Effect of remote pulmonary rehabilitation management in patients with CPOD
10.3760/cma.j.cn115682-20201012-05686
- VernacularTitle:远程肺康复管理在COPD患者中的应用效果评价
- Author:
Yang WANG
1
;
Ruiqing DI
;
Jimei ZHOU
;
Yancang ZHANG
;
Weiping LIU
;
Jingyun DANG
Author Information
1. 郑州大学第一附属医院介入科，郑州 450052
- Keywords:
Pulmonary disease, chronic obstructive;
Telemedicine;
Pulmonary rehabilitation;
Self-management ability;
Pulmonary function
- From:
Chinese Journal of Modern Nursing
2021;27(15):2073-2078
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of remote pulmonary rehabilitation management in chronic obstructive pulmonary disease (COPD) patients.Methods:From May 2017 to May 2019, convenience sampling was used to select 114 COPD outpatients in the Respiratory Department of the First Affiliated Hospital of Zhengzhou University. All patients were randomly divided into control group ( n=57) using conventional pulmonary rehabilitation management and observation group ( n=57) using remote pulmonary rehabilitation management, respectively, and the management period was one year. We compared the differences in COPD self-management ability, body mass index, airflow obstruction, dyspnea, exercise capacity (BODE) index, and average annual hospital admission rate between the two groups. Results:After intervention, the scores and the total score of self-management of observation group were higher than those of control group, and the differences were statistically significant ( P<0.01) . The dimension scores and the total score of self-management of observation group after the intervention were higher than those before intervention, and the differences were statistically significant ( P<0.05) . After intervention, the observation group's percentage of forced vital capacity in the first second to predicted value and the 6 minutes walking distance were higher than those of control group, and the dyspnea score and BODE index were lower than those of control group, and the differences were statistically significant ( P<0.05) . The average annual admission rate of the observation group and the control group were 5.41% and 9.06%, respectively. The average annual hospital admission rate of observation group was lower than that of control group, and the difference was statistically significant (χ 2=6.806, P=0.009) . Conclusions:Remote pulmonary rehabilitation management can improve the self-management ability of COPD patients, improve pulmonary function and reduce the admission rate of patients, which is worthy of clinical promotion.
