Öz
Introduction: In this study, the role of telemedicine applications in self-medication management was systematically examined. Aim: it was aimed to contribute to the literature. Materials and Method: The study is a systematic review and was conducted between January-March 2020 by scanning the English literature. The keywords "m-health", "medication management", "tele-health" were searched in International Pubmed, EBSCOhost, and Science Direct databases. The study included 10 studies conducted and published between January 2015 and November 2019, including drug self-management and digital interventions, and whose full text can be accessed. Results: The remaining 10 studies in this systematic review were methodologically reviewed according to the Joanna Briggs Institute quality assessment criteria and 9 studies, 7 of which were randomized controlled trials, 1 of which were cohort studies, 1 of which were quasi-experimental studies, were included. One retrospective study that did not meet the criteria was excluded. Results: The 10 studies remaining in this systematic review were methodologically analyzed according to the Joanna Briggs Instıtute quality evaluation criteria, including 7 randomized controlled studies, 1 cohort study, 1 semi-experimental study, and 1 retrospective study that did not meet the criteria. Conclusion: It was revealed that the digital application results of studies supporting drug self-management are feasible and similar to the current international literature. Including drug self-management in tele-health studies and maintaining health in adults and the elderly where it is effective in chronic disease management, controlling risks and taking special protective measures for risk groups can contribute to the protection of individuals health.
Anahtar Kelimeler
Self-management Medication management Digital interventions Tele-health M- health
Kaynakça
- Baig, M. M., GholamHosseini, H., & Connolly, M. J. (2015). Mobile healthcare applications: system design review, critical issues and challenges. Australasian physical & engineering sciences in medicine, 38(1), 23-38.
- Barton, A. B., Okorodudu, D. E., Bosworth, H. B., & Crowley, M. J. (2018). Clinical inertia in a randomized trial of telemedicine-based chronic disease management: lessons learned. Telemedicine and e-Health, 24(10), 742-748.
- Bursell, S. E., Brazionis, L., & Jenkins, A. (2012). Telemedicine and ocular health in diabetes mellitus. Clinical and Experimental Optometry, 95(3), 311-327.
- Centre for Reviews and Dissemination. (2008). Systematic reviews: CRD’s guidance for undertaking reviews in health care. University of York, 2008 Published by CRD, Üniversity of York: York Publishing Services Ltd, ISBN 978-1-900640-47-3.
- Chemtob, K., Rocchi, M., Arbour-Nicitopoulos, K., Kairy, D., Fillion, B., & Sweet, S. N. (2019). Using tele-health to enhance motivation, leisure time physical activity, and quality of life in adults with spinal cord injury: A self-determination theory-based pilot randomized control trial. Psychology of Sport and Exercise, 43, 243-252.
- Cooper, C. L., Hatashita, H., Corsi, D. J., Parmar, P., Corrin, R., & Garber, G. (2018). Direct-acting antiviral therapy outcomes in Canadian chronic hepatitis C telemedicine patients. Annals of hepatology, 16(6), 874-880.
- Crowley, M. J., Edelman, D., McAndrew, A. T., Kistler, S., Danus, S., Webb, J. A., ... & Bosworth, H. B. (2016). Practical telemedicine for veterans with persistently poor diabetes control: a randomized pilot trial. Telemedicine and e-Health, 22(5), 376-384.
- De Thurah, A., Stengaard‐Pedersen, K., Axelsen, M., Fredberg, U., Schougaard, L. M., Hjollund, N. H., ... & Maribo, T. (2018). Tele‐health followup strategy for tight control of disease activity in rheumatoid arthritis: results of a randomized controlled trial. Arthritis care & research, 70(3), 353-360.
- Diamantidis, C. J., Bosworth, H. B., Oakes, M. M., Davenport, C. A., Pendergast, J. F., Patel, S., ... & Patel, U. D. (2018). Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease (STOP-DKD) study: protocol and baseline characteristics of a randomized controlled trial. Contemporary clinical trials, 69, 28-39.
