A mobile health application to support self-management in patients with chronic obstructive pulmonary disease: a randomised controlled trial
A mobile health application to support self-management in patients with chronic obstructive pulmonary disease: a randomised controlled trial
复制标题
支持慢性阻塞性肺病患者自我管理的移动健康应用程序：一项随机对照试验
作者：
Lianhong Wang;Yunmei Guo;Meili Wang;Yan Zhao
目的：探讨一款支持自我管理方案的移动健康智能手机应用程序对慢性阻塞性肺疾病（COPD）患者生活质量、自我管理行为、运动和戒烟行为的影响。设计：一项随机对照单盲试验，于2017年11月至2019年2月进行，纳入贵州遵义医科大学附属医院收治的78名COPD患者。研究参与者被随机分为干预组（n = 39）和对照组（n = 39）。方法：干预组在常规护理的基础上进行移动医疗应用程序，对照组仅进行常规护理。结果测量是用COPD评估测试评估与健康相关的生活质量，用COPD自我管理量表评估自我管理行为，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例，对照组33例完成研究。与对照组相比，干预组受试者在第12个月COPD -Assessment -Test得分（P < 0.01）和COPD自我管理量表各领域得分（P < 0.01）均有统计学意义的改善。在12个月的研究期间，干预组和对照组COPD -Assessment -Test得分分别提高了4.3和0.3个单位，COPD自我管理量表总分分别提高了23.01和2.28个单位。同时，移动健康应用程序也改善了参与者的运动和戒烟行为。结论：支持自我管理方案的移动健康智能手机应用程序在改善COPD患者健康相关生活质量和自我管理行为方面是有效的。试验注册：本研究已在中国临床试验网站注册
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 (n = 39) and control groups (n = 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 (P < 0.01) and in all domains of the COPD Self-Management Scale scores (P < 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