Telemedicine monitoring significantly improved self-care ability in patients with heart failure (SMD -0.23; 95% CI -0.3 to -0.15; P<0.01), but did not significantly improve quality of life.
Meta-Analysis (n=2,853)
Does non-invasive telemedicine monitoring improve self-care ability and quality of life in patients with heart failure?
Non-invasive telemedicine monitoring significantly improves self-care behaviors in heart failure patients, though it does not appear to significantly impact overall quality of life.
Standardized Mean Difference: -0.23 (95% CI -0.3–-0.15)
p-value: p=<0.01
Abstract Aims Although many studies have investigated the impact of telemedicine interventions on the outcomes of patients with heart failure (HF), the evidence on the impact of telemedicine interventions on self-care of patients with HF is still inconclusive. The objective was to explore the effect of non-invasive telemedicine on self-care ability of patients with HF. Methods and results We searched PubMed, Embase, Cochrane Library, Web of Science, and CINAHL databases for randomized controlled trials published in English from inception to 5 December 2024. The interventions considered included a variety of telemedicine approaches for monitoring patients with HF. The primary outcome was patient self-care; the European Heart Failure Self-Care Behaviuor Scale was used for evaluation. And the secondary outcome was patient satisfaction with quality of life. Meta-regression was subsequently performed to explore the relationship between telemedicine monitoring and its effectiveness. A total of seven studies involving 2853 patients were included. Meta-analysis showed that telemedicine significantly improved the self-care ability of HF patients (standardized mean difference SMD = −0.23, 95% CI −0.3 to −0.15, P 0.01), but it did not significantly improve the quality of life of HF patients (MD = 0.05, 95% CI −3.78 to 3.89, P = 0.98). In addition, subgroup analysis showed that telemedicine intervention for 3 months (MD = −4.30, 95% CI −7.24 to −1.36, P = 0.004) and 6–12 months (SMD = −0.19, 95% CI −0.28 to −0.11, P 0.01) had a significant impact on the self-care ability of the study subjects. Conclusion Studies have found that patients with HF can benefit from telemedicine monitoring, which can effectively improve the self-care ability of patients with HF, but the improvement of their quality of life is not obvious. Registration PROSPERO: CRD42024623404
Lu et al. (Wed,) conducted a meta-analysis in Heart failure (n=2,853). Telemedicine monitoring vs. Control was evaluated on Patient self-care evaluated by the European Heart Failure Self-Care Behaviour Scale (SMD -0.23, 95% CI -0.3 to -0.15, p=<0.01). Telemedicine monitoring significantly improved self-care ability in patients with heart failure (SMD -0.23; 95% CI -0.3 to -0.15; P<0.01), but did not significantly improve quality of life.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: