摘要
目的基于互联网+的背景下,构建一种行之有效的适用于慢性阻塞性肺疾病(COPD)患者的具有延续性、互动性和患者参与性的移动健康平台,并探讨该平台在COPD患者肺康复训练中的应用,以期延长肺康复的作用效果。方法2017年3月至6月,在本院门诊治疗的COPD患者67例,分为对照组(n=33)和实验组(n=34)。对照组采用传统的自我管理干预方法,实验组在此基础上使用移动健康平台,进行动态、延续、针对性的肺康复指导和管理,并在平台中鼓励患者参与互动分享。干预前和干预1个月后分别采用第1秒用力呼气容积占预计值百分比(FEVI%)、COPD评估测试(CAT)、改良英国医学研究委员会问卷(mMRC)和自我管理量表评估两组肺功能、生活质量、呼吸困难程度和自我管理能力。结果干预前,两组FEV1%、CAT、mMRC和自我管理量表评分均无显著性差异(t<0.945,χ^2=2.044,P>0.05)。干预1个月后,实验组CAT评分显著降低(t=4.921,P<0.001),且明显低于对照组(t=3.508,P=0.001);mMRC评分改善(χ^2=7.937,P<0.05),但与对照组比较无显著性差异(χ^2=1.018,P>0.05);自我管理量表评分显著升高(t=-5.650,P<0.001),且显著高于对照组(t=4.812,P<0.001)。结论本研究设计的延续性、互动性和患者参与性的移动健康平台可有效改善COPD患者的生活质量和自我管理能力,延长肺康复的作用效果。
Objective To design a mobile health platform with the features of continuity, interactivity and involvement, which is suitable for patients with chronic obstructive pulmonary disease(COPD);and to test the effect of this platform which is expected to prolong the effect of pulmonary rehabilitation for patients with COPD.Methods From March to June, 2016, 67 patients with COPD from department of respiration in our hospital were enrolled. They were divided into control group(n = 33) and intervention group(n = 34). The control group received the routine self-management intervention and the intervention group received the mobile health platform to carry out the dynamic, continuous and targeted pulmonary rehabilitation therapy and self-management intervention.They were assessed with forced expiratory volume in one second(FEV1%), COPD Assessment Test(CAT), modified Medical Research Council Dyspnea Scale(mMRC) and Self-management Scale.Results No statistical differences was found on all the indexes between two groups before intervention(t < 0.945, χ2=2.044, P > 0.05). One month after intervention, the score of CAT decreased(t = 4.921, P < 0.001), and was lower in the intervention group than in the control group(t = 3.508, P = 0.001);the score of mMRC improved(χ2=7.937, P < 0.05), but no difference was found between two groups(χ2=1.018, P > 0.05);the score of Self-management Scale significantly increased(t =-5.650, P < 0.001), and was significantly higher in the intervention group than in the control group(t = 4.812, P < 0.001).Conclusion The continuous, interactive and participatory mobile health platform designed in this study could effectively improve the quality of life and self-management ability of COPD patients, and prolong the effect of pulmonary rehabilitation.
作者
师晨曦
王佳妮
肖倩
杨经玉
贾燕瑞
逯勇
SHI Chen-xi;WANG Jia-ni;XIAO Qian;YANG Jing-yu;JIA Yan-rui;LU Yong(Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;School of Nursing,Capital Medical University,Beijing 100069,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2019年第6期734-739,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
中医药及护理研究专项课题(No.15HL02)~~
关键词
慢性阻塞性肺疾病
移动健康平台
自我管理
肺康复
chronic obstructive pulmonary disease
mobile health platform
self-management
pulmonary rehabilitation