- Durna, Z., & Akın, S. (2012). Kronik hastalıklar ve bakım. Nobel Tıp Kitapevleri, İstanbul.
- Ersek, M., Turner, J. A., Cain, K. C., & Kemp, C. A. (2008). Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548]. Pain, 138(1), 29-40.
- Gerrish, K., & Lacey, A. (2010). The research process in nursing. John Wiley & Sons.
- Güler, E., & Eby, G. (2015). Akıllı ekranlarda mobil sağlık uygulamaları. Eğitim ve Öğretim Araştırmaları Dergisi, 4(3), 45-51.
- Güleş, H. K., & Özata, M. (2005). Sağlık bilişim sistemleri. Nobel Yayın Dağıtım.
- Ho, K. (2013). Health-e-Apps: A project to encourage effective use of mobile health applications. BC Medical Journal, 55(10), 458-460.
- JBI. The Joanna Quality Appraisal Score Sheet. URL: www.joannabriggs.edu.au/.../Quality%20Appraisal%20Score%20Sheet.doc Erişim Tarihi: 10 Ocak, 2020.
- Karaçam, Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(1), 26-33.
- Kayyali, R., Peletidi, A., Ismail, M., Hashim, Z., Bandeira, P., & Bonnah, J. (2017). Awareness and use of mHealth apps: a study from England. Pharmacy, 5(2), 33.
- Kopmaz, B., & Arslanoğlu, A. (2018). Mobil sağlık ve akıllı sağlık uygulamaları. Sağlık Akademisyenleri Dergisi, 5(4), 251-255.
- Kroenke, K., Evans, E., Weitlauf, S., McCalley, S., Porter, B., Williams, T., ... & Bair, M. J. (2018). Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial: Study design and sample characteristics. Contemporary clinical trials, 64, 179-187.
- Kuo KM, Liu CF, Ma CC. (2013). An Investigation of the Effect of Nurses’ Technology Readiness on the Acceptance of Mobile Electronic Medical Record Systems. BMC MedicaI Informatics and Decision Making. 13(1): 88-102. doi: 10.1186/1472-6947-13-88.
- Liu, C., Zhu, Q., Holroyd, K. A., & Seng, E. K. (2011). Status and trends of mobile-health applications for iOS devices: A developer's perspective. Journal of Systems and Software, 84(11), 2022-2033.
- Lorcu, F., & Erduran, G. Y. (2015). The Impact of Information Communication Technologies (ICT) on Health Indicators. Social Sciences Research Journal, 4(2), 1-10.
- McGillion, M. H., Watt-Watson, J., Stevens, B., LeFort, S. M., Coyte, P., & Graham, A. (2008). Randomized controlled trial of a psychoeducation program for the self-management of chronic cardiac pain. Journal of pain and symptom management, 36(2), 126-140.
- MHRS. Türkiye’de Sağlık Hizmetine Kolay Erişim Merkezi Hekim Randevu Sistemi. http://www.saturk.gov.tr/images/pdf/hst/kolayerisim.pdf Erişim tarihi: 10 Ocak, 2020.
- Moola, S. Z. C. E. K. R. E., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., ... & Mu, P. F. (2017). Chapter 7: Systematic reviews of etiology and risk. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, 5.
- Nahcivan, N., & Seçginli, S. (2017). Sistematik derlemeye dahil edilen nicel araştırmaların metodolojik kalitesi nasıl değerlendirilir. Türkiye Klinikleri Journal of Public Health Nursing-Special Topics, 3(1), 10-19.
- Ni, M., Brown, L. G., Lawler, D., Ellis, T. D., Deangelis, T., Latham, N. K., ... & Bean, J. F. (2017). The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial. BMC geriatrics, 17(1), 1-11.
- Peker, S. V., Van Gıersbergen, M. Y., & Biçersoy, G. (2018). Sağlık Bilişimi Ve Türkiye’de Hastanelerin Dijitalleşmesi. Sağlık Akademisi Kastamonu, 3(3), 228-267.
