Glynn Lisa, Mc Cann Margaret, Mc Cabe Catherine
School of Nursing and Midwifery, University of Galway, Ireland.
School of Nursing and Midwifery, Trinity College, Dublin 2, Ireland.
PLOS Digit Health. 2024 Jun 13;3(6):e0000532. doi: 10.1371/journal.pdig.0000532. eCollection 2024 Jun.
Chronic Obstructive Pulmonary Disease (COPD) significantly impacts on both the quality and quantity of life for patients due to frequent exacerbations requiring hospital admissions resulting in increased morbidity and mortality. A self-management programme purpose is to increase one's knowledge, confidence, and skills to self-manage their chronic illness such as COPD.
The objective of this review will therefore answer the following research question: What is the current literature pertaining to the use of a smartphone app in supporting a comprehensive self-management programme among COPD patients? A preliminary search was conducted in, Medline, Embase and CINAHL databases to ascertain index terms and keywords. Following this a rigorous search was carried out on Medline, Embase, CINAHL, Web of Science and ASSIA. The findings from this search are presented in tabular form using the PRSIMA flow diagram.
In this review, fifteen studies met the inclusion criteria. Across all studies participants engaged with the app and developed self-management skills and knowledge to manage their chronic illness. However, engagement with the app without third party involvement declined over time. Technical issues did not cause harm to participants but in some cases contributed to reduced engagement. Smartphone self-management apps empowered a cohort of COPD participants to engage in managing their chronic illness which proved useful in detecting exacerbations earlier resulting in reducing the need for hospitalisations over a three-to-six-month period. By reducing hospitalisations incurred a cost savings for health care and an improved quality and quantity of life for these participants.
It is evident from the literature that smartphone self-management apps may positively influence participants self-management decisions in terms of knowledge, increase physical activity, self-efficacy that may result in reduced hospitalisation and improved quality of life. It is clear that technical issues and sustained engagement over longer periods of time remains a challenge.
慢性阻塞性肺疾病（COPD）由于频繁发作需要住院治疗，导致发病率和死亡率增加，对患者的生活质量和数量都有重大影响。自我管理计划的目的是增加个人对自身慢性疾病（如COPD）进行自我管理的知识、信心和技能。
因此，本综述的目的将回答以下研究问题：关于使用智能手机应用程序支持COPD患者的综合自我管理计划，当前的文献有哪些？首先在Medline、Embase和CINAHL数据库中进行初步检索，以确定索引词和关键词。在此之后，对Medline、Embase、CINAHL、Web of Science和ASSIA进行了严格的检索。使用PRISMA流程图以表格形式呈现此次检索的结果。
在本综述中，有15项研究符合纳入标准。在所有研究中，参与者使用了该应用程序，并培养了自我管理技能和知识来管理他们的慢性病。然而，在没有第三方参与的情况下，随着时间的推移，使用该应用程序的情况有所下降。技术问题没有对参与者造成伤害，但在某些情况下导致参与度降低。智能手机自我管理应用程序使一群COPD参与者能够参与管理他们的慢性病，这被证明有助于更早地发现病情加重，从而在三到六个月内减少住院需求。通过减少住院，节省了医疗保健成本，并改善了这些参与者的生活质量和数量。
从文献中可以明显看出，智能手机自我管理应用程序可能会在知识、增加身体活动、自我效能等方面对参与者的自我管理决策产生积极影响，这可能会减少住院并改善生活质量。显然，技术问题和长期持续参与仍然是一个挑战。
