Aims This systematic review and meta‐analysis aimed to evaluate the effects of home‐based telehealth compared with usual care on six‐minute walking distance (6MWD), health‐related quality of life, anxiety and depression in patients with chronic obstructive pulmonary disease. Methods We identified randomized controlled trials through a systematic multidatabase search. Titles and abstracts were assessed for relevance. Two authors independently extracted data and assessed the risk of bias and quality of evidence. Meta‐analyses were conducted using Review Manager and Stata. Results We included 32 randomized controlled trials (n = 5232). Devices used for home‐based telehealth interventions included telephones, videos, and combined devices. The quality of the evidence was downgraded due to high risk of bias, imprecision, and inconsistency. Home‐based telehealth significantly increased 6MWD by 35 m (SD = 30.42) and reduced symptom burden by 3 points (SD = −2.30) on the COPD assessment test compared with usual care. However, no significant differences in anxiety and depression were noted between the home‐based telehealth group and the standard care group. In subgroup analysis, home‐based telehealth significantly improved 6MWD and health status after 6–12 months and >12 months. Conclusion Low quality evidence showed that home‐based telehealth interventions reduce symptom burden and increase walking distance to a clinically meaningful extent in patients with COPD. However, no effects on depression and anxiety were observed.

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Background Cancer itself and surgery put a heavy burden on lung cancer patients, physiologically and psychologically. Enhancing self-efficacy during high-intensity interval training is essential for achieving the full benefit of pulmonary rehabilitation in lung cancer patients. Objective This study aimed to explore the effects of high-intensity interval training combined with team empowerment education on patients with lung resection. Methods This is a quasi-experimental trial with a pretest-posttest design. Participants were assigned to one of the 3 groups according to the order of admission: (1) combined intervention group, (2) intervention group, or (3) routine care group. The outcome measures included dyspnea, exercise capacity, exercise self-efficacy, anxiety, depression, postoperative indwelling time of thoracic drainage tube, and total in-hospital stay. Results Per-protocol results showed that dyspnea, exercise capacity, exercise self-efficacy, anxiety, and depression of the patients in the combined intervention group were significantly improved. However, no significant difference was observed in postoperative indwelling time of thoracic drainage tube or total in-hospital stay among the 3 groups. Conclusion This hospital-based short-term high-intensity interval training combined with team empowerment education for lung cancer patients undergoing surgery was safe and feasible, indicating this program can be a promising strategy to manage perioperative symptoms. Implications for Practice This study provides evidence supporting preoperative high-intensity interval training as a promising method to make the best use of preoperative time, thus improving adverse symptoms in lung cancer patients undergoing surgery, and also provides a new strategy to raise exercise self-efficacy and promote patients’ rehabilitation.

Aim To investigate the effectiveness of internet‐based self‐management interventions on pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Design Systematic review and meta‐analysis. Data Sources Eight electronic databases including PubMed, Web of Science, Cochrane library, Embase, CINAHL, China National Knowledge Infrastructure, Wangfang and Weipu databases were systematically searched from inception of the database to January 10, 2022. Methods Statistical analysis was performed using Review Manager 5.4 and results were reported as mean difference (MD) or standard mean difference (SMD) with 95% confidence intervals (CI). Outcomes were the forced expiratory volume in 1 second (FEV1), forced volume capacity (FVC) and percent of FEV1/FVC. The Cochrane Risk of Bias Tool was used to assess the risk of bias of included studies. The study protocol was not registered. Results Eight randomized controlled trials (RCTs) including 476 participants met the inclusion criteria and were included in meta‐analysis. It was found that internet‐based self‐management interventions showed a significant improvement in FVC(L), while FEV1 (%), FEV1 (L), FEV1/FVC (%) and FVC (%) did not significantly improve. Conclusions Internet‐based self‐management interventions were effective in improving pulmonary function in patients with COPD, caution should be exercised in interpreting the results. RCTs of higher quality are needed in the future to further demonstrate the effectiveness of the intervention. Relevance to Clinical Practice It provides evidence for internet‐based self‐management interventions in improving pulmonary function in patients with COPD. Impact The results suggested that internet‐based self‐management interventions could improve the pulmonary function in people with COPD. This study provides a promising alternative method for patients with COPD who have difficulty seeking face‐to‐face self‐management interventions, and the intervention can be applied in clinical settings. Patient or Public Contribution No Patient or Public Contribution.