在COPD的远程康复中使用可穿戴和可靠的设备:对基于家庭的程序中的数字终点的审查
medRxiv : the preprint server for health sciences
|September 15, 2025
概括
慢性阻塞性肺病 (COPD) 的肺部康复 (PR) 尚未得到充分利用. 这次审查发现,虽然可穿戴设备为家庭PR (HBPR) 提供了潜力,但不一致的方法和研究设计阻碍了COPD患者的数据合成.
科学领域:
- 肺部医学 肺部医学
- 数字健康数字健康
- 康复科学 康复科学 康复科学
背景情况:
- 肺部康复 (PR) 对慢性阻塞性肺病 (COPD) 有效,但未得到充分利用.
- 可穿戴设备通过捕捉患者行为的数字终点来提供基于家庭的PR (HBPR) 的潜力.
- 在测量使用可穿戴技术用于COPD的HBPR结果方面缺乏共识.
研究的目的:
- 确定用于COPD的HBPR研究中使用的常见数字终点.
- 记录用于捕获这些数字端点的设备.
- 总结COPD HBPR数字终点应用中的现有差距.
主要方法:
- 根据PRISMA指南进行了范围审查.
- 搜索的数据库包括2005年1月至2025年6月的Web of Science,Scopus和OVID.
- 包括对COPD的HBPR进行同行评审的文章与数字终点;不包括评论和非研究文章.
主要成果:
- 在218篇符合条件的文章中,只有13篇符合纳入标准,其中大多数文章发表于2020年以后.
- 活动追踪器是最常见的设备 (46.2%),主要测量步数 (84.6%).
- 不同类型的研究设计,主要是随机对照试验 (76.9%),在超过三分之一的研究中产生了统计学上不显著的结果.
结论:
- 针对COPD的HBPR的不同方法和研究设计阻碍了结果合成.
- 可穿戴设备显示出新型PR模型的前景,但将数据转化为临床措施需要进一步研究.
- 未来的研究应该专注于参与者选择,坚持和验证数字终点,包括心血管和睡眠测量.
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