Educaci & oacute;n terap & eacute;utica en insuficiencia cardiaca mediante e-Salud: revisi & oacute;n sistem & aacute;tica

Emma Camino Ortega, Ana Baroja Gil de Gomez, Amelia Gonzalez Gamarra,Miguel Angel Cuevas-Budhart,Jose Luis Garcia Klepzig,Mercedes Gomez del Pulgar Garcia-Madrid

ATENCION PRIMARIA(2023)

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Abstract
Objective: To provide the best scientific evidence available on the effectiveness of therapeutic education programs through digital health in patients with heart failure.Design: Systematic review of randomized clinical trials. Data sources: Six databases were included due to their relevance in Health Sciences: PubMed, EMBASE, Scielo, Cochrane, CINAHL, and Web of Science.Selection of studies: In English and Spanish, studies carried out between 2018 and 2023 were selected. After evaluating the methodological quality of the studies, the Jadad tool was used to discriminate those that did not meet said quality. In total, 8 articles from 6 different countries were included.Data extraction: The review and analysis of the documents were carried out by independent pairs. The Cochrane tool for RoB 2 randomized clinical trials was used to assess the risk of bias.Results: All the applications had therapeutic education, it was also assessed that they had monitoring, evaluation of signs and symptoms, drug titration, and professional follow-up through the application.Conclusion: This review reveals the significant impact of therapeutic education in increasing patient knowledge, reducing hospital readmissions, and improving functional status and self care. This makes digital health a valuable tool to complement nursing care in patients with heart failure.& COPY; 2023 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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Key words
Heart failure, Health education, Mobile applications, m-Health
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