基于智能手机应用的COPD肺部康复:一个多中心随机对照试验
Rainer Gloeckl1,2, Marc Spielmanns3,4, Asta Stankeviciene5
1Institute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königssee, Germany rainer.gloeckl@gmx.de.
Thorax
|December 20, 2024
概括
肺部康复 (PR) 的移动应用程序改善了慢性阻塞性肺病 (COPD) 患者的治疗结果. 坚持使用者表现出更大的运动能力增长,这表明基于应用程序的PR支持COPD管理.
科学领域:
- 肺部病理学 肺部病理学
- 数字健康数字健康
- 康复医学 康复医学 康复医学
背景情况:
- 肺部康复 (PR) 对于治疗慢性阻塞性肺病 (COPD) 至关重要.
- 对于患者来说,传统的面对面公关计划的访问往往是有限的.
- 访问有限需要探索PR的替代交付方法.
研究的目的:
- 评估基于移动应用程序的12周PR干预对COPD患者的生活质量和运动能力的影响.
- 为了比较移动应用程序干预的有效性与增强的护理标准对照组.
- 评估COPD管理中的移动应用程序的安全性和遵守性.
主要方法:
- 一个多中心,随机对照试验,涉及德国和瑞士18个地点的278名COPD患者.
- 患者被分配到移动应用程序干预组 (IVG) 或接受增强标准护理的对照组 (CTG).
- 测量结果包括12周的生活质量 (COPD评估测试 - CAT) 和运动能力 (1分钟的坐立测试 - 1MSTST).
主要成果:
- 移动应用程序干预组在CAT和1MSTST方面比基线有所改善,但与对照组相比,在统计学上并不显著.
- 与不坚持使用者相比,坚持使用者 (在研究中使用应用程序≥3天/周≥75%的时间) 在1MSTST中表现出明显更大的改善 (p=0.006).
- 在试验期间,移动应用程序没有引起任何安全问题.
结论:
- 基于应用的PR证明了COPD结果与基线相比的改善.
- 移动PR应用程序的坚持用户与不坚持用户相比,体验了增强的运动能力改善.
- 虽然基于应用程序的PR在统计上并不优于标准护理,但它对COPD管理和解决进入PR的障碍有很大的前景.
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