Perspectives of Patients and Health-care Professionals on Remote Pulmonary Rehabilitation: A Systematic Review

Abstract

Aims: The purpose of this systematic review is to systematically review and synthesize qualitative studies involving the perceptions of patients and health care professionals about pulmonary telerehabilitation to understand patients’ attitudes and determine the obstacles in the use of telemedicine. Design: Systematic review of qualitative studies. Data sources: Qualitative studies were extracted from MEDLINE, EMBASE, Web of Science, CINAHL, PsycINFO, PubMed, CBM, CNKI, and WanFang Database from the inception of each database until November 2025. Qualitative research and mixed-method research, including perspectives on remote pulmonary rehabilitation in chronic respiratory patients, were included. Review methods: The systematic search method SPIDER (sample, phenomenon of interest, design, evaluation, research type) was used. Thematic synthesis of qualitative data was used. Results: 870 studies were screened, and finally 12 studies. 12 articles included were published between 2015 and 2025. 265 patients with chronic respiratory disease and Health-care Professionals were included. 3 themes and 12 sub themes were extracted from the views of patients and health professionals on remote pulmonary rehabilitation. Conclusion: In general, patients with chronic respiratory diseases have a positive attitude toward telepulmonary rehabilitation. Patients have a lot of perceived benefits in telepulmonary rehabilitation. Many factors affect patients’ participation in telepulmonary rehabilitation. It is necessary to address the obstacles that affect patients’ participation in telepulmonary rehabilitation, so as to promote the development and improvement of tele pulmonary rehabilitation.