在COPD的远程康复中使用可穿戴和可靠的设备:在家庭计划中对数字终点的范围审查
Stephanie Zawada1,2, Louis Faust1, Caden Collins3
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States.
Frontiers in digital health
|February 19, 2026
概括
对于COPD的肺部康复 (PR) 没有得到充分利用. 这次审查发现,虽然可穿戴设备为家庭PR (HBPR) 提供了潜力,但不一致的方法阻碍了结果合成.
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COPD有效,但未得到充分利用.
- 可穿戴设备可以为家庭PR (HBPR) 产生数字终点,但缺乏标准化的结果措施.
- 本综述解决了对COPD的HBPR数字终点达成共识的需要.
研究的目的:
- 为了识别用于COPD患者的HBPR研究中经常使用的数字终点.
- 列出用于捕获这些数字端点的设备.
- 要总结应用这些工具在COPD中治疗HBPR的缺陷.
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年至2025年的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,不包括评论和评论.
主要成果:
- 在218篇有资格的文章中,只有13篇符合纳入标准,大多数是2020年后发表的.
- 活动跟踪器很常见 (46.2%),步数 (84.6%) 是主要的数字终点.
- 研究设计异质,超过三分之一缺乏统计学意义上的结果.
结论:
- 在HBPR中不相似的方法和研究设计限制了COPD结果的合成.
- 可穿戴设备对新型公关模式有前途,但实际数据需要临床翻译.
- 未来的研究应侧重于参与者选择,HBPR完成和验证数字终点,包括心血管和睡眠测量.
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