- Ringbæk, T., Green, A., Laursen, L. C., Frausing, E., Brøndum, E., & Ulrik, C. S. (2015). Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial. International journal of chronic obstructive pulmonary disease, 10, 1801.
- Tezcan C. Sağlığa Yenilikçi Bir Bakış Açısı: Mobil Sağlık, 2016. Yayın No: TÜSİAD-T/2016-03/575.
- WHO, 2018a, Noncommunicable Diseases; Keyfacts. URL: http://www.who.int/en/news-room/factsheets/detail/noncommunicable-diseases. Erişim tarihi: 12.01.2020 WHO, 2018b, Global Health Observatory Data Repository. URL: apps.who.int/gho/data/node.main.A 907?lang =en. Erişim tarihi: 12.01.2020
- WHO. New Horizons For Health Through Mobile Technologies. Global Observatory for A Healthseries. 2016; Volume 3. M-Health. www.who.int/goe/publications/ehealth_ series_vol3/en/ Erişim tarihi: 12.01.2020
- Yang, Y. T., & Silverman, R. D. (2014). Mobile health applications: the patchwork of legal and liability issues suggests strategies to improve oversight. Health affairs, 33(2), 222-227.
- Yıldırım Duman, J. G., & Çevirgen, A. (2019). Kronik Hastalıkların Yönetiminde Kullanılan Bilişim Tabanlı Uygulamalar. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(1), 65-73.
Öz
Giriş: Bu çalışmada teletıp uygulamalarının kendi kendine ilaç yönetimindeki rolü sistematik olarak incelenmiştir. Amaç: Literatüre katkı sağlanması amaçlanmıştır. Gereç ve Yöntemler: Çalışma sistematik derleme niteliğindedir ve Ocak-Mart 2020 tarihleri arasında İngilizce literatür taranarak yapılmıştır. Uluslararası Pubmed, EBSCOhost, Science Direct veri tabanlarında "m-health", "medication management", "tele-health" anahtar kelimeleri ile tarama yapılmıştır. Çalışmaya Ocak 2015–Kasım 2019 yıllarında yapılmış ve yayımlanmış, ilaç öz-yönetimi ve digital interventions içeren ve tam metnine ulaşılabilen 10 çalışma dâhil edilmiştir. Bulgular: Bu sistematik derlemede kalan 10 çalışmanın Joanna Briggs Enstitüsü kalite değerlendirme kriterlerine göre metodolojik incelemesi yapılmış ve bu kriterleri karşılayan 7’si randomize kontrollü çalışma, 1’i kohort çalışması, 1’i yarı deneysel çalışma olan 9 çalışma dahil edilmiş ve kriterleri karşılamayan 1 retrospektif çalışma çıkarılmıştır. Sonuç: Bu sistematik derlemede, ilaç öz-yönetimini destekleyen çalışmaların dijital uygulama sonuçlarının uygulanabilir olduğunu ve mevcut uluslararası literatüre benzerlik gösterdiği sonuçları açığa çıkarılmıştır. Tele-sağlık çalışmalarında ilaç öz-yönetimine yer verilmesi ve kronik hastalık yönetiminde etkili olduğu yetişkin ve yaşlılarda sağlığın sürdürülmesi, risklerin kontrol altına alınması ve risk gruplarına özel koruyucu önlemlerin alınması ile bireylerin sağlığının korunmasına katkı sağlanabilir.
Anahtar Kelimeler
Kendi kendine ilaç yönetimi mobil sağlık dijital uygulamalar tele sağlık
Kaynakça
- Baig, M. M., GholamHosseini, H., & Connolly, M. J. (2015). Mobile healthcare applications: system design review, critical issues and challenges. Australasian physical & engineering sciences in medicine, 38(1), 23-38.
- Barton, A. B., Okorodudu, D. E., Bosworth, H. B., & Crowley, M. J. (2018). Clinical inertia in a randomized trial of telemedicine-based chronic disease management: lessons learned. Telemedicine and e-Health, 24(10), 742-748.
