Remote rehabilitation applied in patients with stable stage of chronic obstructive pulmonary disease: A meta-analysis
10.3969/j.issn.2095-4344-1500
- Author:
Meizhu DING
1
Author Information
1. Second Affiliated Hospital of Guangzhou University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Lung function;
Meta-analysis;
Pulmonary rehabilitation;
Remote rehabilitation
- From:
Chinese Journal of Tissue Engineering Research
2020;24(8):1306-1312
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Due to the inconveniences of mobility, lack of transport and travel costs, it is difficult for patients with chronic obstructive pulmonary disease to have access to a center-based lung rehabilitation service. Remote rehabilitation technology makes these patients get the opportunity of lung rehabilitation. OBJECTIVE: To explore the effect of remote rehabilitation in pulmonary rehabilitation of patients with stable stage of chronic obstructive pulmonary disease. METHODS: The literature was retrieved from the databases of PubMed, The Cochrane Library and CNKI with the keywords of “telerehabilitation, chronic obstructive pulmonary disease” in English and Chinese, respectively. According to the inclusion and exclusion criteria, the literature was independently screened, the data were extracted, and the quality of the literature was evaluated. The data were analyzed on RevMan 5.3 software. RESULTS AND CONCLUSION: A total of 3 033 patients with stable stage of chronic obstructive pulmonary disease were enrolled in 21 randomized controlled trails. Meta-analysis results indicated that compared with the control group, the forced expiratory volume in 1 second/forced vital capacity was significantly increased [MD=5.11, 95%CI (4.05，6.17), Z=9.49, P < 0.000 01] and CAT score was significantly decreased [MD=-3.54, 95%CI (-5.61, -1.46), Z=3.34, P=0.000 8] in the intervention group (P < 0.05). No difference between groups was found in the 6-minute walking distance, the predicted forced expiratory volume in 1 second%, mMRC score or SGRQ score (P > 0.05). In summary, remote rehabilitation provides a new lung rehabilitation method for chronic obstructive pulmonary disease patients, which can promote disease recovery and strengthen self-management ability of patients.
