比较基于智能手机的和面对面的肺康复教育对慢性阻塞性肺疾病患者家庭照顾者负担和生活质量的影响：一项随机对照现场试验。
Comparing the effects of smartphone-based and face-to-face pulmonary rehabilitation education on caregiver burden and quality of life among the family caregivers of patients with chronic obstructive pulmonary disease: a randomized controlled field trial.
机构信息
School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran.
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
出版信息
Trials. 2023 Mar 22;24(1):212. doi: 10.1186/s13063-023-07239-7.
BACKGROUND
Functional limitation among patients with chronic obstructive pulmonary disorder (COPD) and their dependence on their family caregivers (FCs) can significantly increase caregiver burden (CB) and reduce the quality of life (QOL) among FCs. Education of pulmonary rehabilitation (PR) to FCs is a strategy with potential positive effects on CB. This study was conducted to compare the effects of smartphone-based and face-to-face (FTF) PR education on CB and QOL among the FCs of patients with COPD.
METHODS
This randomized controlled field trial was conducted in 2021-2022. Participants were purposefully selected from the PR unit of Khorshid comprehensive respiratory care clinic in Isfahan, Iran, and randomly allocated to a control and an intervention group. Participants in the control group received PR education in twelve 30-60-min FTF sessions held twice weekly in six consecutive weeks. Their counterparts in the intervention group received PR education for 6 weeks through an android application. The Zarit Burden Interview and the 12-item Short Form Health Survey (SF-12) were used for data collection before and immediately after the study intervention. The SPSS software (v. 24.0) was used to analyze the data through the independent-sample t, paired-sample t, chi-square, and Fisher's exact tests.
RESULTS
The means of participants' age was 47.7 ± 13.8 years in the control group and 44.1 ± 14.8 years in the intervention group. Most participants in these groups were female (82.9% vs. 71.4%). The pretest mean scores of CB and QOL were respectively 50.77 ± 10.64 and 27.82 ± 3.9 in the control group and 49.77 ± 7.65 and 26.71 ± 3.5 in the intervention group with no significant between-group difference (P > 0.05). At the posttest, these values were respectively 51.57 ± 7.32 and 27.74 ± 3.28 in the control group and 37.31 ± 6.95 and 34.37 ± 2.8 in the intervention group, and between-group differences were significant (P < 0.05). The mean scores of CB and QOL did not significantly change in the control group (P > 0.05), but respectively decreased and increased significantly in the intervention group (P < 0.05).
CONCLUSIONS
Smartphone-based PR education is effective in significantly decreasing CB and improving QOL among the FCs of patients with COPD.
TRIAL REGISTRATION
Iranian Registry of Clinical Trials IRCT20161203031200N3.
背景
慢性阻塞性肺疾病（COPD）患者的功能障碍及其对家庭照顾者（FCs）的依赖，会显著增加照顾者负担（CB）并降低照顾者的生活质量（QOL）。对 FCs 进行肺康复（PR）教育是一种具有潜在积极影响的策略。本研究旨在比较基于智能手机与面对面（FTF）PR 教育对 COPD 患者 FCs 的 CB 和 QOL 的影响。
方法
这是一项于 2021 年至 2022 年进行的随机对照现场试验。参与者是从伊朗伊斯法罕 Khorshid 综合呼吸护理诊所的 PR 部门有目的地选择的，并被随机分配到对照组和干预组。对照组的参与者在连续六周内每周两次接受十二次 30-60 分钟的 FTF PR 教育。干预组的参与者则通过安卓应用接受六周的 PR 教育。在研究干预前后，使用 Zarit 负担量表和 12 项简短健康调查（SF-12）进行数据收集。使用 SPSS 软件（v.24.0）通过独立样本 t 检验、配对样本 t 检验、卡方检验和 Fisher 精确检验对数据进行分析。
结果
对照组参与者的平均年龄为 47.7 ± 13.8 岁，干预组为 44.1 ± 14.8 岁。这些组中的大多数参与者为女性（82.9% vs. 71.4%）。对照组和干预组的 CB 和 QOL 得分在基线时分别为 50.77 ± 10.64 和 27.82 ± 3.9，在干预后分别为 51.57 ± 7.32 和 27.74 ± 3.28，无显著组间差异（P > 0.05）。对照组和干预组的 CB 和 QOL 得分在干预后分别为 49.77 ± 7.65 和 26.71 ± 3.5，37.31 ± 6.95 和 34.37 ± 2.8，差异具有统计学意义（P < 0.05）。对照组的 CB 和 QOL 得分在干预后无显著变化（P > 0.05），而干预组的 CB 和 QOL 得分则分别显著下降和升高（P < 0.05）。
结论
基于智能手机的 PR 教育可显著降低 COPD 患者 FCs 的 CB 并提高其 QOL。
试验注册
伊朗临床试验注册中心 IRCT20161203031200N3。
Zotero 插件