基于物联网的家庭呼吸肌肉训练,用于慢性阻塞性肺部疾病患者:一项随机临床试验
Qiong Chen1, Xuejuan Wu1, Yanjin Huang2
1Respiratory Medicine Department, Xiamen Haicang Hospital, Xiamen, Fujian, People's Republic of China.
概括
基于物联网 (IoT) 的家庭呼吸肌肉训练 (RMT) 显著改善了慢性阻塞性肺病 (COPD) 患者的肺功能并减少了症状. 与标准护理相比,这种干预措施还降低了COPD相关的再入院率.
科学领域:
- 肺部医学 肺部医学
- 康复 康复 康复 康复
- 数字健康数字健康
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种进展性肺病,影响呼吸道肌肉功能.
- 基于家庭的康复计划对于管理COPD至关重要,但坚持和有效性可能会有所不同.
- 物联网 (IoT) 的整合为远程患者监测和干预提供了新的可能性.
研究的目的:
- 评估基于物联网的家庭呼吸肌肉训练 (RMT) 在稳定的COPD患者中的有效性.
- 将基于物联网的RMT的结果与COPD队列中的常规健康教育进行比较.
主要方法:
- 一项随机对照试验,涉及78名COPD稳定患者.
- 干预组:每天两次进行12周的基于物联网的家庭RMT (吸气和呼气肌肉训练).
- 控制组:例行健康教育. 评估包括肺功能,呼吸道肌肉强度,呼吸障碍,生活质量,焦虑和6个月再入院率.
主要成果:
- 与对照组相比,基于物联网的RMT组在FEV1/FVC,最大吸入压力 (MIP) 和最大呼气压力 (MEP) 中显著改善.
- 干预组的患者报告了更低的修改后的医学研究委员会 (mMRC) 呼吸障碍得分,COPD评估测试 (CAT) 得分和HAMA焦虑得分.
- 在基于物联网的RMT组中,与COPD相关的6个月再入院率显着较低 (5%),而不是对照组 (22%).
结论:
- 基于物联网的家庭RMT是一种有效的干预措施,可以改善COPD患者的呼吸肌肉强度,肺功能和生活质量.
- 这种技术支持的方法减少了症状负担和医疗利用率,为传统康复方法提供了一个有希望的替代方案.
- 基于物联网的RMT代表了COPD管理的有益进展,通过可访问的家庭培训来提高患者的治疗结果.
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