Loading...
Publication
A qualidade de vida pela implementação de programas de telerreabilitação cardíaca em pessoas com doença coronária: uma revisão umbrella
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 23.05 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
As doenças cardíacas constituem uma das principais causas de morbilidade e mortalidade a nível mundial, representando um desafio crescente para os sistemas de saúde. A reabilitação cardíaca convencional, ainda que eficaz, encontra barreiras significativas de adesão relacionadas com a acessibilidade geográfica e a disponibilidade de recursos humanos especializados. Neste contexto, a telerreabilitação cardíaca emergiu como uma estratégia inovadora, especialmente reforçada durante a pandemia de COVID-19, permitindo dar, à distância, continuidade aos programas de reabilitação.
Objetivo: Este estudo teve como objetivo avaliar o impacto/benefícios da telerreabilitação na qualidade de vida da pessoa com doença coronária.
Metodologia: Revisão umbrella da literatura. A pesquisa foi realizada nas bases de dados PubMed e Cochrane, tendo sido aplicados critérios de inclusão que contemplaram revisões sistemáticas e meta-análises publicadas nos últimos dez anos. Dos 17 artigos inicialmente identificados, 5 foram incluídos no estudo, por cumprirem todos os critérios de elegibilidade.
Resultados: A análise evidenciou que a telerreabilitação cardíaca é eficaz na melhoria da capacidade funcional, no controlo de fatores de risco cardiovascular, na adesão
terapêutica e no bem-estar psicológico. Alguns estudos reportaram redução da mortalidade cardiovascular, hospitalizações e reinternamentos, com benefícios semelhantes ou superiores aos obtidos na reabilitação cardíaca presencial.
Conclusão: Conclui-se que a telerreabilitação cardíaca promove ganhos significativos em saúde e qualidade de vida, devendo ser considerada uma prioridade de saúde, e alvo de novas investigações que avaliem o impacto económica e as barreiras tecnológicas à sua adoção.
Cardiovascular diseases are among the leading causes of morbidity and mortality worldwide, representing a growing challenge for healthcare systems. Conventional cardiac rehabilitation (CR), although effective, faces significant barriers to adherence related to geographical accessibility and the availability of specialized human resources. In this context, cardiac telerehabilitation (CTR) has emerged as an innovative strategy, particularly strengthened during the COVID-19 pandemic, enabling the continuity of rehabilitation programs remotely. Objective: This study aimed to evaluate the impact/benefits of CTR on the quality of life of individuals with coronary artery disease. Methods: Umbrella review. The search was conducted in PubMed and Cochrane databases, applying inclusion criteria for systematic reviews and meta-analyses published in the last ten years. Of the 17 initially identified articles, 5 met the eligibility criteria and were included in the study. Results: The analysis showed that CTR is effective in improving functional capacity, controlling cardiovascular risk factors, enhancing treatment adherence, and promoting psychological well-being. Some studies reported reductions in cardiovascular mortality, hospitalizations, and readmissions, with benefits comparable or even superior to those achieved with conventional CR. Conclusion: CTR promotes significant health and quality of life gains and should be considered a healthcare priority. Further research is needed to assess its economic impact and the technological barriers to its adoption.
Cardiovascular diseases are among the leading causes of morbidity and mortality worldwide, representing a growing challenge for healthcare systems. Conventional cardiac rehabilitation (CR), although effective, faces significant barriers to adherence related to geographical accessibility and the availability of specialized human resources. In this context, cardiac telerehabilitation (CTR) has emerged as an innovative strategy, particularly strengthened during the COVID-19 pandemic, enabling the continuity of rehabilitation programs remotely. Objective: This study aimed to evaluate the impact/benefits of CTR on the quality of life of individuals with coronary artery disease. Methods: Umbrella review. The search was conducted in PubMed and Cochrane databases, applying inclusion criteria for systematic reviews and meta-analyses published in the last ten years. Of the 17 initially identified articles, 5 met the eligibility criteria and were included in the study. Results: The analysis showed that CTR is effective in improving functional capacity, controlling cardiovascular risk factors, enhancing treatment adherence, and promoting psychological well-being. Some studies reported reductions in cardiovascular mortality, hospitalizations, and readmissions, with benefits comparable or even superior to those achieved with conventional CR. Conclusion: CTR promotes significant health and quality of life gains and should be considered a healthcare priority. Further research is needed to assess its economic impact and the technological barriers to its adoption.
Description
Keywords
Doença das coronárias Reabilitação cardíaca Telerreabilitação Qualidade de vida