To evaluate the impact of telenursing versus traditional nursing care on healthcare systems in managing adults with chronic respiratory diseases, with a secondary focus on treatment adherence, acceptability, and satisfaction.
Key Findings:
Telenursing reduced exacerbation rates: 1.2 in telenursing vs. 0.9 in comparison at six months; 2.1 vs. 5.8 at twelve months, indicating a significant difference in management effectiveness.
ED presentations remained similar between groups at twelve months (1.2), suggesting no advantage in emergency care.
Hospital admissions were lower with telenursing: 0.65 vs. 0.8 at six months; 0.7 vs. 1.25 at twelve months, highlighting its potential in reducing hospital reliance.
Length of stay showed minimal differences: 5.2 vs. 5.7 days at six months; 9.1 vs. 9.2 days at twelve months, indicating limited impact on inpatient duration.
Interpretation:
Telenursing may alleviate some healthcare system burdens by reducing exacerbation and hospitalization rates, but it does not significantly shorten hospital length of stay.
Limitations:
Inconsistency across outcomes suggests limited influence of telenursing on clinical course post-hospitalization, particularly in exacerbation management.
Further studies with standardized assessment methods are needed to evaluate treatment adherence, acceptability, and satisfaction.
Conclusion:
Telenursing shows potential in managing chronic respiratory diseases but requires further research to fully understand its impact on treatment adherence and patient satisfaction.
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
Guidance addresses office readiness, recommended equipment and medications, and team communication processes for infrequent but high-acuity emergencies.
