在慢性呼吸道疾病中使用智能手机应用程序引导肺部康复:随机对照试验
Chiwook Chung1,2, Deog Kyeom Kim3, Jung-Kyu Lee3
1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea.
JMIR mHealth and uHealth
|August 25, 2025
概括
在患有慢性呼吸道疾病的患者中,智能手机应用引导的肺部康复并没有改善运动能力或生活质量. 然而,对于患有这些疾病的老年人来说,它被认为是安全且可行的选择.
科学领域:
- 肺部医学
- 数字健康
- 康复科学
背景情况:
- 基于中心的肺部康复是有效的, 但往往无法获得.
- 阻碍以中心为基础的计划需要其他解决方案.
- 一个智能手机应用程序被开发用于家庭肺部康复.
研究的目的:
- 评估智能手机应用程序指导的肺部康复计划的有效性.
- 评估慢性呼吸道疾病患者的运动能力的改善.
主要方法:
- 一个多中心,单盲,随机对照试验,涉及100名患有慢性呼吸道疾病的参与者.
- 干预组:为期12周的应用指导肺复原治疗.
- 对照组:标准的门诊治疗.
- 主要结果:6分钟的步行测试距离 (6MWD).
主要成果:
- 应用指导和标准护理组之间的6MWD没有显著差异.
- 干预组中很少有参与者在6MWD中取得了最小的临床重要差异.
- 生活质量没有显著改善.
- 干预组报告的高满意度 (34/41).
结论:
- 通过智能手机应用程序引导的肺部康复并没有改善运动能力或生活质量.
- 对于患有慢性呼吸道疾病的老年人来说,该干预措施是安全的.
- 应用引导的肺部康复可能是这一群体的可行选择.
相关概念视频
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.6K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.6K
Chronic Obstructive Pulmonary Disease
1.4K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.4K
Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K
Pulmonary Function Tests
433
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
433
COPD: Management Using Bronchodilators and Corticosteroids
307
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
307
Chronic Obstructive Pulmonary Disease-I: Introduction
2.9K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.9K


