EFEKTIVITAS TELEMONITORING DALAM MENCEGAH EKSASERBASI PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS

Authors

  • Herlina Herlina Magister Keperawatan Fakultas Ilmu Keperawatan Universitas Indonesia
  • Masfuri Masfuri Magister Keperawatan Fakultas Ilmu Keperawatan Universitas Indonesia
  • Tuti Herawati Magister Keperawatan Fakultas Ilmu Keperawatan Universitas Indonesia

DOI:

https://doi.org/10.31004/prepotif.v7i1.10485

Keywords:

eksaserbasi, penyakit paru obstruktif kronis, telemonitoring

Abstract

Penyakit paru obstruktif kronis (PPOK) merupakan penyakit paru progresif dengan gejala sesak napas terus menerus dan keterbatasan aliran udara non-reversibel akibat gangguan pada saluran napas dan atau kelainan alveolar paru. Pasien PPOK dapat mengalami episode eksaserbasi yang menggambarkan perburukan akut gejala pernapasan selama perjalanan penyakitnya. Eksaserbasi berdampak buruk pada pasien PPOK yaitu mempercepat fungsi paru menurun, menurunkan kualitas hidup, dan meningkatkan biaya perawatan. Telemonitoring menjadi salah satu upaya dalam manajemen perawatan pasien PPOK. Telemonitoring dapat digunakan untuk mendeteksi secara dini kejadian eksaserbasi sehingga komplikasi akibat eksaserbasi ini dapat dicegah. Penelitian ini bertujuan untuk mengetahui efektivitas telemonitoring dalam mencegah eksaserbasi pada pasien PPOK. Metode yang digunakan dalam artikel ini adalah literature review. Penelusuran artikel dilakukan pada database online Pubmed, Proquest, Scopus, Sage, dan Ebsco dengan menggunakan kata kunci telemonitoring, eksaserbasi, penyakit paru obstrutif kronik. Artikel yang digunakan setelah diseleksi adalah 10 artikel. Penelitian ini menunjukkan bahwa telemonitoring pada pasien PPOK dapat diterapkan dengan menggunakan platform online yang terhubung pada perangkat elektronik. Telemonitoring memberikan banyak manfaat dalam manajemen perawatan PPOK. Telemonitoring dapat mencegah kejadian eksaserbasi pada pasien PPOK. Disarankan telemonitoring dapat dimasukkan dalam manajemen perawatan pasien PPOK guna mencegah kejadian eksaserbasi sehingga dapat mengurangi kunjungan yang tidak perlu ke layanan gawat darurat dan meningkatkan kualitas hidup pasien.

References

Alrajeh, A. M., Aldabayan, Y. S., Aldhair, A. M., Pickett, E., Quaderi, S. A., Alqahtani, J. S.,….Hurst, J. R. (2019). Global use, utility, and methods of tele-health in COPD: A health care provider survey. International Journal of COPD, 14, 1713–1719.

Anzueto, A. (2010). Impact of exacerbations on COPD. In European Respiratory Review, Vol. 19, Issue 116, pp. 113–118).

Cooper, C. B., Sirichana, W., Arnold, M. T., Neufeld, E. V., Taylor, M., Wang, X., & Dolezal, B. A. (2020). Remote patient monitoring for the detection of copd exacerbations. International Journal of COPD, 15, 2005–2013.

GOLD. (2022a). Global Strategy for the Diagnosis, Treatment, Management and Prevention of Chronic Obstructive Pulmonary Disease 2022 Report. In In: Global Initiative for Chronic Obstructive Lung Disease, Inc (Vol. 25, Issue 11).

GOLD. (2022b). Pocket guide to COPD diagnosis, management, and prevention for Healthcare Professionals 2022 report. In: Global Initiative for Chronic Obstructive Lung Disease, Inc.

Hamadi, H. Y., Martinez, D., Xu, J., Silvera, G. A., Mallea, J. M., Hamadi, W., Li, X., Li, Y., & Zhao, M. (2020). Effects of post-discharge telemonitoring on 30-day chronic obstructive pulmonary disease readmissions and mortality. Journal of Telemedicine and Telecare.

Jang, S., Kim, Y., & Cho, W. K. (2021). A systematic review and meta-analysis of telemonitoring interventions on severe copd exacerbations. International Journal of Environmental Research and Public Health, 18(13).

Kementerian Kesehatan RI. (2013). Riset Kesehatan Dasar 2013. Jakarta: Kementerian Kesehatan RI

Lundell, S., Modig, M., Holmner, Å., & Wadell, K. (2020). Perceptions of home telemonitoring use among patients with chronic obstructive pulmonary disease: Qualitative study. JMIR MHealth and UHealth, 8(6), 1–13.

Mi?kowska-Dymanowska, J., Bia?as, A. J., Obr?bski, W., Górski, P., & Piotrowski, W. J. (2018). A pilot study of daily telemonitoring to predict acute exacerbation in chronic obstructive pulmonary disease. International Journal of Medical Informatics, 116(April), 46–51.

Mirón Rubio, M., Ceballos Fernández, R., Parras Pastor, I., Palomo Iloro, A., Fernández Félix, B. M., Medina Miralles, J.,…….Alonso-Viteri, S.(2018). Telemonitoring and home hospitalization in patients with chronic obstructive pulmonary disease: study TELEPOC. Expert Review of Respiratory Medicine, 12(4), 335–343.

Orozco-Beltran, D., Sánchez-Molla, M., Sanchez, J. J., & Mira, J. J. (2017). Telemedicine in primary care for patients with Chronic conditions: The valcrònic quasi-experimental study. Journal of Medical Internet Research, 19(12).

Shah, S. A., Velardo, C., Farmer, A., & Tarassenko, L. (2017). Exacerbations in chronic obstructive pulmonary disease: Identification and prediction using a digital health system. Journal of Medical Internet Research, 19(3), 1–14.

Soriano, J. B. et. al. (2017). Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Respiratory Medicine, 5(9), 691–706.

Soriano, J. B., García-Río, F., Vázquez-Espinosa, E., Conforto, J. I., Hernando-Sanz, A., López-Yepes, L.,…..Ancochea, J. (2018). A multicentre, randomized controlled trial of telehealth for the management of COPD. Respiratory Medicine, 144, 74–81.

Tupper, O. D., Gregersen, T. L., Ringbaek, T., Brøndum, E., Frausing, E., Green, A., & Ulrik, C. S. (2018). Effect of tele–health care on quality of life in patients with severe COPD: A randomized clinical trial. International Journal of COPD, 13, 2657–2662.

Walker, P. P., Pompilio, P. P., Zanaboni, P., Bergmo, T. S., Prikk, K., Malinovschi, A.,…Dellaca, R. L. (2018). Telemonitoring in COPD: The CHROMED Study, a Randomized Clinical Trial. American Journal of Respiratory & Critical Care Medicine, 20Walker, 20.

Downloads

Published

2023-12-20

How to Cite

Herlina, H., Masfuri, M., & Tuti Herawati. (2023). EFEKTIVITAS TELEMONITORING DALAM MENCEGAH EKSASERBASI PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 7(1), 935–943. https://doi.org/10.31004/prepotif.v7i1.10485

Issue

Vol. 7 No. 1 (2023): APRIL 2023

Section

Articles

License

Copyright (c) 2023 Herlina Herlina, Masfuri Masfuri, Tuti Herawati

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).