肺癌幸存者的基于数字治疗的心脏瘤康复:随机对照试验
Guangqi Li1,2, Xueyan Zhou3,4, Junyue Deng2
1Department of Biotherapy, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China.
JMIR mHealth and uHealth
|February 25, 2025
概括
在家进行心脏远程康复可显著改善肺癌幸存者的心肺呼吸能力和生活质量. 这种数字化方法证明了良好的合规性和安全性,为传统的基于中心的计划提供了可行的替代方案.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 肺癌是癌症死亡的主要原因之一.
- 心肺健康对于肺癌幸存者的生存至关重要.
- 基于家庭的心脏远程康复为基于中心的计划提供了有效和可访问的替代方案.
研究的目的:
- 扩大数字医疗保健在肺癌幸存者的心肺康复中使用的范围.
- 评估远程康复对心肺健康和生活质量 (QOL) 的影响.
主要方法:
- 手术后的早期非小细胞肺癌幸存者 (18-70岁) 被随机分配到5个月的心脏远程康复或常规护理.
- 使用人工智能驱动的运动处方与视频指导和实时心率监测.
- 干预措施包括有氧和抵抗炼,并仔细跟踪坚持和结果.
主要成果:
- 远程康复组在最大氧气吸收峰值 (P=.02) 和QOL (P=.03) 中表现出显著更大的改善.
- 在远程康复组观察到,情绪干扰 (P=.048),疲劳 (P=.02),焦虑 (P=.048) 和白天功能障碍 (P=.02) 的显著减少.
- 报告了高度遵守 (101.2%) 和没有运动相关的不良事件.
结论:
- 基于数字治疗的远程康复有效地提高了肺癌幸存者的心肺健康.
- 该计划是安全的,耐受性很好,通过减少疲劳和焦虑等症状来改善QOL.
- 这种方法支持更广泛的临床采用肺癌康复治疗.
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