Unburdening healthcare systems through telenursing in chronic respiratory disease management: a systematic review - Report - MDSpire

Unburdening healthcare systems through telenursing in chronic respiratory disease management: a systematic review

  • By

  • Alessandro Vatrella

  • Angelo Antonio Maglio

  • Maria Pia Di Palo

  • Marina Garofano

  • Assunta Falco

  • Chiara Maria Ragusa

  • Vincenzo Andretta

  • Colomba Pessolano

  • Andrea Marino

  • Mariaconsiglia Calabrese

  • Alessia Bramanti

  • May 21, 2026

  • 0 min

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Clinical Report: Enhancing Healthcare Efficiency with Telenursing for Chronic Respiratory Disease Management

Overview

This systematic review evaluates the impact of telenursing on chronic respiratory disease management, highlighting its potential to reduce exacerbation and hospitalization rates. However, telenursing did not significantly affect length of stay for hospitalized patients.

Background

Chronic respiratory diseases are a leading cause of morbidity and healthcare costs globally, necessitating effective management strategies. Telenursing offers a promising approach to enhance care delivery, potentially alleviating the burden on healthcare systems by reducing exacerbations and hospitalizations. Understanding its efficacy compared to traditional nursing care is crucial for optimizing patient outcomes.

Data Highlights

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Key Findings

  • Telenursing reduced exacerbation rates at both six and twelve months compared to traditional care.
  • ED presentations remained unchanged between telenursing and comparison groups.
  • Hospital admissions were lower in the telenursing group at both six and twelve months.
  • Length of stay showed minimal differences between the two groups.
  • Further studies are needed to assess treatment adherence, acceptability, and satisfaction with telenursing.

Clinical Implications

Telenursing may serve as an effective strategy to manage chronic respiratory diseases by reducing exacerbations and hospitalizations. However, its limited impact on length of stay suggests that it may be most beneficial in the prevention and early detection of exacerbations rather than in acute care settings.

Conclusion

Suggest specific areas for future research to address gaps identified in the review.

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