- Bursell, S. E., Brazionis, L., & Jenkins, A. (2012). Telemedicine and ocular health in diabetes mellitus. Clinical and Experimental Optometry, 95(3), 311-327.
- Centre for Reviews and Dissemination. (2008). Systematic reviews: CRD’s guidance for undertaking reviews in health care. University of York, 2008 Published by CRD, Üniversity of York: York Publishing Services Ltd, ISBN 978-1-900640-47-3.
- Chemtob, K., Rocchi, M., Arbour-Nicitopoulos, K., Kairy, D., Fillion, B., & Sweet, S. N. (2019). Using tele-health to enhance motivation, leisure time physical activity, and quality of life in adults with spinal cord injury: A self-determination theory-based pilot randomized control trial. Psychology of Sport and Exercise, 43, 243-252.
- Cooper, C. L., Hatashita, H., Corsi, D. J., Parmar, P., Corrin, R., & Garber, G. (2018). Direct-acting antiviral therapy outcomes in Canadian chronic hepatitis C telemedicine patients. Annals of hepatology, 16(6), 874-880.
- Crowley, M. J., Edelman, D., McAndrew, A. T., Kistler, S., Danus, S., Webb, J. A., ... & Bosworth, H. B. (2016). Practical telemedicine for veterans with persistently poor diabetes control: a randomized pilot trial. Telemedicine and e-Health, 22(5), 376-384.
- De Thurah, A., Stengaard‐Pedersen, K., Axelsen, M., Fredberg, U., Schougaard, L. M., Hjollund, N. H., ... & Maribo, T. (2018). Tele‐health followup strategy for tight control of disease activity in rheumatoid arthritis: results of a randomized controlled trial. Arthritis care & research, 70(3), 353-360.
- Diamantidis, C. J., Bosworth, H. B., Oakes, M. M., Davenport, C. A., Pendergast, J. F., Patel, S., ... & Patel, U. D. (2018). Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease (STOP-DKD) study: protocol and baseline characteristics of a randomized controlled trial. Contemporary clinical trials, 69, 28-39.
- Durna, Z., & Akın, S. (2012). Kronik hastalıklar ve bakım. Nobel Tıp Kitapevleri, İstanbul.
- Ersek, M., Turner, J. A., Cain, K. C., & Kemp, C. A. (2008). Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548]. Pain, 138(1), 29-40.
- Gerrish, K., & Lacey, A. (2010). The research process in nursing. John Wiley & Sons.
- Güler, E., & Eby, G. (2015). Akıllı ekranlarda mobil sağlık uygulamaları. Eğitim ve Öğretim Araştırmaları Dergisi, 4(3), 45-51.
- Güleş, H. K., & Özata, M. (2005). Sağlık bilişim sistemleri. Nobel Yayın Dağıtım.
- Ho, K. (2013). Health-e-Apps: A project to encourage effective use of mobile health applications. BC Medical Journal, 55(10), 458-460.
- JBI. The Joanna Quality Appraisal Score Sheet. URL: www.joannabriggs.edu.au/.../Quality%20Appraisal%20Score%20Sheet.doc Erişim Tarihi: 10 Ocak, 2020.
- Karaçam, Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(1), 26-33.
- Kayyali, R., Peletidi, A., Ismail, M., Hashim, Z., Bandeira, P., & Bonnah, J. (2017). Awareness and use of mHealth apps: a study from England. Pharmacy, 5(2), 33.
- Kopmaz, B., & Arslanoğlu, A. (2018). Mobil sağlık ve akıllı sağlık uygulamaları. Sağlık Akademisyenleri Dergisi, 5(4), 251-255.
- Kroenke, K., Evans, E., Weitlauf, S., McCalley, S., Porter, B., Williams, T., ... & Bair, M. J. (2018). Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial: Study design and sample characteristics. Contemporary clinical trials, 64, 179-187.
