《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (6): 734-739.doi: 10.3969/j.issn.1006-9771.2019.06.021

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Application of a Self-management Mobile Platform in Rehabilitation of Chronic Obstructive Pulmonary Disease

SHI Chen-xi1, WANG Jia-ni2, XIAO Qian2, YANG Jing-yu1, JIA Yan-rui1, LU Yong1   

  1. 1.Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
    2.School of Nursing, Capital Medical University, Beijing 100069, China
  • Received:2018-09-18 Revised:2018-12-01 Online:2019-06-25
  • Contact: JIA Yan-rui, E-mail: 13910707075@139.com

Abstract: Objective To design a mobile health platform with the features of continuity, interactivity and involvement, which is suitable for patients with chronic obstructive pulmonary disease (COPD); and to test the effect of this platform which is expected to prolong the effect of pulmonary rehabilitation for patients with COPD.Methods From March to June, 2016, 67 patients with COPD from department of respiration in our hospital were enrolled. They were divided into control group (n = 33) and intervention group (n = 34). The control group received the routine self-management intervention and the intervention group received the mobile health platform to carry out the dynamic, continuous and targeted pulmonary rehabilitation therapy and self-management intervention. They were assessed with forced expiratory volume in one second (FEV1%), COPD Assessment Test (CAT), modified Medical Research Council Dyspnea Scale (mMRC) and Self-management Scale.Results No statistical differences was found on all the indexes between two groups before intervention (t < 0.945, χ2 = 2.044, P > 0.05). One month after intervention, the score of CAT decreased (t = 4.921, P < 0.001), and was lower in the intervention group than in the control group (t = 3.508, P = 0.001); the score of mMRC improved (χ2 = 7.937, P < 0.05), but no difference was found between two groups (χ2 =1.018, P > 0.05); the score of Self-management Scale significantly increased (t = -5.650, P < 0.001), and was significantly higher in the intervention group than in the control group (t = 4.812, P < 0.001).Conclusion The continuous, interactive and participatory mobile health platform designed in this study could effectively improve the quality of life and self-management ability of COPD patients, and prolong the effect of pulmonary rehabilitation.

Key words: chronic obstructive pulmonary disease, mobile health platform, self-management, pulmonary rehabilitation

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