Quality of Life in Patients With Heart Failure Assisted By Telerehabilitation: A Systematic Review and Meta-Analysis

Authors

  • André Luiz Lisboa Cordeiro Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil & Centro Universitário Nobre, Feira De Santana, Bahia, Brazil
  • Andrêza da Silva Miranda Unidade de Ensino Superior de Feira de Santana
  • Halana Melo de Almeida Unidade de Ensino Superior de Feira de Santana, Bahia, Brazil
  • Paulo Santos Unidade de Ensino Superior de Feira de Santana, Bahia, Brazil

DOI:

https://doi.org/10.5195/ijt.2022.6456

Keywords:

Congestive heart failure, Quality of Life, Telehealth, Telerehabilitation, Virtual rehabilitation

Abstract

Introduction: Heart failure (HF) is a syndrome that implies several physical and emotional changes that compromise quality of life. Telerehabilitation is a strategy developed with the aim of involving and motivating cardiac patients to participate in cardiac rehabilitation in their daily routine at home. Objective: To review the impact of telerehabilitation on the quality of life of patients with HF. Methods: This is a systematic review using the PICO strategy, with a search conducted in the electronic data sources PubMed, LILACS (Latin American and Caribbean Literature in Health Sciences) and SciELO (Scientific Electronic Library Online), with the following descriptors: heart failure, congestive heart failure, chronic heart failure, distance rehabilitation, virtual rehabilitation, telerehabilitation, telemedicine, quality of life and HRQoL, combined by the Boolean operators “AND” and “OR”, including articles between 2011 and 2021. Results: Nine articles were found after reading the abstract and titles; five of these met the inclusion criteria. They showed that telerehabilitation contributes to a better quality of life due to the daily increase in mental, social, and sexual activities, exercise tolerance, improvement of symptoms such as edema, fatigue, and dyspnea and reduction of mortality and readmission rates. Telerehabilitation was effective in improving quality of life in patients with HF (mean difference (MD) = -0,22; CI 95% -0.40 to 0.04. Conclusion: Telerehabilitation was at least as effective as usual care and conventional cardiac rehabilitation in improving the quality of life in patients with HF.

  

References

Benetti, M., Araújo, C.L., & Santos, R.Z. (2010). Cardiorespiratory fitness and quality of life at different exercise intensities after myocardial infarction Arquivos Brasileiros de Cardiologia. 95 (3), 399-404. https://doi: 10.1590/s0066-782x2010005000089

Bernocchi, P., Vitacca, M., La Rovere, M.T., Volterrani, M., Galli, T., Baratti, D., et al. (2018). Home-based telerehabilitation in older patients with chronic obstructive pulmonary disease and heart failure: A randomised controlled trial. Age Ageing, 47(1), 82-88. https://doi.org/10.1093/ageing/afx146

Brum, P.C., Campos, J.C., Bechara, L.R.G., Jannig, P.R., & Voltarelli, V.A. (2011). Exercício físico na insuficiência cardíaca. https://edisciplinas.usp.br/pluginfile.php/4108915/mod_resource/content/1/ICC%20e%20Ex erc%C3%ADcio.pdf

Dinesen B., Nielsen, G., Andreasen, J., & Spindler, H. (2019). Integration of rehabilitation activities into everyday life through telerehabilitation: Qualitative study of cardiac patients and their partners. Journal of Medical Internet Research, 21(4), e13281. https://doi.org/10.1093/ageing/afx14610.2196/13281

Frederix, I., Vanhees, L., Dendale, P., & Goetschalckx, K. (2015). A review of telerehabilitation for cardiac patients. Journal of Telemedicine and Telecare, 21(1), 45-53. https://doi: 10.1177/1357633X14562732

Freitas, A., & Cirino, R. (2017). Manejo ambulatorial da insuficiência cardíaca crônica. Revista Médica da Universidade Federal do Paraná, 4(3), 123-136. https://doi 10.5380/rmu.v4i3.56397

