Home-based Health Management of COPD Patients

 描述（由申请人提供）：明尼苏达州健康解决方案公司（MHS）提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。COPD是美国第四大死亡原因，也是老年人发病的重要原因，这导致了高医疗保健需求PR是针对COPD患者的监督计划，被认为是护理的重要组成部分。然而，许多人无法在临床环境中参加PR。开发一种系统，安全地允许PR在患者家中进行适当的监测和反馈，将为COPD患者的医疗保健提供重大进展。COPD患者即使在非常低的水平上运动也能显著降低住院和死亡的风险。MHS成功完成了该项目的第一阶段。在第二阶段，MHS计划改进设计，并在马约诊所的对照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.