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
Clinical Scorecard: Enhancing Healthcare Efficiency with Telenursing for Chronic Respiratory Disease Management: A Systematic Review
At a Glance
Category Detail
Condition Chronic Respiratory Diseases Key Mechanisms Telenursing as a remote nursing care intervention using technology to enhance patient management. Target Population Adults (≥18 years) with chronic respiratory diseases, including COPD and asthma. Care Setting Remote healthcare settings utilizing information and communication technology.
Key Highlights
Telenursing reduced exacerbation rates and hospital admissions compared to traditional nursing care. ED presentations remained similar between telenursing and comparison groups. Length of stay showed minimal differences between groups. Telenursing may play a role in prevention and early detection of exacerbations. Further studies needed to evaluate treatment adherence and patient satisfaction. Guideline-Based Recommendations
Diagnosis
Standardized assessment for chronic respiratory diseases is essential. Management
Implement telenursing as part of chronic respiratory disease management strategies. Monitoring & Follow-up
Continuous monitoring of patients through telenursing can help limit disease progression. Risks
Limited influence on clinical course once hospitalization is necessary. Patient & Prescribing Data
Adults with chronic respiratory diseases, primarily COPD and asthma.
Telenursing can reduce exacerbation rates and hospital admissions, potentially improving healthcare efficiency.
Clinical Best Practices
Integrate telenursing into chronic respiratory disease management protocols. Utilize technology for remote patient monitoring and support. Focus on early intervention and standardized care approaches. Related Resources & Content
