Efetividade da telemonitorização no conhecimento de pacientes com insuficiência cardíaca: uma revisão sistemática

Abstract

Introduction: Heart Failure is a complex clinical syndrome that, according to data from the American Heart Association, affects 26 million people worldwide. Telemonitoring is a technological tool that has been gaining ground in the healthcare field by surpassing the physical limits of care, facilitating education, and providing continued care. Methods: This study is a Systematic Review of Effectiveness under the methodological protocol of the Joanna Briggs Institute, Practical Guide to Systematic Literature Reviews, and Methodological Guidelines for the Development of Systematic Reviews and Meta-Analysis of Randomized Clinical Trials from the Ministry of Health of Brazil. It also follows care protocols outlined by PRISMA. Results: A total of 353 studies were extracted from databases and screened by software and eligibility criteria through the reading of titles, abstracts, and subsequently the full text. Among these, 7 articles were selected for data extraction and interpretation. Discussion: The Dutch Heart Failure Knowledge scale was the most used tool for data extraction on knowledge among the studies included in this systematic review, appearing in 5 out of 7 studies. Telemonitoring, when compared to usual care for heart failure patients such as outpatient consultations and education during the hospitalization period, shows positive results in terms of increased knowledge, attitudes, and practices of patients. Conclusion: The interpretation of the data obtained from the studies indicates statistical insignificance for the final comparison between the intervention groups through telemonitoring and the control group through usual care for heart failure.