARAYTUĞa , Simge KALAVa Sakine BOYRAZ ÖZKAVAKa
aAydın Adnan Menderes University Faculty of Nursing, Department of Internal Medicine Nursing, Aydın, Türkiye

Tarlabelen Karaytuğ E, Kalav S, Boyraz Özkavak S. Patient follow-up in respiratory diseases; telehealth. In: Çevik Akyıl R, ed. Nursing Approach in Respiratory Diseases. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.87-92.

ABSTRACT
Telehealth service is the use of electronic information and communication technology by healthcare personnel for the purposes of diagnosis, treatment, patient monitoring, education/information and care. For this purpose, many wired and wireless technological methods such as web-based applications, smart mobile phones, disease-specific applications, video call methods, devices that record and transmit information are used. In respiratory diseases, telehealth services can be used for various reasons such as providing easy access to the patient and continuity of follow-up, meeting patient needs quickly, reducing patient waiting times and providing economic savings. The use of telehealth methods is increasing in chronic respiratory diseases such as chronic obstructive pulmonary disease and asthma, which require regular follow-up and care. Telehealth applications in chronic obstructive pulmonary disease aim to reduce emergency room visits, hospitalizations, and exacerbations. In asthma, telehealth applications generally aim to achieve good symptom control and adherence to treatment. Turkish Thoracic Society COPD Working Group and Asthma and Allergy Study Group support the inclusion of telehealth along with face-to-face methods in health care.

Keywords: Asthma; nursing care; pulmonary disease, chronic obstructive; telemedicine

Referanslar

  1. World Health Organization (WHO). 1998. A health telematics policy in support of WHO's Health-For-All strategy for global health development: report of theWHO group consultation on health telematics, 11-16 December, geneva, 1997.
  2. Barbosa MT, Sousa CS, Morais-Almeida M, Simões MJ, Mendes P. Telemedicine in COPD: an overview by topics. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2020;17(5):601-17. [Crossref]  [PubMed]
  3. Ekiyor A, gök g. "Does telemedicine Challenge Covid-19?". Journal of Social, Humanities and Administrative Sciences. 2021; 7(39):727-36. [Crossref]
  4. Alpaydın AÖ, Candemir İ. Türk Toraks Derneği göğüs Hastalıkları Alanında E-Sağlık Uygulamaları. Ankara: Buluş Tasarım ve Matbaacılık Hizmetleri; 2023.
  5. Satıcı C. Lung Cancer and Telemedicine, In: Turan MO, Kara HV, eds. TÜSAD Education Book Series-26 Telemedicine guide in Chest Diseases. 2022. p.9-13.
  6. Pang L, Liu Z, Lin S, Liu Z, Liu H, Mai Z, et al. The effects of telemedicine on the quality of life of patients with lung cancer: a systematic review and metaanalysis. Therapeutic Advances in Chronic Disease. 2020;11:1-12. [Crossref]  [PubMed]  [PMC]
  7. Garfan S, Alamoodi AH, Zaidan BB, Al-Zobbi M, Hamid RA, Alwan JK,et al. Telehealth utilization during the Covid-19 pandemic: a systematic review. Comput Biol Med. 2021;138: 104878. [Crossref]  [PubMed]  [PMC]
  8. Mutlu P. Asthma and Telemedicine, In: Turan MO, Kara HV, eds. TÜSAD Education Book Series-26 Telemedicine guide in Chest Diseases 2022. p. 13-9.
  9. Tekin Kaya, N. Telesağlık ve Telehemşirelik Uygulama Alanları, Örsal Ö, editör. 2022.
  10. Ergur gA. Virtual intimacy with telemedicine: a healthcare service that elimınates distances in the pandemic. Medical Informatics III. 2023.
  11. Yildirim Ö, Doğan RÖ, Kaya I, Kayikçioglu T. Health-monitoring system based tele-tip for elders. In 2016 Medical Technologies National Congress (TIPTEKNO). 2016. p.1-4. [Crossref]
  12. Kutsal g. Telemedicine. In: gökçe Kutsal Y, Aslan D, eds. Telemedicine Elderly and Telemedicine Applications, 2021. p.1-16.
  13. Kalaycı Oflaz, N. Economic dimension of tele-medicine supported home health services: A review on finance and costs. Alanya Academic Review Journal. 2023;7(1):311-35. [Crossref]
  14. Bonnevie T, Smondack P, Elkins M, gouel B, Medrinal C, Combret Y, et al. Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: a systematic review. J Physiother. 2021;67(1):27-40. [Crossref]  [PubMed]
  15. Mirici E, Erkan F. Non-drug approaches in the treatment of chronic obstructive pulmonary disease, In: Satman İ, Erkan F, eds. Management of Chronic Obstructive Pulmonary Disease in Turkey: guidelines for Prevention, Diagnosis and Treatment Standards, 2021. p.107-18.
  16. Vontetsianos T, giovas P, Katsaras TH, Rigopoulou A, Mpirmpa g, giaboudakis P, et al. Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up. J Telemed Telecare. 2005;11(1_suppl):86-8. [Crossref]  [PubMed]
  17. Kum R, Pehlivan E. Telerehabilitation in different physical therapy and rehabilitation Areas. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2022;4(2):166-80. [Crossref]
  18. Ergan M, Başkurt Z. Telerehabilitation in pulmonary diseases. Med J SDU. 2021;28(2):361-5. [Crossref]
  19. Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database of Systematic Reviews. 2021;1. [Crossref]  [PubMed]  [PMC]
  20. Houchen-Wolloff L, Steiner MC. Pulmonary rehabilitation at a time of social distancing: prime time for tele-rehabilitation?. Thorax. 2020;75(6):446-7. [Crossref]  [PubMed]
  21. Cox NS, McDonald CF, Alison JA, Mahal A, Wootton R, Hill CJ, et al. Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial. BMC Pulmonary Medicine. 2018;18:1-9. [Crossref]  [PubMed]  [PMC]
  22. Bourbeau J, Farias, R. Making sense of telemedicine in the management of COPD. European Respiratory Journal. 2018:51(5). [Crossref]  [PubMed]
  23. Marcos PJ, Represas CR, Ramos C, Álvarez BC, Villar AF, Liste AF, et al. Impact of a home telehealth program after a hospitalized COPD exacerbation: a propensity score analysis. Arch Bronconeumol. 2022;58(6):474-81. [Crossref]  [PubMed]
  24. Saleh S, Skeie S, grundt H. Re-admission and quality of life among patients with chronic obstructive pulmonary disease after telemedicine video nursing consultation-a randomized study. Multidiscip Respir Med. 2023;18(1):918. [Crossref]  [PubMed]  [PMC]
  25. Malik S, Dua R, Krishnan AS, Kumar S, Kumar S, Neyaz O, et al. Exercise capacity in patients with chronic obstructive pulmonary disease treated with tele-yoga versus tele-pulmonary rehabilitation: a pilot validation study. Cureus. 2022;14(11):e30994. [Crossref]
  26. McLean S, Nurmatov U, Liu JL, Pagliari C, Car J, Sheikh A. Telehealthcare for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2011(7):CD007718. [Crossref]  [PubMed]  [PMC]
  27. Vitacca M, Montini A, Comini L. How will telemedicine change clinical practice in chronic obstructive pulmonary disease?. Therapeutic advances in respiratory disease. 2018;12. 1753465818754778. [Crossref]  [PubMed]  [PMC]
