一款用于支持慢性阻塞性肺疾病患者自我管理的移动医疗应用：一项随机对照试验。

A mobile health application to support self-management in patients with chronic obstructive pulmonary disease: a randomised controlled trial.

机构信息

The Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.

Nursing Department of ZunYi Medical University, ZunYi, China.

出版信息

Clin Rehabil. 2021 Jan;35(1):90-101. doi: 10.1177/0269215520946931. Epub 2020 Sep 9.

DOI:10.1177/0269215520946931

PMID:32907384

Abstract

OBJECTIVE

To investigate the effects of a mobile health smartphone application to support self-management programmes on quality of life, self-management behaviour and exercise and smoking cessation behaviour in patients with chronic obstructive pulmonary disease (COPD).

DESIGN

A randomised controlled, single-blind trial, was carried out from November 2017 to February 2019, which included 78 participants admitted with COPD to the Affiliated Hospital of Zunyi Medical University in Guizhou. The study participants were randomised into intervention ( = 39) and control groups ( = 39).

METHODS

Participants in the intervention group undertook a mobile medical application-based programme in addition to routine care, and participants in the control group received only routine care. The outcome measures were health-related quality of life evaluated by the COPD Assessment-Test, self-management behaviour using the COPD Self-Management Scale and physical activity and smoking behaviour were measured using a self-designed questionnaire. Data collection was conducted at baseline, third month, sixth month and 12th months.

RESULTS

Thirty-five participants in the intervention group and 33 in the control group completed the study. Compared to the control group, participants in the intervention group showed statistically significant improvement in the COPD -Assessment -Test scores ( < 0.01) and in all domains of the COPD Self-Management Scale scores ( < 0.01) at 12th 12 months. Improvements in the COPD -Assessment -Test scores by 4.3 and 0.3 units, and in the total scores of the COPD Self-Management Scale total score by 23.01 and 2.28 units, respectively, were observed in the intervention and control groups, respectively over the 12-month study period. Meanwhile, the mobile health application programme also improved participants' exercise and smoking cessation behaviour.

CONCLUSIONS

The mobile health smartphone application to support self-management programmes was effective in improving health-related quality of life and self-management behaviour in patients with COPD.

TRIAL REGISTRATION

This study was registered in Chinese clinicaltrials.gov.

摘要

目的

探讨移动健康智能手机应用程序支持自我管理方案对慢性阻塞性肺疾病（COPD）患者生活质量、自我管理行为以及运动和戒烟行为的影响。

设计

这是一项随机对照、单盲试验，于 2017 年 11 月至 2019 年 2 月进行，纳入了贵州遵义医科大学附属医院收治的 78 例 COPD 患者。将研究参与者随机分为干预组（n=39）和对照组（n=39）。

方法

干预组参与者在常规护理的基础上采用移动医疗应用程序，对照组仅接受常规护理。使用 COPD 评估测试评估健康相关生活质量，使用 COPD 自我管理量表评估自我管理行为，使用自行设计的问卷测量身体活动和吸烟行为。在基线、第 3 个月、第 6 个月和第 12 个月进行数据收集。

结果

干预组 35 名参与者和对照组 33 名参与者完成了研究。与对照组相比，干预组参与者在第 12 个月时 COPD 评估测试评分（ < 0.01）和 COPD 自我管理量表各领域评分（ < 0.01）均有统计学显著改善。干预组和对照组 COPD 评估测试评分分别改善了 4.3 和 0.3 单位，COPD 自我管理量表总分分别改善了 23.01 和 2.28 单位。同时，移动健康应用程序还改善了参与者的运动和戒烟行为。