{
    "abstract": "To synthesize the qualitative research in the literature addressing how patients with chronic obstructive pulmonary disease experience care received by telemedicine.\nMeta-ethnography.\nTwelve studies, published from 2013 - 2018, were identified by a search of relevant systematic databases in June 2017, including updated searches performed in June 2018.\nThe studies were reviewed and critically appraised independently by three researchers. The review followed the seven steps of meta-ethnography developed by Noblit and Hare, including a line-of-argument synthesis.\nThe synthesis revealed three second-order constructs: presence, transparency, and ambivalence. Using a line-of-argument synthesis, a model was developed that showed patients' experience of a sense of belonging when receiving care by telemedicine.\nThis meta-ethnography contributes to the existing and contradictory evidence base of telemedicine to chronic obstructive pulmonary disease patients. It addresses and adds renewed understanding of who would benefit from telemedicine and why, by illustrating the interrelationship between the conditions of telemedicine care, the severity of COPD, and the need for connectedness and emphasizes that the need to belong in telemedicine care increases with the progression of illness burden and severity.\nThe present study endorses the view that the patients with a severe illness burden are likely to benefit the most when receiving care by telemedicine. However, the benefits rely on the fact that the telemedicine interventions involve emotional, social, and clinical support, including regular contact with healthcare professionals, to meet the requirements to belong.\n\u76ee\u7684: \u603b\u7ed3\u6587\u732e\u4e2d\u5173\u4e8e\u6162\u6027\u963b\u585e\u6027\u80ba\u75be\u75c5\u60a3\u8005\u5982\u4f55\u63a5\u53d7\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u7684\u5b9a\u6027\u7814\u7a76\u3002 \u8bbe\u8ba1: \u4eba\u53e3\u5b66\u835f\u8403\u5206\u6790\u3002 \u8d44\u6599\u6765\u6e90: \u901a\u8fc72017\u5e746\u6708\u5bf9\u76f8\u5173\u7cfb\u7edf\u6570\u636e\u5e93\u8fdb\u884c\u7684\u68c0\u7d22,\u5305\u62ec2018\u5e746\u6708\u8fdb\u884c\u7684\u6700\u65b0\u68c0\u7d22,\u786e\u5b9a\u4e862013\u5e74\u81f32018\u5e74\u53d1\u8868\u768412\u9879\u7814\u7a76\u3002 \u7efc\u8ff0\u65b9\u6cd5: \u8fd9\u4e9b\u7814\u7a76\u7531\u4e09\u4f4d\u7814\u7a76\u4eba\u5458\u72ec\u7acb\u8fdb\u884c\u8bc4\u4ef7\u548c\u6279\u5224\u6027\u8bc4\u4f30\u3002\u8bc4\u4ef7\u9075\u5faa\u4e86Noblit\u548cHare\u63d0\u51fa\u7684\u4eba\u53e3\u5b66\u835f\u8403\u5206\u6790\u7684\u4e03\u4e2a\u6b65\u9aa4,\u5305\u62ec\u8bba\u70b9\u603b\u7ed3\u6cd5\u3002 \u7ed3\u679c: \u6b64\u6b21\u603b\u7ed3\u63ed\u793a\u4e86\u4e09\u4e2a\u4e8c\u7ea7\u7ed3\u6784:\u5b58\u5728\u3001\u900f\u660e\u5ea6\u548c\u77db\u76fe\u60c5\u7eea\u3002\u91c7\u7528\u8bba\u70b9\u603b\u7ed3\u6cd5,\u5f00\u53d1\u4e86\u4e00\u4e2a\u6a21\u578b,\u8be5\u6a21\u578b\u53cd\u6620\u4e86\u60a3\u8005\u5728\u63a5\u53d7\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u65f6\u7684\u5f52\u5c5e\u611f\u4f53\u9a8c\u3002 \u7ed3\u8bba: \u4eba\u53e3\u5b66\u835f\u8403\u5206\u6790\u4e3a\u6162\u6027\u963b\u585e\u6027\u80ba\u75be\u75c5\u60a3\u8005\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u63d0\u4f9b\u4e86\u73b0\u6709\u7684\u3001\u77db\u76fe\u6027\u8bc1\u660e\u7684\u8bc1\u636e\u57fa\u7840\u3002\u901a\u8fc7\u8bf4\u660e\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u7684\u6761\u4ef6,\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5(COPD)\u7684\u4e25\u91cd\u7a0b\u5ea6\u548c\u5bf9\u8fde\u901a\u6027\u7684\u9700\u8981\u4e4b\u95f4\u7684\u76f8\u4e92\u5173\u7cfb,\u63d0\u51fa\u5e76\u8865\u5145\u4e86\u5173\u4e8e\u8c01\u5c06\u53d7\u76ca\u4e8e\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u4ee5\u53ca\u4e3a\u4ec0\u4e48\u53d7\u76ca\u7684\u5168\u65b0\u7406\u89e3,\u5e76\u5f3a\u8c03,\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u9700\u6c42\u4f1a\u968f\u7740\u75be\u75c5\u8d1f\u62c5\u548c\u4e25\u91cd\u7a0b\u5ea6\u7684\u589e\u52a0\u800c\u589e\u52a0\u3002 \u5f71\u54cd: \u672c\u7814\u7a76\u652f\u6301\u7684\u89c2\u70b9\u662f,\u6709\u4e25\u91cd\u75be\u75c5\u8d1f\u62c5\u7684\u60a3\u8005\u5728\u63a5\u53d7\u8fdc\u7a0b\u533b\u7597\u62a4\u7406\u65f6\u53ef\u80fd\u53d7\u76ca\u6700\u5927\u3002\u7136\u800c,\u8fd9\u4e9b\u597d\u5904\u53d6\u51b3\u4e8e\u8fd9\u6837\u4e00\u4e2a\u4e8b\u5b9e,\u5373,\u8fdc\u7a0b\u533b\u7597\u5e72\u9884\u6d89\u53ca\u60c5\u611f\u3001\u793e\u4f1a\u548c\u4e34\u5e8a\u652f\u6301,\u5305\u62ec\u4e0e\u533b\u62a4\u4e13\u4e1a\u4eba\u5458\u7684\u5b9a\u671f\u63a5\u89e6,\u4ee5\u6ee1\u8db3\u5f52\u5c5e\u611f\u7684\u8981\u6c42\u3002.",
    "authors": [
        {
            "affiliation": "Faculty of Health and Sport Sciences, Department of Health and Nursing Sciences, Centre for eHealth, Centre for Care Research, University of Agder, Kristiansand, Norway.",
            "firstname": "Tina Lien",
            "initials": "TL",
            "lastname": "Barken"
        },
        {
            "affiliation": "Faculty of Health and Sport Sciences, Department of Health and Nursing Sciences, Centre for eHealth, Centre for Care Research, University of Agder, Kristiansand, Norway.",
            "firstname": "Ulrika",
            "initials": "U",
            "lastname": "S\u00f6derhamn"
        },
        {
            "affiliation": "Faculty of Health and Sport Sciences, Department of Health and Nursing Sciences, Centre for eHealth, Centre for Care Research, University of Agder, Kristiansand, Norway.",
            "firstname": "Elin",
            "initials": "E",
            "lastname": "Thygesen"
        }
    ],
    "conclusions": "This meta-ethnography contributes to the existing and contradictory evidence base of telemedicine to chronic obstructive pulmonary disease patients. It addresses and adds renewed understanding of who would benefit from telemedicine and why, by illustrating the interrelationship between the conditions of telemedicine care, the severity of COPD, and the need for connectedness and emphasizes that the need to belong in telemedicine care increases with the progression of illness burden and severity.",
    "copyrights": "\u00a9 2019 John Wiley & Sons Ltd.\n\u00a9 2019 John Wiley & Sons Ltd.",
    "doi": "10.1111/jan.14117",
    "journal": "Journal of advanced nursing",
    "keywords": [
        "chronic obstructive pulmonary disease",
        "experience",
        "meta-ethnography",
        "nurse-patient relationship",
        "nursing",
        "systematic review",
        "telemedicine"
    ],
    "methods": null,
    "publication_date": "2019-06-22",
    "pubmed_id": "31225664",
    "results": "The synthesis revealed three second-order constructs: presence, transparency, and ambivalence. Using a line-of-argument synthesis, a model was developed that showed patients' experience of a sense of belonging when receiving care by telemedicine.",
    "title": "A sense of belonging: A meta-ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine.",
    "xml": "<Element 'PubmedArticle' at 0x78850692f740>"
}