- Kuo KM, Liu CF, Ma CC. (2013). An Investigation of the Effect of Nurses’ Technology Readiness on the Acceptance of Mobile Electronic Medical Record Systems. BMC MedicaI Informatics and Decision Making. 13(1): 88-102. doi: 10.1186/1472-6947-13-88.
- Liu, C., Zhu, Q., Holroyd, K. A., & Seng, E. K. (2011). Status and trends of mobile-health applications for iOS devices: A developer's perspective. Journal of Systems and Software, 84(11), 2022-2033.
- Lorcu, F., & Erduran, G. Y. (2015). The Impact of Information Communication Technologies (ICT) on Health Indicators. Social Sciences Research Journal, 4(2), 1-10.
- McGillion, M. H., Watt-Watson, J., Stevens, B., LeFort, S. M., Coyte, P., & Graham, A. (2008). Randomized controlled trial of a psychoeducation program for the self-management of chronic cardiac pain. Journal of pain and symptom management, 36(2), 126-140.
- MHRS. Türkiye’de Sağlık Hizmetine Kolay Erişim Merkezi Hekim Randevu Sistemi. http://www.saturk.gov.tr/images/pdf/hst/kolayerisim.pdf Erişim tarihi: 10 Ocak, 2020.
- Moola, S. Z. C. E. K. R. E., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., ... & Mu, P. F. (2017). Chapter 7: Systematic reviews of etiology and risk. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, 5.
- Nahcivan, N., & Seçginli, S. (2017). Sistematik derlemeye dahil edilen nicel araştırmaların metodolojik kalitesi nasıl değerlendirilir. Türkiye Klinikleri Journal of Public Health Nursing-Special Topics, 3(1), 10-19.
- Ni, M., Brown, L. G., Lawler, D., Ellis, T. D., Deangelis, T., Latham, N. K., ... & Bean, J. F. (2017). The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial. BMC geriatrics, 17(1), 1-11.
- Peker, S. V., Van Gıersbergen, M. Y., & Biçersoy, G. (2018). Sağlık Bilişimi Ve Türkiye’de Hastanelerin Dijitalleşmesi. Sağlık Akademisi Kastamonu, 3(3), 228-267.
- Ringbæk, T., Green, A., Laursen, L. C., Frausing, E., Brøndum, E., & Ulrik, C. S. (2015). Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial. International journal of chronic obstructive pulmonary disease, 10, 1801.
- Tezcan C. Sağlığa Yenilikçi Bir Bakış Açısı: Mobil Sağlık, 2016. Yayın No: TÜSİAD-T/2016-03/575.
- WHO, 2018a, Noncommunicable Diseases; Keyfacts. URL: http://www.who.int/en/news-room/factsheets/detail/noncommunicable-diseases. Erişim tarihi: 12.01.2020 WHO, 2018b, Global Health Observatory Data Repository. URL: apps.who.int/gho/data/node.main.A 907?lang =en. Erişim tarihi: 12.01.2020
- WHO. New Horizons For Health Through Mobile Technologies. Global Observatory for A Healthseries. 2016; Volume 3. M-Health. www.who.int/goe/publications/ehealth_ series_vol3/en/ Erişim tarihi: 12.01.2020
- Yang, Y. T., & Silverman, R. D. (2014). Mobile health applications: the patchwork of legal and liability issues suggests strategies to improve oversight. Health affairs, 33(2), 222-227.
- Yıldırım Duman, J. G., & Çevirgen, A. (2019). Kronik Hastalıkların Yönetiminde Kullanılan Bilişim Tabanlı Uygulamalar. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(1), 65-73.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Sistematik Derleme -Metaanaliz |
| Yazarlar | |
| Erken Görünüm Tarihi | 30 Ağustos 2022 |
| Yayımlanma Tarihi | 1 Ağustos 2022 |
| Gönderilme Tarihi | 2 Mayıs 2020 |
| Kabul Tarihi | 11 Şubat 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 7 Sayı: 2 |
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