Nohra Rita Georges, Sacre Hala, Salameh Pascal, Rothan-Tondeur Monique
University Paris 13, Sorbonne Paris Cite, Nursing Sciences Research chair, Laboratory Educations and Health Practices (LEPS), (EA 3412), UFR SMBH, F-93017, Bobigny, France.
Drug Information Center, Order of Pharmacists of Lebanon.
Medicine (Baltimore). 2020 Feb;99(6):e19021. doi: 10.1097/MD.0000000000019021.
Chronic obstructive pulmonary disease (COPD) has a significant impact on quality of life and is costly to the health care system. It has been demonstrated that a self-management program improves quality of life, but programs are not universally available and telehealth interventions can provide home-based support, but have mixed results.
The aims of this study are to (1) assess the feasibility and acceptability of a 6 weeks' educational program related to self-management with remote monitoring for Lebanese COPD patients; (2) pre-test its impact on quality of life, emergency visits, and rate of rehospitalization, and (3) to make recommendations for a future randomized trial.
Validated questionnaires will be adapted to meet the context of our study in terms of acceptability, adoption, adequacy, fidelity, cost, and coverage. The impact of this program on quality of life will be measured with the COPD assessment test (CAT) and the COPD clinical questionnaire (CCQ), and the Hospital Anxiety and Depression (HAD) scale will be used to measure anxiety. All measures will be delivered pre- and post-intervention. To evaluate the impact of our program on the rate of hospitalization and emergency visits, the number of hospitalizations and emergency room visits during the year preceding the intervention will be collected from the hospital register of each participant.
This study is the first to evaluate the application of telehealth to optimize COPD management in Lebanon. The results of this study will provide evidence regarding the efficacy and feasibility of this approach for Lebanese patients with moderate to severe COPD.
慢性阻塞性肺疾病（COPD）对生活质量有重大影响，且给医疗保健系统带来高昂成本。已证明自我管理项目可改善生活质量，但此类项目并非普遍可得，远程医疗干预可提供居家支持，但其效果不一。
本研究的目的是：（1）评估一项为期6周的针对黎巴嫩慢性阻塞性肺疾病患者的自我管理及远程监测教育项目的可行性和可接受性；（2）预先测试该项目对生活质量、急诊就诊次数和再住院率的影响；（3）为未来的随机试验提出建议。
将对经过验证的问卷进行调整，以使其在可接受性、采用率、充分性、保真度、成本和覆盖范围方面符合我们的研究背景。该项目对生活质量的影响将通过慢性阻塞性肺疾病评估测试（CAT）和慢性阻塞性肺疾病临床问卷（CCQ）进行衡量，医院焦虑抑郁量表（HAD）将用于测量焦虑程度。所有测量将在干预前后进行。为评估我们的项目对住院率和急诊就诊次数的影响，将从每位参与者的医院登记记录中收集干预前一年的住院次数和急诊室就诊次数。
本研究是首次评估远程医疗在黎巴嫩优化慢性阻塞性肺疾病管理中的应用。本研究结果将为这种方法对黎巴嫩中重度慢性阻塞性肺疾病患者的疗效和可行性提供证据。