  28. Janjua S, Carter D, Threapleton CJ, Prigmore S, Disler RT. Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). Cochrane Database of Systematic Reviews. 2021;(7). [Crossref]  [PubMed]  [PMC]
  29. gregersen TL, green A, Frausing E, Ringbaek T, Brøndum E, Suppli Ulrik C. Do telemedical interventions improve quality of life in patients with COPD? A systematic review. International Journal of Chronic Obstructive Pulmonary Disease. 2016:809-22. [Crossref]  [PubMed]  [PMC]
  30. Rassouli F, Boutellier D, Duss J, Huber S, Brutsche MH. Digitalizing multidisciplinary pulmonary rehabilitation in COPD with a smartphone application: an international observational pilot study. Int J Chron Obstruct Pulmon Dis. 2018;13:3831-6. [Crossref]  [PubMed]  [PMC]
  31. gautam AP, Arena R, Dixit S, Borghi-Silva A. Pulmonary rehabilitation in COVID-19 pandemic era: The need for a revised approach. Respirology. 2020;25(12):1320-22. [Crossref]  [PubMed]  [PMC]
  32. Miłkowska-Dymanowska J, Białas AJ, Obrębski W, górski P, Piotrowski WJ. A pilot study of daily telemonitoring to predict acute exacerbation in chronic obstructive pulmonary disease. Int J Med Inform. 2018;116:46-51. [Crossref]  [PubMed]
  33. Global Initiative for Chronic Obstructive Lung Disease (gOLD). global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease [updated 2021] Available at: [Link]
  34. Turkish National Association of Allergy and Clinical Immunology, Asthma Working group (2021), Recommendations on Telemedicine Solutions for Asthma. 2021.
  35. Himes BE, Leszinsky L, Walsh R, Hepner H, Wu AC. Mobile health and inhaler-based monitoring devices for asthma management. The Journal of Allergy and Clinical Immunology: In Practice. 2019; 7(8):2535-2543. [Crossref]  [PubMed]  [PMC]
  36. Zabczyk C, Blakey JD. The effect of connected "smart" inhalers on medication adherence. Front Med Technol. 2021;3:657321. [Crossref]  [PubMed]  [PMC]
  37. Exarchos KP, gogali A, Sioutkou A, Chronis C, Peristeri S, Kostikas K. Validation of the portable Bluetooth Air Next spirometer in patients with different respiratory diseases. Respir Res. 2020;21:1-7. [Crossref]  [PubMed]  [PMC]
  38. Sakkatos P, Williams A. Testing the accuracy of a novel digital peak flow meter aligned with a smartphone app compared to a lab spirometer: A pilot work. Digital Health. 2021;7: 20552076211005959. [Crossref]  [PubMed]  [PMC]
  39. Ghozali MT, Satibi S, Ikawati Z, Lazuardi L. The efficient use of smartphone apps to improve the level of asthma knowledge. J Med Life. 2022;15(5):625-30. [Crossref]  [PubMed]  [PMC]
  40. Al-Nawayseh MK, Al-Iede M, Elayeh E, 92 Hijazeen R, Oweidat KA, Aleidi SM. The impact of using a mobile application to improve asthma patients' adherence to medication in Jordan. Health Informatics J. 2021;27(3):146045822110426. [Crossref]  [PubMed]
  41. Chongmelaxme B, Lee S, Dhippayom T, Saokaew S, Chaiyakunapruk N, Dilokthornsakul P. The effects of telemedicine on asthma control and patients' quality of life in adults: a systematic review and meta-analysis. The Journal of Allergy and Clinical Immunology: In Practice. 2019;7(1):199-216. [Crossref]  [PubMed]
  42. Poowuttikul P, Seth D. New concepts and technological resources in patient education and asthma self-management. Clinical reviews in allergy & immunology. 2020;59(1):19-37. [Crossref]  [PubMed]
  43. McLean S, Chandler D, Nurmatov U, Liu J, Pagliari C, Car J, Sheikh A. Telehealthcare for asthma: a Cochrane review. CMAJ. 2011;183(11):E733-E742. [Crossref]  [PubMed]  [PMC]
  44. Zhao J, Zhai YK, Zhu WJ, Sun DX. Effectiveness of telemedicine for controlling asthma symptoms: a systematic review and meta-analysis. Telemed J E Health. 2015;21(6):484-92. [Crossref]  [PubMed]
  45. Cingi C, Yorgancioglu A, Muluk NB, Ulusoy S. The "physician on call patient engagement trial"(POPET): measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients. Int Forum Allergy Rhinol. 2015;5(6):487-97. [Crossref]  [PubMed]
  46. World Health Organization. World Health Organization; geneva: 2022. WHO consolidated guidelines on tuberculosis. module 4: treatment - drug-resistant tuberculosis treatment 2022 update. Accessed July 4, 2023.
  47. Olowoyo KS, Esan DT, Adeyanju BT, Olawade DB, Oyinloye BE, Olowoyo P. Telemedicine as a tool to prevent multi-drug resistant tuberculosis in poor resource settings: Lessons from Nigeria. J Clin Tuberc Other Mycobact Dis. 2024;35:100423. [Crossref]  [PubMed]  [PMC]
  48. World Health Organization & European Respiratory Society. Digital Health for the End TB Strategy: An Agenda for Action. World Health Organization; 2015:1-24. Accessed July 4, 2023.
  49. Huang gKL, Pawape g, Taune M, Hiasihri S, Ustero P, O'Brien DP, Majumdar SS. Telemedicine in resource-limited settings to optimize care for multidrug-resistant tuberculosis. Front Public Health. 2019:7;222. [Crossref]  [PubMed]  [PMC]