Home-based Health Management of COPD Patients

 描述(由申请人提供)：明尼苏达医疗解决方案公司(MHS)建议开发和评估一项计划，以激励和监测慢性阻塞性肺疾病(COPD)患者完成家庭锻炼，作为肺康复(PR)的一部分。慢性阻塞性肺病是美国第四大死因，也是导致老年人发病的一个非常重要的原因，这导致了对医疗保健的高需求。公关是一项针对慢性阻塞性肺病患者的监督计划，被认为是保健的重要组成部分。然而，许多人无法在临床环境中参加公关课程。开发一种系统，安全地允许在患者家中进行PR，并进行适当的监测和反馈，将大大促进COPD患者的健康护理。即使是非常低的运动量，COPD患者的入院风险和死亡率也会显著降低。MHS成功完成了这一项目的第一阶段。在第二阶段，MHS计划改进设计，并在梅奥诊所的一项受控人体研究中对其进行评估，以确定其在改善生活质量和增加日常步数方面的有效性。

 DESCRIPTION (provided by applicant): Minnesota HealthSolutions Corporation (MHS) proposes to develop and evaluate a program to motivate and monitor people with chronic obstructive pulmonary disease (COPD) to complete home exercise as part of pulmonary rehabilitation (PR). COPD is the fourth leading cause of death in the U.S. and a very significant cause of morbidity in the elderly, which results in high health care demand PR is a supervised program for people with COPD and is considered an essential component of care. Yet many people are unable to attend PR in a clinical setting. The development of a system that safely allows PR in the patient home with proper monitoring and feedback will provide a significant advance in the health care of COPD patients. COPD patients who exercise at even very low levels significantly lower their risk of hospital admission and mortality. MHS successfully completed phase I of this project. In phase II MHS plans to refine the design and evaluate it in a controlled human study at the Mayo Clinic to determine its effectiveness at improving quality of life and increasing daily steps.