使用远程技术让患有间歇性肺部疾病的患者参与家庭炼计划:试点研究
Antonio Sarmento1, Kaitlin King1, Diana C Sanchez-Ramirez1
1Department of Respiratory Therapy, University of Manitoba, Winnipeg, MB R3E 0T6, Canada.
Life (Basel, Switzerland)
|February 24, 2024
概括
针对间歇性肺部疾病 (ILDs) 的家庭炼计划 (EPs) 是可行的和安全的. 视频会议和自我指导的EP都显示出高度的遵守和患者满意度,这表明虚拟EP在ILD管理中是有效的.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 心血管呼吸运动生理学 运动生理学
背景情况:
- 对于间歇性肺部疾病 (ILDs),获得和遵守炼计划 (EPs) 存在重大挑战.
- 虚拟交付模型提供了一种潜在的解决方案,以改善患者参与和计划完成.
研究的目的:
- 评估家庭EP的可行性,安全性和患者报告的ILD患者EP的结果.
- 为了比较视频会议 (EPVC) 交付的EP与自我指导 (EP_SD) 的EP.
主要方法:
- 每周进行三次为期八周的虚拟EP.
- 参与者被分配到一个EPVC组 (治疗师领导的视频会议) 或一个EP_SD组 (预先录制的视频).
- 收集了关于中断率,坚持,安全性和患者结果 (呼吸不良,疲劳,运动能力,肺功能,生活质量) 的数据.
主要成果:
- 在EP_SD组中,整体中断率为42.8%,其中11名患者完成了该计划.
- 在两组中,对数据采集和提交的遵守率都很高 (≥97.6%).
- 在各组之间观察到疲劳严重程度变化的显著差异 (p=0.014). 没有报告任何不良事件.
结论:
- 结构化的虚拟EP,无论是通过视频会议交付还是自我指导,对于ILD患者来说都是可行的,安全的和可接受的.
- 这些发现支持使用虚拟EP作为一种有效的策略,以改善ILD患者的运动参与和结果.
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