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特发性肺纤维化患者远程医疗呼吸干预的可行性。

Feasibility of a telehealth breathing intervention for patients with idiopathic pulmonary fibrosis.

机构信息

University of Arizona College of Nursing, 1305 N. Martin Avenue, Tucson, AZ 85721, United States.

出版信息

Appl Nurs Res. 2024 Oct;79:151827. doi: 10.1016/j.apnr.2024.151827. Epub 2024 Jul 14.

Abstract

UNLABELLED

Idiopathic pulmonary fibrosis (IPF) is a restrictive chronic lung disease that results in scarring of the tissue due to an unknown cause. Dyspnea is experienced by 90 % of patients and is correlated with reduced quality of life and survival times. Breathing techniques can improve perceived dyspnea, however, are not readily taught outside of inpatient hospital settings and pulmonary rehabilitation programs, the latter being accessed by only 3 % of patients with chronic lung disease. Telehealth may be an option to increase access to this imperative symptom management education to improve symptom management and patient outcomes.

AIMS

  1. To determine the feasibility of a telehealth breathing intervention for patients living with IPF; 2) To determine the usability of the telehealth system; 3) To describe within-group changes in dyspnea, quality of life, anxiety, and depression.

DESIGN

A single-group, pre-post intervention.

METHODS

Study participants were recruited from community-dwelling patients living with IPF. Pre-intervention data was collected on symptoms using standardized questionnaires. Participants enrolled in one telehealth Zoom session per week over the course of four weeks and practiced breathing exercises 10-minutes per day. Following the intervention, participants completed post-intervention, feasibility, and usability questionnaires. Data were analyzed using descriptive statistics.

RESULTS

All feasibility benchmarks were met. Following the intervention, mean symptom scores improved, however were not statistically significant.

CONCLUSION

These data indicate that a telehealth breathing intervention is a feasible option to increase access to the symptom management strategy of breathing techniques to manage perceived dyspnea to positively influence symptoms experienced by patients living with idiopathic pulmonary fibrosis.

摘要

目的

1)确定远程医疗呼吸干预对特发性肺纤维化患者的可行性;2)确定远程医疗系统的可用性;3)描述组内呼吸困难、生活质量、焦虑和抑郁的变化。

方法

研究参与者从居住在社区的特发性肺纤维化患者中招募。使用标准化问卷在干预前收集症状数据。参与者在四周内每周参加一次远程医疗 Zoom 会议,并每天练习 10 分钟呼吸练习。干预后,参与者完成了干预后、可行性和可用性问卷。使用描述性统计分析数据。

结果

所有可行性基准均得到满足。干预后,症状评分均值有所改善,但无统计学意义。

结论

这些数据表明,远程医疗呼吸干预是增加获得呼吸技术症状管理策略的一种可行选择,以管理感知到的呼吸困难,从而积极影响特发性肺纤维化患者的症状。

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