Hwang, R., Bruning, J., Morris, N.R., Mandrusiak, A. & Russell, T. (2017) Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: A randomised trial. Journal of Physiotherapy, 63(2), 101-107. https://doi: 10.1016/j.jphys.2017.02.017

Maher, C.G., Sherrington, C., Herbert, R.D., Moseley, A.M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy, 83, 713-21. https://doi.org/10.1093/ptj/83.8.713

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D.G. (2009). The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Medicine, 6(7), e1000097. doi.org/10.1371/journal.pmed.1000097

McMahon, S.R., Ades, P.A., & Thompson, P.D. (2017). The role of cardiac rehabilitation in patients with heart disease. Trends in Cardiovascular Medicine, 27(6), 420-425. doi:10.1016/j.tcm.2017.02.005

Paz, L.F.A., Medeiros, C.A., Alves, S.M.M., Bezerra, S.M.M., Junior, W.O., & Silva, M.B.A. (2019). Qualidade de vida relacionada à saúde em pacientes com insuficiência cardíaca. Revista Brasileira de Enfermagem, 72(suppl 2), 148-154. doi:10.1590/0034-7167-2018- 0368

Peng, X., Su, Y., Hu, Z., Sun, X., Li, X., Dolansky, M.A., et al. (2018). Home-based telehealth exercise training program in Chinese patients with heart failure: A randomized controlled trial. Medicine (Baltimore), 97(35), e12069. doi: 10.1097/MD.0000000000012069

Piotrowicz, E., Piepoli, M.F., Jaarsma, T., et al., (2016).Telerehabilitation in heart failure patients: The evidence and the pitfalls. International Journal of Cardiology, 220, 408-413. doi: https//10.1016/j.ijcard.2016.06.277

Piotrowicz, E., Stepnowska, M., Leszczyńska-Iwanicka, K., Piotrowska, D., Kowalska, M., Tylka, J., et al., (2015a). Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation--a randomized controlled study. European Journal of Cardiovascular Nursing, 14(3), 256-63. doi:10.1177/1474515114537023

Piotrowicz, E., Zieliński, T., Bodalski, R,, Rywik, T., Dobraszkiewicz-Wasilewska, B., Sobieszczańska-Małek, M., et al. (2015b). Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: A randomised controlled study. European Journal of Preventive Cardiology, 22(11), 1368-77. doi: 10.1177/2047487314551537

Rohde, L.E., Montera, M., Bocchi, E., Clausell, N., Albuquerque, D., Rassi, S., et al. (2018). Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arquivos Brasileiros de Cardiologia, 111(3), 436-539. doi:10.5935/abc.20180190

Rossi, C., Vanderlei, F., Medina, L., Pastre, C., Padovani, C., & Vanderlei, L. (2011). Influência do perfil clínico e sociodemográfico na qualidade de vida de cardiopatas submetidos à reabilitação cardíaca. ConScientiae Saúde, 10(1), 59-68.

Santos, C.M.C., Pimenta, C.A.M., & Nobre, M.R.C. (2007). The PICO strategy for the research question construction and evidence search. Revista Latinamericanca Enfermagem, 15(3), 508-511. doi: https://doi.org/10.1590/S0104-11692007000300023

Silva, P.L.S., & Mendes, F.C.V. (2017). Fisioterapia no tratamento da insuficiência cardíaca congestiva. Brazilian Journal of Surgery and Clinical Research, 19(1), 115-122. http://www.mastereditora.com.br/bjscr

Tousignant, M., & Mampuya, W.M. (2015). Telerehabilitation for patients with heart failure. Cardiovascular Diagnosis & Therapy, 5(1), 74-78. https://doi.org/10.3978/j.issn.2223-3652.2015.01.12

Downloads

Published

2022-05-25

How to Cite

Cordeiro, A. L. L. ., Miranda, A. da S. ., Almeida, H. M. de ., & Santos, P. (2022). Quality of Life in Patients With Heart Failure Assisted By Telerehabilitation: A Systematic Review and Meta-Analysis. International Journal of Telerehabilitation, 14(1). https://doi.org/10.5195/ijt.2022.6456

Issue

Section

Systematic Review of Research