慢性阻塞性肺病患者的可穿戴技术干预:系统性审查和元分析
Amar J Shah1,2, Malik A Althobiani2,3, Anita Saigal1,2
1Royal Free London NHS Foundation Trust, London, UK.
NPJ digital medicine
|November 27, 2023
概括
可穿戴技术可以改善慢性阻塞性肺病 (COPD) 患者的日常步行和步行距离,特别是当与其他疗法相结合时. 然而,好处是暂时的,生活质量的改善是微不足道的.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 数字健康数字健康
- 康复科学 康复科学 康复科学
背景情况:
- 慢性阻塞性肺病 (COPD) 是导致死亡的主要原因,并具有显著的并发病.
- 有效的COPD管理策略对于改善患者护理和治疗结果至关重要.
- 可穿戴技术为提高COPD管理提供了一个有希望的途径,但其具体作用需要彻底调查.
研究的目的:
- 系统地审查和元分析可穿戴技术干预措施对成人COPD患者身体活动,运动能力,恶化和生活质量的影响.
- 评估可穿戴技术单独与其他治疗方面结合的有效性.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,CENTRAL,IEEE) 进行了全面的搜索,直到2023年4月.
- 对37项涉及COPD患者可穿戴技术的研究进行了系统审查和元分析.
- 预先规定的结果包括身体活动,运动能力,恶化的检测/避免以及生活质量.
主要成果:
- 可穿戴技术显著增加了每天的步数 (MD 850步/天) 和六分钟的步行距离 (MD 5.81m).
- 这些好处被发现是短暂的.
- 结合的干预措施 (可穿戴技术+辅导/康复) 显示出比单独使用可穿戴技术更大的影响.
- 观察到对生活质量的影响很小,对恶化管理的结果各不相同.
结论:
- 穿戴式技术干预措施显示出在COPD管理中增强身体活动和运动能力的潜力.
- 益处的短期性质和对生活质量的有限影响需要进一步研究.
- 将可穿戴技术与其他治疗组件相结合,可能会为COPD患者带来更显著的临床益处.
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